Magnolia Manor Of Midway
Inspection Findings
F-Tag F0658
F 0658 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
She admits that she should have checked with the doctor. She reported she thought both the unit manager and doctor looked at the resident's allergies. LPN AA revealed that she did not believe an alert would come up again after the first alert was overridden. She revealed she had received education on the six rights of medication administration to always double-check allergies. She revealed that she did not recall any symptoms with the first dose.An interview with the DON on 10/8/2025 at 11:15 am revealed that the nurse should have identified the resident's allergies. The DON revealed that Resident R4 had received three doses of the antibiotic, and she turned red and had a rash. The floor nurse that morning notified her that Resident R4 was experiencing symptoms, and a call was placed to the provider. Orders were given to treat with intravenous (IV)fluids and Benadryl (antihistamine). The resident was monitored, and vitals were monitored. The DON revealed that all nurses should put the telephone orders into the system that they receive. A nurse should not provide telephone orders to another nurse. Telephone orders should be read back. Orders after hours should only be received by me, but since the provider calls the unit manager directly, that manager should have entered them from home. The DON revealed that she was not aware of ever receiving a call from the pharmacy alerting them of an allergy contraindication for a resident. She stated that allergies were found in
the ribbon of the electronic record and entered upon admission and during medication reconciliation. She confirmed that she had not called the pharmacy to send a form identifying an interaction and was not aware that the resident had received the medication (Bactrim DS) until Resident R4 had a reaction to the medication.An
interview with the Administrator on 10/8/2025 at 1:15 pm revealed that Nurses were educated on how to verify with the provider before completing an override. The Administrator revealed that the electronic medical record has added alerts and that all the precautions were in the ribbon of the chart to include diet.
The Administrator revealed, she was unsure if the update was before the incident or after the incident; however, there was a new communication tool form to be completed to communicate with the provider. She revealed that the pharmacy would send out alerts through the electronic medical record and through the fax. Also, when the nightly courier delivered medications, alerts were provided during that time that required signatures. The Administrator revealed that the education should be completed by now, with the expectation that the night shift should also receive the education.
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Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/09/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Magnolia Manor of Midway
652 North Coastal Highway 17 Midway, GA 31320
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0760
F 0760 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
the orders from the hospital before the resident arrived. She indicated the orders are entered into the EMR by the receiving nurse, and a copy is then placed into the Unit Manager Box. She indicated she does a
review of the orders within 24 hours after admission.An interview with the Director of Nursing (DON) on 10/8/2025 at 2:30 pm revealed that when a resident comes back from the hospital, any new orders are verified by the Physician and put into the EMR. It was stated by the DON that the orders are to be double-checked by the unit manager and the ADON. She stated that she expects the nurses to follow the policy on ordering medications. She indicated that Resident R1 did not return to the facility but was admitted to another facility upon discharge from the hospital.
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MAGNOLIA MANOR OF MIDWAY in MIDWAY, GA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 MIDWAY, GA, (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 MANOR OF MIDWAY or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.