Inspection Reports for Magnolia Manor of Greenville

The facility was found deficient in multiple areas including improper labeling and storage of insulin medications, inadequate food storage and sanitation practices, failure to properly monitor dishwasher temperatures, improper handling of soiled laundry without appropriate PPE, and ineffective pest control measures with evidence of insect infestations.

The complaint investigation focused on Resident 2, who has dementia with behavioral disturbances. The facility failed to ensure timely psychiatric evaluation despite physician orders and multiple behavioral incidents. Interviews with staff including the Nurse Practitioner, Assistant Director of Nursing, and Social Services Director confirmed the psychiatric referral was pending and the resident was not currently being followed by psychiatric services.

The facility failed to provide appropriate behavioral/mental health services to Resident 2 as requested by their physician in a timely manner. The resident exhibited multiple behavioral issues including agitation, hostility, and attempts to elope, with psychiatric referral pending but not completed. Staff used various communication methods to manage the resident, but psychiatric services had not yet evaluated the resident despite orders dating back to July 2024.

The facility failed to ensure dialysis communication sheets were fully completed for three residents requiring dialysis, resulting in incomplete documentation of shunt site checks. Additionally, a Licensed Practical Nurse failed to flush the gastric tube properly during medication administration via enteral feeding tube, resulting in a 19% medication error rate. The same nurse also failed to follow enhanced barrier precautions by not wearing a gown during medication administration, increasing infection risk.

The facility failed to ensure proper medication administration via enteral feeding tube by an LPN, failed to provide adequate activities of daily living care for one resident, failed to complete dialysis communication sheets for several residents, and failed to ensure proper use of personal protective equipment during medication administration. Deficiencies were noted in medication flushing procedures, nail care, dialysis documentation, and infection control practices.

The facility failed to maintain floors, walls, ceilings, cold storage, dry storage, furniture, and equipment in a clean and good repair condition. Multiple issues were observed including rusted shelves, damaged flooring, mold presence, leaking faucets, stained and sagging ceiling tiles, and heavy residue in kitchen equipment.