Magnolia Manor - Greenwood
Magnolia Manor - Greenwood in Greenwood, SC — inspection on December 30, 2025.
Found 2 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
Review of R2's significant change Minimum Data Set (MDS) dated [DATE] revealed R2 has severe cognitive impairment and scored a 06 on the Brief Interview for Mental Status (BIMS) assessment, indicating R2 was not cognitively intact.
Review of the facility's incident documentation indicated that R2 experienced a fall on 08/27/25 at approximately 06:00 PM in his room.
Post-fall documentation indicated that the resident was assessed, and no serious injury was identified.Review of R2's EMR comprehensive Care Plan revealed the care plan was not updated to include new or revised interventions related to the fall, identification of causative or contributing factors, enhanced supervision or environmental modifications, or any evidence of individualized fall-prevention strategies implemented following the resident's fall with fracture on 08/27/25.
During an interview on 12/30/25 at 11:26 AM with the Registered Nurse (RN)/MDS Coordinator, revealed, The resident has had two fractures. We may have resolved the one for August.
Let me look.
The MDS Coordinator revealed,I ran the history from 09/01/25 until today,12/30/25, but I don't see the care plan for the fracture in August 2025.
There is nothing in August because he went out to the hospital on [DATE] and returned on 09/02/25. We did a significant change on 09/07/25.
That should have alerted us to update the care plan, but I do not see any care plan updates for August or September 2025.
During an interview on 12/30/25 at 12:20 PM with the Director of Nursing revealed, My expectation is that the care plans are updated with a significant change in a resident.
Upon readmission to the facility from the hospital, the care plan should be updated.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/30/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Magnolia Manor - Greenwood
1415 Parkway Drive Greenwood, SC 29646
SUMMARY STATEMENT OF DEFICIENCIES
Review of maintenance director calendar log reveals wander guard audits were completed on 12/18/25, 12/22/25, 12/23/25, 12/24/25, 12/29/25 and 12/30/25.
Audit completed with LNHA for each date.
Observation of maintenance director on 12/30/2025 between 1-3 PM reveals maintenance director completing wander guard audit by placing spare wander guard within proximity of exit doors. No concerns noted.
The Facility Administrator will make rounds weekly for 4 weeks then monthly for 2 additional months with maintenance director to validate that doors are functioning properly.
Review of maintenance director calendar log reveals wander guard audits were completed on 12/18/25, 12/22/25, 12/23/25, 12/24/25, 12/29/25 and 12/30/25.
Audit completed with LNHA for each date. Ad hoc QAPI held on 12-15-25.
Review of ADHOC QAPI on 12/15/25 reveals meeting was attended by Medical director, LNHA, DON, ADON, SDC, IP, Housekeeping supervisor, Activities Director, Maintenance supervisor, Social services, Nurse assessments coordinator, Dietary Manager, Medical Records, and other staff members.
Subject discussed involved the resident elopement.
Medical Director was notified of the incident and plan for improvement on 12-13-25 ( MD1) and 12-18-25(MD2). 12/13/2025 06:45 PM [Recorded as Late Entry on 12/14/2025 04:20 PM] 12/13/2025 at 621pm-Received pc from Administrator that resident had left the facility without staff supervision.
During transit to facility, received call from Administrator, at 627pm that resident had been located and was safe.
Upon arrival at facility, at 645pm, ADM present and report received from staff that the CODE WHITE process had been initiated.
Resident had been transported by EMS to SRHC ER for eval and treatment.
Attempted to notify RP with no answer and could not leave VM r/t had not been set up per automated response. MD1 notified of events.
This process will be reviewed in QAPI for a minimum of 3 months.
Only been 2 weeks since last QAPI meeting, interventions will be discussed on the next QAPI meeting in January.
Observation of exit doors completed with DON on 12/30/25 at 5:30PM.
Alarms are functioning and send off loud alarms when in proximity of a wander guard.
Doors are locked.
Facility ID: