Magnolia Manor Methodist NSG C

In the surveyor’s words

From the most serious findings on record at Magnolia Manor Methodist NSG C, in the surveyor’s own words.

• Actual harm, isolatedF684Mar 14, 2025

  Based on observations, interviews, and a review of records, facility staff failed to ensure the appropriate medical evaluation of a resident that sustained a head injury during a fall. This resident was at an increased risk for the development of intracranial hematomas (accumulations of blood inside the skull, either within the brain or between the brain and the skull) due to head injury, advanced age, and the use of antiplatelet agents. This deficient practice affected one of two residents reviewed for falls from a total of 37 residents sampled [Resident (R)#119]. Actual harm was identified on 3/5/25 when R#119 experienced a fall with injury which led to a decline in abilities and the facility failed to provide timely follow up for the decline. […]

• No harm, potential for more than minimal, widespreadF880Jan 29, 2026

  Based on record reviews, interviews and the facility policy titled Surveillance for Infections, the facility failed to follow the Department of Public Health (DPH) recommendations for diagnostic testing for 33 symptomatic residents on six of six Units (Unit 1, Unit 2, Unit 3, Unit 4, Unit 5, Unit 6) involved in an epidemiological qualified infectious disease outbreak. The deficient practice increased the risk for continued spread of infection.Findings includeReview of the policy Surveillance for Infections revised September 2017 documented under Policy Interpretation and Implementation: 1. […]

• No harm, potential for more than minimal, widespreadF812Mar 14, 2025

  Based on observations, interviews, record review, and facility policy review, the facility failed to ensure food safety, sanitary conditions and the prevention of foodborne illness were maintained. This was evidenced by one of one walk-in freezer temperature gauges that displayed multiple temperatures greater than 20 degrees Fahrenheit (F) by three internal thermometers, which lead to food thawing. Additional failures included a large quantity of raw chicken pieces allowed to sit, unrefrigerated, in the frying area of the kitchen for more than four hours before placing the remaining unused portions into the same freezer with elevated temperature for storage. […]

• No harm, potential for more than minimal, patternF761Dec 7, 2023

  Based on observations, staff interviews, and review of facility policy titled, Medication Storage in the Care Center, the facility failed to safely store and secure medications in one of four medication rooms by leaving the medication room door unsecure and open ajar approximately three inches located in the Memory Care Unit. The deficient practice had the potential to allow unauthorized access by residents and visitors to medical equipment and medications stored in medication storage room. Findings include: Review of facility policy titled, Medication Storage in the Care Center last reviewed and updated April 2016 revealed under Procedural Guidelines: 2. […]

• No harm, potential for more than minimal, isolatedF656Apr 30, 2026

  Based on observations, staff interviews, record review, and review of the facility policy titled, Care Plans-Comprehensive Person-Centered the facility failed to implement appropriate individualized interventions on the comprehensive care plan for a resident requiring oxygen therapy management for one of 24 residents (R) (R65) receiving oxygen. This deficient practice had the potential to place the residents at risk for unmet care needs.Findings include:Review of the undated policy Care Plans-Comprehensive Person-Centered revealed under procedural guidelines: . 2. […]