Deficiency Records for Magnolia Creek Skilled Nursing and Therapy
Updated as of April 01, 2024
A list of the most recent deficiencies for Magnolia Creek Skilled Nursing and Therapy. 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? |
|---|---|---|---|---|
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-07-25 | 2023-08-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-25 | 2023-08-23 | 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 | 2023-07-25 | 2023-08-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-25 | 2023-08-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-25 | 2023-08-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-25 | 2023-08-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-25 | 2023-08-23 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-05-04 | 2023-06-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-04 | 2023-06-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-04 | 2023-06-14 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-28 | 2022-12-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-28 | 2022-12-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-10-28 | 2022-12-13 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-06-29 | 2022-07-27 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-06-29 | 2022-07-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-29 | 2022-07-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-29 | 2022-07-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-29 | 2022-07-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-06-30 | 2022-07-12 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-09-18 | 2019-10-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-18 | 2019-10-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-18 | 2019-10-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-09-18 | 2019-10-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-18 | 2019-10-29 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-09-19 | 2019-10-16 | N |
| 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 | 2019-09-19 | 2019-10-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-19 | 2019-10-16 | N |
