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Complaint Investigation

Magnolia Manor - Rock Hill

June 10, 2024 · Rock Hill, SC · 127 Murrah Dr
Citations 1
CMS Rating 1/5
Beds 106
Provider ID 425165
Healthcare Facility
Magnolia Manor - Rock Hill
Rock Hill, SC  ·  View full profile →
Inspection Summary

Magnolia Manor - Rock Hill in Rock Hill, SC — inspection on June 10, 2024.

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.

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Inspection Findings

FF600

Review of R1's Physician Order revealed an order dated [DATE], stating R1 had an advance directive for Full Code status.

Review of R1's Nursing Progress Note dated [DATE] at 7:29 AM, revealed CNA went into residents' room approximately 6:30 am to bathe resident it is his bath day. CNA left room. At 0700 returned to room to do care for another resident noticed that the resident was not breathing. 911 called and CPR initiated.

Review of R1's Nursing Progress Note dated [DATE] at 7:48 AM, revealed Emergency services arrived at facility approximately 7:10 am.

Emergency services performed.

Time of death called at 7:33am. On call provider NP called.

Ems called Coroner.

Review of the Rock Hill Fire Department (RHFD) South Carolina Pre-Hospital Care Report dated [DATE], revealed that RHFD was listed as En route at 7:19 AM and was the first Emergency Medical Service (EMS) unit to arrive at the facility at 7:23 AM.

Further review revealed an Assessment Summary that stated, [R1] was unresponsive, not breathing and his skin was cold.

Review of the [NAME] Medical Center (PMC) EMS South Carolina Pre-Hospital Care Report dated [DATE], revealed, PMC EMS arrived at the facility at 7:28 AM.

Further review revealed a Patient Care Report that stated, Ems was dispatched priority 1 to incident location for unconscious not breathing.

Upon arrival Ems located pt in room at nursing facility. pt being attended by rock hill fire dept first responders.

First responders stated upon there arrival pt had been found by nursing home staff unresponsive not breathing.

They provided some cpr till there arrival. nursing home staff had last contact with pt earlier this date around 45 -60 minutes prior to him being found. pt was at his normal baseline at that time.

Obvious death. code black at 0733.

During an interview on [DATE] at 10:36 AM, the Deputy Coroner (DC) stated R1's listed time of death was at approximately 7:00 AM.

During an interview on [DATE] at 11:17 AM, Certified Nursing Assistant (CNA)3 stated he last checked on R1 at about 4:30 AM when he started his rounds, CNA3 reports the day shift staff were the ones to find R1, however he does not know if CPR was initiated, or EMS called.

During an interview on [DATE] at 11:40 AM, CNA2 stated R1 died while CNA1 was cleaning him up, and that LPN1 was notified.

425165

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 425165 B.

Wing 06/10/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Magnolia Manor - Rock Hill 127 Murrah Dr Rock Hill, SC 29732

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 Rock Hill, SC, (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 - Rock Hill or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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