Inspection Reports for Magnolia Creek
2560 Willard Rd, Winston-Salem, NC 27107, United States, NC, 27107
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Inspection Report
Annual Inspection
Census: 29
Deficiencies: 2
Oct 16, 2024
Visit Reason
The Adult Care Licensure Section conducted an annual survey of Magnolia Creek Assisted Living on October 15 and 16, 2024, to assess compliance with regulations related to nutrition and food service for residents in the Special Care Unit (SCU).
Findings
The facility failed to ensure that 8 ounces of milk or equivalent dairy products were served three times daily to SCU residents, and water was not served at each meal as required. Observations and interviews revealed that milk and water were inconsistently served during lunch meals on 10/15/24 and 10/16/24, with some residents not receiving these beverages due to alleged shortages of cups and milk/water, which were not substantiated by kitchen staff.
Deficiencies (2)
| Description |
|---|
| Failed to ensure that 8 ounces of milk or equivalent dairy products were served three times daily to residents in the Special Care Unit (SCU). |
| Failed to ensure water was served at each meal for residents in the Special Care Unit (SCU) in addition to other beverages. |
Report Facts
Residents in SCU: 29
Residents not served milk at lunch: 13
Residents not served milk at lunch: 23
Residents not served water at lunch: 14
Residents not served water at lunch: 5
Inspection Report
Capacity: 117
Deficiencies: 11
Apr 9, 2024
Visit Reason
The report documents a biennial construction section survey conducted to assess compliance with physical plant, fire safety, and building code requirements for Magnolia Creek Assisted Living.
Findings
Multiple deficiencies were cited related to physical plant conditions including failure of electromagnetic locks to release properly, lack of current fire and building safety inspection reports, furniture and building maintenance issues, fire safety rehearsal record deficiencies, unsafe fire safety equipment conditions, plumbing issues, and inadequate exhaust ventilation.
Deficiencies (11)
| Description |
|---|
| Electromagnetic locks did not have proper emergency release switches; AL Dining Room exit did not release with central emergency release switches. |
| Facility did not have current fire and building safety inspection reports available for review; missing Fire Sprinkler Inspection report. |
| Furniture not kept clean and in good repair; broken rocking chairs and damaged chair legs in SCU areas. |
| Walls, ceilings, and floors not kept clean and in good repair; gouge marks, holes, loose thresholds, water damage, dust accumulation, stained grout, and moisture damage observed. |
| Facility not maintained free from hazards; oxygen bottles improperly stored without restraints. |
| Fire rehearsal records did not include a short description of what the rehearsal involved. |
| Failure to maintain building's fire safety systems in safe condition; holes and gaps in fire resistant ceilings and walls. |
| Electrical emergency/safety lighting equipment not maintained in safe operating condition; emergency light/exit sign inside SCU entrance did not illuminate. |
| Plumbing equipment not maintained safely; Nurse Station toilet not securely mounted. |
| Fire safety equipment not maintained safely; resident room doors had holes, gaps, loose hardware, and did not latch properly. |
| Facility did not maintain exhaust ventilation in specified spaces; Employee Restroom exhaust fan not working. |
Report Facts
Total licensed beds: 117
Special Care Unit beds: 33
Inspection Report
Annual Inspection
Census: 60
Deficiencies: 3
Jun 30, 2021
Visit Reason
The Adult Care Licensure Section conducted an Annual survey and Complaint investigation from June 29, 2021 to June 30, 2021.
Findings
The facility failed to ensure hot foods were maintained hot until residents were ready to eat, failed to ensure accuracy of medication administration records related to a discontinued medication that was still administered, and failed to implement infection control procedures consistent with CDC guidelines resulting in sharing of glucometers between residents.
Complaint Details
The visit included a complaint investigation triggered by resident complaints about cold food and medication administration errors.
Severity Breakdown
Type B Violation: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Failed to ensure hot foods were maintained hot until residents were ready to eat their meals. | — |
| Failed to ensure the accuracy of the electronic medication administration records for a resident related to medication used to lower cholesterol levels that was discontinued but continued to be administered. | — |
| Failed to implement a written infection control policy consistent with CDC guidelines to ensure proper infection control procedures for the use of glucometers, resulting in sharing of glucometers between residents. | Type B Violation |
Report Facts
Residents served in dining room: 60
Medication billing cycles: 3
Fingerstick blood sugar (FSBS) readings: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Manager | Interviewed regarding food temperature and meal service procedures | |
| Evening Cook | Interviewed regarding plating and serving food | |
| Administrator | Interviewed regarding complaints and oversight of meal service and medication administration | |
| Medication Aide (MA) | Interviewed regarding medication administration and disposal practices | |
| Resident Care Director (RCD) | Interviewed regarding medication administration and audits | |
| Resident Care Coordinator (RCC) | Interviewed regarding medication administration and audits | |
| Memory Care Unit Coordinator (MCUC) | Interviewed regarding glucometer use and infection control practices | |
| Pharmacist | Interviewed regarding medication orders and pharmacy communication | |
| Primary Care Provider (PCP) | Interviewed regarding medication discontinuation |
Inspection Report
Follow-Up
Deficiencies: 1
Dec 18, 2018
Visit Reason
Biennial Follow Up Construction Survey to verify correction of previously identified deficiencies.
Findings
A deficiency related to housekeeping and maintenance was not corrected; specifically, a melted hole remains in the bathroom floor covering between bedrooms 110 and 112 due to a prior fire.
Deficiencies (1)
| Description |
|---|
| Building floor is not free of all obstructions and hazards; melted hole in bathroom floor covering between bedrooms 110 and 112 due to May 5, 2018 fire. |
Inspection Report
Follow-Up
Deficiencies: 2
Oct 31, 2018
Visit Reason
Biennial Follow Up Construction Survey conducted to assess compliance with physical plant and safety regulations.
Findings
The outside premises were not maintained in a clean and safe condition, with hazards such as limbs, tall grass, and leaves obstructing the Fire Apparatus Access Road. Additionally, the building floor was not free of obstructions and hazards, including a melted grille on the bathroom floor between bedrooms 110 and 112 due to a prior fire.
Deficiencies (2)
| Description |
|---|
| Outside premises not maintained in a clean and safe condition; Fire Apparatus Access Road covered with limbs, tall grass, and leaves, and inadequate lighting due to tree limbs. |
| Building floor not free of obstructions and hazards; melted grille on bathroom floor between bedrooms 110 and 112 from May 5, 2018 fire. |
Inspection Report
Follow-Up
Deficiencies: 4
Jun 21, 2018
Visit Reason
This was a Biennial Follow Up Construction Survey conducted to verify correction of previously cited deficiencies related to physical plant and safety conditions at Magnolia Creek Assisted Living.
Findings
The survey found multiple deficiencies including unsafe and unclear exit paths outside the premises, improper storage of portable medical oxygen cylinders, faulty emergency release switches on magnetic locks, and failure to maintain required exhaust ventilation in certain areas.
Deficiencies (4)
| Description |
|---|
| Outside premises not maintained in a clean and safe condition; exit path from smoking courtyard hazardous and unclear. |
| Building not maintained safely due to improper handling and storage of portable medical oxygen cylinders. |
| Facility not maintained in safe and operating condition due to faulty emergency release switches on magnetic locks. |
| Failure to maintain required exhaust ventilation in bathroom between bedrooms 110 and 112. |
Inspection Report
Capacity: 117
Deficiencies: 19
May 8, 2018
Visit Reason
The visit was a Construction Section Biennial Survey to assess compliance with physical plant, safety, and building code regulations for Magnolia Creek Assisted Living.
Findings
The survey identified multiple deficiencies including physical plant issues such as lack of lever handles on the medication preparation sink, corridor obstructions, unsafe outside premises, improper storage of oxygen cylinders, open plumbing waste drains, unlocked courtyard gates, missing fire extinguisher, malfunctioning emergency release switches, inadequate fire safety door closures, compromised fire-rated walls, malfunctioning emergency lighting, and failure to maintain required exhaust ventilation.
Deficiencies (19)
| Description |
|---|
| Faucet for the lavatory in the medication preparation area was not equipped with lever type handles. |
| Corridor was not maintained free of obstructions; 57 boxes of diapers stored reducing clear width below required 6 feet. |
| Outside premises not maintained in a clean and safe condition; exit path obstructed by dried waste concrete and trip hazards from roots and slope. |
| Improper handling and storage of portable medical oxygen cylinders; some stored in unapproved containers or unsecured. |
| Several plumbing fixtures removed with waste drains left open, allowing odors and bacteria to enter the facility. |
| Exterior exit paths cluttered with boards presenting trip and fall hazards. |
| Courtyard gates outside Memory Care left unlocked, presenting elopement risk. |
| Fire extinguisher missing from wall cabinet in Memory Care; had been used 3 days prior and not replaced. |
| Cover over emergency release switch for magnetically locked gate was locked closed, rendering it unavailable for emergency use (corrected during survey). |
| Globe cover hanging down on light in soiled utility in Memory Care, presenting risk of falling. |
| No key onsite to allow entry into maintenance area to survey for hazards. |
| Ice machine drain line in direct contact with floor drain, risking ice contamination. |
| Records of fire plan rehearsals available for only 3 of last 12 months; records lacked description of rehearsals. |
| Faulty emergency release switches: Memory Care switch did not unlock any magnetically locked doors; AL side switch unlocked only one door. |
| Combination exit signs and battery powered emergency lights would not work on battery in multiple locations; some lights hanging loose. |
| Many corridor doors do not close and latch properly to resist fire and smoke passage; doors have holes or only deadbolts and vents compromising fire safety. |
| One-hour fire rated walls and ceilings compromised by holes, unsealed penetrations, and damaged materials in multiple locations. |
| Warning device ('screamer') protecting emergency release switch at Memory Care entrance not working, risking resident elopement. |
| Facility failed to maintain required exhaust ventilation; exhaust fan removed from bathroom between bedrooms 110 and 112. |
Report Facts
Total licensed beds: 117
Boxes of diapers: 57
Portable medical oxygen cylinders: 10
Fire plan rehearsal records: 3
Dimensions of obstruction: 24
Dimensions of obstruction height: 9
Exit path width: 3
Slope of exit path: 10
Board dimensions: 10
Board width: 2
Board thickness: 10
Vent size: 12
Inspection Report
Annual Inspection
Census: 30
Deficiencies: 1
Mar 27, 2015
Visit Reason
The Adult Care Licensure Section conducted an annual survey on 03/26/15 and 03/27/15 at Magnolia Creek Assisted Living.
Findings
The facility failed to serve eight ounces of pasteurized milk at least twice a day to residents in the Special Care Unit (SCU). Observations during lunch and dinner meals revealed no milk was offered or served, despite milk being available in the kitchen and required by the dietary menu.
Deficiencies (1)
| Description |
|---|
| Failed to serve eight ounces of pasteurized milk at least twice a day to residents in the Special Care Unit (SCU). |
Report Facts
Residents present: 30
Milk quantity: 30
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