Deficiency Records for Magnolia Gardens Center For Nursing and Rehab
Updated as of April 01, 2024
A list of the most recent deficiencies for Magnolia Gardens Center For Nursing and Rehab. 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? |
|---|---|---|---|---|
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2023-08-16 | 2023-10-26 | N |
| Use approved construction type or materials. | Fire Safety | 2023-08-16 | 2023-10-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-16 | 2023-10-26 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-08-16 | 2023-10-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-16 | 2023-10-26 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2023-08-16 | 2023-10-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-16 | 2023-10-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-16 | 2023-10-26 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2023-08-16 | 2023-10-26 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-08-16 | 2023-10-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-16 | 2023-10-26 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-08-16 | 2023-10-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-16 | 2023-10-26 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-07-20 | 2023-08-17 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-07-20 | 2023-08-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-20 | 2023-08-17 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-07-20 | 2023-08-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-20 | 2023-08-17 | 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 | 2023-07-20 | 2023-08-17 | Y |
| 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 | 2023-07-20 | 2023-08-17 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-07-20 | 2023-08-17 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-09-27 | 2022-11-20 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-09-27 | 2022-11-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-27 | 2022-11-20 | N |
| 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 | 2022-09-01 | 2022-09-29 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-09-01 | 2022-09-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-01 | 2022-09-29 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-09-01 | 2022-09-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-01 | 2022-09-29 | 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 | 2022-09-01 | 2022-09-29 | N |
| Post nurse staffing information every day. | Health | 2022-09-01 | 2022-09-29 | 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 | 2022-09-01 | 2022-09-29 | N |
| Provide or obtain dental services for each resident. | Health | 2022-09-01 | 2022-09-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-01 | 2022-09-29 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-09-01 | 2022-09-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-09-01 | 2022-09-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-01 | 2022-09-29 | 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 | 2022-09-01 | 2022-09-29 | Y |
| Assess the resident when there is a significant change in condition | Health | 2022-09-01 | 2022-09-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-01 | 2022-09-29 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-01 | 2022-09-29 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-01 | 2022-09-29 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-01 | 2022-09-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-01 | 2022-09-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-01 | 2022-09-29 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-05 | 2021-05-31 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-04-22 | 2021-05-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-22 | 2021-05-18 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-04-22 | 2021-05-18 | 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 | 2021-04-22 | 2021-05-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-22 | 2021-05-18 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-04-22 | 2021-05-18 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-22 | 2021-05-18 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-04-22 | 2021-05-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-22 | 2021-05-18 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-04-22 | 2021-05-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-22 | 2021-05-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-22 | 2021-05-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-22 | 2021-05-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-22 | 2021-05-18 | Y |
| 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 | 2021-04-22 | 2021-05-18 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-04-22 | 2021-05-18 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-04-22 | 2021-05-18 | Y |
| Post nurse staffing information every day. | Health | 2021-04-22 | 2021-05-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-22 | 2021-05-18 | 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 | 2021-04-22 | 2021-05-18 | Y |
| Implement a program that monitors antibiotic use. | Health | 2021-04-22 | 2021-05-18 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-04-22 | 2021-05-18 | Y |
