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Health Inspection

Magnolia Ridge

March 19, 2025 · Gardendale, AL · 420 Dean Drive
Citations 4
CMS Rating 1/5
Beds 148
Provider ID 015133
Healthcare Facility
Magnolia Ridge
Gardendale, AL  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)  ·  70 pages
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

MAGNOLIA RIDGE in GARDENDALE, AL — inspection on March 19, 2025.

Found 4 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF600

During the interview, the ADM was questioned about the incident involving RI #60 and CNA #41.

The ADM indicated that the report was substantiated as mistreatment and CNA #41 intended to strike RI #60 by throwing an ashtray.

The ADM said, it was an inappropriate response to the resident's behavior and if staff witnessed another staff member throw an ashtray at a resident they should act to protect the resident at all times and report the incident immediately.

015133

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 015133 B.

Wing 03/19/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Magnolia Ridge 420 Dean Drive Gardendale, AL 35071

F-F609-Reporting of Alleged Violations.

The IJ began on 07/25/2023 and continued until 08/21/2023 when the facility implemented corrective actions to correct the identified deficient practice and prevent recurrence; thus, immediate jeopardy past noncompliance was cited.

This deficiency was cited as a result of a Facility Reported Incident/Complaint/Report Number AL00044983.

Findings include:

Cross-reference

F-F689 was lowered to the lower severity of no actual harm with a potential for more than minimal harm that was not immediate jeopardy, to allow the facility time to monitor and/or revise their corrective actions as necessary to achieve substantial compliance.

015133

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 015133 B.

Wing 03/19/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Magnolia Ridge 420 Dean Drive Gardendale, AL 35071

The facility failed to manage other residents' behavioral concerns to prevent physical and verbal abuse in instances not rising to the immediate jeopardy level.

2.) Specifically, on 05/24/2023 RI #487, a resident with a history of behaviors had an altercation with a staff member which resulted in RI #487 being verbally abused by a staff member.

Following the incident on 05/24/2023, the facility did not review RI #487's care plan to determine whether additional interventions were needed to manage RI #487's behaviors. On 07/01/2023 RI #487 had an altercation with his/her roommate, RI #41, which resulted in a fractured left finger.

3.) On 09/12/2024 RI #339 stabbed his/her roommate RI #3 with a pen causing pain and bleeding and RI #3 had to be transported to the hospital for evaluation. RI #339's care plans did not include the level of supervison required to ensure the safety of RI #339's roommate or other residents in the facility and did not include any focus areas, interventions, approaches, or guidance to staff to address physical aggression, throwing things, night terrors, flashbacks, or sleeplessness.

RI #60, RI #487, and RI #339 were three of four residents sampled for behavioral concerns.

The facility's failure to manage RI #60's, RI #487's, and RI #339's behaviors resulted in injury of RI #41, RI #287, and RI #3, three of 29 residents sampled.

Findings include:

015133

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 015133 B.

Wing 03/19/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Magnolia Ridge 420 Dean Drive Gardendale, AL 35071

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in GARDENDALE, AL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from MAGNOLIA RIDGE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.