MAGNOLIA PLACE ASSISTED LIVING

An administrative relicensure survey was completed on 2/19/26. No deficiencies were cited.

A revisit survey was completed on 8/21/25 for all previous deficiencies cited on 2/26/25. The facility is in compliance with all deficiencies that were cited.

A revisit survey was completed on 8/21/25 for all previous deficiencies cited on 2/26/25. The facility is in compliance with all deficiencies that were cited.

A recertification survey was completed on 2/26/25. Deficiencies were cited.

Based on observation, record review, and interview, the facility (residence) failed to provide all members (residents) social and recreational engagement opportunities both within and outside the residence, affecting 11 current residents. Findings include:The residence's undated resident agreement read in part, the residence did not do a scheduled activity; however, when the residence offered activities such as movie night, outings and grocery shopping at least once a week. It was up to the residents to schedule their own activities. On 2/26/25, from 7:30 a.m. until 1:45 p.m., no activities were offered to the residents. On 2/26/25 at approximately 8:30 a.m., Staff #1 said the residence did not offer activities. On 2/26/25 at approximately 11:00 a.m., Resident #3 said the residence did not offer activities. Resident #3 said he would like activities during the day. On 2/26/25 at approximately 11:30 a.m., Resident #2 said the residence did not offer activities. He said he went to a day program twice a week. He said he would like to do activities at the residence. On 2/26/25 at approximately 2:00 p.m., the administrator said he had an activity calendar, but it was not at the residence. He said he did not bring it to the residence because the residents did not want to participate in activities. He said the residence should provide activities twice a week. The administrator also said he was aware the administrator was responsible for providing engagement for the residents. He said the residence had one staff member working during the day, making it difficult for her to provide activities.

Based on record review and interview, the facility (residence) failed to develop written policies and procedures to ensure the continuation of necessary care to all members (residents) for at least 72 hours immediately following any emergency including, but not limited to, a long-term power failure, affecting 11 current residents. Findings include:On 2/26/25 at 12:33 p.m., a 72-hour continuation of care policy and procedure was requested. The emergency preparedness document stated, "The community will ensure the continuation of necessary care to all residents for at least 72 hours immediately following any emergency." However, no instruction was given on how the residence would ensure the continuation of care. On 2/26/25 at 12:45 p.m., the administrator stated he was aware of the requirement for the residence to have a policy to ensure the continuation of necessary care to all residents for at least 72 hours immediately following any emergency; however, he acknowledged the current policy did not guide how they would continue care for 72 hours. The administrator stated he needed to create the policy.

Based on observation, interview, and record review, the facility (residence) failed to display the monthly schedule of daily recreational and social engagement opportunities in a visible location, affecting 11 current members (residents). The residence's undated resident agreement read in part, the residence did not do a scheduled activity; however, when the residence offered activities such as movie night, outings and grocery shopping at least once a week. It was up to the residents to schedule their own activities. On 2/26/25 at 7:45 a.m., during an environmental tour, there was no monthly schedule of daily recreational and social engagement opportunities displayed in the residence. On 2/26/25 at approximately 8:30 a.m., Staff #1 said the residence did not have a calendar for activities. She said the residence did not provide activities. Staff #1 said they did not have posted calendars with available activities. On 2/26/25 at approximately 11:30 a.m., Resident #2 said the residence did not offer activities. He said he went to a day program twice a week. He said he would like to do activities at the residence. Resident #2 said there were no activity calendars posted. On 2/26/25 at approximately 11:00 a.m., Resident #3 said the residence did not offer activities. Resident #3 said he would like activities during the day. Resident #3 said there were no activity calendars posted in the residence. On 2/26/25 at approximately 2:00 p.m., the administrator said he had an activity calendar, but it was not at the residence. He said he did not bring it to the residence because the residents did not want to participate in activities. He said the residence should provide activities twice a week. He said he was aware the administrator was responsible for providing engagement for the residents. The administrator said there were no activities calendars posted in the residence.

A relicensure survey was completed on 2/26/25. Deficiencies were cited.

Based on record review and interview, the residence failed to have policies and procedures to ensure the continuation of care to all residents for 72 hours following an emergency, including, but not limited to, a long-term power failure, affecting 11 current residents. Findings include:On 2/26/25 at 12:33 p.m., a 72-hour continuation of care policy and procedure was requested. The emergency preparedness document stated, "The community will ensure the continuation of necessary care to all residents for at least 72 hours immediately following any emergency." However, no instruction was given on how the residence would ensure the continuation of care. On 2/26/25 at 12:45 p.m., the administrator stated he was aware of the requirement for the residence to have a policy to ensure the continuation of necessary care to all residents for at least 72 hours immediately following any emergency. However, he acknowledged the current policy did not give guidance on how they would continue care for 72 hours.

Based on observation, record review, and interview, the residence failed to place notices of planned resident engagement offerings in a central location readily accessible to residents, relatives, and the public and failed to retain copies of the offerings for six months, affecting 11 current residents. Findings include: The residence's undated resident agreement read in part the residence did not do a scheduled activity; however, when the residence offered activities such as movie night, outings and grocery shopping at least once a week. It is up to the residents to schedule their own activities. On 2/26/25 at 7:45 a.m., during an environmental tour, there was no monthly schedule of daily recreational and social engagement opportunities displayed in the residence. On 2/26/25 at approximately 8:30 a.m., Staff #1 said the residence did not have a calendar for activities. She said the residence did not provide activities. Staff #1 said they did not have posted calendars with available activities. On 2/26/25 at approximately 11:30 a.m., Resident #2 said the residence did not offer activities. He said he went to a day program twice a week. He said he would like to do activities at the residence. Resident #2 said there were no activity calendars posted. On 2/26/25 at approximately 11:00 a.m., Resident #3 said the residence did not offer activities. Resident #3 said he would like activities during the day. Resident #3 said there were no activities calendars posted in the residence. On 2/26/25 at approximately 2:00 p.m., the administrator said he had an activity calendar, but it was not at the residence. He said he did not bring it to the residence because the residents did not want to participate in activities. He said the residence should provide activities twice a week. He said he was aware the administrator was responsible for providing engagement for the residents. The administrator said there were no activity calendars posted in the residence. The administrator said he did not keep a record of activities.

Based on observation, interview, and record review, the residence failed to provide all residents with regular opportunities to participate in structured engagement, affecting 11 current residents. Findings include: The residence's undated resident agreement read in part, the residence did not do a scheduled activity; however, when the residence offered activities such as movie night, outings and grocery shopping at least once a week. It was up to the residents to schedule their own activities. On 2/26/25, from 7:30 a.m. until 1:45 p.m., no activities were offered to the residents. On 2/26/25 at approximately 8:30 a.m., Staff #1 said the residence did not offer activities. On 2/26/25 at approximately 11:00 a.m., Resident #3 said the residence did not offer activities. Resident #3 said he would like activities during the day. On 2/26/25 at approximately 11:30 a.m., Resident #2 said the residence did not offer activities. He said he went to a day program twice a week. He said he would like to do activities at the residence. On 2/26/25 at approximately 2:00 p.m., the administrator said he had an activity calendar, but it was not at the residence. He said he did not bring it to the residence because the residents did not want to participate in activities. He said the residence should provide activities twice a week. The administrator also said he was aware the administrator was responsible for providing engagement for the residents. He said the residence had one staff member working during the day, making it difficult for her to provide activities.

A licensure complaint, prompted by #CO34776 and #CO34677, was completed on 5/7/24. No deficiencies were cited.

A certification complaint, prompted by #CO34677 and #CO34777 was completed on 5/7/24. No deficiencies were cited.

A revisit survey was completed on 3/22/24 for all previous deficiencies cited on 7/12/22. The facility is in compliance with all deficiencies that were cited.

Citation coded "0000" or "9999" are initial and final comments of an inspection for informational purposes, this field may also have been left blank intentionally

A revisit survey was completed on 3/22/24 for all previous deficiencies cited on 7/12/22. The facility is in compliance with all deficiencies that were cited.