Magnolia Manor - Inman

In the surveyor’s words

From the most serious findings on record at Magnolia Manor - Inman, in the surveyor’s own words.

• Immediate jeopardy, patternF689May 1, 2024

  Based on observation, interviews, and facility policy review, the facility failed to provide proper safety protocols for 5 out of 5 residents who smoke/vape, Residents (R)1, R2, R3, R4, and R5. Additionally, the facility failed to conduct smoking assessments for 2 out of 5 residents who smoke/vape, R4 and R5. Specifically, residents were smoking vapes in the facility and sharing vapes with other residents. On 04/30/2024 at 09:34 AM, the Administrator was notified that the failure to conduct assessments on residents who smoke/vape and failing to provide proper safety protocols for residents who smoke/vape constituted Immediate Jeopardy (IJ) at F689. […]

• Immediate jeopardy, isolatedF689Jun 5, 2025

  Based on review of facility policy, interview and record review, the facility failed to ensure that Resident (R)1 was provided appropriate supervision to prevent 2 separate elopements from the facility on 04/28/25. On 06/03/25 at 5:53 PM, the Administrator and the Director of Nursing were notified that the failure to ensure that Resident (R)1 was free from two separate elopement incidents from the facility on 04/28/25, constituted Immediate Jeopardy (IJ) at F689. On 06/03/25 at 5:53 PM, the survey team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template and informed the facility that IJ existed as of 04/28/25. The IJ was related to 42 CFR 483.25 - Quality of Care. On 06/04/25 at 11:54 AM, the facility provided an acceptable IJ Removal Plan. […]

• Immediate jeopardy, isolatedF689Apr 22, 2025

  Based on review of facility policy, record review, and interview, the facility failed to ensure Resident (R)4 was free of accidents for 1 of 4 residents review for accident hazards. Findings include: Review of the facility policy with a revision date of May 5, 2023, titled Fall Management revealed in the policy the definition of a fall, Fall refers to the unintentionally coming to rest on the ground, floor, or other lower level, but not because of an overwhelming external force. […]

• Immediate jeopardy, isolatedF600Dec 19, 2024

  Based on review of facility policy, record review, and interviews, the facility failed to protect Resident (R)11 from neglect, by failing to administer (R)11's physician ordered antibiotics, resulting in loss of limb. On 12/19/24 at 10:10 AM, the Administrator was notified that the failure to administer physician ordered antibiotics as treatment for a Pressure Ulcer (PU)/Pressure Injury (PI), constituted IJ at F600. On 12/19/24 at 10:10 AM, the survey team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template, informing the facility IJ existed as of 11/21/24. The IJ was related to 42 CFR 483.12 - Freedom from Abuse, Neglect, and Exploitation. On 12/19/24, the facility provided an acceptable IJ Removal Plan. […]

• Immediate jeopardy, isolatedF686Dec 19, 2024

  Based on review of facility policy, record review and interviews, the facility failed to provide treatment, consistent with professional standards of practice for Resident (R)11's Pressure Ulcer (PU)/Pressure Injury (PI). Specifically, the facility failed to administer an antibiotic to treat R11's wounds, resulting in a loss of limb. On 12/19/24 at 10:10 AM, the Administrator was notified that the failure to provide treatment, consistent with professional standards of practice, to a Pressure Ulcer (PU)/Pressure Injury (PI), constituted IJ at F686. On 12/19/24 at 10:10 AM, the survey team provided the Administrator with a copy of the CMS Immediate Jeopardy (IJ) Template, informing the facility IJ existed as of 11/21/24. […]