Inspection visit
Fire Safety inspection
Citations
22 citations recorded*CMS
This is a Fire Safety survey. CMS cites these findings under the Life Safety Code and Emergency Preparedness rules, a separate set from the health (F-tag) deficiencies. The codes and grading differ, so these do not link to the health violation pages.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0006GeneralS&S Cno actual harm
Conduct risk assessment and an All-Hazards approach.
- 0009GeneralS&S Cno actual harm
Include a process for Emergency Preparedness collaboration.
- 0020GeneralS&S Cno actual harm
Establish policies and procedures including evacuation.
- 0022GeneralS&S Cno actual harm
Establish policies and procedures for sheltering.
- 0024GeneralS&S Cno actual harm
Establish policies and procedures for volunteers.
- 0029GeneralS&S Cno actual harm
Develop a communication plan.
- 0031GeneralS&S Cno actual harm
Provide emergency officials' contact information.
- 0032GeneralS&S Cno actual harm
Provide primary/alternate means for communication.
- 0034GeneralS&S Cno actual harm
Provide a means of sharing information on occupancy/needs.
- 0035GeneralS&S Cno actual harm
Provide family notifications of emergency plan.
- 0036GeneralS&S Cno actual harm
Establish emergency prep training and testing.
- 0037GeneralS&S Cno actual harm
Establish staff and initial training requirements.
- 0039GeneralS&S Cno actual harm
Conduct testing and exercise requirements.
- 0222GeneralS&S Dpotential for harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- 0321GeneralS&S Dpotential for harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- 0372GeneralS&S Dpotential for harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 0741GeneralS&S Dpotential for harm
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- 0781GeneralS&S Dpotential for harm
Have restrictions on the use of portable space heaters.
- 0914GeneralS&S Dpotential for harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- 0920GeneralS&S Dpotential for harm
Ensure proper usage of power strips and extension cords.
- 0923GeneralS&S Dpotential for harm
Have proper medical gas storage and administration areas.
- 0363GeneralS&S Dpotential for harm
Install corridor and hallway doors that block smoke.
FAQ · About this visit
Common questions about this visit
What happened during the October 25, 2018 survey of MAGNOLIA CREEK NURSING AND REHABILITATION?
This was a inspection survey of MAGNOLIA CREEK NURSING AND REHABILITATION on October 25, 2018. The surveyor cited 22 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at MAGNOLIA CREEK NURSING AND REHABILITATION on October 25, 2018?
Yes, 22 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Conduct risk assessment and an All-Hazards approach."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.
Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.