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🔎 Magnolia Place Health Care Llp

Inspection Results


Inspection Overview

Magnolia Place Health Care Llp has been cited for a total of 24 deficiencies since we began saving each survey.

In Texas, the average facility has **34.42 deficiencies** in our database. This profile shows the longer-term view.

Tip: Surveys happen throughout the year. Always check the official Medicare Care Compare site for the most recent data.



Understanding Deficiency Severity (A-L Scale)

The farther along in the alphabet (A through L) the Scope value is, the more severe the deficiency. **A through F means no actual harm has happened.**

Severity (Harm)Scope (Widespread?)Code Range
No Actual HarmIsolated to PatternA - C
No Actual HarmWidespreadD - F
**Actual Harm**IsolatedG
**Actual Harm**PatternH
**Actual Harm**WidespreadI
**Immediate Jeopardy**IsolatedJ
**Immediate Jeopardy**PatternK
**Immediate Jeopardy**WidespreadL


Detailed Deficiency List (Most Recent First)

Scope/Severity: D

Ensure each resident receives an accurate assessment.

Survey Date: 2024-05-21
Correction Date: 2024-06-12
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: F

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Survey Date: 2024-05-21
Correction Date: 2024-06-21
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey Date: 2024-05-21
Correction Date: 2024-06-18
Category: Nutrition and Dietary Deficiencies
From Complaint: N

Scope/Severity: F

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Survey Date: 2024-05-21
Correction Date: 2024-05-27
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: E

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Survey Date: 2024-05-21
Correction Date: 2024-05-24
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: E

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Survey Date: 2024-05-21
Correction Date: 2024-06-25
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: E

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Survey Date: 2024-05-21
Correction Date: 2024-06-25
Category: Resident Rights Deficiencies
From Complaint: N

Scope/Severity: E

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Survey Date: 2024-05-21
Correction Date: 2024-06-25
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
From Complaint: N

Scope/Severity: F

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Survey Date: 2024-05-21
Correction Date: 2024-06-25
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: E

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Survey Date: 2024-05-21
Correction Date: 2024-06-25
Category: Infection Control Deficiencies
From Complaint: N

Scope/Severity: F

Provide training in compliance and ethics.

Survey Date: 2024-05-21
Correction Date: 2024-06-25
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: E

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Survey Date: 2024-05-21
Correction Date: 2024-06-25
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: E

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Survey Date: 2024-05-21
Correction Date: 2024-06-25
Category: Administration Deficiencies
From Complaint: N

Scope/Severity: E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey Date: 2023-03-22
Correction Date: 2023-03-24
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Provide safe and appropriate respiratory care for a resident when needed.

Survey Date: 2023-03-22
Correction Date: 2023-03-24
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: C

Post nurse staffing information every day.

Survey Date: 2023-03-22
Correction Date: 2023-03-23
Category: Nursing and Physician Services Deficiencies
From Complaint: N

Scope/Severity: D

Ensure each resident receives an accurate assessment.

Survey Date: 2022-01-06
Correction Date: 2022-01-10
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: J

Ensure services provided by the nursing facility meet professional standards of quality.

Survey Date: 2022-01-06
Correction Date: 2022-01-10
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: J

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Survey Date: 2022-01-06
Correction Date: 2022-02-03
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

PASARR screening for Mental disorders or Intellectual Disabilities

Survey Date: 2022-01-06
Correction Date: 2022-02-15
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: Y

Scope/Severity: E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey Date: 2020-10-28
Correction Date: 2020-11-02
Category: Resident Assessment and Care Planning Deficiencies
From Complaint: N

Scope/Severity: E

Provide safe and appropriate respiratory care for a resident when needed.

Survey Date: 2020-10-28
Correction Date: 2020-10-29
Category: Quality of Life and Care Deficiencies
From Complaint: N

Scope/Severity: E

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey Date: 2020-10-28
Correction Date: 2020-10-29
Category: Pharmacy Service Deficiencies
From Complaint: N

Scope/Severity: F

Provide and implement an infection prevention and control program.

Survey Date: 2020-10-02
Correction Date: 2020-10-03
Category: Infection Control Deficiencies
From Complaint: Y


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All deficiency data is sourced directly from the **Centers for Medicare & Medicaid Services (CMS)**.
Data Aggregation and Review provided by **The Nursing Home Site.**