Magnolia Manor - Greenville

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the facility policy, review of an Ecolab Manual, observations and interviews, the facility failed to ensure foods that are stored in the freezer, coolers and dry food storage were appropriately sealed, labeled, dated with an open or use by date, and/or discarded by the use by day in 1 of 1 walk in freezer, 1 of 1 walk in cooler, 1 of 1 reach in cooler and 1 of 1 Dry Food storage, reviewed. In addition, the facility failed to ensure that the dietary staff properly monitored the dishwasher ensuring that it reached the required temperature for safe/proper sanitation of the dishes.Review of facility policy titled, Food Safety in Receiving and Storage, last revised 6/20/23, revealed General Food Storage Guidelines. 3) Place food that is repacked in a leak-proof, pest-proof, nonabsorbent, sanitary container with a tight fitting lid. Label both the container and its lid with the common name of the contents, the date, it was transferred to the new container, and the discard date. Dry storage…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on review of the facility policy and procedures, observations and interviews, the facility failed to ensure proper handling and processing of resident laundry during observation of laundry services. Review of the facility policy titled, Maintenance/Housekeeping Policies and Procedures Subject: Laundry states: Policy: Laundry services will comply with appropriate guidelines to assure that measures are implemented to provide pro effective laundry service. Procedures: 5. Personnel in the laundry services are properly garbed at all times. When handling soiled linens, gowns, and gloves, at a minimum will be donned. These are removed as soon as possible after completing of duties involving soiled linens. Personal protective equipment is not necessary when handling clean linens through uniforms or personal clothing should be clean. All Linens: 1. Linens are to be handled in a safe manner to prevent contamination of the linen, the personnel and the environment. 2. All soiled laundry is to be considered contaminated and handled in the same safe manner. This precludes the use of…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on review of facility policy, record review, observations and interviews, the facility failed to maintain an effective pest control program to ensure the facility remained free of pests. Review of the facility policy titled, Pest Control last revised on 09/19/24, documented, Policy: The hospital will maintain an effective pest control program to prevent or eliminate infestation of pests and rodents. Procedures: 6. Pest management decisions will be based on the results of regular inspections. If a pesticide is needed, the least hazardous pesticide is selected that will effectively control the pest problem. Pesticides used at this hospital will be applied by certified pesticide applicators or registered technicians that have working knowledge of IPM principles and practices. 8. Facility staff will: A. Note and report any evidence of pest activity (i.e. rodent droppings). All documentation/reports shall be as detailed as possible with reporting this information. B. Report sightings of live pests immediately to the Integrated Pest Management Coordinator to request emergency…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the facility policy, observations, and interviews, the facility failed to 4 of 4 insulin prefilled syringes were labeled with an open date and 3 of 3 unopened prefilled insulin syringes were refrigerated, 2 of 2 medication carts were reviewed.Review of the facility's policy titled Medication Management: 6.4 Medication Labeling last revised [DATE] revealed, Policy . 2. The Facility shall ensure that all medications are labeled appropriately. Procedures 1. Ensure that all drugs and biologicals used in the facility are labeled in accordance with professional standards, including expiration dates and with appropriate accessory and cautionary instructions.Review of the facility's policy titled, Staff Education/Orientation Policies and Procedures last revised [DATE] stated, [sic] preparing the pen inspect expiration date on pen. If opening a new pen, writes date opened on the body of the pen being careful not to cover the manufacturer's expiration date or resident name. If pen is already opened,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the facility policy, record review and interviews, the facility failed to provide Resident (R)2 with appropriate behavioral/mental health services as requested by their physician in a timely manner for 1 of 5 reviewed for behavioral health services. Findings include: Review of the facility policy titled, Social Services Policies and Procedures Assessment and Analysis of Behavioral Health Needs last revised 06/09/23 revealed Staff will utilize a knowledge and understanding of mental illness, trauma, substance abuse, diseases process and cultural diversity to assess the potential needs of each resident. The staff will incorporate behavior management techniques and cultural knowledge to assist patients/residents in reaching and maintaining their highest practical physical, mental, and psychosocial wellbeing in accordance with the comprehensive assessment and care plan. The treatment of mental and substance abuse disorders. Social services or designated staff will facilitate community referrals to…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure the dialysis communication sheets were completed to ensure ongoing communication between the facility staff and the dialysis center for three (3) of four (4) sampled residents (R)13, R24, and R237). Portions of several of the Dialysis Communication Sheets were left blank including the section where staff should be checking the shunt for bruit post dialysis care. The findings include: Review of the facility's Dialysis - Hemodialysis Policy and Procedure revised 9/22/17 revealed .3. The facility staff will participate in ongoing communication with the dialysis center by using the Dialysis Communication Form which is filed in the resident's medical record. Review of the facility's Shunt Care - Arteriovenous (A.V.) Policy and Procedure revised 5/5/23 revealed .3. Post Dialysis Care: .C. Check for bruit upon return from dialysis and then once per shift. Review of R13's clinical record revealed the resident was admitted to the facility on [DATE] with…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, record review, review of the facility policy titled Enteral Feeding-Administering Medications, and staff interviews, the facility failed to ensure that medications were given according to standards of practice via enteral feeding tube by one (1) Licensed Practical Nurse (LPN) for one (1) Resident (R)66. The findings include: Review of the Nursing Policy and Procedures titled Enteral Feeding-Administrating Medications dated 5/5/2023 revealed that The licensed nurse will administer medication prescribed by the physician to be given by enteral tube, using the appropriate method according to recognized standards of practice. Equipment: Prescribed medication, fluid-impermeable pad or towel, clean enteral syringe (20 milliliters (ml) or larger, water, medicine cup (s), gloves, gown and crushed medications. Implementation: Verify the practitioner's order, gather and prepare the necessary equipment, supplies, and prescribed medication, put on gloves and other personal protective equipment, flush the enteral tube with a least 15 ml of water, repeat the procedure wit the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews and interviews with staff and resident the facility failed to provide Activities of Daily Living (ADL) care for one (1) resident out of 20 sampled residents. The findings included: The facility's Nursing Policies and Procedures titled Activities of Daily Living, Optimal Function dated 5/5/23 stated The facility provides necessary care to all residents that are unable to carry out activities of daily living on their own to ensure they maintain proper nutrition, grooming, and hygiene. Review of Resident (R)20's clinical record revealed the resident was admitted to the facility on [DATE] with diagnoses which included Hypertension, Cerebrovascular Accident (CVA), Contracture of Joint: Multiple, Chronic Pain Syndrome, Osteoarthritis, Age-Related Debility, and Left-sided Hemiparesis. Review of R20's Quarterly Minimum Data Set (MDS) dated [DATE] revealed the resident was dependent on staff to meet his/her personal hygiene needs. Review of R20's Progress Note dated 10/27/24 revealed…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, record review, review of the facility policy titled Enteral Feeding-Administering Medications, and staff interviews, the facility failed to ensure that medications were given according to standards of practice via enteral feeding tube by one (1) Licensed Practical Nurse (LPN)1 for one (1) resident (R)66). LPN1 failed to flush the gastric tube prior to administering five (5) medications, after each medication and when the medication administration. There were 26 medication opportunities and five (5) errors resulting a medication error rate of 19%. The findings include: Review of the Nursing Policy and Procedures titled Enteral Feeding-Administrating Medications dated 5/5/2023 revealed that The licensed nurse will administer medication prescribed by the physician to be given by enteral tube, using the appropriate method according to recognized standards of practice. Equipment: Prescribed medication, fluid-impermeable pad or towel, clean enteral syringe (20 milliliters (ml) or larger, water, medicine cup (s), gloves, gown and crushed medications. Implementation:…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, review of the facility policy titled Infection Prevention and Control Policy and Procedures for Enhanced Barrier Precaution, and staff interviews the facility failed to ensure that one (1) Licensed Practical Nurse (LPN) followed personal protective equipment (PPE) requirement while administering medication via a gastric tube to one (1) resident (R)66) to prevent the transfer of infectious organisms during high-contact procedures. The findings include: Review of the facility policy titled Infection prevention and control policies and procedures dated 5/15/23, revealed Procedures: Enhanced Barrier Precautions (EBP) 1. Enhanced Barrier Precautions expand the use of PPE (gowns and gloves) during high-contact resident care activities that provide opportunities for transfer of MDROs (Multidrug-resistant organism) to staff hands and clothing. A. 2) Wounds and/or indwelling medical devices (central lines, urinary catheter, feeding tubes, tracheostomy/ventilator) regardless of MDRO colonization. B. EBP will be implemented during the following high-contact resident care…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and policy review, the facility failed to ensure floors, walls, ceiling, cold storage, dry storage, furniture, and equipment were kept clean and/or in good repair. Findings include: Observation of the kitchen on 05/04/22 at 9:03 AM, and on 05/05/22 at 1:45 PM, with the Dietary Manager (DM) revealed the following: 1.The dry food storage room had floor made of vinyl-type tile, which was in poor condition due to scuff marks, stains, build-up of dark wax-like substance around the walls, broken and chipped tile pieces, and rust spots throughout the room. The wire shelves, which stored food products located in the back right side of the room were rusted. The lower shelf on the long metal table located against the wall on the right side of the room was noted to have a significant amount of worn finish and severely rusted. 2. The wire shelves in the reach-in refrigerator were stocked with a variety of perishable food products. The metal shelves were heavily rusted. 3. The walk-in refrigerator was stocked with a variety of perishable food products. The…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.