Magnolia Place Health Care

In the surveyor’s words

From the most serious findings on record at Magnolia Place Health Care, in the surveyor’s own words.

• Immediate jeopardy, isolatedF658Jan 6, 2022

  Based on observation, interview, and record review, the facility failed to ensure the services provided or arranged by the facility, as outlined by the comprehensive care plan meet professional standards of quality for 1 of 18 residents (Resident #69) reviewed for professional standards: LVN A and LVN B did not provide CPR to Resident #69 as ordered by the physician when the resident was found unresponsive. This failure could place residents at risk of not receiving necessary life-saving measures, decline in health, and even death. An Immediate Jeopardy (IJ) was identified on [DATE] at 3:31 p.m. […]

• Immediate jeopardy, isolatedF678Jan 6, 2022

  Based on interview and record review, the facility failed to ensure basic life support, including cardiopulmonary resuscitation (CPR), was provided to a resident requiring such emergency care prior to the arrival of emergency medical personnel and subject to related physician orders [MEDICAL RECORD OR PHYSICIAN ORDER] . *The facility failed to ensure CPR was provided to Resident #69 who was a full code. On [DATE] CPR was not initiated by facility staff after Resident #69 was found not breathing, without a pulse, and unresponsive. *The AED pads had been expired for 730 days (,d+[DATE]). An Immediate Jeopardy (IJ) was identified on [DATE] at 3:31 p.m. […]

• No harm, potential for more than minimal, widespreadF835Jun 4, 2025

  Based on observation, interview, and record review, the facility failed to be administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of all residents reviewed. 1. The Administrator failed to ensure he, the DON, and the IP received training on Enhanced Barrier Precautions. 2. The Administrator failed to implement Enhanced Barrier Precautions for residents with chronic wounds or indwelling medical devices during high-contact resident care activities regardless of their multidrug-resistant organism status. This failure could cause residents not to receive appropriate care resulting in an increase in infections. […]

• No harm, potential for more than minimal, widespreadF945Jun 4, 2025

  Based on observation, interview and record review the facility failed to ensure as part of its infection prevention and control program mandatory training included the written standards, policies, and procedures for the program for 11 of 12 employees, new and existing staff, (Administrator, DON, ADON/IP, LVN E, LVN H, CNA A, CNA B, CNA F, CNA I, CNA J, and CNA K) reviewed for training. 1. The facility failed to ensure the Administrator, DON, ADON/IP were trained on EBP (an infection control strategy that uses gloves and gowns during high- contact resident care to reduce spread of MDRO) (MDRO- bacteria that have become resistant to certain antibiotics) 2. The facility failed to ensure LVN E and LVN H were trained on EBP. 3. […]

• No harm, potential for more than minimal, widespreadF801May 21, 2024

  Based on interview and record review, the facility failed to employ sufficient staff with appropriate competencies and skill sets to carry out the functions of the food and nutrition service for 1 of 1 facility kitchen reviewed for food and nutrition services. The facility failed to designate a person to serve as the dietary manager who met the required qualifications. The facility designated Dietary Supervisor did not have a dietary manager's certification or any other qualifying credentials. This failure could place residents at risk for the spread of foodborne illness and residents not having their nutritional needs met. […]