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Magnolia Manor Of Columbus Nursing Center - East

2010 Warm Springs Rd, Columbus, GA 31904 · Non profit - Corporation · 210 certified beds · (706) 324-0387 Medicare & Medicaid certified

Call the home — (706) 324-0387 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Oct 20222 actual-harm citations$8,788 in federal fines
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • lower-than-typical staff turnover (34% vs 45% nationally) — better care continuity
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Oct 2022
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607, F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 2 actual-harm citations
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $8,788 in federal fines (most recent 2025-08-29)
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its independent health-inspection rating is low (2/5)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 4 of 5

Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
Urgent care / clinic
2009 Warm Springs Rd · (706) 320-0055 · Call to confirm hours
Pharmacy
3617 Hilton Ave · (706) 324-0169 · Call to confirm hours
Grocery
4001 Hamilton Rd · (478) 305-0493 · Call to confirm hours
Park
3300 Hamilton Rd · Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 4 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 1 to 2 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased10.2%15.3%15.4%better
Long-stay residents who lose too much weight1.5%5.6%5.4%better
Long-stay residents with a catheter left in their bladder0.5%0.9%0.9%better
Long-stay residents with a urinary tract infection0.3%2.5%2.0%better
Long-stay residents with depressive symptoms6.9%11.3%6.5%typical
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury9.8%3.2%3.3%worse
Long-stay residents whose ability to walk worsened7.1%15.2%16.1%better
Long-stay residents on antianxiety or hypnotic medication20.0%20.5%18.9%typical
Long-stay residents given the seasonal flu vaccine94.3%95.0%95.3%typical
Long-stay residents with pressure ulcers1.9%5.6%4.7%better
Long-stay residents with worsening bladder/bowel control6.9%15.8%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table11.9%19.9%17.1%better
Short-stay residents who newly got an antipsychotic medication1.7%2.6%1.4%worse
Short-stay residents given the seasonal flu vaccine79.2%78.4%79.4%typical
Short-stay residents rehospitalized after admission17.5%25.0%22.6%better
Short-stay residents with an outpatient ER visit24.0%11.6%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.992.151.67worse
Long-stay outpatient ER visits per 1,000 resident days1.191.901.80better

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

0.15U.S. median 0.31
Therapy hours / resident / day
0.06hours / resident / day
Physical therapy
0.07hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.15 therapist hours per resident per day in 2026Q1 — more than 13% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 42% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identifiednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization8.0%CMS range 3.9–13.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.761.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.37
RN hours/ resident / day
1.44
LPN hours/ resident / day
2.24
Aide hours/ resident / day
4.04
Total nurse hours/ resident / day
0.38
RN hoursweekends
33.7%
Total nursing turnover
46.2%
RN turnover

How full it usually is: this home is certified for 210 beds and averages 95.9 residents a day — about 46% occupied, or roughly 114 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.04 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.37 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.24 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.47 hrs/resident/day on weekends vs 4.27 on weekdays — 19% thinner on weekends. RN hours go from 0.36 to 0.38 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 34% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

2
deficiencies at the latest standard inspection (2025-11-21)
4
at the previous standard inspection (2024-07-14)

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

21 citations, most serious first. The 12 most serious are shown; the remaining 9 are one tap away and print in full.

  • Actual harm · Gcited before2025-08-29 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review, and facility document review, the facility failed to implement the care plan for one of three residents (R) (R3) reviewed for falls. R3's care plan instructed staff to use two people for bed mobility. Certified Nurse Aide (CNA)1 provided care alone, and as a result, R3 fell from the bed during care, sustaining a hematoma and laceration from the fall.Findings included:A review of the facility's policy titled Care Planning-Interdisciplinary Team, revised October 2016, revealed, A comprehensive person-centered care plan shall be developed and implemented for each resident that includes measurable objectives and time frames that meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment.A review of the electronic medical record EMR) revealed that R3 was admitted to the facility on [DATE]with diagnoses that included disease of the spinal cord, rheumatoid arthritis, and spondylosis with myelopathy, cervical region.A…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Actual harm · G2025-08-29 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review, facility document review, and policy review, the facility failed to ensure one of 19 sampled residents (R) (R3) was safe from accidents and hazards resulting in injuries. Harm was identified as having occurred on 3/24/2025, when Certified Nurse Aide (CNA)1 failed to follow the plan of care for R3, resulting in R3 falling from the bed and sustaining a hematoma and laceration from the fall.Findings included:A review of the facility's policy titled, Fall Management, updated 9/2014, revealed, It is the intent of Magnolia Manor facilities to provide an environment which remains as free of hazards as possible. This facility utilizes previous evaluation and current data to assist staff in identification of residents' specific risks and causes in an effort to identify appropriate interventions to reduce the likelihood of the resident falling and to try to minimize complications from falling .A review of R3's undated Face Sheet, located in the electronic medical record (EMR) under the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-11-21 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interviews, and review of facility policy titled Infection Prevention and Control, the facility failed to ensure that infection control hand hygiene practices were followed by three of three Licensed Practical Nurses (LPN) (LPN BB, LPN CC, and LPN AA) observed during medication administration. The deficient practice had the potential to contribute to the transmission of infectious diseases among residents and staff. Findings included:A review of the policy titled Infection Prevention and Control, last revised February 2021, revealed that it is the intent of the facility to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to prevent the development and transmission of disease and infection. It was further documented that the facility requires staff to wash their hands after each direct resident contact. During an observation on 10/2/2025 at 8:25 am, Licensed Practical Nurse (LPN) BB prepared and administered medication on the North 2 Low cart. LPN BB did not perform…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-11-21 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and staff interviews, the facility failed to maintain a clean and comfortable environment for one of 97 resident rooms (room [ROOM NUMBER]). Specifically, the self-contained wall-mounted air conditioning unit (PTAC) displayed heavy substance buildup on the filter and had the potential to affect patient comfort and safety. Findings included:An observation of room [ROOM NUMBER] on 9/30/2025 at 11:30 am revealed that the PTAC unit filter was covered with a gray, flaky substance.An observation of room [ROOM NUMBER] on 10/1/2025 at 1:45 pm revealed that the PTAC unit filter was covered with a gray, flaky substance.An observation of room [ROOM NUMBER] on 10/2/2025 at 12:25 pm revealed the PTAC unit filter was covered with a gray, flaky substance.An interview on 10/2/2023 at 12:50 pm with the Interim Maintenance Director (IMD) confirmed the PTAC unit had a gray flaky substance on the pull-out filters. The IMD stated that the filter cleaning task should have been completed on 9/30/2025 and that all…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2025-08-29 · tag F0925 — failed to control pests — widespread
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interviews, and record review, the facility failed to maintain a facility-wide effective pest control program for the current facility population of 89 residents. This failure had the potential to lead to further pest infestation in the facility and feelings of discomfort or spread of infection among the residents.Findings included:A review of the facility's policy titled, Pest Control dated 12/2012, revealed, . It is the intent of (name of facility) to ensure that all facilities have an effective Pest Control Program .A review of the facility's Resident Council Minutes for the past year, provided by the facility, revealed:2/11/2025 - One resident's family complained of rodents in the facility. The facility's response was to schedule an exterminator monthly.2/20/2025 - List of old business: Exterminator for bugs and rodents.7/18/2025 - under list of old business (resolved): Pest control-resolved and on-going.A review of the facility's Pest Control Checklist revealed the following pest/rodent sightings:3/27/2025- three residents' rooms on South 2 unit.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-08-29 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, document review, and facility policy review, the facility failed to conduct thorough investigations for five of 19 sampled residents (R) (R1, R2, R3, R5, and R6). Failure to conduct a thorough investigation could result in further incidents occurring due to unknown factors.Findings included:A review of the facility's policy titled, Abuse Prohibition/Reporting and Investigation, dated 10/2016, revealed, . Once a complaint or situation is identified involving alleged mistreatment, neglect, or abuse, including injuries of unknown source/origins and misappropriation of resident property, the following investigation and reporting procedures will be followed . An Interview will be conducted with all pertinent parties. Statements will be gathered from the suspect, the person making accusations, the resident involved, reliable residents who may have witnessed the incident, and any other persons who may have some information.1. A review of R1's undated Face Sheet, located in the electronic medical…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-07-14 · tag F0644 — isolated
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews and record review, the facility failed to submit for a Preadmission Screening and Resident Review (PASRR) Level II after a new mental health diagnosis was added for one of three residents (R) (R17) reviewed for PASRR Level II. This deficient practice had the potential to affect the level of care and services provided for R17. Findings include: The Director of Nursing (DON) revealed there was no facility policy for PASRR. Review of the electronic medical record (EMR) revealed that R17 was admitted on [DATE] without a significant mental health diagnosis. Review of R17's annual Minimum Data Set (MDS) dated [DATE] revealed section A (Identification Information) documented the resident had not been evaluated by Level II PASRR, section I (Active Diagnoses) included and documented bipolar disorder, and section O (Special Treatments and Programs) documented no therapies or treatments were received. Review of R17's Face Sheet revealed current diagnoses included bipolar disorder, current episode…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-07-14 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews, record review, and review of facility policies titled, Assessing Vital Signs, and Care Planning-Interdisciplinary Team, the facility failed to follow the comprehensive Care Plan regarding weekly weights for one of 33 residents (R) (R82) in the sample. Findings include: Review of the facility policy titled, Assessing Vital Signs dated February 2019 revealed Weight: Each resident should be weighed upon admission and re-admission to the facility. All weights should be recorded in designated location of the residents Chart. Residents shall be weighed monthly or more often when clinically indicated. Review of the facility policy titled, Care Planning-Interdisciplinary Team, updated October 2016, under Intent, it is the intent of Magnolia Manor facilities to provide care to our residents that is person-centered, and consistent with Resident Rights. The facilities Interdisciplinary Team shall be responsible for the development and implementation of a person-centered comprehensive care plan…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-07-14 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews, record review, and review of the facility's policy titled, Scope of Assessments, the facility failed to complete an admission nutrition assessment for one of five residents (R) (R82). The deficient practice had the potential to prevent R82 from receiving required nutrients in accordance with the resident's nutritional needs. Findings include: Review of the facility's policy titled, Scope of Assessments dated March 2014 revealed under Procedural Guidelines number 11. Nutritional assessments should be completed on admission, at least quarterly, and as needed based on the resident's condition and dietary needs. Review of the medical record revealed R82 was admitted to the facility on [DATE] and had diagnoses that included but not limited to, type 2 diabetes, chronic kidney disease stage 3, and Alzheimer's disease. Review of the physician orders revealed R82 had a diet order of CCD (controlled carbohydrate diet) renal. R82 was also ordered Prostat nutrition supplement 30 mL (milliliters)…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-07-14 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews, record review, and review of the facility's policy titled, Oxygen Therapy, the facility failed to ensure oxygen (O2) was administered according to physician order for two of 15 residents (R) (R5 and R59) receiving oxygen. In addition, the facility failed to ensure respiratory equipment was maintained in a sanitary manner for one of 15 residents (R11) receiving oxygen. The deficient practices had the potential to place R5, R59, and R11 at risk for medical complications, unmet needs, and a diminished quality of life. Findings include: Review of the facility policy titled, Oxygen Therapy, dated March 2024, revealed the Intent was, It is the intent of Magnolia Manor facilities to ensure that oxygen is administered appropriately to residents to improve oxygenation and provide comfort to residents experiencing respiratory difficulties. The Procedural Guidelines, Oxygen Therapy - Mask and Nasal Cannula section stated 5. The external filter on the oxygen concentrators should be…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-06-27 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on staff interviews, record review, and review of the facility policy titled, Infection Prevention and Control, the facility failed to ensure that the Pneumococcal vaccine was administered to three of 18 residents (R) (R12, R13, and R16). Findings include: Review of the facility policy titled, Infection Prevention and Control revision and approval date of February 2020. Under section titled, Influenza and Pneumococcal Immunization number 1. Each resident or resident representative must receive education regarding the benefits and potential side effects from the Pneumococcal immunization. 3. Each resident will be offered the vaccine on admission, and 5b. documentation must include if the resident received the immunization. 1. Review of R12's clinical record and facility vaccination information revealed a Pneumococcal Polysaccharide Vaccine (PPSV23) Informed Consent, signed and dated 10/14/2022. The form documented that R12 consented to receiving the pneumococcal vaccine. However, there was no evidence in the clinical record that the vaccine had been administered. During the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-06-27 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on staff interviews and record review, the facility failed to ensure that medications were administered as care planned and ordered, for one of three residents (R) (R1). The deficient practice had the potential to prevent R1 from obtaining care in accordance with their care needs. Findings include: R1 was admitted to the facility with diagnoses of but not limited to type 2 diabetes mellitus. Review of the clinical record revealed that R1 had a nutrition care plan, dated 1/17/2023, that included the diagnosis of diabetes. The nutrition care plan included an intervention, dated 2/22/2024, for nursing staff to administer medication as ordered. Review of R1's physician's orders revealed an order, dated 12/18/2023, for 6 units of Novolog insulin to be administered before meals. There was also an order, dated 12/18/2023, for 30 units of Lantus insulin to be administered daily, in the morning for a diagnosis of diabetes. However, facility nursing staff failed to administer insulin medication as ordered and as care planned on 6/10/2024. Review of a Patient Instructions for Hospital…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
Show the remaining 9 citations
  • Potential for harm · D2024-06-27 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on staff interviews, and record review, the facility failed to ensure that medications were administered, and fingerstick blood sugar levels were obtained, as ordered by the physician, for one of three residents (R) (R1). The deficient practice had the potential to increase the probability of R16 blood glucose levels not to be maintained according to the residents' care needs. Findings included: R1 was admitted to the facility with a diagnosis of type 2 diabetes mellitus. Review of R1's physician's orders revealed an order, dated 12/18/2023, for 6 units of Novolog insulin to be administered before meals. There was also an order, dated 12/18/2023, for 30 units of Lantus insulin to be administered daily, in the morning for a diagnosis of diabetes. However, facility nursing staff failed to administer insulin medication as ordered on 6/10/2024. Review of a Patient Instructions for Hospital Procedure form, dated 5/9/2024, for R1, from the Cardiologist office, revealed that R1 was scheduled for a vascular procedure, an Atherectomy with run off (procedure to remove plaque buildup and…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-06-27 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on staff interviews, record reviews, and review of the facility policies titled, Infection Prevention and Control, and COVID-19 Response, the facility failed to maintain an infection control program that included thorough and complete surveillance for one of 16 residents (R) (R16), who tested positive for COVID-19. Findings include: Review of the facility policy titled, Infection Prevention and Control, revision and approval date of February 2020. Under Procedural Guidelines number 4. Maintains a record of incidents and corrective actions related to infections. The facility also had a COVID-19 Response policy with a revision and approval date of July 2023. The policy's Documentation section number 2. Resident test results must be maintained in the resident's medical record, 9. A log should be kept for all resident and employee testing. Record review for R16 revealed a nurse's note entry dated 1/24/2024 at 12:47 am that documented R16 was positive for COVID and had no symptoms. The nurse's note further documented that R16's vital signs were stable, R16 denied pain or…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2022-10-05 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews, the facility failed to maintain a clean and homelike environment for residents in three of four hallways in the facility. As evidenced by dark brown stains with a black substance on ceiling tiles (outside of room [ROOM NUMBER], 207, and 208) and four air ventilation grates were covered with an unidentified black substance (on the outside of rooms 202, 215, 216, and 227) on three of four hallways Findings include: During an interview on 10/05/2022 at 8:47 AM, Director of Maintenance (DM) QQ stated his role was to provide the tools necessary to ensure the maintenance staff had what they needed to maintain the building in good shape. DM QQ further stated there was a monthly inspection process to go through the building and determine what needed to be done. DM QQ noted a room inspection checklist was used, and if something did not meet their standards a work order would be placed to have the items repaired. He stated the goal was to get repairs completed within 72 hours, but the…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-10-05 · tag F0609 — failed to report abuse allegations — pattern
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of policy titled, Abuse Prohibition/ Reporting and Investigation, it was determined the facility failed to ensure allegations of abuse and allegations of misappropriation of property were reported to the State Agency for two (Resident #38 and Resident #88) of two residents reviewed for abuse. Specifically, the facility failed to ensure alleged misappropriation of Resident #38's medication was reported and failed to ensure alleged physical abuse for Resident #88 was reported. Findings included: A review of facility policy, Abuse Prohibition/ Reporting and Investigation, revised on 04/2017, indicated, 1. Once a complaint or situation is identified involving alleged mistreatment, neglect, or abuse including injuries of unknown source/origin and misappropriation of resident property the incident will be immediately reported. a. The Administrator or designee will immediately notify HFR Complaint Investigation Intake and Referral Unit and resident…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-10-05 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review, and review of policy titled, Abuse Prohibition/ Reporting and Investigation, it was determined the facility failed to ensure residents were free from misappropriation of property for one (Resident #38) of two residents reviewed for abuse, neglect, misappropriation of resident property, and exploitation. Specifically, the facility failed to ensure Resident #38 was free from alleged misappropriation of property related to missing medication. Findings include: A review of the facility policy, Abuse Prohibition/ Reporting and Investigation, revised on 04/2017, revealed the policy defined misappropriation of resident property as the Deliberate misplacement, exploitation, or wrongful, temporary or permanent use of a resident's belongings or money without the resident's consent. Per the policy, Each facility will identify, correct and intervene in situations in which abuse, neglect and/or misappropriation of resident property is more likely to occur. A review of an admission Record…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-10-05 · tag F0607 — failed to have anti-abuse policies — isolated
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, interviews, and document and review of policy titled, Abuse Prohibition/Reporting and Investigation revealed, it was determined that the facility failed to ensure established abuse policies and procedures were implemented after receiving an allegation of abuse for one [Resident (R) #88] of two residents sampled for the implementation of abuse prohibition policies and procedures. Facility staff had not been educated what to do after receiving an allegation of abuse, and as a result, an allegation of physical abuse failed to be reported. Findings included: A review of an undated facility policy titled, Abuse Prohibition/Reporting and Investigation revealed, (revised and updated April 2017) Reporting: 1) Once a complaint or situation is identified involving alleged mistreatment, neglect, or abuse including injuries of unknown source/origin and misappropriation of resident property the incident will be immediately reported. The policy also indicated c. The initial report of the incident will be faxed or emailed immediately but no more than 2 hours of…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-10-05 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and review of policy titled, Abuse Prohibition/ Reporting and Investigation, it was determined the facility failed to ensure an allegation of abuse was investigated for one (Resident #38) of two residents reviewed for abuse. Specifically, the facility failed to investigate alleged misappropriation of Resident #38's narcotic medication. Findings include: A review of facility policy, Abuse Prohibition/ Reporting and Investigation, revised on 04/2017, indicated, 1. Once a complaint or situation is identified involving alleged mistreatment, neglect, or abuse including injuries of unknown source/origin and misappropriation of resident property the following investigation and reporting procedures will be followed: a. The description of the alleged complaint is written on the investigation form. Any physical evidence and description of emotional state will be documented. The policy further indicated that the investigation should include what occurred, who the alleged…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-10-05 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record review, and review of policy titled, Oxygen Therapy-Mask and Nasal Cannula, it was determined the facility failed to store the oxygen tubing and nasal cannula in a sanitary manner when not in use for one (Resident [R] #41) of two residents. Findings include: A review of the facility policy, Oxygen Therapy-Mask and Nasal Cannula, dated October 2016, revealed it did not address the storage of oxygen tubing/nasal cannulas when not in use. A review of R#41's Face Sheet revealed the facility admitted the resident with diagnoses which include dementia, shortness of breath, dependence on supplemental oxygen, and dysphagia (difficulty with swallowing). A review of a significant change Minimum Data Set (MDS), dated [DATE], revealed R#41 had a Brief Interview for Mental Status (BIMS) score of 7, indicating the resident had moderately impaired cognition. Per the MDS, R#41 required limited assistance with bed mobility, extensive assistance with transfers, dressing, toilet use,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-10-05 · tag F0791 — failed to provide routine dental services — isolated
    Provide or obtain dental services for each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews, record review, and review of policy titled Dental Services, it was determined that the facility failed to ensure one [Resident (R) #37] of one resident obtained needed dental services after the resident voiced experiencing sore gums. This failure resulted in the resident experiencing gum discomfort and a potential for a diminished quality of life. The facility census was 101 residents. Findings include: A review of a facility policy titled, Dental Services, with a written and approved date of November 2016, indicated It is the intent of [corporation name] facilities that appropriate Dental Services are provided to meet the needs of the residents. The policy also indicated The facility will assist the resident to scheduling [sic] a dental appointment and arrange for transportation to and from dental services locations at the request of the resident. A review of a Face sheet revealed the facility admitted R#37 on 04/08/2019 with diagnoses to include diabetes. A review of the resident's annual Minimum Data Set (MDS) assessment, dated 02/04/2022,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$8,788 in federal fines across 2 penalties.

  • $4,394 — penalty dated 2025-08-29
  • $4,394 — penalty dated 2025-08-29

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to MAGNOLIA MANOR SENIOR LIVING — 5 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 2 of 52.8-0.8 vs chain
Health inspection 2 of 52.6-0.6 vs chain
Staffing 3 of 53.2-0.2 vs chain
Quality measures 4 of 53.6+0.4 vs chain
The other 4 homes this chain runs (chain average 2.8★, per CMS)

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleSince
FORT, HILLERYIndividualCORPORATE DIRECTORsince 11/01/2008
TODD, MARKIndividualCORPORATE DIRECTORsince 02/12/2007
MAGNOLIA MANOR INCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2007
LAWHORN, DEBORAHIndividualOPERATIONAL/MANAGERIAL CONTROLsince 10/01/2016

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$7.4M
Net patient revenuemost recent cost report
-49.9%
Operating marginrevenue minus expenses
$812K
Related-party expense7% of expenses
Who pays — share of resident-days
Medicaid 86%Medicare 2%Other / private 12%

About 86% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $812K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$366per resident / day
operating cost
$11,113per month
≈ monthly operating cost
$244per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in GA

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Georgia Medicaid page.

Typical monthly cost in Georgia
$8,821/mo
Nursing home (semi-private)
$9,429/mo
Nursing home (private)
$5,300/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 115124. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-11-21, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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