Magnolia Senior Care, LLC

In the surveyor’s words

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

• Actual harm, isolatedF656Feb 10, 2025

  Based on facility policy review, interviews, and record reviews, the facility failed to ensure Certified Nursing Assistants (CNAs) followed the comprehensive plan of care for manual assistance for two (2) of four (4) sampled residents. Resident #1 and Resident #2. Findings include: A record review of the facility policy on Comprehensive Care Plans, revealed, It is the policy of this facility to develop and implement a comprehensive person-centered care plan for each resident, consistent with the residents rights, that include measurable objectives and time frames to meet a resident's medical, nursing, and mental psychosocial needs that are identified in the residents comprehensive assessment. […]

• Actual harm, isolatedF689Feb 10, 2025

  Based on observation, interviews, record review and facility policy review, the facility failed to ensure a resident was free from accident hazards, causing harm, when Resident #1 was dropped from a lift. Resident #2 had the possibility of an accident hazard when staff transferred the resident using one person assistance, instead of the assessed two (2) person assistance for (2) of four (4) resident sampled for accidents and hazards. Resident #1 and Resident #2. Findings include: A review of the facility, Lift Program Policy,, undated, revealed, Policy: It is the policy of the facility to help lift residents who are unable to be lifted manually, promote comfort and to maintain good body alignment while the resident is being moved .Procedure 1. […]

• No harm, potential for more than minimal, patternF656Apr 16, 2026

  Based on observation, interviews, record review and facility policy review the facility failed to implement comprehensive care plan by not following physician orders related to the application of compression hose, nurses cleaning and changing tubing on suction device and wearing Personal Protective Equipment (PPE) while providing direct care for three (3) of five (5) care observations. Resident #6, Resident #8, and Resident #22.Findings Include:Record review of the facility policy Comprehensive Care Plans revision date of 10/23 revealed, 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 resident's medical, nursing and mental and… […]

• No harm, potential for more than minimal, patternF684Apr 16, 2026

  Based on observation, interviews, record review and facility policy review the facility failed to follow physician orders, as evidenced by not applying compression hose for a resident and not cleaning suction equipment for two (2) of (2) residents reviewed. Resident #6 and #22.Findings Include:Record review of the facility policy Provision of Quality Care dated 2025, revealed, Based on comprehensive assessments, the facility will ensure that residents receive treatment and care by qualified persons in accordance with professional standards of practice.Each resident will be provided with care and services to attain or maintain his/her highest practicable physical, mental and psychosocial well-being . […]

• No harm, potential for more than minimal, patternF851Apr 16, 2026

  Based on interview and record review, the facility failed to ensure accurate and complete submission of staffing data through the Payroll-Based Journal (PBJ) system to the Centers for Medicare and Medicaid Services (CMS) for one (1) of four (4) FY (fiscal year) quarters reviewed. This deficient practice had the potential to result in inaccurate public reporting of staffing levels and misrepresentation of the facility's actual staffing, including the omission of contract nursing staff hours. […]