Inspection Reports for Magnolias of Lancaster

The inspection was conducted as a complaint investigation following allegations of resident abuse and failure to report incidents as required by regulations.

The investigation found multiple incidents of resident-to-resident physical abuse that were not reported to the local Area Agency on Aging or the Department as required. The facility submitted plans of correction which were accepted and later fully implemented.

The complaint investigation was substantiated with findings of multiple resident abuse incidents and failure to report these incidents to the appropriate authorities in a timely manner.

The inspection was a full, unannounced renewal inspection conducted to review compliance with licensing requirements and verify the implementation of the submitted plan of correction.

The inspection identified multiple deficiencies including direct care staff training, locking poisonous materials, bathroom ventilation, bed linens, lighting, refrigerator/freezer temperatures, lint removal, emergency water supply, fire drills, smoking area cleanliness, medication storage and administration. All deficiencies had plans of correction accepted and were implemented by early December 2024.

The inspection was conducted as a complaint investigation, unannounced, to review compliance related to allegations of abuse and other regulatory concerns at the facility.

The inspection found a repeated violation of abuse where Resident 1 was aggressive and caused injury to Resident 2 and Resident 3. Additionally, a staff member was found to have no completed criminal background check. Other deficiencies included failure to provide proper discharge notice and incomplete resident assessments.

The visit was complaint-related, investigating allegations of abuse involving Resident 1 and Resident 2, with substantiated findings of physical abuse and injury.

The inspection was conducted as a complaint and incident investigation at the facility.

Multiple deficiencies were found including abuse incidents, unlocked poisonous materials, unsanitary conditions, lack of toilet paper in a bathroom, and missing conspicuous posting of key-locking device operation instructions. Plans of correction were accepted and implemented by August 26, 2024.

The visit was triggered by a complaint and incident report. The report documents abuse incidents involving residents and other regulatory violations.

The inspection was conducted as a complaint investigation at the facility.

No regulatory citations or deficiencies were identified as a result of this inspection.

The inspection was complaint-related and the complaint was not substantiated as no deficiencies were found.

The inspection was conducted as a full, unannounced visit for renewal, complaint, incident, and interim reasons.

The inspection identified multiple deficiencies including abuse involving resident-to-resident physical altercation and multiple falls, lack of CPR-certified staff during certain shifts, unsecured poisonous materials accessible to residents, outdated food items, missing posted menus for the upcoming week, absence of a first aid kit in a transport vehicle, and improper documentation of glucometer readings.

The inspection was conducted as a complaint and incident investigation following allegations of resident abuse and failure to report incidents timely.

The investigation found that an allegation of abuse involving staff and a resident was not reported timely to the appropriate authorities. The incident was ultimately deemed unsubstantiated after internal investigation and no external investigation was conducted by the local agency. Staff received coaching and education on abuse reporting and resident rights.

The complaint involved an allegation of abuse where Staff Member A allegedly struck a resident and shouted at them. Staff Member B witnessed the incident. The allegation was reported late to the Local Area Agency on Aging and the Department. The local agency did not investigate as it did not meet the definition of abuse. The facility conducted an internal investigation and deemed the allegation unsubstantiated. Staff involved received verbal coaching, education, and suspension pending investigation.

The inspection was conducted as a complaint investigation during an unannounced partial inspection on 05/18/2023.

No regulatory citations or deficiencies were identified as a result of this inspection.

The inspection was complaint-related, but no deficiencies or citations were found, indicating no substantiated issues.

The inspection was a partial, unannounced follow-up visit triggered by an incident to verify the implementation of a previously submitted plan of correction.

The facility was found to have fully implemented the plan of correction related to delayed locking devices on exit doors, including posting required signage and repairing a malfunctioning delayed locking mechanism on the main exit door.

The inspection was conducted as a renewal and complaint investigation of the assisted living facility to assess compliance with applicable regulations and verify correction of previous deficiencies.

The inspection identified multiple deficiencies including failure to post required influenza information, unsigned resident contracts, unsecured poisonous materials, improper food storage and labeling, missing thermometers in refrigeration units, outdated medications, incomplete preadmission screening forms, and unsigned support plans. All deficiencies were addressed with corrective plans and retraining, with full implementation by December 27, 2022.

The document is a renewal application and license issuance for the Personal Care Home 'Magnolias of Lancaster' pursuant to Title 55, PA Code, Chapter 2600. The Department advises that an onsite inspection will be conducted within the next twelve months as part of the annual inspection requirement.

No inspection findings are reported in this document. It confirms the issuance of a regular license in response to the renewal application and states that enforcement action will be taken if noncompliance is found during future inspections.

The inspection was a full, unannounced renewal inspection conducted on 04/05/2021 to review compliance with licensing requirements.

The submitted plan of correction was fully implemented and accepted. Deficiencies included lack of a carbon monoxide detector in a resident wing, missing CPR and first aid training for at least one staff member, incomplete staff training records, absence of a thermometer in the refrigerator, and an expired medication found in a resident's medication cart. All issues were corrected with documented plans of correction and compliance was maintained.

The inspection was conducted as a complaint investigation to review compliance with regulations following a reported medication error and other concerns at the facility.

The inspection found that a medication error occurred on January 7, 2021, when a resident was not given prescribed Mirtazapine 7.5 mg, and the incident was not reported to the Department as required. Additionally, directions for operating the home's locking mechanism were not conspicuously posted near the front door. Plans of correction were accepted and implemented for all deficiencies.

The visit was complaint-related due to a medication error where Resident 1 was not given prescribed medication and the error was not reported to the Department. The complaint was substantiated by the findings.