Below average — CMS composite of the measures below.
A standard survey is most likely before around December 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 Creek Nursing And Rehabilitation during CMS and state inspections, most recent first.
A resident with severe cognitive impairment and multiple diagnoses died, but the facility did not issue a refund of the resident's personal funds until more than two months after death, exceeding the required 30-day timeframe as confirmed by the Business Office Manager.
Two disposable razors were left unsecured in the bathroom of two residents, one of whom was cognitively intact and the other moderately cognitively impaired, despite facility policy requiring sharps to be secured. Additionally, after a moderately cognitively impaired resident with multiple diagnoses slid off the toilet, the required post-fall assessment documentation was not completed. Both an LPN and the DON confirmed these lapses.
A resident with cognitive impairment and multiple chronic conditions complained of burning during urination, prompting an NP to order a urine culture and urinalysis. The initial sample was rejected due to a labeling error, and although recollection was reported, the facility could not provide lab results or documentation of follow-up. Multiple observations noted a strong ammonia odor in the resident's room, and staff interviews confirmed that physician orders were not followed or documented appropriately.
Staff did not follow physician orders and professional standards when administering medications to two residents. One resident received an antifungal infusion at twice the prescribed rate, while another was given blood pressure medication multiple times despite vital signs being outside the ordered parameters. The DON confirmed that these actions were not in accordance with proper medication administration protocols.
Surveyors found expired Ipratropium vials stored in a medication cart, contrary to facility policy and accepted standards. Both an RN and the DON confirmed that expired medications should not be present in medication storage areas.
Nursing staff failed to disinfect reusable equipment, such as stethoscopes and blood pressure cuffs, after use with two residents, and did not consistently perform proper hand hygiene during medication administration. The DON confirmed that these practices did not align with facility policy.
Surveyors found that toilets in four occupied bathrooms were not securely fastened to the floor, affecting six residents with various cognitive and physical needs. Observations and interviews with maintenance staff confirmed that the toilets moved easily and were not safe for use, contrary to facility policy requiring a safe and functional environment.
A resident did not receive treatment and care in accordance with physician orders and their own preferences and goals, as observed by surveyors.
The facility did not promptly report suspected abuse, neglect, or theft, nor did it communicate the results of its investigation to the proper authorities as required.
The facility did not consistently protect resident-identifiable information or maintain medical records according to professional standards, as observed by surveyors.
Delayed Refund of Resident Personal Funds After Death
Penalty
Summary
The facility failed to refund a resident's personal funds within 30 days of the resident's death, as required by both facility policy and applicable legal standards. Policy review indicated that the facility is to convey a deceased resident's personal funds and provide a final accounting to the appropriate party within thirty days of death. Medical record review showed that the resident, who had Alzheimer's Disease, Diabetes Mellitus, and Dysphagia and was severely cognitively impaired, expired on 1/2/2025. However, review of the trust fund records revealed that a check for the resident's funds was not issued until 3/12/2025, which was 2 months and 10 days after the resident's death. The Business Office Manager confirmed that the funds should have been paid out within the required 30-day timeframe.
Unsecured Sharps and Incomplete Fall Assessment Documentation
Penalty
Summary
The facility failed to maintain an environment free from accident hazards and did not provide adequate supervision to prevent accidents. Specifically, two disposable blue razors were found unsecured on the bathroom sink in the shared room of two residents. One resident was cognitively intact with a BIMS score of 13 and diagnoses including diabetes, bipolar disorder, depression, and pain. The other resident was moderately cognitively impaired with a BIMS score of 9 and diagnoses including Alzheimer's, schizophrenia, anxiety, and major depressive disorder. Both an LPN and the DON confirmed that razors should not be left unsecured in resident bathrooms, as per facility policy. Additionally, the facility failed to complete required fall assessment documentation for a resident who was moderately cognitively impaired and had diagnoses including dementia, heart failure, chronic kidney disease, hypertension, and diabetes. After this resident slid off the toilet onto the floor, the post-fall event documentation was found to be incomplete, with pages 2-9 left unfinished. The DON confirmed that the post-fall assessment should have been completed according to facility policy.
Failure to Follow Physician Orders and Document UTI Testing
Penalty
Summary
Staff failed to provide appropriate treatment and services for a resident with multiple diagnoses, including dementia, chronic kidney disease, diabetes, and schizophrenia, who was moderately cognitively impaired. The resident complained of burning during urination, and a nurse practitioner ordered a urine culture and urinalysis. However, the initial urine sample was rejected by the lab due to a mismatch in the date of birth, requiring recollection and reorder of the test. Despite this, the facility was unable to provide the results of the recollected urine sample, and there was no documentation of follow-up or results in the medical record. Observations in the resident's room on multiple occasions revealed a strong ammonia odor, which was confirmed by the DON and attributed possibly to a bowel movement, but no immediate action was documented. Interviews with facility staff, including the DON and Unit Manager, confirmed that staff did not follow physician orders for the urine culture and urinalysis, and that the results were not documented or followed up as required. The NP later discontinued the order for the urine tests, but the lack of timely and appropriate follow-up on the physician's orders constituted a deficiency in care.
Failure to Administer Medications per Physician Orders and Standards of Practice
Penalty
Summary
Staff failed to accurately administer medications according to physician orders and professional standards of practice for two residents. For one resident with anemia, diabetes, and arthritis, a registered nurse set the infusion rate of micafungin at 200 ml/hr instead of the ordered 100 ml/hr over one hour. This discrepancy was confirmed by both the Director of Nursing and the nurse involved, who acknowledged the medication should have been infused at the correct rate as per the physician's order. For another resident with chronic obstructive pulmonary disease, seizures, congestive heart failure, and anxiety, carvedilol was administered multiple times when the resident's pulse was below the ordered parameter of 60 beats per minute. The medication administration record showed several instances over three months where the medication was given despite the resident's pulse being outside the specified range. The Director of Nursing confirmed that medications should not be administered if vital signs are outside the ordered parameters and that the provider should be notified in such cases.
Expired Medications Found in Medication Cart
Penalty
Summary
The facility failed to ensure proper storage of medications as required by policy and professional standards. During an observation of Medication Cart #3, surveyors found five unopened foil packs of Ipratropium 0.2% with expiration dates that had already passed. Both a registered nurse and the director of nursing confirmed that expired medications should not be present in the medication cart. The facility's policy requires all medications to be stored according to manufacturer recommendations and under proper temperature controls, but expired medications were still found accessible in the storage area. No specific residents were directly involved or affected as described in the report, and the deficiency was identified through observation and staff interviews.
Failure to Disinfect Reusable Equipment and Perform Hand Hygiene
Penalty
Summary
The facility failed to maintain infection prevention and control practices as required by its own policies. Specifically, two nurses did not disinfect reusable resident-care equipment, such as stethoscopes and blood pressure cuffs, after use with two residents. One resident, who was cognitively intact and had a PEG tube, had a stethoscope placed on their abdomen by a nurse who then failed to clean the equipment before placing it back on the medication cart. Another resident, who was severely cognitively impaired, had their blood pressure checked with a reusable cuff that was not disinfected after use. The Director of Nursing confirmed that reusable equipment should be cleaned between residents. Additionally, there were multiple failures in hand hygiene practices during medication administration. One nurse did not perform hand hygiene after removing personal protective equipment, and on another occasion, performed hand hygiene for only 10 seconds before donning gloves but did not do so after glove removal. Another nurse failed to perform hand hygiene before donning gloves, provided care, and only washed hands for 15 seconds after glove removal. The Director of Nursing acknowledged that proper hand hygiene should be performed when donning and doffing gloves.
Unsecured Toilets Compromise Resident Safety
Penalty
Summary
The facility failed to ensure a safe and functional environment as required by its policy, as surveyors observed that toilets in four occupied resident bathrooms were not securely fastened to the floor. This deficiency affected six residents with varying cognitive and physical abilities, including those with diagnoses such as diabetes, dementia, bipolar disorder, and Alzheimer's disease. Observations revealed that the toilets moved forward, backward, and side to side with minimal effort, and in one case, a wedge was needed to stabilize the fixture. Maintenance staff confirmed during interviews that the toilets were loose and acknowledged the potential for accidents. Medical record reviews indicated that the affected residents required different levels of assistance with transfers, ranging from independent to needing supervision or touching assistance. The unsecured toilets were found in both shared and private bathrooms, and the issue persisted over multiple observations. The facility's policy stated the environment should be safe and not pose a risk, but the lack of secure toilets did not meet this standard, as confirmed by both the Maintenance Assistant and Maintenance Director during interviews.
Failure to Follow Treatment Orders and Resident Preferences
Penalty
Summary
The facility failed to provide appropriate treatment and care according to physician orders, as well as the resident's preferences and goals. This deficiency was identified through surveyor observation and review of care practices, which revealed that care provided did not align with the established orders or the expressed wishes and objectives of the resident. Specific details regarding the resident's medical history or condition at the time of the deficiency are not provided in the report.
Failure to Timely Report Suspected Abuse, Neglect, or Theft
Penalty
Summary
The facility failed to timely report suspected abuse, neglect, or theft and did not report the results of the investigation to the proper authorities. This deficiency was identified based on the facility's lack of prompt action in notifying the appropriate agencies when an incident of suspected abuse, neglect, or theft occurred. The report indicates that the required notifications and investigation results were not communicated as mandated.
Failure to Safeguard Resident Information and Maintain Medical Records
Penalty
Summary
The facility failed to safeguard resident-identifiable information and/or maintain medical records for each resident in accordance with accepted professional standards. This deficiency was identified through surveyor observation and review, indicating that the required protocols for protecting confidential resident information and ensuring proper documentation of medical records were not consistently followed. No additional details regarding specific residents, their medical history, or the exact nature of the records involved are provided in the report.
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Illustrative
What surveyors actually found near you
We read the 45 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Covington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Covington Post Acute | 1.8 mi | ★★★★★ | 9 | 0 |
| Gallaway Health And Rehab | 14.8 mi | ★★★★★ | 3 | 1 |
| Ripley Healthcare And Rehab Center | 15.4 mi | ★★★★★ | 3 | 0 |
| Lauderdale Community Living Center | 16 mi | ★★★★★ | 29 | 1 |
| Millington Healthcare Center | 18.6 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.