Deficiencies (last 4 years)
Deficiencies (over 4 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
57% better than Kentucky average
Kentucky average: 4.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jun 26, 2025
Visit Reason
The inspection was conducted as a routine annual survey of Magnolia Village Nursing and Rehabilitation Center to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection, indicating the facility met all required standards at the time of the survey.
Inspection Report
Renewal
Census: 58
Deficiencies: 0
Date: Jun 26, 2025
Visit Reason
A Standard Recertification Survey was conducted to assess the facility's compliance with regulatory requirements.
Findings
The facility was found to be in substantial compliance with 42 CFR 483 subpart B during the survey conducted from 06/24/2025 to 06/26/2025.
Report Facts
Survey Census: 58
Sample Size: 19
Supplemental Residents: 0
Inspection Report
Routine
Deficiencies: 1
Date: Apr 9, 2024
Visit Reason
The inspection was conducted to assess the functionality of the call system in the facility, ensuring residents could call for staff assistance, based on observations, interviews, and policy reviews.
Findings
The facility failed to maintain an effective call system in residents' bathrooms and bathing areas, with multiple call lights and pull cords not functioning, including in the main shower room and several resident rooms. Staff and maintenance interviews revealed lack of awareness and delayed repairs, posing potential risk to resident safety.
Deficiencies (1)
Failure to maintain a working call system in residents' bathrooms and bathing areas, including non-functioning emergency pull cords and call lights in multiple locations.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing | Assistant Director of Nursing (ADON) | Interviewed regarding awareness and response to call system failures. |
| Maintenance Director | Maintenance Director | Interviewed about responsibility and actions taken to repair call system. |
| Former Maintenance Director | Former Maintenance Director | Interviewed about historical issues with call system and supply difficulties. |
| State Registered Nursing Assistant #1 | State Registered Nursing Assistant (SRNA) | Interviewed about observations of call light functionality. |
| Director of Nursing | Director of Nursing (DON) | Interviewed about awareness and expectations regarding call system functionality. |
| Administrator | Administrator | Interviewed about importance of call lights and expectations for maintenance response. |
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Apr 20, 2021
Visit Reason
Annual inspection survey of Magnolia Village Nursing and Rehabilitation Center to assess compliance with health regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Annual Inspection
Deficiencies: 7
Date: Apr 5, 2019
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, assessments, care planning, continence management, dementia care, and psychotropic medication use at Magnolia Village Nursing and Rehabilitation Center.
Findings
The facility was found deficient in multiple areas including failure to assist residents with feeding in a timely manner, inaccurate resident assessments, incomplete and non-person-centered care plans, failure to implement care plans, inadequate continence management, and inappropriate use of psychotropic medication without proper diagnosis.
Deficiencies (7)
Failure to assist residents #23 and #44 with feeding in a timely manner, resulting in residents not eating while others were assisted.
Failure to ensure accurate Minimum Data Set (MDS) assessments for residents #37, #47, and #51, including incorrect coding of falls and medication use.
Failure to develop comprehensive person-centered care plans addressing incontinence for residents #42, #47, #51, and #157.
Failure to implement the care plan for Resident #47, specifically not elevating heels as required.
Failure to provide appropriate continence management and prevent urinary tract infections for residents #16, #26, #42, #47, #51, and #157, including incomplete three-day continence diaries and lack of toileting programs.
Failure to develop and implement a person-centered dementia care plan addressing mood issues for Resident #43.
Failure to ensure psychotropic medication (Risperidone) was administered only with an appropriate diagnosis for Resident #43.
Report Facts
Residents sampled: 17
Residents affected by feeding deficiency: 2
Residents affected by inaccurate assessments: 3
Residents affected by incomplete care plans: 4
Residents affected by continence management deficiency: 6
Residents affected by dementia care deficiency: 1
Residents affected by psychotropic medication deficiency: 1
Delay in feeding Resident #44: 32
Delay in feeding Resident #23: 32
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nurse Aide | Mentioned in relation to feeding assistance deficiency for Resident #44 |
| CNA #3 | Certified Nurse Aide | Mentioned in relation to feeding assistance and resident rights training |
| LPN #1 | Licensed Practical Nurse | Mentioned in relation to feeding Resident #44 |
| LPN #2 | Licensed Practical Nurse | Mentioned in relation to feeding Resident #23 |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding feeding assistance, care planning, and psychotropic medication use |
| MDS Coordinator | MDS Coordinator | Interviewed regarding assessment coding and care plan responsibilities |
| Certified Nurse Assistant #4 | Certified Nurse Aide | Mentioned in relation to continence management documentation |
| Registered Nurse #2 | Registered Nurse | Mentioned in relation to continence management and admission procedures |
| Registered Nurse #1 | Registered Nurse | Mentioned in relation to continence management and CNA supervision |
| Assistant Director of Nursing | Assistant Director of Nursing (ADON) | Mentioned in relation to continence management oversight |
| Dementia Program Director | Dementia Program Director (DPD) | Interviewed regarding dementia care plan development |
| Resident #43's attending Physician | Physician/Medical Director | Interviewed regarding psychotropic medication use for Resident #43 |
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