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Magnolia Place - Rock Hill
Many residents in nursing homes are the victims of abuse, neglect or mistreatment at the hands of their caregivers in facilities that are often understaffed with inadequately trained nurses, employees, and personnel. Some loved ones develop life-threatening bed sores or are injured when ignored by the staff or become abused victims with head injuries or broken bones from falling. Without proper supervision and help by the staff, some patients elope from the facility only to suffer serious injuries or death while wandering the streets alone. If your loved one is the victim of abuse or mistreatment in any South Carolina nursing home, our nursing home abuse network of attorneys in South Carolina can provide the help you need.
Magnolia Place - Rock Hill
This facility is a "for-profit" 106-certified bed Long Term Care Center providing cares and services to residents of Rock Hill and York County, South Carolina. The Home is located at:
127 Murrah Dr.
Rock Hill, SC 29732
Financial Penalties and Violations
Federal investigators penalize nursing facilities with monetary fines or deny payment for Medicare services after the nursing home is cited for serious violations of rules and regulations. Within the last three years, the government fined this nursing home once for $107,738 on November 18, 2015. Additional documentation about fines and penalties can be found on the South Carolina Department of Health and Environmental Control Website concerning Magnolia Place - Rock Hill.
Rock Hill South Carolina Nursing Home Residents Safety Concerns
The state of South Carolina routinely updates their long-term care home database system to reflect all incident inquiries, dangerous hazards, filed complaints, health violations, safety concerns, and opened investigations. This information can be found on numerous sites including the South Carolina Department of Public Health and Medicare.gov.
According to Medicare, the nursing maintains an overall rating of one out of five stars, including one out of five stars concerning health inspections, three out of five stars for staffing issues and three out of five stars for quality measures. The York County neglect injury attorneys at Nursing Home Law Center have found serious deficiencies and safety concerns at Magnolia Place - Rock Hill that include:
- Failure to Immediately Notify the Resident, Resident's Doctor or Family Member of a Change in the Resident's Condition Including a Decline in Health or Injury
In a summary statement of deficiencies dated April 21, 2017, a notation was made by a state surveyor during an annual licensure and certification survey involving the facility's failure to "notify family members of significant changes in the resident's medical conditions requiring physician intervention." The deficient practice by the nursing staff involved two residents who "had multiple changes in condition or medication/treatment without evidence of family notification."
The state surveyor reviewed the resident's medical records that showed the resident was being treated for pneumonia. However, "there was no evidence in the record that the family had been notified of the resident's change of condition or new antibiotic therapy treatment." In a separate case, the investigator reviewed a physician's Telephone Order for urinalysis due to the resident falling. The resident was to receive medication every 12 hours [for a] week. However, "there was no evidence in the record that the family had been notified of the resident's change of condition or new antibiotic therapy treatment.
The investigator interviewed a facility Registered Nurse (RN) providing the resident care who stated that "if nurses notified the family of changes, it should be documented in the record." The Registered Nurse "reviewed the record and verified there was no evidence of family notification of changes in the resident's condition and implementation of new medication/treatment in the situations noted above. The nurse stated [that they were] unaware that the family should be notified when the resident was alert and oriented." The RN also said that "there was nothing in the medical record that indicated [the resident] did not want the family to be notified of the changes."
- Failure to Ensure That Every Resident Is Provided an Environment Free of Accident Hazards and Provided Adequate Supervision to Prevent Avoidable Accidents
In a summary statement of deficiencies dated November 18, 2015, a state surveyor noted the facility's failure to "provide fall prevention interventions for [one resident] reviewed for falls." The investigator reviewed documentation that revealed that "on June 6, 2015, a note indicated the resident was found on the floor on [their] right side without injury. A note on August 16, 2015, indicated the resident had an unwitnessed fall with no injuries noted. A review of the incident reports on November 18, 2015, … revealed the fall mats were listed on the …Fall Incident Report as recommended but were also listed as having been in use at the time of the fall."
The investigator interviewed the facility Director of Nursing, Assistant Director of Nursing, and the Safety Nurse who stated that "after the first fall for a resident, the facility implements personal alarms. If a second fall occurs, depending on where the resident fell, if from a bed or chair, fall mats are placed." However, a Registered Nurse confirmed that "neither alarms nor fall mats were listed on the Care Plan."
- Failure to Provide the Resident Care in a Way That Builds or Keeps Their Dignity and Respect of Individuality
In a summary statement of deficiencies dated April 21, 2017, the state investigators documented that the nursing home had failed to "treat residents with respect and dignity. The facility did not ensure that the manner of care and the environment in which it was provided [was] either maintained or enhanced each resident's quality of life by recognizing their individuality while protecting and promoting their rights." The deficient practice by the nursing staff involved a resident at the facility "reviewed for dignity."
The state investigator observed a resident during the afternoon hours of April 17, 2017, and April 19, 2017. During one observation, the resident was seen "sitting in a Geri-recliner wearing a pair of white socks on which [their] first initial and last name were written in large black letters with black ink, [that was] clearly visible to other residents, visitors and staff." That resident was also seen "wearing a pair of white socks which had [their] first initial and last name written in black letters in black ink that was clearly visible and that [the resident] had facial hair that had not been removed during morning care."
In a separate incident, a different resident was observed through an open room door while the resident "was lying in bed with a urinary catheter drainage bag secured to the bed frame without a privacy cover, clearly visible to other residents, visitors and staff who passed by the room." A third resident receiving wound care was visited by a Licensed Practical Nurse (LPN) who "knocked on the door as [they] entered the room and simultaneously called out 'Nursing!'" The investigator stated that the LPN "did not wait after knocking to be granted permission to enter." The investigator interviewed the LPN after the treatment who verified their actions. As a result, the investigator reviewed the facility's Wound Care Policies and Procedures provided by the Director of Nurses, but it provided no guidance on how "to address the provisions of privacy/dignity."
- Failure to Ensure Every Resident Receives an Accurate Assessment by a Qualified Health Professional
In a summary statement of deficiencies dated April 17, 2017, a state investigator opened the complaint against the facility for its failure to "ensure [one resident] reviewed for a range of motion, [one resident] reviewed for urinary incontinence, and [two residents] reviewed for unnecessary medications… received accurate assessments." In one incident, the investigator reviewed a resident's Medication Administration Record (MAR) and interviewed the MDS Nurse who stated that they "had completed the assessment and did not realize that the medication had been given six days, instead of seven days" as it was coded. The investigator reviewed the facility policy titled: Nursing Policies and Procedures - Subject: Minimum Data Set (MDS) that read in part:
"Each member will note their liability for the accuracy of the data record by signing their name and identifying the MDS sections and questions to which they provide their responses."
- Failure to Provide Every Resident Treatment to Prevent the Development of New Bedsores or Allow Existing Pressure Wounds to Heal
In a summary statement of deficiencies dated April 21, 2017, a notation was made by a state investigator concerning the facility's failure to "provide intervention for pressure ulcer prevention as ordered or care planned." The deficient practice by the nursing staff involved two residents at the facility who were "observed without heel protectors in place" as ordered.
The investigator made multiple observations on April 19, 2017, through April 21, 2017, seeing a resident in bed on their "back without heel lift boots in place as ordered." The investigator reviewed the resident's medical records but found "no references to the refusal of the ordered treatment" by the resident. A review of the resident's Care Plan revealed that "the facility had assessed the resident to be at risk for further skin impairment related to positioning and [the development of bedsores]. Approaches/interventions did not include the application of the heel lifters." An observation was made of a second resident between April 19, 2017, and April 20, 2017, when that resident "was in bed and did not have a heel boot in place to the left heel."
- Failure to Develop, Implement and Enforce Policies and Investigate, Control and Keep Infections from Spreading
In a summary statement of deficiencies dated April 21, 2017, a state surveyor opened a formal complaint against the facility for its failure to "follow procedures to prevent transmission of communicable diseases and infections for [one resident] reviewed on isolation [and another resident] reviewed for tracheostomy." The investigator reviewed the facility's policy and Infection Prevention and Control that read in part:
For any resident under contact isolation "gloves should be worn when having prolonged contact with surfaces in the resident's room that may have a concentration of organisms, such as the bed rails, commode chairs, etc. After [their] care [is] rendered, the staff should remove gloves before leaving the resident's environment and wash hands immediately with an antimicrobial agent or waterless antiseptic agent, if running water is not available."
The investigator observed a Certified Nursing Assistant (CNA) and Licensed Practical Nurse (LPN) in a resident's room who were "not wearing any personal protective equipment (PPE). After providing care, the CNA "was observed leaving the resident's room without washing [their] hands and left to enter another resident's room." The Licensed Practical Nurse "did not don PPE to administer medications to the resident." The investigator interviewed the Certified Nursing Assistant who stated that "they only have to [wear PPE) when doing care." The LPN stated that they were "unaware the resident was on contact isolation but [they] did not know and had not been told that PPE was supposed to be worn."
In a separate summary statement of deficiency dated November 18, 2015, the state investigator documented that the facility had "failed to identify or [develop a] Care Plan for potential for skin breakdown and implement interventions to prevent the development of pressure ulcers. This deficient practice by the nursing staff affected one resident "reviewed for pressure ulcers."
The investigator interviewed the facility Director of Nursing who confirmed that they were "unable to locate any 'body audit' for [that resident] during the specific time "other than the June 26, 2015 body audit in the medical record." After an interview with a Licensed Practical Nurse providing the resident care, it was confirmed that "the heel ulcer was coded as a diabetic ulcer." The LPN further stated that "they were] not able to locate any documentation in the record that stated the wound was a diabetic ulcer, stating 'I do not have it, I do not know where I got it from.'"
- Failure to Make Sure Services Provided by the Nursing Facility Meet Professional Standards of Quality
In a summary statement of deficiencies dated November 18, 2015, a notation was made during an annual licensure and certification survey by a state investigator concerning the facility's failure to "provide complete documentation in the Nursing Notes for a fall and a change in condition" for a resident who had fallen from a Hoyer lift. The investigator noted that "the incidents are not included in the Nurse's Notes."
The surveyor interviewed the facility Director of Nurses who "confirmed the documentation was not complete regarding the resident's fall and the resident's condition was not detailed when [they were] found unresponsive." The investigator stated that "the notes did not accurately describe situations."
Do You Have More Questions about Magnolia Place - Rock Hill?
If your loved one was injured while a patient at Magnolia Place - Rock Hill, contact the South Carolina nursing home abuse lawyers at Nursing Home Law Center at (800) 926-7565. Our network of attorneys fights aggressively on behalf of York County victims of mistreatment who live in long-term centers including nursing homes in Rock Hill. As your legal representative, our network of attorneys can provide numerous options to hold those responsible for causing your loved one harm legally and financially accountable. Contact us now to schedule a free case review to discuss how to obtain justice and resolve a financial compensation claim. Let us fight aggressively on your behalf to ensure your rights are protected.
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