Camelot Rehabilitation at Magnolia Park

In the surveyor’s words

From the most serious findings on record at Camelot Rehabilitation at Magnolia Park, in the surveyor’s own words.

• Immediate jeopardy, isolatedF695Mar 27, 2023

  Based on interviews and record reviews the facility failed to provide the necessary respiratory care consistent with professional standards of practice for 1 (#3) out of 5 (#1, #2, #3, #4 and #5) sampled residents who required mechanical ventilation by the staff failing to: 1. Respond to Resident #3's ventilator alarm in a timely manner and 2. Adequately assess Resident #3 for a change in her condition. This failed practice resulted in an Immediate Jeopardy on 03/15/2023 at 3:44 p.m., when Resident # 3, who was cognitively impaired and ventilator dependent, became disconnected from the ventilator, when turned on her side, while facility staff performed incontinent care and wound care. […]

• Immediate jeopardy, isolatedF726Mar 27, 2023

  Based on interview and record review, the facility failed to ensure staff were trained and deemed competent with the appropriate skill set to adequately assess for changes in resident condition and respond to ventilator alarms in order to assure a resident maintain the highest practicable physical, mental, and psychosocial well-being for 1(#3) out of 5 (#1, #2, #3, #4 and #5) sampled residents who required mechanical ventilation. This failed practice resulted in an Immediate Jeopardy on 03/15/2023 at 3:44 p.m., when Resident # 3, who was cognitively impaired and ventilator dependent, became disconnected from the ventilator, when turned on her side, while facility staff performed incontinent care and wound care. […]

• Immediate jeopardy, isolatedF835Mar 27, 2023

  Based on interview and record review, the facility failed to be administered in a manner that enabled its resources to be used effectively and efficiently to attain or maintain the highest practicable physical, mental and psychosocial well- being for 1 (#3) out of 9 ventilator dependent residents. The facility failed to: 1. Develop policies and procedures to ensure a. staff adequately assess and promptly respond to ventilator alarms for residents on a ventilator machine b. nurses and CNAs are trained and deemed competent to care for residents who require ventilator care, 2. Monitor and supervise services being provided by the CNAs during care of residents on a ventilator, and 3. […]

• No harm, potential for more than minimal, widespreadF865Feb 4, 2025

  Based on record review and interview, the facility failed to ensure an effective Quality Assurance and Performance Improvement (QAPI) program was developed, implemented, and/or maintained in an effective and comprehensive manner. The facility failed to maintain documentation of evidence of its ongoing facility QAPI program. This deficient practice has the potential to affect 133 residents residing in the facility. Findings: Review of a facility policy on 02/04/2025 at 3:00 PM titled, QAPI Program (unknown original date documented) with a revised date of 12/2016, revealed the following in part .all employees will participate in ongoing QAPI efforts .the QAPI program has been developed to incorporate the continuous quality improvement and quality assurance processes consisting of ongoing… […]

• No harm, potential for more than minimal, widespreadF867Feb 4, 2025

  Based on record review and interview, the facility failed to provide documentation of the Quality Assurance and Performance Improvement (QAPI) program that addresses the facility's performance improvement activities and projects. The facility failed to provide evidence of the number and frequency of improvement projects conducted, which addressed the scope and complexity of the facility's provided services. This deficient practice had to potential to affect 133 residents residing in the facility. […]