PruittHealth - Magnolia Manor

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF804Jun 11, 2026

  Based on observations, staff interviews, and the review of the facility policy titled, How to Puree Foods, the facility failed to ensure pureed foods were prepared using standardized recipes and in accordance with accepted professional food service standards for residents requiring texture-modified diets. This deficient practice had the potential to affect three residents receiving pureed diets and placed them at risk of receiving foods that were not prepared to the prescribed consistency, which could compromise safe consumption and compliance physician-ordered diet requirements.Findings Include:Review of the facility's policy titled, How to Puree Foods, undated, documented under the section Preparation Steps section 1, Depending on the resident's dietary restrictions, follow the proper… […]

• No harm, potential for more than minimal, widespreadF812Nov 1, 2024

  Based on observations, staff interviews, and review of the facility's policy titled, Labeling, Dating, and Storage, the facility failed to discard expired items, failed to label and date items in one reach-in refrigerator, one walk-in cooler, and one dry storage area. The facility also failed to ensure food was delivered to residents receiving meals in one of three dining rooms in a sanitary manner related to proper hand washing and sanitation during the delivery of food. This deficient practice had the potential to affect eight residents eating in the 500-hall dining room. […]

• No harm, potential for more than minimal, patternF645Nov 1, 2024

  Based on observations, staff interviews, and record review, the facility failed to submit applications for Level II PASARR (Pre Admission Screening and Resident Review) to the appropriate state designated mental health authority for evaluation and determination of the need for specialized services for five of five sampled residents (R) (R15, R16, R61, R65, R23). This deficient practice increased the potential for residents with mental health diagnoses not to receive care and services to maintain or improve their quality of life. Findings included: A facility policy on PASARR was requested but was not provided. 1. […]

• No harm, potential for more than minimal, patternF692Nov 1, 2024

  Based on staff interviews and record reviews, the facility failed to provide evidence that nutrition assessments were completed by the Registered Dietitian (RD) for three of three residents (R) (R66, R44, and R46). Specifically, they failed to complete an admission nutrition assessment for one resident (R66), and follow-up assessments for two residents (R44 and R46), who were identified with weight loss. Findings included: A facility policy on nutrition assessments was requested but not provided. 1. Record review revealed that R66 was admitted to the facility on [DATE] with diagnoses of but not limited to Alzheimer Disease, dementia, peripheral vascular disease, and atherosclerotic heart disease of native coronary artery without angina pectoris. […]

• No harm, potential for more than minimal, patternF880Nov 1, 2024

  Based on observations, interviews, record reviews, and review of the facility's policy titled, Medication Administration: General Guidelines, the facility failed to maintain effective infection control practices for three of four residents (R) (R21, R31, R34) during medication administration. Specifically, the facility failed to maintain infection practices for one resident (R21) during a fingerstick blood sugar check, during inspection of the PPE (personal protective equipment) cart that was not maintained in a sanitary manner, during observation of dining, observation in resident rooms where dirty IV (intravenous) tubing was left, and during resident screening where staff were seen sitting on resident's beds. […]