Magnolia Lane Nursing And Rehabilitation Center
Inspection Findings
F-Tag F0755
F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Pharmacy Manager, the [NAME] President of the Pharmacy stated normally the DEA 222 form is filled out, sealed in an envelope labeled Attention Pharmacist and placed in the tote then it could take 24 hours to be processed and filled. The [NAME] President of the Pharmacy stated the controlled medication emergency kit was an option the facility had and was not required. The [NAME] President of the Pharmacy stated the root cause of the issue was the late admission and the hospital sending the resident with unusual and multiple medications. The [NAME] President of the Pharmacy also verified the original DEA 222 form the pharmacy had was dated 8/19/2025.During a follow up interview on 9/4/2025 at 11:26 AM with the DON and Regional Corporate Nurse, the DON stated the pharmacy did not get the forms from the 8/18/2025 when it was left by the courier, so the date was changed, and it was refaxed on the 8/19/2025 and said it was an emergency. The DON verified the copy of the DEA 222 form she had provided looked like the date was changed from a 19 to 18 but stated she did not make that change. The DON stated she had a DEA 222 form with 8/18/2025 on it but was unable to provide the form. The DON was unable to provide the declining count sheet for the oxycodone from the controlled medication emergency kit from June and July of 2025 to show when the oxycodone had run out. The DON stated the completed declining narcotic sheets were normally placed in a binder after they were put in her box, but a new policy started the 3rd week of August, that the completed declining narcotic sheets were put in a black box that the DON could open with
a key. The DON stated she was on vacation at the end of July, and the former Administrator and Staff Development Coordinator were supposed to cover and file them for the DON, but those staff members were no longer working at the facility. The DON stated she normally checked the controlled emergency medication kit on Mondays and Fridays but did not have a record of the inventory when it was checked. The DON stated she would just take a piece of paper, look at the declining inventory sheet and order what was needed, or sometimes the nurse on the hall would text her how many were left in the kit. The DON stated ideally the facility would have the medication ordered for the residents. The DON indicated she now knew
the specifics of the policy to reorder the controlled medication emergency kit, and she would follow the policy from now on. The DON further stated she had been keeping up with it by herself but had support now.During an interview on 9/4/2025 the Administrator stated he expected the policy to be followed for the reordering of the medications in the controlled medication emergency kit, and he expected the facility to have medications available for the residents.
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Magnolia Lane Nursing and Rehabilitation Center in Morganton, NC 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 Morganton, NC, (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 Lane Nursing and Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.