Magnolia Manor of Columbus Nursing Center - East

In the surveyor’s words

From the most serious findings on record at Magnolia Manor of Columbus Nursing Center - East, in the surveyor’s own words.

• Actual harm, isolatedF656Aug 29, 2025

  Based on interviews, record review, and facility document review, the facility failed to implement the care plan for one of three residents (R) (R3) reviewed for falls. R3's care plan instructed staff to use two people for bed mobility. Certified Nurse Aide (CNA)1 provided care alone, and as a result, R3 fell from the bed during care, sustaining a hematoma and laceration from the fall.Findings included:A review of the facility's policy titled Care Planning-Interdisciplinary Team, revised October 2016, revealed, A comprehensive person-centered care plan shall be developed and implemented for each resident that includes measurable objectives and time frames that meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment.A review… […]

• Actual harm, isolatedF689Aug 29, 2025

  Based on interviews, record review, facility document review, and policy review, the facility failed to ensure one of 19 sampled residents (R) (R3) was safe from accidents and hazards resulting in injuries. Harm was identified as having occurred on 3/24/2025, when Certified Nurse Aide (CNA)1 failed to follow the plan of care for R3, resulting in R3 falling from the bed and sustaining a hematoma and laceration from the fall.Findings included:A review of the facility's policy titled, Fall Management, updated 9/2014, revealed, It is the intent of Magnolia Manor facilities to provide an environment which remains as free of hazards as possible. […]

• Actual harm, isolatedF689Feb 7, 2022

  Based on record review, staff interviews, and review of a hand a written staff statement the facility failed to ensure that Activities of Daily Living (ADL) care was provided by the appropriate number of staff, to prevent accidents, for one of seven resident (R#3) reviewed. Actual harm was identified to have occurred on [DATE], when a Certified Nursing Assistant (CNA) left R#3, who required two-person assistance during ADL care, unattended while providing ADL care. Subsequently, R#3 fell from the bed and suffered a subarachnoid hemorrhage (bleeding in the space between the brain and the tissue covering of the brain). […]

• No harm, potential for more than minimal, widespreadF925Aug 29, 2025

  Based on observation, interviews, and record review, the facility failed to maintain a facility-wide effective pest control program for the current facility population of 89 residents. This failure had the potential to lead to further pest infestation in the facility and feelings of discomfort or spread of infection among the residents.Findings included:A review of the facility's policy titled, Pest Control dated 12/2012, revealed, . It is the intent of (name of facility) to ensure that all facilities have an effective Pest Control Program .A review of the facility's Resident Council Minutes for the past year, provided by the facility, revealed:2/11/2025 - One resident's family complained of rodents in the facility. […]

• No harm, potential for more than minimal, patternF880Nov 21, 2025

  Based on observation, staff interviews, and review of facility policy titled Infection Prevention and Control, the facility failed to ensure that infection control hand hygiene practices were followed by three of three Licensed Practical Nurses (LPN) (LPN BB, LPN CC, and LPN AA) observed during medication administration. The deficient practice had the potential to contribute to the transmission of infectious diseases among residents and staff. Findings included:A review of the policy titled Infection Prevention and Control, last revised February 2021, revealed that it is the intent of the facility to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to prevent the development and transmission of disease… […]