Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
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 Magnolia Senior Care, Llc during CMS and state inspections, most recent first.
Staff did not follow care plan interventions for three residents. One resident with edema was observed without ordered compression hose, a CNA provided peri-care to a resident on EBP without a gown, and suction equipment for a resident who self-suctions was observed dirty and outdated while family was performing the cleaning and tubing care instead of nursing staff. The DON confirmed the care plan and orders were not being followed as documented.
A resident with edema and a history of venous thrombosis was observed without ordered compression hose, and an LPN confirmed the hose were not on even though they were to be applied daily. Another resident with Myasthenia Gravis and dysphagia had suction equipment at the bedside that was discolored and dated, while family members were performing the suction care despite the DON stating this was the nurse’s responsibility; the DON also said no assessment had been completed to confirm the resident could suction independently.
The facility failed to submit complete and accurate PBJ staffing data to CMS when contract nursing hours were omitted from the PBJ report. The LNHA stated he compiled and submitted PBJ data using corporate employee files and separately received vendor data for contract staff, but later confirmed that contract nursing hours were not included for several dates. The PBJ staffing report also identified excessively low weekend staffing, while the DON stated staffing was based on resident acuity and the facility assessment and that the schedule supported a census of 55 residents.
A CNA failed to follow EBP and hand hygiene requirements during high-contact care, including providing peri care without a gown for a resident on EBP and not sanitizing or washing hands before care for another resident. A resident who self-suctions was observed using exposed suction equipment that was not protected in a bag, while the DON stated nursing was responsible for changing and cleaning the tubing and device. The DON and IP nurse confirmed the residents were placed at increased risk for infection.
A resident’s room had a posted sign instructing staff to apply compression hose daily and remove them at bedtime. The resident, who was cognitively intact and had edema and a history of venous thrombosis and embolism, stated her legs were swollen and she did not yet have the hose on. An LPN confirmed the sign was meant to remind CNAs, while the DON stated the signage was a dignity issue and should not have been on the wall.
Two residents in a facility were not provided with the required two-person manual assistance during transfers, as specified in their care plans. One resident suffered a fall and head injury when a CNA attempted a lift transfer alone, despite the care plan's instructions. Another resident was transferred by a single CNA who disregarded the two-person assist requirement, believing his physical capability sufficed. These actions demonstrate a failure to adhere to care plans, risking resident safety.
A resident was injured when a CNA improperly used a lift for transfer, contrary to the care plan requiring a two-person manual assist. The resident suffered a head laceration and was hospitalized. Another resident was transferred by a single CNA, despite needing two-person assistance, due to a misunderstanding of the care plan. Both incidents highlight the facility's failure to follow transfer protocols, placing residents at risk.
A facility failed to update a resident's care plan to include their Dementia diagnosis, despite the resident being prescribed Aricept for the condition. Staff interviews confirmed the care plan should have been updated to guide appropriate care. The resident was cognitively intact, with a BIMS score of 15.
A resident in an LTC facility was unable to make informed meal choices due to the absence of a menu in his room and lack of communication from staff. Interviews revealed confusion among staff about who was responsible for informing residents of meal options, leading to the resident feeling compelled to eat what was provided without being aware of alternatives. The DON acknowledged the facility's failure to ensure residents' rights to choose their meals.
Failure to Follow Care Plan Interventions
Penalty
Summary
The facility failed to implement comprehensive care plans by not following physician orders and care plan interventions for three residents. The facility policy required a comprehensive person-centered care plan with measurable objectives and timeframes to meet residents’ medical, nursing, and psychosocial needs. Surveyors observed that staff did not follow the documented care plan interventions for compression hose use, suction equipment care, and Enhanced Barrier Precautions during direct care. For one resident with chronic recurring bilateral lower-extremity edema and a history of venous thrombosis and localized edema, the care plan directed staff to apply bilateral knee-high compression hose every morning and remove them at bedtime per physician order. During observation, the resident was in bed without the compression hose on and stated her legs were swollen and that her CNA would put them on after lunch. A later interview with an LPN confirmed the hose were not on, and the DON stated the hose were intended to decrease swelling and increase circulation and were expected to be applied in the morning after breakfast. For another resident with a PEG tube and on Enhanced Barrier Precautions, a CNA provided perineal care without wearing a gown, despite the care plan directing staff to observe EBP during high-contact care. For a third resident who self-suctions and had orders for suction care, the suction tubing and yankauer were observed dingy yellow and cloudy with a date of 9/15/25. The resident and her son-in-law stated he handled the suction machine care, while the LPN confirmed the tubing was old and said the family was changing and cleaning it, although the DON stated this was the nurse’s responsibility and that family members were not supposed to change tubing or clean the machine.
Failure to Follow Ordered Care for Compression Hose and Suction Equipment
Penalty
Summary
The facility failed to follow physician orders for two residents by not providing ordered care and treatment. Resident #6, who had diagnoses including a personal history of venous thrombosis and embolism and localized edema, was observed in bed with swollen legs and stated she did not yet have her compression hoses on. The resident said her CNA would put them on after lunch. Later that day, an LPN confirmed the resident did not have compression hose on, and stated they should be put on daily. The resident’s order directed staff to apply bilateral knee-high compression hose every morning and remove them at bedtime for edema. Resident #22, who had diagnoses including Myasthenia Gravis and dysphagia following cerebrovascular disease, was observed with suction equipment at the bedside. The yankauer and tubing were described as dingy yellow and cloudy, and the tubing was dated 9/15/25. The resident stated her son-in-law came every evening and changed and cleaned the suction equipment, while the son-in-law later stated he washed the machine and tubing daily but did not change the tubing. The DON stated it was the nurse’s responsibility to change the yankauer weekly and clean the machine on night shift, and that family members were not supposed to do this. The DON also stated there was no assessment of the resident’s ability to properly perform self-oral suctioning, despite an order allowing the resident to suction herself independently as needed.
Incomplete PBJ Staffing Submission
Penalty
Summary
The facility failed to ensure accurate and complete submission of direct care staffing information through the PBJ system to CMS for one fiscal year quarter. The facility policy required electronic submission of complete and accurate staffing information, including agency and contract staff, based on payroll and other verifiable and auditable data. During interview, the LNHA stated he was responsible for compiling and submitting PBJ data, using employee staffing data received from the corporate office and contract nursing staffing data received separately from vendors and manually entered into the PBJ system. The LNHA later confirmed that the data transmitted from the corporate software system was not accurately submitted to the CMS PBJ system and that contract nursing staffing hours for 10/25/2025, 11/22/2025, 12/06/2025, 12/19/2025, 12/27/2025, and 12/28/2025 were not included in the PBJ submission. Record review confirmed those contract nursing staffing hours were omitted. The PBJ Staffing Data Report for FY Quarter 1 2026 identified concerns related to excessively low weekend staffing. The DON stated she and the Staffing Coordinator were responsible for staffing, that staffing was based on resident acuity and the facility assessment, and that the current schedule supported a census of 55 residents with call outs managed without staffing issues. Record review of staffing schedules and daily staffing sheets revealed no staffing shortages or concerns.
Infection Control Failures During Resident Care
Penalty
Summary
The facility failed to prevent the spread of infection by not using proper PPE, not following Enhanced Barrier Precautions (EBP) during high-contact care, not performing hand hygiene before care, and not protecting and maintaining suction equipment as required. Facility policy stated that staff involved in direct resident contact must perform proper hand hygiene before resident care procedures, and that EBP requires targeted gown and glove use during high-contact resident care activities. For one resident with a PEG tube who was on EBP, a CNA provided peri care without wearing a gown. The CNA later confirmed she did not have a gown on while providing peri care and stated the resident was placed at risk for infection. The DON stated the CNA should have donned a gown before peri care and that peri care is high-contact care. The resident’s record showed diagnoses including hemiplegia and hemiparesis following cerebrovascular disease, a history of TIA and cerebral infarction, and dysphagia, and the MDS indicated the resident was dependent on hygiene. For another resident who self-suctions, the suction canker and tubing were observed to be dingy yellow and cloudy, dated 9/15/25, and left exposed on the bed without a covering or bag. The resident repeatedly used the exposed canker to turn the suction on and off. The DON stated the tubing should be changed weekly by nursing and the suction machine cleaned on night shift, and that family was not supposed to change or clean the equipment. For a third resident, a CNA entered the room, donned gloves, assisted the resident, removed the gloves, returned later, donned gloves again, and provided peri care without performing hand hygiene before either care episode. The CNA acknowledged she did not wash or sanitize her hands before entering to provide care, and the DON confirmed hand hygiene should have been performed before and after care and gloves changed after opening the drawer for peri wipes. The residents involved were documented as cognitively intact and dependent on hygiene where applicable.
Personal Signage Posted in Resident Room
Penalty
Summary
The facility failed to honor a resident’s rights to dignity and self-determination by posting personal signage in the resident’s room. During observation, Resident #6 was found in bed with a sign on the wall that read, “Please put on compression hose daily even when resident is in bed. They are to be removed every night at bedtime.” The resident stated her legs were swollen and that she did not yet have her compression hoses on, adding that the facility had placed the sign on the wall to remind staff, but that they still did not do it. The resident was cognitively intact with a BIMS of 13 and had diagnoses including personal history of venous thrombosis and embolism and localized edema. An LPN confirmed the sign was intended to notify CNAs to apply the compression hose and stated the task also appeared in the Kardex daily. The LPN observed that the resident did not have the hose on and stated they should be on daily. The DON later stated the signage in the room was a dignity issue and should not have been on the wall, noting that CNAs should have placed the compression hose on in the morning and that the reminder already appeared in the task system. The order summary directed bilateral knee-high compression hose every morning and removal at sleep every day and night shift for edema.
Failure to Follow Care Plans for Manual Assistance
Penalty
Summary
The facility failed to ensure that Certified Nursing Assistants (CNAs) adhered to the comprehensive care plans for two residents, leading to incidents of improper manual assistance. Resident #1, who was admitted with diagnoses including Hemiplegia and Hemiparesis following a cerebral infarction, required extensive assistance from two people for manual transfers as per her care plan. However, a facility-reported investigation revealed that a CNA attempted to transfer her alone using a lift, resulting in a fall and a head injury. The CNA was aware of the requirement for a two-person manual assist but did not follow the care plan, leading to the resident's injury. Similarly, Resident #2, who was also at risk for falls and required a two-person assist for manual transfers, was transferred by a single CNA. Despite the Kardex instructions specifying the need for two-person assistance, the CNA believed that his physical capability as a male negated the need for additional help. This deviation from the care plan was confirmed by the resident and observed by the State Agency. Both incidents highlight a failure to follow established care plans, putting residents at risk of harm.
Failure to Follow Transfer Protocols Leads to Resident Injury
Penalty
Summary
The facility failed to ensure a resident was free from accident hazards, resulting in harm when a resident was dropped from a lift. The incident occurred when a CNA attempted to transfer the resident from the bed to a wheelchair using a lift, contrary to the resident's care plan, which required a manual two-person assist. The resident suffered a laceration to the head and was taken to the hospital. The facility's policy mandates that two trained persons perform lift transfers, but this was not followed, leading to the resident's injury. The resident had a history of hemiplegia and hemiparesis following a cerebral infarction and was unable to participate in interviews due to cognitive communication deficits. Another resident was also at risk of accident hazards when a CNA transferred the resident alone, despite the care plan requiring a two-person manual assist. The CNA incorrectly believed that assistance was only necessary when two females were involved, and as a male, he could perform the transfer alone. This resident was cognitively intact and confirmed the transfer was done by one person. The facility's failure to adhere to the care plans and policies for safe transfers placed residents at risk of harm.
Failure to Update Care Plan for Resident with Dementia
Penalty
Summary
The facility failed to ensure a comprehensive care plan was developed for a resident with a diagnosis of Dementia. The care plan did not include a focus, goals, or interventions related to the Dementia diagnosis, despite the resident being prescribed Aricept for this condition. This oversight was identified during a review of the resident's comprehensive care plan, which should have been updated to reflect the new diagnosis and treatment plan. Interviews with facility staff, including a Registered Nurse and the Director of Nursing, confirmed that the care plan should have included the Dementia diagnosis to guide staff in providing appropriate care. The resident, who was admitted with a diagnosis of Unspecified Dementia, was cognitively intact as indicated by a BIMS score of 15. The facility's policy requires that care plans be individualized and updated with new diagnoses, but this was not adhered to in this case.
Failure to Respect Resident's Meal Preferences
Penalty
Summary
The facility failed to ensure that dietary staff supported and respected a resident's right to make choices about meal preferences. A resident expressed dissatisfaction with the lack of alternative food options and the absence of a menu in his room, which prevented him from making informed choices about his meals. Interviews with the resident revealed that he was not informed of daily menu choices and felt compelled to eat what was provided without being aware of other options. Interviews with facility staff, including the Dietary Manager, Activities Director, and a CNA, highlighted a lack of clarity and responsibility regarding who should inform residents of their meal options. The Dietary Manager believed it was the CNAs' responsibility, while the Activities Director thought it was the dietary aide's duty. The CNA acknowledged that she would inform residents of their options only if asked. The Director of Nursing admitted that the facility did not have a system to ensure that residents who could not leave their rooms were informed of menu choices, acknowledging that this oversight did not align with resident rights.
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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 Jackson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pine Forest Health And Rehabilitation | 2.7 mi | ★★★★★ | 6 | 0 |
| Manhattan Community Care Center | 4.8 mi | ★★★★★ | 7 | 1 |
| Clinton Healthcare Llc - Snf | 4.9 mi | ★★★★★ | 5 | 0 |
| Compere Nh Inc | 5 mi | ★★★★★ | 0 | 0 |
| Chadwick Community Care Center | 5 mi | ★★★★★ | 11 | 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.