Magnolia Crossing Nursing and Rehabilitation Cente

In the surveyor’s words

From the most serious findings on record at Magnolia Crossing Nursing and Rehabilitation Cente, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF563Feb 9, 2023

  Based on observation, interview and record review the facility failed to ensure residents had the right to receive visitors of his or her choosing, subject to the resident's right to deny visitation when applicable, and in a manner that did not impose on the rights of another resident for 2 of 2 residents reviewed for resident rights. The facility failed to ensure all residents had the right to unrestricted visitation hours inside the facility. This failure could place residents at risk for isolation, decreased emotional well-being and a diminished quality of life. Findings include: Observation 02/07/2023 at 8:00a.m., revealed a sign sitting next to the screening station by the facility's main entrance. The sign read visiting hours are from 7:30am-8pm. […]

• No harm, potential for more than minimal, widespreadF758Nov 5, 2021

  Based on observation, interview, and record review, the facility failed to ensure residents who use [CONDITION(S)] drugs receive gradual dose reductions, and behavioral interventions, unless clinically contraindicated, in an effort to discontinue and PRN orders for anti-psychotic drugs are limited to 14 days and cannot be renewed unless the attending physician or prescribing practitioner evaluates the resident for the appropriateness of that medication for 9 of 10 residents (Residents #49, #50, #78, #44, #46, #3, #15, #54, and #58) reviewed for unnecessary [CONDITION(S)] medications, in that: -Residents #49, #50, #78, #44, #46, #3, #15, #54, and #58 were receiving [MEDICATION(S)] ([MEDICATION(S)]) while diagnosed with dementia against black box warning. […]

• No harm, potential for more than minimal, widespreadF814Nov 5, 2021

  Based on observation, interview and record review, the facility failed to dispose garbage and refuse properly for 1 of 1 dumpster reviewed for garbage disposal in that: -The facility's dumpster lids and door were not secured. This failure could affect residents and place residents, staff, and visitors at risk for exposure to germs and diseases carried by vermin and rodents. Findings include: Observation on 11-02-21 at 9:00 am, the facility's dumpster area, which was in the lot behind the dietary department. The facility's commercial -size dumpster lids and door were open. Interview on 11-02-21 at 9:00 am, with the Dietary Cook A she stated that the dumpster lids always must be closed to keep vermin, pests and insects out of the dumpster and from entering the facility. […]

• No harm, potential for more than minimal, patternF656Jul 16, 2026

  Based on observation, interview, and record review, the facility failed to implement a comprehensive person-centered care plan to that included measurable objectives and time frames to meet, attain, and/or maintain the resident's highest practicable medical, nursing, mental, and psychosocial needs identified in the comprehensive assessment for 4 of 18 residents (Residents #2, #3, #13 and #22) reviewed for care plans. -The facility did not develop Resident #2's care plan related to bladder and bowel incontinence. -The facility failed to ensure that Resident #3's Comprehensive Care Plan included her diagnoses diagnosis of Alzheimer's disease, pain, Dehydration and Psychosocial wellbeing that were triggered on her admission assessment. […]

• No harm, potential for more than minimal, patternF700May 22, 2025

  Based on observation, interview, and record review the facility failed to assess the resident for risk of entrapment from bed rails prior to installation, review the risks and benefits of bed rails with the resident or resident representative and obtain informed consent prior to installation for 3 of 6 Residents (Resident #95, Resident #64, and Resident #356,) reviewed for the use of side rails. The facility failed to ensure nursing staff obtained physician orders and consent for the use of side rails for Residents #95, #64 and #356. This failure could place residents at risk of injury, hinder residents from getting out of bed, and/or cause a decline in resident's ability to engage in activities of daily living. Findings include: 1. […]