Magnolia Personal Care Center-Building II

Resident medication administration records and staff communication logs were found unlocked, unattended, and accessible in a dining room linen closet.

A resident with a malnutrition diagnosis missed three consecutive meals and was not taken to the emergency room or notified of a physician despite weight loss, as staff only provided nutritional shakes in lieu of meals.

Multiple residents reported that a staff member was 'nasty,' yelled at residents, and created an environment where residents felt afraid of being punished.

The home failed to report resident allegations of abuse, medical negligence, and missing personal items to Older Adult Protective Services.

The home failed to report written resident complaints regarding abuse by staff members to the Department's regional office or complaint hotline within 24 hours.

A resident was subjected to potential neglect as staff failed to deliver meals to their room when they refused to come to the dining room, resulting in hospitalizations.

An Act 13 form was not completed and sent to the local Area Office on Aging following a resident physical altercation.

Medication administration records and resident assessment/support plans were left unlocked, unattended, and accessible on a medication cart.

A resident was physically struck by another resident, resulting in an injury requiring seven stitches.

A new staff member did not receive required orientation regarding fire extinguishers, smoke detectors, and emergency notification.

The administrator was only present in the facility for 2 days each month during February, March, April, and May of 2024.

The dining room and living area carpet was dirty, frayed, and had a strong pungent odor.

A fire safety inspection and supervised drill had not been conducted within the past year.

The home lacks a maximum safe evacuation time specified in writing, and recent drills exceeded the 2 minute 30 second threshold.

A large pile of trash, including cardboard boxes and garbage bags, was left outside a side door.

The medication cart was left unlocked, unattended, and accessible.

Medical records, including RASPs for current residents, were left accessible in an unlocked medication cart drawer.

Resident home contracts were missing required signatures from the payor and the resident.

The facility failed to conduct the required annual review of the Quality Management Plan.

There was no record of a required FBI criminal history check for a staff member residing outside of Pennsylvania.

The Administrator was not present in the home for the required average of 20 hours or more per week during certain months.

The trash dumpster was full and the lid was not properly closed, potentially allowing access to insects and rodents.