Magnolia Lane Nursing And Rehabilitation Center
Magnolia Lane Nursing and Rehabilitation Center in Morganton, NC — inspection on September 4, 2025.
Found 1 citation. 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
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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