Magnolia Manor - Spartanburg

In the surveyor’s words

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

• Immediate jeopardy, patternF919Mar 22, 2023

  Based on review of the facility policy, observations, and interviews, the facility failed to provide an accessible call system with functioning devices while residents are in bed, toilet, bath and/or shower for 17 out of 43 residents; 2 out of 3 shower rooms reviewed for resident call systems. On 03/21/2023 at 6:43 PM, the Administrator and the Director of Nursing were notified that the nonoperational call lights constituted Immediate Jeopardy (IJ) at F919, with a start date of 11/01/2022. The facility presented an acceptable plan of removal of the IJ on 03/22/2023 at 10:40 AM. The survey team validated that the IJ was removed on 03/22/2023 at 12:20 PM following the facility's implementation of the plan of removal of the immediate jeopardy. […]

• Immediate jeopardy, isolatedF624Jun 14, 2024

  Based on a review of the facility policy, record reviews, and interviews, the facility failed to ensure a resident had a safe and orderly discharge from the facility, for 1 of 1 resident. Specifically, Resident (R)60 was transported and discharged from the facility on 06/12/24 to the [NAME] Housing Authority, 62 miles from the facility. The [NAME] Housing Authority was not able to receive R60 due to financial issues. Furthermore, the facility failed to obtain a physician order for the discharge. On 06/13/24 at 7:19 PM, the Administrator and the Director of Nursing (DON) were notified that the failure to ensure a resident had a safe and orderly discharge from the facility constituted Immediate Jeopardy (IJ) at F624. […]

• Immediate jeopardy, isolatedF600Nov 15, 2022

  Based on review of the facility's policy titled Abuse, Neglect, Exploitation and Mistreatment, record review, and interviews, the facility failed to provide adequate supervision for 1 of 3 residents reviewed for Neglect related to elopement. Resident (R)1 had a successful elopement from the facility on 11/04/22 and was without supervision for an extended period. Certified Nursing Assistant (CNA)1 was making rounds at 3:45 AM on 11/04/22 and noticed that R1 was not in his room. He was last noted to be asleep in his room during the 2 AM rounds. R1 was found by the police at a local Krispy Kreme, drinking coffee, at 9:30 AM, approximately 0.7 miles away from facility. […]

• Immediate jeopardy, isolatedF689Nov 15, 2022

  Based on review of the facility's policy titled Elopement, record review, and interviews, the facility failed to provide adequate supervision for 1 of 3 residents reviewed for accidents related to elopement. Resident (R)1 had a successful elopement from the facility on 11/4/22 and was without supervision for an extended period. Certified Nursing Assistant (CNA)1 was making rounds at 3:45 AM on 11/4/22 and noticed that R1 was not in his room. He was last noted to be asleep in his room during the 2 AM rounds. R1 was found by the police at a local Krispy Kreme, drinking coffee, at 9:30 AM, approximately 0.7 miles away from facility. […]

• No harm, potential for more than minimal, patternF880Jul 10, 2026

  Based on observations, record review, and interviews, the facility failed to ensure that infection prevention and control measures were followed for four sampled residents (Resident (R) 58, R88, and R76) identified as being on enhanced barrier precautions (EBP) out of a sample of 25 residents. This deficient practice had the potential to spread infectious organisms between residents, staff, and the environment, resulting in avoidable infections. Findings include: Review of the facility's policy titled Infection Prevention and Control Policies and Procedures, revised 05/15/23, under Subject: Transmission Based/Standard Precautions, and Enhanced Barrier Precautions, indicated: Enhanced Barrier Precautions expand the use of PPE (gowns and gloves) during high-contact resident care activities… […]