Inspection Reports for
Magnolias of Lancaster

The complaint investigation substantiated that Staff Member A abused a resident physically and verbally, and Staff Member B recorded the incident but delayed reporting it to the local agency and Department. Both staff were terminated following the investigation.

The investigation found that Staff Member A physically grabbed and shoved a resident while using abusive language, and Staff Member B recorded the incident but delayed reporting it. Both staff members were terminated. The facility failed to immediately report the abuse to the appropriate agencies as required by law.

The facility demonstrated implementation of corrective actions addressing deficiencies related to annual medical evaluations, secure medical care response, medication administration and documentation, and updating resident assessments. Continued compliance and ongoing training were established to maintain standards.

The inspection identified multiple deficiencies including resident abuse incidents, lack of first aid/CPR trained staff during a shift, sanitary condition issues, maintenance hazards, medication administration errors, incomplete medical evaluations, and support plan documentation deficiencies. Plans of correction were accepted and implemented by 02/05/2026.

The complaint investigation was substantiated with findings of multiple resident abuse incidents and failure to report these incidents to the appropriate authorities in a timely manner.

The investigation found multiple incidents of resident-to-resident physical abuse that were not reported to the local Area Agency on Aging or the Department as required. The facility submitted plans of correction which were accepted and later fully implemented.

The inspection identified multiple deficiencies including direct care staff training, locking poisonous materials, bathroom ventilation, bed linens, lighting, refrigerator/freezer temperatures, lint removal, emergency water supply, fire drills, smoking area cleanliness, medication storage and administration. All deficiencies had plans of correction accepted and were implemented by early December 2024.

The visit was complaint-related, investigating allegations of abuse involving Resident 1 and Resident 2, with substantiated findings of physical abuse and injury.

The inspection found a repeated violation of abuse where Resident 1 was aggressive and caused injury to Resident 2 and Resident 3. Additionally, a staff member was found to have no completed criminal background check. Other deficiencies included failure to provide proper discharge notice and incomplete resident assessments.

The visit was triggered by a complaint and incident report. The report documents abuse incidents involving residents and other regulatory violations.

Multiple deficiencies were found including abuse incidents, unlocked poisonous materials, unsanitary conditions, lack of toilet paper in a bathroom, and missing conspicuous posting of key-locking device operation instructions. Plans of correction were accepted and implemented by August 26, 2024.

The inspection was complaint-related and the complaint was not substantiated as no deficiencies were found.

No regulatory citations or deficiencies were identified as a result of this inspection.

The inspection identified multiple deficiencies including abuse involving resident-to-resident physical altercation and multiple falls, lack of CPR-certified staff during certain shifts, unsecured poisonous materials accessible to residents, outdated food items, missing posted menus for the upcoming week, absence of a first aid kit in a transport vehicle, and improper documentation of glucometer readings.

The complaint involved an allegation of abuse where Staff Member A allegedly struck a resident and shouted at them. Staff Member B witnessed the incident. The allegation was reported late to the Local Area Agency on Aging and the Department. The local agency did not investigate as it did not meet the definition of abuse. The facility conducted an internal investigation and deemed the allegation unsubstantiated. Staff involved received verbal coaching, education, and suspension pending investigation.

The investigation found that an allegation of abuse involving staff and a resident was not reported timely to the appropriate authorities. The incident was ultimately deemed unsubstantiated after internal investigation and no external investigation was conducted by the local agency. Staff received coaching and education on abuse reporting and resident rights.

The inspection was complaint-related, but no deficiencies or citations were found, indicating no substantiated issues.

No regulatory citations or deficiencies were identified as a result of this inspection.

The facility was found to have fully implemented the plan of correction related to delayed locking devices on exit doors, including posting required signage and repairing a malfunctioning delayed locking mechanism on the main exit door.

The inspection identified multiple deficiencies including failure to post required influenza information, unsigned resident contracts, unsecured poisonous materials, improper food storage and labeling, missing thermometers in refrigeration units, outdated medications, incomplete preadmission screening forms, and unsigned support plans. All deficiencies were addressed with corrective plans and retraining, with full implementation by December 27, 2022.

No inspection findings are reported in this document. It confirms the issuance of a regular license in response to the renewal application and states that enforcement action will be taken if noncompliance is found during future inspections.

The submitted plan of correction was fully implemented and accepted. Deficiencies included lack of a carbon monoxide detector in a resident wing, missing CPR and first aid training for at least one staff member, incomplete staff training records, absence of a thermometer in the refrigerator, and an expired medication found in a resident's medication cart. All issues were corrected with documented plans of correction and compliance was maintained.

The visit was complaint-related due to a medication error where Resident 1 was not given prescribed medication and the error was not reported to the Department. The complaint was substantiated by the findings.

The inspection found that a medication error occurred on January 7, 2021, when a resident was not given prescribed Mirtazapine 7.5 mg, and the incident was not reported to the Department as required. Additionally, directions for operating the home's locking mechanism were not conspicuously posted near the front door. Plans of correction were accepted and implemented for all deficiencies.

No inspection findings are reported in this document. It confirms the issuance of a regular license following the renewal application.

The inspection was complaint-driven and the plan of correction was submitted and accepted, with full implementation confirmed.

The submitted plan of correction was found to be fully implemented. Deficiencies related to resident assistance with activities of daily living and following prescriber's orders were addressed with corrective actions.

The inspection was triggered by a complaint and was a partial, unannounced visit. The plan of correction was approved and fully implemented.

The inspection found that Resident #1's medical evaluation dated 10/12/19 did not include required elements such as weight, pulse rate, temperature, blood pressure, body functioning, health status, and cognitive functioning. The submitted plan of correction was fully implemented as of June 12, 2020.

The inspection identified multiple violations related to resident supervision, staff training, medication storage procedures, and support plan documentation. Plans of correction were submitted addressing these issues with partial implementation progress noted.

No inspection findings are reported in this document; it serves as a license renewal confirmation and informational notice about future inspections.

The inspection was triggered by an incident involving a malfunctioning motorized chair that caught fire and concerns about medication administration and support plan documentation.

Violations of 55 Pa.Code Ch. 2600 related to furniture and equipment safety, medication storage, support plan documentation, and hospice services were found. Plans of correction were submitted and partially implemented as of the report date.

The visit was triggered by an incident complaint. The violation involved missing signatures on a resident's support plan.

The inspection found a violation related to the support plan for Resident 1, which lacked the resident's signature or documentation of inability or refusal to sign. A plan of correction was submitted addressing the issue.

The inspection was triggered by a complaint and incident involving sexually inappropriate behavior by Resident 1 towards other residents. The complaint was substantiated by observations and staff reports during the inspection.

The inspection found violations involving neglect and failure to prevent sexual abuse and inappropriate behaviors among residents, incomplete medical evaluations, and inadequate support plans. The facility failed to update assessments and support plans to address residents' sexually aggressive behaviors and did not complete timely medical evaluations for admissions.

The inspection was triggered by a complaint. The report documents substantiated issues including resident neglect, inadequate supervision, and incomplete documentation in resident support plans.

Violations were found related to failure to provide assistance with activities of daily living as indicated in resident support plans, resident neglect and inadequate supervision leading to unsafe conditions, improper medication administration, and failure to ensure resident signatures on support plans. Plans of correction were partially implemented with ongoing monitoring.

The inspection found violations of 55 Pa.Code Chapter 2600 related to personal care home regulations, including unsigned resident contracts, failure to conduct monthly fire drills, and incomplete medical evaluation documentation.

The Department of Human Services determined that a waiver is not needed as the individual meets the educational requirements to serve as a direct care staff person. The facility must keep a record of this letter and related educational documents in the personnel file.

No inspection findings are reported in this document. It primarily serves as a license renewal notification and confirmation of future inspection requirements.

The investigation was triggered by an incident where Resident #1 eloped from the home and was found at a local business. The complaint was substantiated based on findings of neglect and inadequate supervision.

The facility was found deficient in implementing an effective plan of supervision to safely manage Resident #1's exit-seeking behaviors. The support plan failed to specify staff check frequency and was not updated to include additional supervision provided by outside agencies.

Multiple violations of 55 Pa.Code Chapter 2600 were found, including failure to provide quarterly financial transaction accounts to residents, unsecured poisonous and combustible materials, incomplete fire drill records, medication management issues, and improper posting of key-locking device directions. Plans of correction were submitted and partially or fully implemented.

No inspection findings are reported in this document. It serves as a license renewal confirmation and notification of future inspection requirements.

The inspection was triggered by a complaint. The violations were confirmed by staff members and documentation review. The complaint was substantiated based on the findings.

The inspection identified multiple violations including a splintered door that could not be completely closed, residents lacking access to their bedrooms at all times, delayed medication administration, and failure to involve a resident and their designated person in the development of the support plan.

The inspection identified multiple violations related to financial transaction accounting, staff training in first aid and CPR, administrator orientation documentation, and medication administration records. Plans of correction were submitted addressing each violation with specified corrective actions and target dates.

The Department confirms receipt of the renewal application and states that an onsite inspection will be conducted within the next twelve months as required by regulation. No findings or deficiencies are reported in this document.

The inspection was complaint-driven and unannounced. The violation related to lack of resident or designated person involvement in the support plan was substantiated.

A violation was found regarding the involvement of the resident or the resident's designated person in the development and revisions of the support plan. Specifically, Resident #2 and their designated person were not involved in developing the support plan dated 4/3/16.