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 Licensing Program Analysts toured the three facility buildings with the Administrator and completed a file review for staff and clients. Documentation of the facility tour was done separately.

The facility was toured inside and out, including checks of water temperatures, fire extinguishers, kitchens, medication storage, bedrooms, and safety devices. All required documentation was updated and in place, meeting regulatory requirements. No deficiencies were cited during this inspection.

The Licensing Program Analysts toured the facility buildings and conducted a file review for staff and clients. Documentation of the facility tour was completed separately.

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

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, improper medication handling, inadequate care and supervision, failure to report incidents, insufficient staff training, failure to prevent altercations, delayed response to resident alerts, and delayed 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 resident care and medication administration, resulting in an unsubstantiated finding. Additionally, allegations regarding pest control and facility maintenance were found to be unfounded with no deficiencies cited.

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 noted.

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 complaint investigation was unsubstantiated. Allegations included failure to safeguard personal belongings, inadequate food service, failure to notify authorized representatives of condition changes, and untimely assistance with bathing. The department found insufficient evidence to prove violations occurred.

The investigation found no supportive evidence to substantiate the allegations. Interviews, observations, and record reviews concluded that staff did safeguard residents' belongings, provided adequate food service, notified authorized representatives of changes, 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 Licensing Program Analyst toured the facility, checked water temperatures, fire extinguishers, kitchens, medication storage, bedrooms, and safety devices. No deficiencies or citations were issued at this time due to time constraints, and the inspection was not completed. A return visit will be scheduled to complete the annual inspection.

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 unsubstantiated. Allegations included rough handling, emotional abuse, failure to assist residents with ambulating, personal care, incontinence needs, and inappropriate speech. Interviews with residents and staff did not support these claims.

The investigation included interviews, observations, and record reviews. No preponderance of evidence was found to substantiate the allegations, and all interviewed residents and staff denied witnessing or experiencing the alleged violations. No deficiencies were cited.

The complaint was unsubstantiated/unfounded after investigation. Allegations included failure to administer medications as prescribed, failure to assist with physical therapy and mobility needs, and failure to meet modified dietary needs. No preponderance of evidence was found to prove violations.

The investigation found insufficient evidence to substantiate the allegations. It was unclear whether staff failed to administer medications, assist with physical therapy, or assist with mobility needs. The complaint regarding modified dietary needs was found to be unfounded. 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.

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

The complaint was unsubstantiated. Although the allegations may have occurred, 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.

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 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 with no contact information for follow-up. Evidence did not support the allegations.

The investigation found no substantiated evidence for any of the allegations. Interviews, observations, and record reviews did not confirm staff misconduct or neglect. The complaint was determined to be unsubstantiated or unfounded due to lack of evidence or reasonable basis.

The complaint investigation was unsubstantiated for allegations of staff providing care while under the influence of marijuana and failing to maintain infection control practices. The allegation that staff did not distribute medications as prescribed was found to be unfounded.

The investigation found all allegations to be unsubstantiated or unfounded due to lack of sufficient evidence. No violations were confirmed regarding staff impairment, infection control, or medication distribution.

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.

The complaint was investigated and found to be unfounded.

The Licensing Program Analyst conducted interviews and toured the facility, observing all six ovens operational and heating up. The allegation was found to be unfounded and without reasonable basis.

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 was investigated and found to be unfounded.

The Licensing Program Analyst conducted interviews and toured the facility, observing all six ovens operational and heating up. The allegation was found to be unfounded and without reasonable basis.

The complaint investigation involved two main allegations: 1) Staff administering medication while under the influence, which was unsubstantiated, and 2) Medication missing, which was unfounded after investigation.

The investigation found the allegation of staff administering medication while under the influence to be unsubstantiated due to lack of evidence. The allegation of medication missing was found to be unfounded after review and interviews, with no deficiencies issued during the inspection.

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.

Complaint investigation was unsubstantiated. Allegations included resident falls resulting in injury, staff not seeking timely medical attention, improper medication administration, and forced medication. The evidence did not meet the Department's standard for substantiation.

The investigation found that although the resident had a history of falls and was on hospice care, the injuries were treated by hospice and not due to lack of care or supervision. Medication administration was as prescribed with a PCP order to crush medications. The allegations were unsubstantiated based on the preponderance of evidence.

The complaint involved allegations that a resident fell resulting in injury due to care and supervision, staff did not seek timely medical attention, medication was not properly administered, and staff forced the resident to take medication. The allegations were found to be unsubstantiated.

The investigation found that although the resident had a history of falls and was on hospice care, the injuries were treated by hospice and not due to lack of care or supervision. Medication administration was reviewed and found to be as prescribed. The allegations were unsubstantiated based on the preponderance of evidence.

The infection control practices were found to be in compliance with no deficiencies cited. Technical assistance was given for masking and trash bins.

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.

The complaint investigation was unsubstantiated after review of interviews and records including Physicians Reports, Special incident reports, staff schedules, and written statements.

Based on interviews with staff and residents and review of records, there was not a preponderance of evidence to prove the alleged violations occurred. Therefore, the allegations were found to be unsubstantiated.

The complaint alleged that hygiene items were not provided. The allegation was investigated and found to be unsubstantiated.

The investigation included interviews and records review conducted via teleconference due to COVID-19 precautions. The allegation was found to be unsubstantiated as there was not a preponderance of evidence to prove the violation occurred.

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

The investigation found the complaint 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.

The complaint alleged that hygiene items were not provided. The complaint was investigated via teleconference with the Administrator, Frances Hernandez. The allegation was found to be unsubstantiated.

The investigation found that although the allegation may have happened or is valid, there was not a preponderance of evidence to prove the alleged violation occurred. Therefore, the allegation was found to be unsubstantiated.

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.