Inspection Reports for Magnolia Assisted Living of Ellsworth

42 BUCKSPORT RD, ME, 04605-2230

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Deficiencies per Year

8 6 4 2 0
2024
2025
High Moderate Unclassified

Census Over Time

20 40 60 80 Jan '24 Sep '24
Census Capacity
Inspection Report Plan of Correction Capacity: 60 Deficiencies: 2 Jul 10, 2025
Visit Reason
The document is a plan of correction related to case investigations for Magnolia Assisted Living of Ellsworth, addressing deficiencies found during a regulatory inspection.
Findings
The facility was found not in substantial compliance with regulations governing assisted housing programs, specifically regarding confidentiality of resident records and medication/treatment administration records. Deficiencies included unattended medication carts with MAR books and incomplete transcription of treatment orders for a resident.
Severity Breakdown
[Class III]: 1
Deficiencies (2)
DescriptionSeverity
Medication carts were observed unattended with Medication Administration Record (MAR) books on top, not stored securely.
Facility failed to ensure all treatments ordered by licensed practitioners were included on the Medication Administration Record (MAR) for a resident.[Class III]
Report Facts
Total licensed capacity: 60 Date of inspection: Jul 10, 2025 Number of medication carts observed unattended: 2
Employees Mentioned
NameTitleContext
Mariah ReamAdministratorNamed in relation to findings and plan of correction
Inspection Report Complaint Investigation Capacity: 60 Deficiencies: 2 Jul 10, 2025
Visit Reason
The inspection was conducted as a complaint investigation involving multiple case investigations related to Magnolia Assisted Living of Ellsworth.
Findings
The facility was found not in substantial compliance with regulations governing assisted housing programs, specifically failing to maintain confidentiality of resident records and failing to include all treatments ordered by licensed practitioners on the Medication Administration Record (MAR).
Complaint Details
The visit was complaint-related, involving case investigations numbered 2025-AHP-41195, 2025-AHP-41052, 2025-AHP-41186, and 2025-AHP-41618. The findings were confirmed onsite with the Lead CRMA and Administrator.
Severity Breakdown
Class III: 1
Deficiencies (2)
DescriptionSeverity
Failure to store resident records in a confidential manner, evidenced by unattended MAR books on medication carts in the hallway.
Failure to ensure all treatments ordered by a licensed practitioner were included on the MAR for a resident, specifically a missing treatment transcription for barrier cream in June 2025.Class III
Report Facts
Total Capacity: 60 Case Investigations: 4 Medication carts observed: 2
Employees Mentioned
NameTitleContext
Mariah ReamAdministratorAdministrator interviewed and confirmed findings
Inspection Report Census: 28 Capacity: 60 Deficiencies: 2 Sep 26, 2024
Visit Reason
The inspection was conducted as part of the end of provisional licensure and change in licensed capacity for Magnolia Assisted Living of Ellsworth.
Findings
The facility was found not in compliance with regulations governing assisted housing programs, specifically regarding sanitation and physical plant requirements. Deficiencies included worn freezer shelving surfaces that were uncleanable and bathrooms lacking mirrors over sinks in several resident rooms.
Severity Breakdown
Class III: 1
Deficiencies (2)
DescriptionSeverity
Shelving in a freezer was in poor condition with worn surfaces creating an uncleanable surface.Class III
Some bathrooms lacked a mirror over the sink.
Report Facts
Freezer racks with worn surfaces: 4 Bathrooms without mirrors: 4
Employees Mentioned
NameTitleContext
Tiffany HaasAdministratorReviewed findings at exit interview
Inspection Report Complaint Investigation Capacity: 50 Deficiencies: 0 Mar 25, 2024
Visit Reason
The inspection was conducted as a complaint investigation identified as 2024-AHP-36684 for Magnolia Assisted Living of Ellsworth.
Findings
Magnolia Assisted Living of Ellsworth was found to be in substantial compliance with the regulations governing the licensing and functioning of assisted housing programs for PNMI Level IV Residential Care Facility.
Complaint Details
Complaint Investigation 2024-AHP-36684; substantial compliance noted.
Employees Mentioned
NameTitleContext
Tiffany HaasAdministratorNamed as the facility administrator in the complaint investigation report.
Inspection Report Complaint Investigation Census: 42 Capacity: 50 Deficiencies: 5 Jan 3, 2024
Visit Reason
The inspection was conducted as a complaint investigation regarding medication administration, medication/treatment administration records, service plan adequacy, staffing schedules, and resident care staff ratios at Magnolia Assisted Living of Ellsworth.
Findings
The facility was found not in substantial compliance with regulations governing assisted housing programs. Deficiencies included failure to ensure medications were administered as ordered, incomplete medication administration records, inadequate service plans lacking specific staff interventions, incomplete staff schedules missing job functions and actual hours worked, and failure to meet minimum resident care staff to occupied bed ratios during certain shifts.
Complaint Details
Complaint investigation 2023-AHP-35705 regarding medication administration, medication records, service plans, staffing schedules, and resident care staff ratios. Findings were substantiated as deficiencies.
Severity Breakdown
Class II: 1 Class III: 1
Deficiencies (5)
DescriptionSeverity
Failure to ensure a resident received medications as ordered for 1 of 2 resident records reviewed.Class II
Failure to maintain a medication administration record (MAR) for 1 of 2 resident records reviewed.Class III
Failure to ensure a service plan included strategies and interventions for facility staff to meet a resident’s identified need and goal for 1 of 2 resident records reviewed.
Failure to maintain staff schedules with job function/title, all employees, and actual hours worked.
Failure to meet minimum resident care staff to occupied bed ratios on November 13th and 14th from 7:00 p.m. to 11:00 p.m.
Report Facts
Census: 42 Total Capacity: 50 Deficiencies cited: 5 Staff to resident ratio required: 3 Staff on duty: 2 Residents present: 38
Employees Mentioned
NameTitleContext
Aimee CyrAdministratorNamed as facility administrator
Property ManagerInterviewed regarding findings and staff schedules
Facility RNReviewed service plan findings

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