Print Violation: 00297156-AP-250730

Provider Information

Magnolia Gardens Memory Care

1355 DAUGHERTY AVE
Cottage Grove, OR 97424

Date: 11/15/2023
Report number: 00297156-AP-250730
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(a), (g) and (s)
External site: 411-054-0028(2)(a) and (b)
External site: 411-054-0030(1)(e)(A)(H) and (I)
External site: 411-054-0070(1)
Findings: Alleged Victim (AV) is a high fall risk and uses a walker. Witness 1 (W1) has a history of resident to resident altercations. On or about November 15, 2023, AV was slowly walking in the common area without h/h walker, while W1 was walking the opposite direction (towards AV). As they approached each other, W1 shoved AV which resulted in AV falling to the ground resulting in back pain. Due to the needs of all residents and combined with staff schedules, AP1 lacked the necessary staff to provide a safe environment and supervision to AV and W1 at the time of the incident.
Sanction: RCFCP24-00792 $338.00 fine assessed