MAGNOLIA COURT

Official classification

Type A

Official code

87465(a)(5)

Regulation authority

CCR

What the official deficiency says

87465(a)(5)Incidental Medical and Dental Care: A plan for incidental medical and dental care...The plan shall encourage routine medical and dental care and provide for assistance...with the following:The licensee shall assist residents with self-administered medications as needed. This requirement was not met as evidenced by: Based on self-reported incident reports and interview with Executive Director, S1 gave the wrong medication to resident R1 and R2. This is an immediate health, safety and personal rights risk to residents in care.

Official plan of correction

Executive Director will submit a plan by 3/30/2026 to ensure that all medication technicians review the rules for proper procedures in medication administration and will go through a re-training including shadowing assessment with facility's nurse prior to administering medications independently.

Deadline recorded: Mar 27, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87411(a)

Regulation authority

CCR

What the official deficiency says

87411(a) Personnel Requirements - General Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement was not met as evidence by: Based on incident report and interview, facility failed to provide supervision to R1 resulting in an elopement. The absence of supervision is an immediate risk to the Health, Safety and Rights of resident in care.

Official plan of correction

Administrator submitted proof of training conducted with Memory Care staff on 7/7/25 to CCL on 7/17/25 re: conducting ongoing in-service training about elopement procedures, and will self-certify that all alarms, delayed egress, and sensors in memory Care are functioning by submitting a check-off list for PM Med. Tech. to complete each evening to ensure lights, sensors and alarms are 100% operational. ****A civil penalty is being assessed for $500.00.

Deadline recorded: Jul 17, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87465(a)(1)

Regulation authority

CCR

What the official deficiency says

87465(a)(1) Incidental Medical and Dental Care. The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. Based upon records reviewed and statements taken, this requirement has not been met as evidenced by: Records and interviews revealed that the facility delayed medical treatement for R1. This poses a pontential health and safety risk to residents in care.

Official plan of correction

Facility to submit poof of in-service, that they understand when to seek medical care for residents. Administrator to send proof of in-service by POC due date 10/11/22, to LPA Walters.

Deadline recorded: Oct 11, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87705(f)(1)

Regulation authority

CCR

What the official deficiency says

87705(f)(1)Care of Persons w/Dementia -The following shall be stored inaccessible to residents with dementia... This requirement is not met as evidenced by: Deficient Practice Statement Based on observation the licensee did not comply w/section cited above in 2 of 2 memory care resident which is an immediate safety risk to person in care. LPA observed Medicated Salve, scissors and mouthwash unlocked and accessible during tour.

Official plan of correction

POC Due Date: 04/11/2022 Plan of Correction Licensee to ensure that toxins, medications & other items that constitute danger to residents are locked & inaccessible at all time. Licensee to conduct an audit of all residents rooms, and inventory items for new residents. Once complete licensee to submit a self-certification that that all items that constitute danger to residents are locked by POC due date of 4/12/22.

Official classification

Type A

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

87646 Basic Services. Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). Based upon records reviewed and statements made, this requirement has not been meet as evidenced by: On or about 08/22/2021, a resident eloped from the memory care unit unaccompanied by staff and remained away until returned by Vacaville Police 30 to 40 minutes later. This posed an immediate risk to safety of resident. $500 Civil Penalty issued for lack of supervision.

Official plan of correction

Administration to submit report to CCL addressing how the incident occurred and what steps will be put in place going forward to insure that memory care residents are provided adequate supervision in order to avoid potential elopements by residents in care. Submit by POC date in order to cure the deficiency.

Deadline recorded: Nov 1, 2021. A deadline is not proof that correction was completed.