A list of the most recent deficiencies for Magnolia Manor Methodist Nsg C. 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-07 | 2024-01-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-07 | 2024-01-20 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-12-07 | 2024-01-20 | Y |
| 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 | 2023-12-07 | 2024-01-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-07 | 2024-01-20 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-05 | 2024-01-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-05 | 2024-01-20 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-08-02 | 2022-09-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-02 | 2022-09-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-02 | 2022-09-18 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2022-08-02 | 2022-09-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-02 | 2022-09-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-02 | 2022-09-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-02 | 2022-09-18 | 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 | 2021-09-20 | 2021-10-22 | Y |
| 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 | 2019-01-25 | 2019-03-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-25 | 2019-03-11 | 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 | 2019-01-25 | 2019-03-11 | 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 | 2019-01-25 | 2019-03-11 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-01-22 | 2019-03-11 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2019-01-22 | 2019-03-11 | N |
