MAGNOLIA LANE NURSING AND REHABILITATION CENTER

Nursing Home Inspector

107 MAGNOLIA DRIVE
MORGANTON, NC 28655
Burke County
Phone: 828-437-8760
Provider Number: 345219
Last Inspection: 09/08/2017

About the Nursing Home

Number of Beds: 121
Number of Residents: 54
Beds Available: 67
Percent Occupancy: 45%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

53

Facility
19

County
14

NC
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

53

2017
23

2016
72

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

9/8/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Pattern : Minimal 4 10/6/2017
 
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern : Minimal 4 10/6/2017
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 10/6/2017
 
Failed To: Assess in a timely manner the resident when the resident enters the nursing home. Pattern : Minimal 4 10/6/2017
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 10/6/2017
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 10/6/2017
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 10/6/2017
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 10/6/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 10/6/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 10/6/2017
 
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 10/6/2017
 
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern : Minimal 4 10/6/2017
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 10/6/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 10/6/2017
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Minimal 4 10/6/2017
 

7/21/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 8/18/2016
 
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 8/18/2016
 
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 8/18/2016
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Pattern : Minimal 4 8/18/2016
 
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 8/18/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 8/18/2016
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Isolated : Minimal 3 8/18/2016
 

9/11/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Protect each resident from mistreatment, neglect and misappropriation of personal property. Isolated : Actual 4 10/20/2015
 
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 10/20/2015
 
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated : Minimal 3 10/20/2015
 
Failed To: Reasonably accommodate the needs and preferences of each resident. Isolated : Minimal 3 10/20/2015
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 10/20/2015
 
Failed To: Provide clean bed and bath linens that are in good condition. Isolated : Minimal 3 10/20/2015
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Pattern : Minimal 4 10/20/2015
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 10/20/2015
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 10/20/2015
 
Failed To: Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Pattern : Minimal 4 10/20/2015
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Actual 4 10/20/2015
 
Failed To: Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Isolated : Minimal 3 10/20/2015
 
Failed To: Post nurse staffing information/data on a daily basis. Widespread : Potential 4 10/20/2015
 
Failed To: Provide food in a way that meets a resident's needs. Isolated : Minimal 3 10/20/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 10/20/2015
 
Failed To: Keep all essential equipment working safely. Isolated : Minimal 3 10/20/2015
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 11/11/2015
 
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Isolated : Minimal 3 11/11/2015
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 10/20/2015
 
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 10/20/2015
 
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern : Minimal 4 10/20/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

10/22/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 11/11/2015
 

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NC State Avg
Number of Residents 54 83.20 84.96
Registered Nurses 0.75 0.92 0.72
Licensed Practical / Vocational Nurses 0.66 0.80 0.87
Certified Nursing Assistants 2.00 2.31 2.33
Total Staff Hours 3.41 4.03 3.91

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% NC State Avg%
of high risk long-stay residents with pressure ulcers 10 7 7
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 97 93
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94 96 93
of long-stay residents experiencing one or more falls with major injury 3 5 3
of long-stay residents who have depressive symptoms 8 2 2
of long-stay residents who lose too much weight 11 9 8
of long-stay residents who received an antianxiety or hypnotic medication 46 38 29
of long-stay residents who received an antipsychotic medication 17 9 13
of long-stay residents who self-report moderate to severe pain 10 7 6
of long-stay residents who were physically restrained 2 0 0
of long-stay residents whose ability to move independently worsened 36 21 23
of long-stay residents whose need for help with daily activities has increased 25 16 18
of long-stay residents with a catheter inserted and left in their bladder 0 1 1
of long-stay residents with a urinary tract infection 1 5 4
of low risk long-stay residents who lose control of their bowels or bladder 35 56 55
of short-stay residents assessed and appropriately given the pneumococcal vaccine 74 90 83
of short-stay residents who had an outpatient emergency department visit 24 13 13
of short-stay residents who made improvements in function 76 70 64
of short-stay residents who newly received an antipsychotic medication 3 2 1
of short-stay residents who self-report moderate to severe pain 19 16 14
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 28 74 81
of short-stay residents who were rehospitalized after a nursing home admission 36 21 20
of short-stay residents with pressure ulcers that are new or worsened 0 60 55