Frederick Living - Magnolia House

The home failed to report an incident involving a staff member pushing a resident to the Department within the required 24-hour timeframe.

The sprinkler system pump was not in good repair, as the home delayed approving repair quotes for an extended period.

Staff failed to treat a resident with dignity and respect by not offering an alternative phone when the resident could not access their personal device.

The fire drill record from 9/26/24 did not include the accurate number of residents who evacuated.

Resident and resident records do not include a photograph of either resident.

A resident's most recent medical evaluation was not completed at least annually.

A resident did not receive a new medical evaluation following a significant change in medical condition related to hospice services.

A resident's initial written assessment was not completed within 15 days of admission.

A resident did not receive an additional assessment following a significant change in condition related to hospice services.

A staff member was physically rough during morning care, causing bruising to a resident's arms and causing the resident to feel fearful.

Staff person B failed to complete required training on resident rights, emergency medical plans, and mandatory reporting within 40 scheduled working hours.

The home does not have a written policy regarding the prevention, reporting, investigation, and management of reportable incidents.

Two staff members did not receive required fire safety and emergency preparedness orientation on their first day of work.

The home failed to follow the prescriber's orders for Resident #2, who did not receive a prescribed evening dose of medication.

Medication administration information was not recorded at the time of administration for two residents, despite staff initials appearing on subsequent MAR records.

The fire drill record from 02/25/2022 failed to include the number of residents in the home and the number of residents evacuated.

A resident's medical evaluation dated 10/12/2022 did not include information regarding special health or dietary needs.

Medication administration errors occurred, including a resident receiving another resident's medications and a resident receiving an incorrect dose of Morphine.