Below average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Magnolia Manor - Greenville during CMS and state inspections, most recent first.
The facility did not obtain food from approved or satisfactory sources and failed to store, prepare, distribute, and serve food according to professional standards.
A Housekeeping Supervisor handled soiled linen without donning a gown, as required by facility policy, during laundry processing. The staff member wore goggles and gloves but failed to use a gown, later acknowledging the omission. The Administrator confirmed that proper PPE use is expected for all laundry staff.
A significant pest infestation was observed in both staff and resident areas, including a large number of antlike insects in a conference room and brown bugs in a resident's bathroom. Staff confirmed the presence of pests and described them as a recurring issue, particularly in the summer. The facility's pest control policy requires regular inspections and prompt reporting, but the observed response did not fully align with these procedures.
Surveyors identified that insulin pens and prefilled syringes were not consistently labeled with open or expiration dates, and some unopened insulin products were not refrigerated as required. Nursing staff interviews confirmed that responsibility for labeling and storage was shared among pharmacy, unit managers, and nurses, but lapses occurred, including expired and unlabeled insulin remaining on medication carts.
A resident with dementia and behavioral issues did not receive timely psychiatric services despite a physician's order. The resident, who speaks only Spanish, exhibited aggressive behaviors and required frequent redirection. Facility staff were unclear about the status of the psychiatric referral, leading to a deficiency in providing appropriate mental health services.
The facility failed to complete dialysis communication sheets for three residents, leaving sections blank that are crucial for ongoing communication with the dialysis center. Despite receiving dialysis reports, staff did not document pre- and post-dialysis care, including shunt checks, as required by facility policy. Interviews revealed challenges in obtaining completed sections from the dialysis center and acknowledged incomplete documentation.
An LPN failed to follow the facility's policy for administering medications via enteral feeding tube, resulting in improper medication administration for a resident. The LPN did not perform required water flushes before, between, and after medications, leading to a clogged tube during the process. The incident was confirmed by the Administrator and Regional Clinical Manager.
A resident with multiple health issues, including left-sided hemiparesis, experienced inadequate ADL care due to overgrown fingernails causing pain. Despite attempts to address the issue through dermatology and podiatry referrals, the facility lacked the necessary equipment and expertise to manage the resident's nail care effectively, leading to ongoing discomfort.
A resident experienced a medication administration error due to an LPN's failure to follow the facility's policy for administering medications via enteral feeding tube. The LPN did not flush the gastric tube with water before, between, and after administering medications, leading to a 19% medication error rate and a clogged tube during Nexium administration.
A facility failed to ensure an LPN followed PPE protocols while administering medication via a gastric tube to a resident. Despite a policy requiring enhanced barrier precautions (EBP) to prevent MDRO transfer, the LPN did not wear a gown during the procedure. The LPN admitted to forgetting the requirement, and the facility acknowledged challenges in staff adherence to EBP despite ongoing training.
Failure to Follow Food Procurement and Handling Standards
Penalty
Summary
The facility failed to procure food from sources that are approved or considered satisfactory and did not store, prepare, distribute, and serve food in accordance with professional standards. This deficiency was identified during the survey process, indicating that the facility did not meet regulatory requirements for food safety and handling. No additional details about specific residents, staff, or events are provided in the report.
Failure to Ensure Proper PPE Use During Soiled Linen Handling
Penalty
Summary
The facility failed to ensure proper handling and processing of resident laundry in accordance with its infection prevention and control policies. During an observation, the Housekeeping Supervisor was seen handling soiled linen while wearing goggles and gloves, but did not don a gown as required by facility policy. The soiled linen was separated, the clear bags were discarded, and the soiled linen cart was pushed to the washing machine, where the linen was loaded without the use of a gown. The facility's policy specifies that personnel must wear gowns and gloves when handling soiled linens to prevent contamination. In an interview, the Housekeeping Supervisor acknowledged forgetting to wear a gown, stating nervousness as the reason and recognizing the requirement to always wear a gown when handling soiled laundry. The Administrator confirmed that the expectation is for laundry staff to apply and wear the correct PPE as outlined in the policy. No residents or specific patient conditions were mentioned in relation to this deficiency.
Failure to Maintain Effective Pest Control Program
Penalty
Summary
The facility failed to maintain an effective pest control program as required by its own policy, which mandates regular inspections, detailed reporting of pest activity, and prompt response to pest sightings. During an observation, a significant infestation of small, light brown antlike insects was found in the conference room, including on the walls, floor, and in the personal belongings of the survey team. The maintenance staff responded by treating the area with an over-the-counter insect spray, and the survey team was relocated. Additionally, four brown bugs were observed crawling in a resident's bathroom, and the Unit Manager confirmed their presence, indicating that maintenance would be notified to address the issue. Interviews with staff revealed that pest sightings, including roaches, are considered common in the building, especially during the summer. The Administrator stated that the facility contracts with Ecolab for monthly pest control services and expects staff to report pest sightings so that Ecolab can be called for additional treatment as needed. However, the observations and staff interviews indicate that pests were present in resident and staff areas, and the response to these sightings did not align with the facility's policy for pest management and reporting.
Failure to Properly Label and Store Insulin Medications
Penalty
Summary
The facility failed to ensure that insulin medications were properly labeled and stored according to professional standards and facility policy. During observations of two medication carts, surveyors found multiple insulin pens in use without open or expiration dates documented, as well as insulin pens that were expired but still present on the cart. Additionally, unopened prefilled insulin syringes and pens were found unrefrigerated, contrary to storage requirements. The facility's own policy requires all medications to be labeled with expiration dates and appropriate instructions, and for insulin pens, the date opened must be written on the pen to ensure use within the recommended timeframe. Interviews with nursing staff revealed that while pharmacy staff are responsible for placing medications in the refrigerator during their bi-monthly visits, it is the responsibility of the unit manager and nurses to check the carts and ensure proper labeling and storage. However, lapses were identified, such as insulin pens without open dates, expired pens not removed in a timely manner, and unopened insulin not being refrigerated. The Director of Nursing confirmed that education on insulin management is provided by the Interventionist Nurse or unit manager, but at the time of the survey, the Interventionist Nurse was on leave.
Failure to Provide Timely Psychiatric Services for Resident with Dementia
Penalty
Summary
The facility failed to provide timely behavioral and mental health services to a resident diagnosed with dementia, anxiety disorder, and major depressive disorder. The resident, who speaks only Spanish, exhibited behavioral symptoms such as restlessness, agitation, and aggression towards others. Despite a physician's order for psychiatric consultation dated July 1, 2024, the resident had not been evaluated by psychiatric services by the time of the report, which was several months later. Throughout the resident's stay, there were multiple incidents of aggressive behavior, including attempts to exit the building, physical altercations with other residents, and resistance to redirection by staff. The facility's staff attempted to manage these behaviors with medication and redirection techniques, but the language barrier and lack of timely psychiatric intervention hindered effective management. The resident's behavior continued to escalate, leading to further incidents and the need for frequent monitoring and intervention by nursing staff. Interviews with facility staff, including the ADON and Social Services Director, revealed a lack of clarity and documentation regarding the psychiatric referral process. The Social Services Director was unable to provide documentation of when the referral was made, and the Nurse Practitioner was under the impression that the resident was already being followed by psychiatric services. This lack of coordination and follow-through contributed to the deficiency in providing appropriate mental health services to the resident.
Incomplete Dialysis Communication Sheets
Penalty
Summary
The facility failed to ensure proper completion of dialysis communication sheets, which are essential for ongoing communication between the facility staff and the dialysis center. This deficiency was observed in three out of four sampled residents who required dialysis care. The facility's policy mandates that staff use the Dialysis Communication Form to document pre- and post-dialysis care, including checking the shunt for bruit. However, several sections of these forms were left blank, particularly the sections related to the shunt site and the documentation of thrills and bruits. This lack of documentation was noted across multiple dates for the residents involved, indicating a pattern of incomplete record-keeping. The residents affected by this deficiency had significant medical conditions, including End-Stage Renal Disease and Chronic Kidney Disease, necessitating regular dialysis. Despite receiving dialysis reports from the dialysis center, the facility staff failed to complete the necessary documentation on the communication sheets. Interviews with the Director of Nursing revealed challenges in obtaining completed sections from the dialysis center and acknowledged the need for complete documentation if the forms were to be used for communication. The Regional Clinical Nurse also noted that some nurses were documenting shunt checks in progress notes rather than on the communication sheets, contributing to the incomplete records.
Failure to Follow Enteral Medication Administration Protocol
Penalty
Summary
The facility failed to ensure that medications were administered according to professional standards of practice via enteral feeding tube for a resident. The facility's policy on Enteral Feeding-Administering Medications required that medications be given with appropriate water flushes before, between, and after administration. However, an LPN did not adhere to this policy while administering medications to a resident with a gastric tube. The LPN did not bring additional water for flushing into the resident's room and failed to flush the gastric tube before administering medications, between each medication, and after completing the medication administration. During the medication administration, the LPN used a clean 60 ml syringe to administer medications by gravity, but the Nexium solution caused the tubing to become clogged. The LPN massaged the tubing until the clog was dislodged and continued with the administration. The LPN also rinsed the syringe in the resident's sink, which was not in line with the facility's policy. The failure to follow the prescribed procedure was confirmed during an interview with the Administrator and the Regional Clinical Manager, who acknowledged that the policy required water flushes at specific intervals during medication administration via gastric tube.
Failure to Provide Adequate ADL Care for Resident
Penalty
Summary
The facility failed to provide adequate Activities of Daily Living (ADL) care for a resident who was unable to perform these tasks independently. The resident, who was admitted with multiple diagnoses including hypertension, cerebrovascular accident, and left-sided hemiparesis, was dependent on staff for personal hygiene needs. Despite the facility's policy to provide necessary care to residents unable to carry out ADLs, the resident's fingernails were significantly overgrown, causing discomfort and pain. The resident had been seeking assistance for nail trimming since November, but the facility's efforts, including referrals to dermatology and podiatry, were unsuccessful in addressing the issue. Observations and interviews revealed that the facility lacked the appropriate equipment to trim the resident's nails due to hand contractures, and the resident only allowed the wound care nurse to attempt trimming. The nurse practitioner and supervising physician explored options such as nail removal, but the resident was not a suitable candidate for surgery due to co-morbidities. Despite prescribing topical treatments, the resident continued to experience pain, and the facility's staff expressed feeling bad for the resident's situation. The deficiency highlights the facility's inability to meet the resident's ADL needs, specifically in managing the resident's nail care effectively.
Medication Administration Error via Enteral Feeding Tube
Penalty
Summary
The facility failed to ensure proper medication administration via enteral feeding tube for a resident, resulting in a medication error rate of 19%. The Licensed Practical Nurse (LPN) involved did not adhere to the facility's policy on administering medications through a gastric tube. Specifically, the LPN did not flush the gastric tube with water before administering medications, between each medication, and after completing the medication administration. This was observed during the administration of five medications, including Lactulose solution, fluoxetine, lorazepam, midodrine, and Nexium, to the resident. The LPN's actions led to the gastric tube becoming clogged during the administration of Nexium, which required manual manipulation to clear. The facility's policy clearly outlines the need for water flushes to prevent such issues, but these steps were not followed. The resident's physician orders also specified a flush of 30 ml of warm water before and after medication administration, which was not adhered to by the LPN. This oversight was confirmed through observation, record review, and staff interviews, highlighting a significant deviation from the established standards of practice for medication administration via enteral feeding tubes.
Failure to Follow PPE Protocols During Medication Administration
Penalty
Summary
The facility failed to ensure that a Licensed Practical Nurse (LPN) adhered to personal protective equipment (PPE) requirements while administering medication via a gastric tube to a resident identified as R66. The facility's policy on Infection Prevention and Control, dated 5/15/23, mandates the use of enhanced barrier precautions (EBP), including gowns and gloves, during high-contact resident care activities to prevent the transfer of multidrug-resistant organisms (MDROs). Despite a sign on the door indicating EBP precautions, the LPN did not wear a gown during the medication administration process. During an interview, the LPN acknowledged forgetting to wear a gown, despite having received training on EBP requirements. The facility's Administrator and Regional Clinical Manager confirmed that EBP had been in effect since 4/1/24 and that the LPN, who works on an as-needed basis, had been trained on these requirements. They also noted that it has been challenging for staff to consistently adhere to these precautions, despite frequent educational efforts by the facility.
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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 Greenville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| West Village Post Acute | 1.6 mi | ★★★★★ | 7 | 0 |
| Greenville Post Acute | 2.6 mi | ★★★★★ | 2 | 0 |
| Heartland Health Care Center - Greenville East | 4.2 mi | ★★★★★ | 2 | 2 |
| Patewood Post Acute | 5.2 mi | ★★★★★ | 0 | 0 |
| Linville Court At The Cascades Verdae | 5.4 mi | ★★★★★ | 0 | 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.