Magnolia Gardens Convalescent Hospital
MAGNOLIA GARDENS CONVALESCENT HOSPITAL in GRANADA HILLS, CA — inspection on May 26, 2026.
Found 3 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
During a review of the facility's Policy
of the facility's P&P titled, Lowbed-Floor Mat, Not a Restraint, undated, the P&P indicated that using a
consent, Interdisciplinary Team (IDT - a group of dedicated healthcare professionals who work to bring knowledge together to help residents receive the care they need) and Care Plan.
055142 05/26/2026
Magnolia Gardens Convalescent Hospital 17922 San Fernando Mission Rd Granada Hills, CA 91344
During a review of the facility's policy and procedure (P&P) titled, Falls and Fall Risk, Managing, dated 5/26/2026, the P&P indicated, environmental factors that elevate the risk of falls include obstructions present in walkways.
The P&P also indicated that resident-centered approaches to managing falls and fall risk include staff members, in collaboration with the attending physician, will implement an individualized fall prevention plan aimed at mitigating the specific risk factors for each resident identified as being at risk or with a documented history of falls.
055142 05/26/2026
Magnolia Gardens Convalescent Hospital 17922 San Fernando Mission Rd Granada Hills, CA 91344
During a review of Resident 1's Minimum Data Set (MDS -ˆa resident assessmentˆtool) datedˆ4/30/2026, the MDS indicated that Resident 1's cognition (mental action or process ofˆacquiringˆknowledge and understanding) was intact.
The MDS indicated Residentˆ1ˆrequired moderate (helper does less than half the effort) to maximal (helper does more than half the effort) physical assistanceˆfrom staff for activities of daily living (ADLs - eating, toileting, hygiene, shower/bathing).ˆˆ During a review of Resident 1's Order Summary, dated 5/26/2026, the Order Summary Report indicated a physician order of Bilateral Hip X-ray STAT dated on 5/11/2026 at 6:00 p.m.
During a telephone interview on 5/26/2026 at 2:32 p.m. with Registered Nurse 1 (RN 1), RN 1 stated that after receiving the physician's order for a STAT Bilateral Hip X-ray for Resident 1, she contacted the designated diagnostic provider (DDP) to inform the STAT order. RN 1 stated that the DDP staff informed her that they would not be able to arrive until early morning the next day. RN 1 stated that she did not notify the physician about the delay of the completion of bilateral hip X-ray. RN 1 further stated that informing the physician of the delay in X-ray was important, as it could further delay the resident's care and potentially worsen Resident 1's injury.
During a concurrent interview and record review on 5/26/2026 at 1:00 p.m. with the Assistant Director of Nursing (ADON), Resident 1's order summary report and DDP's website were reviewed.
The ADON stated that the STAT physician order for a bilateral hip X-ray was placed on 5/11/2026 at 5:58 p.m. on the DDP's website, and STAT orders are expected to be completed within four hours.
The ADON added that if the delay exceeds four hours, the staff should notify the physician.
The ADON stated that the X-ray was performed on 5/12/2026 at 12:25 a.m.
The ADON further stated that there was no documentation of staff notifying the physician about the delay and that the staff failed to inform the physician.
The ADON stated that failing to notify the physician can worsen the situation, delay care and treatment, and extend Resident 1's discomfort.
During an interview on 5/26/2026 at 3:25 p.m. with Director of Nursing (DON), the DON stated that the facility did not follow the time frame for the physician order of bilateral hips X-ray STAT for Resident 1.
The DON further stated that when there is a delay of the STAT order, it could lead to complications for the residents.
During a review of the facility's Policy and Procedure (P&P) titled, Change in a Resident's Condition or Status, revised 2/2021, the P&P indicated that nursing staff are required to notify the resident's attending physician when a significant change in medical treatment is necessary, when a transfer to a hospital is needed, and when there are specific instructions regarding notification of changes in the resident's condition.
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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.