Magnolia Manor of Midway

In the surveyor’s words

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

• Actual harm, isolatedF658Oct 9, 2025

  Based on observation, interviews, record review, and a review of the facility policies titled Admissions and Medication Orders, the facility failed to protect one of 33 sampled residents (R) (R4) with allergies. Harm was identified to have occurred on 9/24/2025 when R4 was administered Bactrim DS (an antibiotic medication) that was listed as a known allergy for the resident, resulting in an allergic reaction to the medication (flushing (feeling hot), redness, and rash).Findings included:A review of the facility's policy titled Admissions, reviewed and updated in October 2016, revealed that it is the intent of the facility for the charge nurse to record information, including but not limited to the following, in the designated place (nurses' notes, admission nurse assessment, etc) . […]

• Actual harm, isolatedF760Oct 9, 2025

  Based on observation, interview, record review, and review of facility policy titled Medication Orders and Admissions revealed the facility failed to order an anticonvulsant for one of 17 sampled residents (R) (R1) who received an anticonvulsant for seizures and an antibiotic. Harm was identified to have occurred on 2/15/2025, when R1 was rehospitalized for seizure activities due to not receiving the required anticonvulsant medication.Findings included:A review of the facility policies titled Admissions, reviewed and updated in October 2016, revealed that it is the intent of the facility to gather necessary information upon a resident's admission to the facility. The procedural guidelines reflect that residents' readmission and new admission data must be recorded. […]

• No harm, potential for more than minimal, widespreadF812Jun 14, 2024

  Based on observations and staff interviews, the facility failed to properly label opened food items in the walk-in refrigerator and walk-in freezer, discard expired foods in the walk-in refrigerator, clean the ice machine, and ensure that kitchen staff wore beard guards while in the food preparation area. These deficient practices had the potential to adversely affect the 72 residents receiving an oral diet. Findings include: During a tour of the kitchen on [DATE] from 11:00 am to 12:00 pm, observation of the ice machine, located next to the handwashing station, revealed dust and dirt around the inside of the ice machine in the top corners and the bottom interior of the lid. […]

• No harm, potential for more than minimal, patternF883Dec 5, 2025

  Based on record review, interview, review of the Centers for Disease Control and Prevention (CDC) guidelines, and facility policy review, the facility failed to ensure three of five residents (R) (R2, R6, and R69) reviewed for pneumococcal/flu vaccines was offered a pneumococcal and flu vaccine and were provided the risks and benefits for pneumococcal and flu vaccines. The facility failed to ensure that two of five residents (R3 and R75) were provided with the risks and benefits prior to receiving the pneumococcal vaccine. […]

• No harm, potential for more than minimal, patternF887Dec 5, 2025

  Based on record review, interview, review of the Centers for Disease Control and Prevention (CDC) guidelines, and facility policy review, the facility failed to ensure one of five residents (R) (R2) responsible party had received the risks and benefits explained before they declined for the resident to receive the COVID-19 vaccine/ booster. The facility failed to ensure that two of five residents (R6 and R75) responsible parties, received the risks and benefits before receiving the COVID-19 vaccine/booster. Additionally, the facility failed to ensure two of five residents (R69 and R3) responsible party were given the opportunity to make a decision if they wanted their residents to receive a COVID-19 vaccine/ booster. […]