Inspection Reports for
Magnolia Crossing Assisted Living

The facility was found to be in compliance with all applicable regulations with no deficiencies cited. The inspection included checks of water temperatures, fire extinguishers, food storage, medication security, bedroom furnishings, and smoke and carbon monoxide detectors.

The facility was toured inside and out, including checks of water temperatures, fire extinguishers, kitchens, medication storage, bedrooms, and smoke/carbon monoxide detectors. All required documentation was reviewed and found to be updated and in place. No deficiencies were cited during this inspection.

The individual named Tiana Gilbert AKA Tiana Tiara Ros has not been employed at the facility since January 5, 2024, and was only employed for approximately two weeks in 2023.

The complaint investigation was unsubstantiated for allegations including staff neglect causing a resident fracture, medication mishandling, inadequate care and supervision, failure to report incidents, improper training, failure to prevent altercations, delayed response to resident alerts, and failure to seek timely medical attention. The allegations regarding pest control and facility maintenance were found to be unfounded.

The investigation found insufficient evidence to substantiate the allegations related to staff neglect, medication errors, and inadequate care, resulting in an unsubstantiated finding. Additionally, allegations regarding pest control and facility maintenance were found to be unfounded with no deficiencies cited.

No deficiencies were observed or cited during the visit. The facility's exits were open and free of obstruction, and no hazards were found.

The complaint investigation was unsubstantiated as there was insufficient evidence to prove the alleged violations occurred. Allegations included failure to safeguard belongings, inadequate food service, failure to notify authorized representatives, and untimely bathing assistance.

The investigation found no supportive evidence to substantiate any of the allegations. Observations, interviews, and record reviews indicated that staff safeguarded belongings, provided adequate food service, notified representatives appropriately, and assisted residents with bathing in a timely manner. No deficiencies were cited.

The Licensing Program Analyst toured the facility, checked water temperatures, fire extinguishers, kitchens, medication storage, bedrooms, and smoke detectors. No deficiencies or citations were issued at this time due to time constraints, and the inspection will be completed on a later date.

The complaint included allegations of staff handling residents roughly, emotional abuse, failure to assist with ambulating, personal care, and incontinence needs, and inappropriate speech to residents. The investigation found no substantiated evidence to support these allegations.

The investigation included interviews, observations, and record reviews. No preponderance of evidence was found to substantiate the allegations of rough handling, emotional abuse, lack of assistance with ambulating, personal care, incontinence needs, or inappropriate speech by staff. The allegations were determined to be unsubstantiated and no deficiencies were cited.

The complaint investigation was unannounced and addressed allegations that staff did not administer medications as prescribed, assist with physical therapy, assist with mobility needs, and meet modified dietary needs. The findings concluded the allegations were unsubstantiated or unfounded due to lack of preponderance of evidence.

The investigation found insufficient evidence to substantiate the allegations. It was unclear whether medication was not administered as prescribed, physical therapy assistance was lacking, mobility needs were unmet, or dietary needs were not met. No deficiencies were cited and the complaints were determined to be unsubstantiated or unfounded.

During the visit, the resident file for R1 was reviewed and no citations were issued. The report was provided to the Administrator.

The complaint investigation was unsubstantiated. Although the allegations may have been valid, there was not a preponderance of evidence to prove the alleged violations did or did not occur.

The investigation found that the Medication Administration Records contained several errors and it was unclear if medication errors or lack of medical attention occurred. Based on interviews and documentation reviewed, both allegations were unsubstantiated due to insufficient evidence to prove the violations occurred.

The complaint was unsubstantiated and unfounded. Allegations included staff using profanity, falsifying records, inappropriate activities, failure to reposition residents causing pressure injuries, failure to provide meals, and a disruptive resident's dog. The reporting party was anonymous and no contact information was provided for follow-up. Evidence did not support the allegations.

The investigation included interviews, observations, and record reviews. No evidence was found to substantiate the allegations. Residents and witnesses did not report or observe the alleged behaviors or conditions. The complaint was determined to be unsubstantiated or unfounded due to lack of evidence.

The complaint investigation addressed allegations that staff provided care while under the influence of marijuana and failed to maintain infection control practices when handling medication. Both allegations were unsubstantiated. Another allegation that staff did not distribute medications as prescribed was found unfounded.

The investigation found the allegations unsubstantiated due to lack of preponderance of evidence. Additionally, a separate allegation that staff did not distribute residents' medications as prescribed was found to be unfounded with no evidence supporting the claim.

Inspection was conducted in response to complaint #24-AS-20230525082016. The complaint involved verification of staff association with the facility. No deficiencies were cited.

The Licensing Program Analyst found that the Administrator and staff member S1 were not previously associated with the facility but had completed required criminal record clearances during the inspection. No deficiencies were cited. The licensee was advised to submit paperwork for the change of Administrator and to pay annual renewal fees within specified timeframes.

Inspection was conducted for complaint #24-AS-20230525082016. No deficiencies were cited, and the complaint was not substantiated.

The Licensing Program Analyst found that the Administrator and staff member S1 were not yet associated with the facility but had recently started working. The facility completed transfer of criminal record clearance for both during the inspection. No deficiencies were cited.

The complaint involved allegations of staff administering medication while under the influence and medication missing. The first allegation was unsubstantiated, and the second was unfounded after investigation.

The allegation that staff administered medication while under the influence was unsubstantiated due to lack of evidence. The complaint regarding missing medication was found to be unfounded after investigation and record review.

The facility was found to be in compliance with required infection control practices, including symptom screening, PPE usage, and COVID-19 mitigation plans. No deficiencies were cited during the inspection.

The complaint investigation was unsubstantiated. Allegations included staff yelling at residents and rough handling residents. The investigation included interviews with staff and residents and review of physicians reports, special incident reports, staff schedules, and written statements.

Based on interviews and records review, the allegations were found to be unsubstantiated due to lack of preponderance of evidence. Exit interview was completed and appeal rights were given.

Complaint was investigated and found to be unfounded. Allegations included dirty floors, dirty resident bathroom, and inadequate food service. Complaint was dismissed.

The complaint investigation found the allegations to be unfounded, meaning the allegations were false, could not have happened, or were without reasonable basis. The complaint was dismissed after discussion with the facility administrator.