Aging and People with Disabilities
Safety, Oversight and Quality
Print Violation: 00323003-AP-274655
Provider Information
Magnolia Gardens Memory Care
1355 DAUGHERTY AVE
Cottage Grove, OR 97424
- Provider ID
- 50R314
- Administrator
- Christina Sexton
- Phone
- (541) 942-8966
- mc.director@magnoliagardenssl.com
Violation Details
- Date
- 4/3/2024
- Report number
- 00323003-AP-274655
- 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)(g) and (s)
External site: 411-054-0030(1)(e)(I)
External site: 411-054-0036(2)(g)
- Findings
- Witness 1 (W1) has a history of multiple resident-to-resident altercations. W1 service plan indicates W1’s behaviors are known to be spontaneous. W1 has a list of interventions for staff to apply when W1 is showing agitation. Behavior/Safety Plan for W1 dated March 26, 2024, indicates close proximity of other residents may also trigger anxiety, nervousness, confusion, and influence concerning behaviors. Staff must know of W1’s location at all times and relay information to other staff members. Per video on or about April 3, 2024, AV and W1 are sitting in the common area. W1 got up opens a window and sits back down. AV gets up and closes the window. W1 approaches AV and starts to swing at AV, to which AV responds by pushing/kicking h/h leg at W1 and making contact with W1’s right knee. W1 responds and swings at AV, making contact. W1 then grabs a large puzzle board and flings it at AV making contact with AV’s hand resulting in a skin tear. AP1 did not have staff watching W1 at the time of this incident on April 3, 2024. The facility failed to follow the Behavior/Safety Plan for W1 dated March 26, 2024, which indicates Staff must know of W1’s location at all times and relay information to other staff members. The facility failed to provide a safe environment to AV knowing W1 behaviors are spontaneous, which is a violation of resident rights is neglect of care and constitutes abuse.
- Sanction
- RCFCP24-01025 $375.00 fine assessed