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Deficiency Records for Magnolia Gardens Convalescent Hospital
A list of the most recent deficiencies for Magnolia Gardens Convalescent Hospital. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Magnolia Gardens Convalescent Hospital. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-08-27 | 2024-09-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-27 | 2024-09-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-16 | 2024-06-09 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-05-16 | 2024-06-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-16 | 2024-06-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-16 | 2024-06-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-16 | 2024-06-09 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-05-16 | 2024-06-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-16 | 2024-06-09 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-05-16 | 2024-06-09 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2024-05-16 | 2024-06-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-16 | 2024-06-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-16 | 2024-06-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-16 | 2024-06-09 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-05-16 | 2024-06-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-05-20 | 2024-06-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-04-08 | 2024-04-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-28 | 2023-10-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-28 | 2023-10-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-28 | 2023-10-19 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-28 | 2023-10-19 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-09-06 | 2023-09-27 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-05-08 | 2023-05-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-08 | 2023-05-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-14 | 2023-02-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-14 | 2023-02-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-14 | 2023-02-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-17 | 2022-08-26 | Y |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2022-07-31 | 2022-08-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-23 | 2022-03-04 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-05-06 | 2021-07-02 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-05-06 | 2021-05-28 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-05-06 | 2021-05-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-06 | 2021-05-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-06 | 2021-05-28 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-05-06 | 2021-05-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-05-06 | 2021-05-28 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-05-06 | 2021-05-28 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-05-06 | 2021-05-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-06 | 2021-05-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-06 | 2021-05-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-06 | 2021-05-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-05-04 | 2021-05-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-04 | 2021-05-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-05-04 | 2021-05-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-19 | 2019-05-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-04-19 | 2019-05-13 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-04-19 | 2019-05-13 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-04-19 | 2019-05-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-19 | 2019-05-13 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-04-19 | 2019-05-13 | N |
| Maintain 15 months of resident assessments in the resident's active clinical record. | Health | 2019-04-19 | 2019-05-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-19 | 2019-05-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-19 | 2019-05-13 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-04-19 | 2019-05-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-19 | 2019-05-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-19 | 2019-05-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-19 | 2019-05-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-04-19 | 2019-05-13 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-04-24 | 2019-05-13 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-04-24 | 2019-05-13 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-04-24 | 2019-05-13 | N |
| Establish methods for sharing information. | Fire Safety | 2019-04-24 | 2019-05-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-04-24 | 2019-05-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-24 | 2019-05-13 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-04-24 | 2019-05-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-24 | 2019-05-13 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-04-24 | 2019-05-13 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-04-19 | Not Fixed | N |
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