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Complaint Investigation

Magnolia Manor - Rock Hill

January 13, 2025 · 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 January 13, 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.

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Inspection Findings

FF600

Review of R1's Face Sheet revealed R1 was admitted to the facility on [DATE], with diagnoses including but not limited to: Diffuse traumatic brain injury with loss of consciousness, subluxation of C3/C4 cervical vertebrae, fusion of spine, cervical region, violent behavior, wandering in diseases classified elsewhere, unsteadiness on feet, cognitive communication deficit, and schizophrenia.

Review of R1's Admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 12/03/24, revealed R1 had a Brief Interview for Mental Status (BIMS) score of 7 out of 15, indicating R1 had severe cognitive impairment.

Review of R1's Care Plan with a problem start date of 11/15/24, revealed a problem, [R1] takes antianxiety medication.

The goal documented, [R1] will not exhibit drowsiness/over-sedation . imp. cognition/behavior, disturbed balance/gait/positioning ability . injury related related to falls .

Further review of the Care Plan with a problem start date of 11/15/24, revealed a problem, [R1] has risk for falling .

The goal documented, [R1] will remain free from injury.

The approach directed staff to, Appliance: [NAME] as needed.

Encourage resident to assume a standing position slowly.

Review of another Care Plan with a problem start date of 11/15/24, revealed a problem, [R1] requires supervision and occasional assistance with ADL's and transfers. He has unsteady balance and gait.

The goal documented, [R1] will receive assistance as needed and will utilize walker for locomotion.

The approach directed staff to, Praise resident for efforts . [NAME] for locomotion.

Review of another Care Plan with a problem start date of 11/11/24, revealed a problem, [R1] wanders through out the facility, is a risk for 1.

Elopement 2.

Entering into others private space 3.

Increased fall risk.

Related to diagnosis of Schizophrenia and making comments of needing to get out of here.

The goal documented, [R1] will not have negative events related to wandering, will remine [sic] safely in the facility as evidence by documentation in the medical record.

The approach directed staff to, .

Provide reassurance and positive reinforcement for acceptable behavior.

Remind politely clearly and privately of behavioral expectations.

Review of R1's Progress Note dated 11/22/24, documented, Resident returned from the ER at [local hospital] via stretcher .

Upon entering the facility resident immediately become belligerent toward the transport workers.

Once resident got to the unit resident refused to get off the stretcher, once resident was off the stretcher he started cursing at the staff knocked over his roommates dinner tray.

Resident started swinging at the CNA and hit her in the left arm.

Kicked at the nurse and the transport worker.

Resident then proceeded to follow the transport workers out of the building cursing at staff and threatening to kill us all .

Resident was unable to be redirected or calmed down he walked toward the train tracks and slipped on the rocks, still belligerent and combative did not allow nurses to help him up eventually he calmed down enough and allowed CNA to assist him up off the ground . 911 called and police came stated they could not legally remove him from the facility without a doctors order .

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 01/13/2025

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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