Magnolia Manor of Marion County

In the surveyor’s words

From the most serious findings on record at Magnolia Manor of Marion County, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF804Jan 16, 2025

  Based on observations, staff interviews and review of the facility's policy titled, Pureed Food Preparation, the facility failed to ensure the nutritional value of meat during the pureed process. Specifically, the facility failed to follow the recipe by not measuring all ingredients while pureeing meat. The deficit practice had potential to place 16 of 16 residents who received a pureed diet at risk of decreased nutritional intake. Finding included: Review of the facility's undated policy titled, Pureed Food Preparation revealed, Facility will prepare pureed foods in a manner that sustains nutritional value and taste. The foods will be pureed to assure the desired consistency. Procedure: Pureed foods will be made from regular menu items to assure similar taste and nutritional quality. […]

• No harm, potential for more than minimal, widespreadF812Jul 23, 2023

  Based on observation, staff interviews, and review of the facility policy titled, Food Receiving and Storage, the facility failed to label, and date opened food items in the dry storage area and failed to date opened bulk food items. The facility census was 62 and all residents consumed an oral diet. Findings include: Review of the facility policy titled Food Receiving and Storage revealed dry foods that are stored in bins will be removed from original packaging, labeled, and dated (use by date). All food stored in the refrigerator or freezer will be covered, labeled, and dated (use by date). Observation on 7/21/2023 at 9:00 a.m. […]

• No harm, potential for more than minimal, patternF761Jul 23, 2023

  Based on observations, staff interviews, review of pharmacy guidelines, review of latanoprost ophthalmic solutions manufacturer packet insert, review of the Trelegy Ellipta oral inhalant manufacturer packet insert; and review of the facility policies title, Medication Storage in the Care Center, and Metered Dose Inhalers (MDI), the facility failed to ensure drugs and biologicals used in the facility were labeled and stored properly and in accordance with manufacturer's recommendations on two of three medication carts (A Wing cart and B Wing cart). […]

• No harm, potential for more than minimal, isolatedF656Jan 29, 2026

  Based on observation, interview, and record review, the facility failed to develop and/or implement a comprehensive care plan related to fall prevention and contracture management for two residents (R) (R9 and R16) from a sample of 29 residents. The deficient practice had the potential to prevent residents from reaching their highest practicable level of functioning and compromise resident safety. Findings include:1. Review of R9's Face Sheet located in the electronic medical record (EMR) under the Face Sheet tab revealed R9 was admitted to the facility on [DATE] with diagnoses of but not limited to dementia with agitation, diabetes, and peripheral vascular disease.Review of R9's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 11/05/25 and located under the RAI… […]

• No harm, potential for more than minimal, isolatedF684Jan 29, 2026

  Based on record review, interview, and document review, the facility failed to ensure medications were held according to parameters ordered by the physician for one of five residents (R) (R9) reviewed for unnecessary medications. The deficient practice increased the potential risk of adverse clinical outcomes.Findings include:Review of R9's Face Sheet located in the electronic medical record (EMR) under the Face Sheet tab revealed admitted to the facility on [DATE] with diagnoses including but not limited to essential primary hypertension, dementia with agitation, diabetes, and peripheral vascular disease.Review of R9's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 11/05/2025 and located under the RAI [Resident Assessment Instrument] tab of the EMR revealed a… […]