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Magnolia Manor East: Diabetes, COVID-19 Violations - GA
The resident was undergoing an atherectomy, a procedure to remove arterial plaque buildup....
Latest reports, citations, and penalties from CMS data
The resident was undergoing an atherectomy, a procedure to remove arterial plaque buildup....
The resident's diastolic pressure measured 64 mmHg, well below the 70 mmHg threshold specified in physician orders for holding the medication....
This regulation exists to protect vulnerable residents from financial exploitation and ensure transparency in financial management....
The facility failed to conduct comprehensive root cause analyses for any of the incidents, missing critical opportunities to prevent subsequent falls....
## Falsified Treatment Documentation The most serious violation involved **falsified treatment records** for a diabetic resident with multiple wounds....
The medication was ordered to be administered daily between 7:00 AM and 11:00 AM, but the facility failed to ensure timely delivery from their pharmacy....
The Department of Public Health wasn't notified until the outbreak had already spread throughout the facility....
The nurse took both medicine cups, each labeled for different residents, to the first patient's room....
Inspectors found that the nursing home failed to implement comprehensive quality assurance activities across all departments....
This violation represents a breakdown in the facility's internal oversight system designed to monitor and correct operational deficiencies....
However, federal inspectors discovered this was just the latest in a disturbing pattern of documented assaults dating back to April 2023....
When the Director of Nursing and LPN examined the medication, they found it had become clear instead of the expected blue tint....
The May 20, 2025 inspection revealed critical failures in resident supervision that put multiple residents at risk for serious accidents and harm....
Despite these documented concerns, the facility continued to assign registry personnel to the resident's care....
## Understaffed Infection Control Program The most concerning finding involved the facility's infection prevention leadership structure....
The violations occurred at Cypress at Lake Providence, located at 5976 US-65 North....
The resident had a Brief Interview for Mental Status score of 6 out of 15, indicating severe cognitive impairment....
Federal regulators found that facility staff failed to follow basic nursing protocols for uncircumcised males....
Federal inspectors classified the violations as immediate jeopardy, the most severe category indicating imminent danger to residents....
The incident occurred despite the resident's allergy being clearly documented across multiple medical records, care plans, and dietary profiles....