A list of the most recent deficiencies for The Springs Magnolia. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-09-15 | 2023-10-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-15 | 2023-10-06 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-06-08 | 2023-07-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-08 | 2023-07-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-08 | 2023-07-06 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-06-08 | 2023-07-06 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-06-08 | 2023-07-06 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-06-08 | 2023-07-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-08 | 2023-07-06 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-06-08 | 2023-07-06 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-06-07 | 2023-07-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-18 | 2022-11-19 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-03-21 | 2022-04-05 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-03-21 | 2022-04-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-03-21 | 2022-04-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-03-21 | 2022-04-05 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-21 | 2022-04-05 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-03-21 | 2022-04-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-21 | 2022-04-05 | N |
| Provide appropriate foot care. | Health | 2022-03-21 | 2022-04-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-21 | 2022-04-05 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-03-21 | 2022-04-05 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-03-21 | 2022-04-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-21 | 2022-04-05 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-03-17 | 2022-04-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-17 | 2022-04-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-17 | 2022-04-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-18 | 2022-02-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-18 | 2022-02-05 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-12-28 | 2022-01-10 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-24 | 2021-07-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-24 | 2021-07-02 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-01-22 | 2021-02-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-01-22 | 2021-02-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-01-22 | 2021-02-21 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-01-22 | 2021-02-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-01-22 | 2021-02-21 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-01-22 | 2021-02-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-01-22 | 2021-02-21 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-01-22 | 2021-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-01-22 | 2021-02-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-01-22 | 2021-02-21 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-01-20 | 2021-02-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-01-20 | 2021-02-20 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-01-20 | 2021-02-20 | N |
