Magnolia Manor Nursing and Rehab Ctr, LLC

In the surveyor’s words

From the most serious findings on record at Magnolia Manor Nursing and Rehab Ctr, LLC, in the surveyor’s own words.

• Actual harm, isolatedF600Apr 3, 2025

  Based on record review, surveillance video review and interviews, the facility failed to protect the resident's right to be free from physical, verbal abuse and psychosocial harm by a staff member for 1 (#1) of 3 (#1, #2, #3) residents reviewed for abuse. The actual harm occurred for Resident #1, who was cognitively impaired, on 02/13/2025 at 8:32 a.m. when S6 CNA (Certified Nurse Assistant) was observed on surveillance video verbally and physically abusing Resident #1 while providing care. Physical abuse occurred when S6 CNA pulled down on Resident #1's left contracted leg, forcefully snatched Resident #1's right arm from the right side rail and pushed Resident #1's right arm towards him, then snatched the diaper off Resident #1. […]

• Actual harm, isolatedF600Jul 25, 2024

  Based on record review, surveillance video review, and interviews, the facility failed to protect the resident's right to be free from physical abuse and psychosocial harm by staff for 1 (#3) of 3 (#1, #2, #3) sampled residents. The actual harm resulted for Resident #3, who was cognitively impaired, on 07/04/2024 at approximately 7:33 p.m. when S7 Sunshine Aide was observed on surveillance video physically abusing Resident #3. S7 Sunshine Aide was observed hitting Resident #3 on her hands and forearm with a hard plastic kitchenware cup. […]

• Actual harm, isolatedF689Sep 5, 2023

  Based on record reviews and interviews, the facility failed to ensure 1 (#1) of 5 (#1, #2, #3, #4, #5) residents reviewed for accidents received adequate supervision to prevent accidents/falls. The deficient practice resulted in harm for Resident #1 on 08/08/2023 when the resident fell from bed after S4 CNA (Certified Nursing Assistant) left Resident #1's room during peri care to seek assistance of a second CNA. Resident #1 required two person assistance for bed mobility. On 08/08/2023 S4 CNA was providing peri care, Resident #1 was positioned to her right side with her foot hanging off the bed and S4 CNA realized she could not reposition Resident #1 alone. […]

• No harm, potential for more than minimal, patternF550Apr 3, 2025

  Based on surveillance video and interviews, the facility failed to treat and care for each resident in a manner that promotes dignity and enhancement of his or her quality of life for 1 (#1) resident of 3 (#1, #2, #3) residents reviewed for abuse. S6 CNA (Certified Nurse Assistant) provided care to Resident #1 in a hurried manner, spoke to Resident #1 in a disrespectful manner and talked to other staff about Resident #1. The facility implemented corrective actions which were completed prior to the State Agency's investigation entry on 03/31/2025. It was determined to be a Past Noncompliance Citation. Findings: Review of Resident #1's room surveillance video on 04/01/2025 at 3:00 p.m. […]

• No harm, potential for more than minimal, patternF609Apr 3, 2025

  Based on record reviews, surveillance video review and interviews, the facility failed to implement policies and procedures to ensure an allegation of abuse was reported to administration in a timely manner per the facility's policy for 1 (#1) of 3 (#1, #2, #3) residents reviewed for abuse. S7 CNA (Certified Nurse Assistant) failed to recognize and report physical and verbal abuse during incontinent care provided by S6 CNA. The facility implemented corrective actions which were completed prior to the State Agency's investigation entry on 03/31/2025. […]