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Deficiency Records for Magnolia Gardens Convalescent Hospital

View the most recent health deficiencies and inspection results for Magnolia Gardens Convalescent Hospital. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Magnolia Gardens Convalescent Hospital. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2026-04-09 2026-04-30 N
Ensure each resident receives an accurate assessment. Health 2026-04-09 2026-04-30 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2026-04-09 2026-04-30 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 2026-04-09 2026-04-30 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2026-04-09 2026-04-30 N
Assist a resident in gaining access to vision and hearing services. Health 2026-04-09 2026-04-30 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2026-04-09 2026-04-30 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2026-04-09 2026-04-30 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2026-04-09 2026-04-30 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2026-04-09 2026-04-30 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2026-04-09 2026-04-30 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2026-04-09 2026-04-30 N
Ensure that residents are free from significant medication errors. Health 2026-04-09 2026-04-30 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 2026-04-09 2026-04-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2026-04-09 2026-04-30 N
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Health 2026-04-09 2026-04-30 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2026-04-09 2026-04-30 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2026-04-09 2026-04-30 N
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Health 2026-04-09 2026-04-30 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2026-04-09 2026-04-30 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2026-04-09 2026-04-30 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2026-04-09 2026-04-30 N
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Health 2026-04-09 2026-04-30 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2026-04-09 2026-04-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-07-29 2025-08-29 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2025-07-29 2025-08-29 Y
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 2025-07-29 2025-08-29 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2025-07-29 2025-08-29 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-06-18 2025-07-14 Y
Provide care or services that was trauma informed and/or culturally competent. Health 2025-06-12 2025-07-07 Y
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Health 2025-06-12 2025-07-07 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2025-05-21 2025-06-13 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-05-21 2025-06-13 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2025-05-21 2025-06-13 Y
Reasonably accommodate the needs and preferences of each resident. Health 2025-05-13 2025-06-06 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2025-04-27 2025-05-21 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2025-04-27 2025-05-21 N
Install an approved automatic sprinkler system. Fire Safety 2025-04-27 2025-05-21 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2025-04-27 2025-05-19 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2025-04-27 2025-05-19 N
Reasonably accommodate the needs and preferences of each resident. Health 2025-04-27 2025-05-19 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2025-04-27 2025-05-19 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2025-04-27 2025-05-19 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2025-04-27 2025-05-19 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-04-27 2025-05-19 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2025-04-27 2025-05-19 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2025-04-27 2025-05-19 N
Ensure medication error rates are not 5 percent or greater. Health 2025-04-27 2025-05-19 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 2025-04-27 2025-05-19 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2025-04-27 2025-05-19 N
Provide and implement an infection prevention and control program. Health 2025-04-27 2025-05-19 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2025-04-27 2025-05-19 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2025-03-03 2025-03-14 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-02-12 2025-03-07 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2025-02-12 2025-03-07 Y
Reasonably accommodate the needs and preferences of each resident. Health 2024-12-30 2025-01-22 Y
Provide and implement an infection prevention and control program. Health 2024-12-30 2025-01-22 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-12-30 2025-01-22 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-12-30 2025-01-22 Y
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2024-10-08 2024-10-31 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-10-08 2024-10-31 Y
Provide and implement an infection prevention and control program. Health 2024-09-11 2024-10-04 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-09-11 2024-10-04 Y
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2024-08-27 2024-09-20 Y
Provide and implement an infection prevention and control program. Health 2024-08-27 2024-09-20 Y
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2024-05-16 2024-06-09 N
Provide and implement an infection prevention and control program. Health 2024-05-16 2024-06-09 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-05-16 2024-06-09 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-05-16 2024-06-09 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 2024-05-16 2024-06-09 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 2024-05-16 2024-06-09 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-05-16 2024-06-09 N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2024-05-16 2024-06-09 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-05-16 2024-06-09 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-05-16 2024-06-09 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-05-16 2024-06-09 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2024-05-16 2024-06-09 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-05-16 2024-06-09 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-05-16 2024-06-05 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-04-08 2024-04-29 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-09-28 2023-10-19 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-09-28 2023-10-19 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-09-28 2023-10-19 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-09-28 2023-10-19 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2023-09-06 2023-09-27 Y

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