Magnolia Court

The inspection was a Case Management follow-up regarding medication errors. Two Type A deficiencies were cited, both related to medication administration errors. Specifically, the facility failed to ensure proper assistance with self-administered medications and staff admitted to giving incorrect medications to multiple residents.

The inspection was conducted as a Case Management Investigation following self-reported incidents. The Licensing Program Analyst met with the Administrator and interviewed affected residents regarding three separate incidents (theft/loss, alleged physical abuse, and missing money). No deficiencies were found at the time of the investigation, and no citations were issued.

The inspection was a Case Management follow-up visit conducted unannounced. The purpose was to investigate a self-reported incident involving a resident and staff member. The analyst found no evidence to corroborate allegations of abuse or neglect, and no deficiencies were cited during the visit.

This report details a complaint investigation regarding allegations of staff chemically restraining residents. The investigation found that the allegation was unsubstantiated based on record review and staff interviews. No specific deficiencies were cited in the provided documentation.

This report details a complaint investigation regarding allegations that staff were not ensuring a resident was showered. The investigation found that there was not a preponderance of evidence to prove the alleged violation occurred, leading to the allegation being unsubstantiated.

The investigation report details findings from two separate complaint investigations conducted on 10/24/2025. The first complaint regarding billing for services not rendered was substantiated, citing failures in care documentation. The second complaint regarding safeguarding resident belongings was unsubstantiated. However, the deficiency section cites two Type A violations related to billing and service provision based on a change in the resident's level of care.

The inspection was a Case Management visit conducted by the Licensing Program Analyst. The analyst met with the new Administrator and care coordinators to discuss reporting guidelines and open complaint investigations. No deficiencies were cited during this inspection.

This report details a complaint investigation conducted on 07/22/2025 regarding inadequate supervision, unmet care needs, and improper medication dispensing. All allegations cited in the report were found to be unsubstantiated based on the Licensing Program Analyst's observations and review of facility records.