Provider Name: MAGNOLIA VILLAGE
Address: 1381 CAMPBELL LANE, BOWLING GREEN, KY 42104
Phone: (270) 843-0587
County: Warren (986)
Ownership Type: For profit - Corporation
Certified Beds: 60
Average Residents Per Day: 57.9 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: HBR CAMPBELL LANE, LLC
First Approved Date: June 19, 1997
Affiliated Entity: GENESIS HEALTHCARE (237)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: None
Sprinkler System Status: Yes
Overall Rating: 4 ()
Health Inspection Rating: 3 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 2 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.46694, LPN Staff Hours Per Day: 0.3278, RN Staff Hours Per Day: 0.8706, Licensed Staff Hours Per Day: 1.1984
Total Nurse Staff Hours Per Day, per resident: 2.66539
Weekend Nurse Staff Hours: 2.19845, Weekend RN Staff Hours: 0.5641
PT Staff Hours Per Day, per resident: 0.0190
Nurse Staff Turnover: 50.9, Nurse Turnover Note:
RN Turnover: 33.3, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.1280, Case Mix LPN Hours Per Day: 0.8077, Case Mix RN Hours Per Day: 0.4077
Adjusted Nurse Aide Hours Per Day, per resident: 1.40434, Adjusted LPN Hours Per Day: 0.2995, Adjusted RN Hours Per Day: 0.8046
Total Adjusted Nurse Hours Per Day, per resident: 2.51273
Adjusted Weekend Nurse Hours Per Day, per resident: 2.07253
Health Survey Dates and Scores: Cycle 1: 2021-04-20 (Score: 0), Cycle 2: 2019-04-05 (Score: 60), Cycle 3: 2018-03-01 (Score: 8)
Total Weighted Health Score: 21.333
Reported Incidents: 2, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 12408.50, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 1381 CAMPBELL LANE,BOWLING GREEN,KY,42104 (36.9539, -86.444)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-12-12
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Past Non-Compliance on 2022-10-12
Type: Health, Deficiency: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-05-06
Type: Health, Deficiency: Ensure each resident receives an accurate assessment.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-05-06
Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-05-06
Type: Health, Deficiency: Provide care by qualified persons according to each resident's written plan of care.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-05-06
Type: Health, Deficiency: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-05-06
Type: Health, Deficiency: Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-05-06
Type: Health, Deficiency: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-05-06
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2018-03-27
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications: