Deficiency Records for Magnolia Creek Nursing and Rehabilitation
Updated as of May 01, 2024
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Deficiency Records for Magnolia Creek Nursing and Rehabilitation
A list of the most recent deficiencies for Magnolia Creek Nursing and Rehabilitation. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Magnolia Creek Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-06-08 | 2023-07-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-15 | 2022-03-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-09 | 2022-01-23 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2021-12-09 | 2022-01-23 | 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 | 2021-12-09 | 2022-01-23 | N |
| Respond appropriately to all alleged violations. | Health | 2021-12-09 | 2022-01-23 | 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 | 2021-12-09 | 2022-01-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-09 | 2022-01-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-09 | 2022-01-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-09 | 2022-01-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-09 | 2022-01-23 | 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 | 2021-12-09 | 2022-01-23 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-12-09 | 2022-01-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-09 | 2022-01-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-09 | 2022-01-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-12-09 | 2022-01-23 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2021-12-09 | 2022-01-23 | 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 | 2019-08-27 | 2019-10-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-08-27 | 2019-10-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-27 | 2019-10-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-27 | 2019-10-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-27 | 2019-10-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-21 | 2019-10-03 | 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 | 2019-08-21 | 2019-10-03 | N |
| Develop a communication plan. | Fire Safety | 2018-10-22 | 2019-01-11 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-10-22 | 2019-01-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-10-22 | 2019-01-10 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-10-22 | 2018-12-04 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-10-22 | 2018-12-04 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-10-22 | 2018-12-04 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-10-22 | 2018-12-04 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-10-22 | 2018-12-04 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-10-22 | 2018-12-04 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-10-22 | 2018-12-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-10-22 | 2018-12-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-10-22 | 2018-12-04 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-10-22 | 2018-12-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-22 | 2018-12-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-10-25 | 2018-11-23 | 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 | 2018-10-25 | 2018-11-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-25 | 2018-11-23 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-10-22 | 2018-11-23 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-10-22 | 2018-11-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-10-22 | 2018-11-23 | N |
| 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 | 2018-10-22 | 2018-11-23 | 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 | 2018-10-22 | 2018-11-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-22 | 2018-11-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-22 | 2018-11-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-22 | 2018-11-23 | N |
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