Magnolia Place Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Magnolia Place Nursing and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF881Jan 15, 2023

  Based on record review, staff interviews, and review of the facility policy titled, Antibiotic Stewardship Program, the facility failed to develop and implement an Antibiotic Stewardship Program (ASP) to include antibiotic use protocols and a system to monitor antibiotic usage for the past 12 months. The census was 24. Findings include: Review of the undated policy titled, Antibiotic Stewardship Program revealed the policy is to implement and Antibiotic Stewardship Program as part of the facility's overall infection prevention and control program. The purpose of the program is to optimize the treatment of infections while reducing the adverse events associated with antibiotic use. Policy Explanation and Compliance Guidelines: 1.a. […]

• No harm, potential for more than minimal, patternF812Jan 15, 2023

  Based on observations, staff interviews, and review of the facility policy titled, Dating, Labeling Foods & Discarding Food, the facility failed to ensure that opened food items were labeled and dated. The facility census was 24, with 23 residents receiving an oral diet. Findings include: A review of facility policy titled, Dating, Labeling Foods & Discarding Food, revised January of 2023 revealed: dry storage items would be labeled with the date they were opened. A further review revealed that staff would label all bins containing flour, sugar, cornmeal, and thickener with the date. An observation on 1/13/2023 at 8:23 a.m. […]

• No harm, potential for more than minimal, isolatedF655Jan 15, 2023

  Based on record review, staff interviews, and the facility policy titled, Baseline Care Plan, the facility failed to develop a baseline care plan for Post-Traumatic-Stress-Disorder (PTSD) for one of seven resident (R) (#78). Specifically, failure to develop a baseline care plan has the potential to impede continuity of care, communication among nursing home staff, resident safety, safeguards against adverse events, and that residents and their representatives are informed of the initial plan for delivery of care. Findings include: A review of the facility policy titled, Baseline Care Plan, implemented on 9/1/2020, revealed the facility would develop and implement a baseline care plan within 48 hours of admission. […]

• No harm, potential for more than minimal, isolatedF656Jan 15, 2023

  Based on record review, staff interviews, and review of facility policy titled, Comprehensive Care Plans, the facility failed to develop a person-centered care plan related to behaviors for one of 19 residents (R)(R#6) sampled. Failure to develop a person-centered care plan has the potential for the preferences, goals, and physical, mental, and psychosocial needs for R#6 not to be addressed. Findings include: Review of facility policy titled, Comprehensive Care Plans implemented 9/1/2020 revealed Policy: It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are… […]

• No harm, potential for more than minimal, isolatedF758Jan 15, 2023

  Based on record review, staff interviews, and review of facility policy titled, Use of Psychotropic Drugs, the facility failed to ensure that psychotropic medications including antipsychotic, antidepressant, and antianxiety medication was not ordered as needed (PRN) for more than 14 days unless clinically indicated for two of five residents (R) (R#6 and R#22) reviewed for unnecessary medication. Findings include: Review of the facility policy titled; Use of Psychotropic Drugs implemented 9/1/2020 revealed 8. PRN orders for psychotropic drugs shall be used only when the medication is necessary to treat a diagnosed specific condition that is documented in the clinical record, and for a limited duration (i.e., 14 days). a. […]