Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Springs Magnolia during CMS and state inspections, most recent first.
PEG Tube Flushes Not Performed as Ordered: An LPN administered meds and a bolus tube feeding to a resident with a PEG tube, then flushed with water afterward, but did not flush before the meds or feeding as ordered. The resident had moderate cognitive impairment, malnutrition, and other diagnoses, and staff interviews confirmed that water flushes before and after meds and feedings were required per the provider’s orders and facility policy.
A resident who was frequently incontinent and dependent for toileting was not provided with thorough perineal and hygiene care after an episode of incontinence. The CNA did not clean all affected areas or the resident's wet wheelchair before re-seating the resident, contrary to the care plan and facility policy. Interviews confirmed that proper care was not performed.
A CNA did not perform hand hygiene before or after assisting a resident with incontinence care and continued to wear contaminated gloves while handling clean clothing and touching various surfaces. Soiled clothing was placed on the floor instead of in a trash bag, contrary to facility policy. Interviews confirmed staff were instructed on proper procedures, but these were not followed during the observed care.
Two residents were found with medications improperly stored at their bedsides, contrary to facility policy. One resident had a bottle of alcohol, while another had a cup containing medications. LPNs acknowledged these were not standard practices, and the DON confirmed that medications should not be left at the bedside.
The facility failed to ensure canned goods were dent-free and that cleaning supplies were stored properly during food preparation. A dented can of vanilla pudding was observed, and a sanitizer bucket was found on the puree prep table with food items. The Dietary Manager confirmed these practices were against facility policy.
A facility failed to notify the state authority of a new bipolar disorder diagnosis for a resident. The resident's diagnosis was entered into the system in June 2023, but the facility did not update the state authority, as confirmed by interviews with the administrator. The facility lacked a policy on Pre-Admission Screening and Resident Review (PASARR).
A surveyor observed an unattended and unlocked treatment cart on a secured unit. An LPN confirmed the cart did not lock, posing a potential risk if a resident accessed the medication. The Administrator acknowledged the need for the cart to be locked, especially on the secure unit, aligning with the facility's policy on safety and supervision.
A CNA failed to follow proper hand hygiene protocols during incontinent care for a resident, using the same hand to retrieve clean wipes and clean the resident, leading to a risk of cross-contamination. The DON confirmed this practice was against facility policy, which emphasizes the importance of changing gloves and performing hand hygiene to prevent infections.
PEG Tube Flushes Not Performed as Ordered
Penalty
Summary
The facility failed to provide appropriate treatment with enteral nutrition for one resident who had a PEG tube. During a medication administration observation, an LPN prepared medications and a tube feeding for the resident, administered the medications followed by the tube feeding, and then flushed the tube with water after the administrations. The LPN did not flush with water before giving the medications or before the tube feeding, even though the resident had active orders to flush the PEG tube with 30 mL of water before and after medications and to give a 60 mL water flush before and after each bolus feeding. Resident #11’s MDS showed moderate cognitive impairment and diagnoses that included difficulty with language comprehension and production, interrupted blood flow to the brain, malnutrition, and a feeding tube through the skin directly into the stomach. Interviews with the LPN, the NP, and the DON confirmed that water flushes before and after medications and feedings were important according to the provider’s orders. The facility policy on administering medication through an enteral tube stated that the enteral feeding should be flushed with at least 15 mL of warm purified water, or as ordered, prior to administering medications.
Failure to Provide Proper Incontinence and Hygiene Care
Penalty
Summary
A deficiency was identified when a CNA assisted a resident, who was frequently incontinent of bowel and bladder and had moderate cognitive impairment, with toileting and incontinence care. The CNA did not clean the resident's entire perineal area, buttocks, or thighs after an episode of incontinence, and applied a new brief without ensuring proper hygiene. Additionally, the resident's pants and wheelchair were visibly wet, but the wheelchair was not cleaned before the resident was placed back into it. These actions were observed directly by the surveyor. The resident's care plan required cleaning the perineal area with each incontinence episode, but this was not followed. Interviews with the CNA, DON, and Administrator confirmed that proper incontinence care could not be performed from behind the resident and that the resident's skin and equipment should have been cleaned. The facility's policy on perineal care emphasized cleanliness, comfort, and infection prevention, but these standards were not met during the observed care episode.
Failure to Follow Hand Hygiene and Infection Control During Incontinence Care
Penalty
Summary
A Certified Nursing Assistant (CNA) failed to follow proper hand hygiene and infection control procedures while providing incontinence care to a resident with moderate cognitive impairment and frequent incontinence. The CNA did not perform hand hygiene before or after assisting the resident with toileting, and continued to wear the same contaminated gloves while retrieving and handling clean clothing from the resident's closet. The CNA also placed the resident's wet pants on the floor instead of in a trash bag, as required by facility policy, and touched the resident's socks and wheelchair footrest with the same dirty gloves. Interviews with the CNA, Director of Nursing (DON), and Administrator confirmed that staff were instructed to use trash bags for soiled clothing and to avoid touching clean items or surfaces with dirty gloves to prevent cross contamination. Facility policy on hand hygiene requires staff to perform hand hygiene before and after direct resident contact, after contact with bodily fluids, after touching objects in the resident's vicinity, and after removing gloves. These procedures were not followed during the observed care episode.
Deficiency in Medication Storage Practices
Penalty
Summary
The facility failed to ensure that medications were not stored at the bedside for two residents, leading to a deficiency in medication storage practices. Resident #23, who has diagnoses of heart failure, chronic kidney disease, and type II diabetes mellitus, was observed with a 32-ounce open bottle of 0.91% alcohol on the floor beside their bed. The resident confirmed bringing the alcohol from home for personal use. Licensed Practical Nurse (LPN) #1 acknowledged that storing alcohol in a resident's room was not standard practice, as it could be accessed by others. Similarly, Resident #49, diagnosed with heart failure, type 2 diabetes mellitus, and anxiety, was found with a cup containing orange fluid identified as Juven and Lactulose at their bedside. LPN #2 admitted to leaving the medication unattended while attending to another task, acknowledging that it was not standard practice to leave medications at the bedside. The facility's policy requires all drugs and biologicals to be stored in locked compartments, and the Director of Nursing confirmed that medications should not be left at the bedside, as they could be accessed by unauthorized individuals.
Deficiency in Food Storage and Preparation Practices
Penalty
Summary
The facility failed to ensure that canned goods were dent-free and that cleaning supplies were appropriately stored during food preparation. On June 17, 2024, a surveyor observed a 7-pound can of vanilla pudding with a dent near the top seal. On June 18, 2024, a red bucket containing greyish colored water with small bubbles, identified as a sanitizer solution, was found on the puree prep table alongside food items. Dietary Aide #8 was observed pureeing food with the bucket on the tabletop. The Dietary Manager confirmed that the bucket should have been stored on a bottom shelf below food items. During an interview, the Dietary Manager acknowledged that canned food items should be dent-free and placed on a designated shelf for dented cans. A review of the facility's policy for Safe Storage of Food indicated that all packaged and canned food items must be kept clean, dry, and properly sealed, and that toxic materials should not be stored with food.
Failure to Notify State Authority of New Mental Illness Diagnosis
Penalty
Summary
The facility failed to notify the proper state authority when they became aware of a new diagnosis of mental illness for a resident. The resident, identified as having a diagnosis of bipolar disorder and anxiety disorder, was entered into the facility's computer software system on June 12, 2023. However, the resident's Level 1 Preadmission Screen for major mental conditions, dated July 22, 2022, indicated that the resident did not have a diagnosis or history of mental illness at that time. The Quarterly Minimum Data Set, with an Assessment Reference Date of May 28, 2024, confirmed the resident's diagnosis of bipolar disorder, but the facility did not update the state authority about this new diagnosis. During interviews, the facility's administrator acknowledged that the resident did not have the bipolar diagnosis upon admission and admitted that the proper state authority was not notified of the new diagnosis. The administrator explained that the screening process was used, and since the resident did not have a geriatric psychiatry stay, they did not notify the state. The surveyor confirmed with the State Designated Professional Associates that if the diagnosis was received after October 2023, no new application was needed, but if it was before, a new application should have been submitted. Additionally, the facility lacked a policy on Pre-Admission Screening and Resident Review (PASARR).
Unattended Unlocked Treatment Cart
Penalty
Summary
The facility failed to ensure the treatment cart used to store medication was locked when unattended by staff. On June 19, 2024, at 3:07 PM, a surveyor observed an unattended and unlocked treatment cart on the secured unit of the facility. At 3:08 PM, during an interview, an LPN acknowledged that the treatment cart did not lock and expressed concern that the medication on the cart could be potentially harmful if accessed by a resident. At 3:20 PM, the Administrator confirmed that the treatment cart should be locked to prevent residents from accessing the medications, especially on the secure unit. A review of the facility's policy titled 'Safety and Supervision of Residents' indicated that the facility prioritizes making the environment as free from accident hazards as possible and emphasizes resident safety and supervision to prevent accidents.
Improper Hand Hygiene During Incontinent Care
Penalty
Summary
The facility failed to ensure proper hand hygiene during incontinent care for a resident, leading to a risk of cross-contamination. On June 19, 2024, a surveyor observed a CNA performing hand hygiene and donning gloves before pulling down the resident's brief. However, the CNA used the same hand to retrieve clean wipes from a bag and to wipe the resident's peri area, which is against proper infection control practices. The CNA was observed using the right hand to both retrieve wipes and clean the resident, without changing gloves or performing hand hygiene between these actions. During an interview, the CNA stated that the left hand was considered the clean hand, but continued to use the right hand for both retrieving wipes and cleaning, which was confirmed by the Director of Nursing (DON) as improper practice. The DON acknowledged that staff should not use the same hand for clean and dirty tasks to prevent cross-contamination. The facility's in-service training and policies on perineal care and hand hygiene emphasize the importance of changing gloves and performing hand hygiene to prevent infections, but these procedures were not followed in this instance.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Magnolia
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Green House Cottages Of Wentworth Place | 4.6 mi | ★★★★★ | 3 | 0 |
| The Blossoms At Stamps Rehab & Nursing Center | 16.9 mi | ★★★★★ | 3 | 0 |
| Summit Health & Rehab Center | 22.7 mi | ★★★★★ | 2 | 0 |
| Silver Oaks Health And Rehabilitation | 24 mi | ★★★★★ | 0 | 0 |
| Ouachita Nursing And Rehabilitation Center | 25.3 mi | ★★★★★ | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.