Deficiency Records for The Rehab Suites at Magnolia Crossing
Updated as of March 01, 2024
A list of the most recent deficiencies for The Rehab Suites at Magnolia Crossing. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-13 | 2023-12-08 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-11-13 | 2023-12-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-01 | 2023-06-15 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2023-02-09 | 2023-03-06 | N |
| 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 | 2023-02-09 | 2023-03-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-09 | 2023-03-06 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2023-02-09 | 2023-03-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-09 | 2023-03-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-07 | 2023-03-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-07 | 2023-03-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-11-05 | 2021-12-01 | 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 | 2021-11-05 | 2021-12-01 | 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 | 2021-11-05 | 2021-12-01 | N |
| Dispose of garbage and refuse properly. | Health | 2021-11-05 | 2021-12-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-05 | 2021-12-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-02 | 2021-12-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-02 | 2021-12-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-11-02 | 2021-12-01 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-09-08 | 2021-10-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-09-08 | 2021-10-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-08 | 2021-10-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-10-10 | 2019-11-04 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-10-10 | 2019-11-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-10 | 2019-11-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-10 | 2019-11-04 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-10-10 | 2019-11-04 | 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 | 2019-10-10 | 2019-11-04 | 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 | 2019-10-10 | 2019-11-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-10-10 | 2019-11-04 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-10-10 | 2019-11-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-10 | 2019-11-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-10 | 2019-10-11 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-10-10 | 2019-10-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-10 | 2019-10-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-10 | 2019-10-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-10 | 2019-10-11 | N |
