Magnolia Village Nursing and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Oct 12, 2022

  Based on observation, interview, record review, and review of facility documents and policy, the facility failed to assure that one resident, (Resident #6) out of nine (9) sampled residents received the necessary supervision and/or assistance device to prevent accidents (elopement.) On 07/23/2022, staff did not initially hear and immediately respond to the alarm which sounded when Resident #6 overrode the magnetic lock system and exited through the front door from the residential unit without first entering the required code. […]

• No harm, potential for more than minimal, patternF600Oct 12, 2022

  Based on observation, interview, record review, and review of facility documents and policy, it was determined the facility failed to ensure freedom from abuse for five (Resident #2, #3, #4, #6 and resident #7) of nine (9) sampled residents. Resident-to-resident abuse was substantiated in four instances with residents being hit, pushed, or slapped by other residents of the facility Findings include: Review of the facility policy titled Abuse Prohibition, revised 05/01/2022, revealed the Center would ensure staff would do all that was within their control to prevent occurrences of abuse. […]

• No harm, potential for more than minimal, isolatedF919Apr 11, 2024

  Based on observation, interview, record review, and review of the facility's policies, it was determined the facility failed to maintain an effective call system to allow residents to call for staff assistance. During an observation of the main shower room on 04/09/2024 at 8:50 AM, revealed the emergency pull cord call light was not functioning. The findings include: Review of the facility's policy titled, Maintenance Services, revised December 2009, revealed maintenance service should be provided to all areas of the building, grounds, and equipment. Review of the facility's policy titled, Answering the Call Light, revised September 2022, revealed the procedure was to ensure timely responses to the resident's requests and needs. […]