Magnolia Glen

The facility failed to ensure staff observed a resident actually taking their medication. A Medication Aide left medications, including Aspirin and Vitamin B-12, on a resident's table to self-administer later rather than witnessing the administration. This practice was identified as a common occurrence used to accommodate the resident's preference not to get up early.

The facility failed to ensure that staff observed a resident actually taking their medication. During a survey, a medication aide left medication and water on a resident's table without observing consumption, which is prohibited by policy and regulation.

The facility failed to notify the county Department of Social Services (DSS) of incidents involving residents that required medical treatment and referral to a local hospital. Specifically, the fax machine in the medication room was programmed with an incorrect fax number for state reportable incidents, preventing the successful transmission of reports for two sampled residents.

The facility failed to ensure 6 of 7 exit doors accessible to residents were equipped with a sounding device that activates when opened. Specifically, the front entrance, back-courtyard door, and several double doors on the first, second, and third floors lacked alarms. Additionally, one stairwell door had a sounding device that failed to activate upon being opened.

The facility failed to ensure that 6 of 7 exit doors accessible to residents were equipped with a sounding device that activates when opened. This deficiency was identified for residents known to be disoriented or wanderers, including one resident who had previously eloped. Specific failures included the front entrance, back-courtyard door, and several propped-open double doors lacking alarms.

The facility failed to ensure ice machines were free from contamination, as evidenced by a build-up of wet pink, black, and brown substances on the shields and panels of two different ice machines. Additionally, there were no instructions for cleaning the inside of the ice machines, and cleaning logs were either not updated for a month or were left blank without documented completion.

The facility failed to provide residents with proper table service consisting of napkins and non-disposable place settings, including knives, forks, spoons, plates, and beverage containers. Staff used disposable Styrofoam products and plastic utensils for convenience and time-saving purposes. This resulted in residents receiving meals in disposable containers rather than the required non-disposable settings.