Below 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 Healthcare And Rehabilitation Center during CMS and state inspections, most recent first.
Unsecured razors were found unattended on the back of a shared sink in the room of two cognitively intact residents. One resident had COPD, HF, depression, HTN, and antiplatelet therapy, while the other had DVT, pneumonia, malnutrition, asthma, and an apixaban order. Facility policy required sharps to be placed in appropriate containers at the point of use, and both the LPN and DON stated the razors should not have been left unsecured in the room.
A resident with hemiplegia, adult failure to thrive, abnormal weight loss, and severe cognitive impairment had a physician order for daily weights at 6:00 AM, but the MAR showed multiple missed weights over several months. The DON stated there should not be blanks on the MAR and that the weights should have been done daily.
Surveyors found unsecured medications in a medication room and in two residents’ rooms. In the med room, lorazepam vials were stored in an unlocked box in the refrigerator, and staff stated the box should be locked and secured. Two cognitively intact residents also had unsecured bedside medications: one had arthritis gel and another had wound cleanser, while the DON stated resident meds should be kept in the med cart and wound cleanser stored in a cabinet or drawer.
Kitchen Food Storage and Sanitation Deficiencies: Surveyors found an empty soap dispenser at the only hand-washing station, a microwave with dried food splatter, a deep fryer with dark brown oil and food particles, and buildup on the floor, oven doors, and drying rack. They also found unlabeled, undated, expired, and moldy food items in the walk-in refrigerator, dry storage, and nutritional refrigerator, and the DM and RD acknowledged several items should have been discarded or properly labeled.
The facility failed to follow infection control practices during wound care, catheter care, and EBP. An LPN did not perform hand hygiene before or between glove changes while providing wound care to a resident with a stage 3 sacral pressure ulcer, and hand hygiene was done only after leaving the room. In another resident's room, the indwelling urinary catheter bag was observed on the floor on two occasions. A medication cart was also observed inside the room of a resident on EBP, even though the DON stated it should remain in the hall.
Unsecured razors left unattended in shared resident room
Penalty
Summary
The facility failed to ensure the environment was free from accident hazards when sharps were found unattended and unsecured in the shared room of two residents. Facility policy titled, Regulated [Biohazard] Medical Waste, stated that regulated medical waste includes sharp items and that contaminated sharps are to be placed in appropriate sharps containers located at the point of use. However, observations in the shared room of Residents #30 and #65 on 3/30/2026 at 11:28 AM, 12:24 PM, and 2:54 PM revealed 3 navy disposable razors on the back of the shared pedestal sink. Resident #30 was admitted with diagnoses including COPD, HF, depression, and HTN, had a BIMS score of 15 indicating cognitive intactness, required set-up assistance with bathing, and had a care plan noting antiplatelet therapy. Resident #65 was admitted with diagnoses including DVT, pneumonia, malnutrition, and asthma, had a BIMS score of 15 indicating cognitive intactness, required set-up assistance with personal hygiene, and had an order for apixaban 5 mg every 12 hours. During an observation and interview in the shared room, the LPN stated the razors should not be left unsecure and unattended in the residents' room, and the DON also stated they should not be left unsecure and unattended.
Missed Daily Weights for Resident with Weight Loss
Penalty
Summary
The facility failed to ensure staff obtained daily weights for Resident #16 as ordered by the physician. Resident #16 was readmitted with diagnoses including Hemiplegia, Adult Failure to Thrive, and Abnormal Weight Loss, and the admission MDS showed a BIMS score of 6, indicating severe cognitive impairment. A physician order dated 1/29/2026 directed staff to weigh the resident daily at 6:00 AM, but the MAR showed missed daily weights on 1/31/2026, 2/14/2026, and multiple dates in March 2026, including 3/2, 3/6, 3/8, 3/10, 3/11, 3/15, 3/18, and 3/21 at 6:00 AM. During interview, the DON stated there should not be blanks on the MAR and the weights should have been done daily.
Unsecured controlled substances and resident medications
Penalty
Summary
The facility failed to ensure drugs and biologicals were stored in locked compartments, including separately locked compartments for controlled drugs, as required by its medication storage policy. In the South Short Hall medication room, surveyors observed 1 open and 2 unopened vials of lorazepam 20 mg/10 ml, a Schedule IV controlled substance used to treat anxiety, in a clear unlocked box inside the refrigerator. An LPN attempted to lock the box but the keys did not fit, and both the LPN and the UM stated the box should be locked and secured. The DON also stated lorazepam in the refrigerator would be in a locked box and secured. The facility also failed to secure medications in resident rooms for two cognitively intact residents. Resident #8, who had diagnoses including anxiety, depression, and opioid dependence and a BIMS score of 15, had 3 tubes of arthritis gel at the bedside unsecured and unattended during two observations. Resident #24, who had diagnoses including paraplegia, diabetes, and neuromuscular dysfunction of the bladder and a BIMS score of 15, had 2 bottles of wound cleanser at the bedside unsecured and unattended during two observations. Staff acknowledged the medications were present at bedside, and the DON stated resident medications should be in the med cart and that wound cleanser should be stored in a cabinet or drawer.
Kitchen Food Storage and Sanitation Deficiencies
Penalty
Summary
Food was not stored and prepared under sanitary conditions in the kitchen and related storage areas. During the initial tour, the hand-washing station had no soap in the dispenser, the microwave had dried food particles splattered on the inside, 18 cartons of milk dated 3/28/2026 were stored in a black crate on top of the standing cooler, the deep fryer contained dark brown oil with large amounts of food particles floating in it, and the floor underneath the deep fryer had thick black buildup. The Dietary Manager stated this was the only hand-washing station in the kitchen and acknowledged that soap should be available. Additional observations in the walk-in refrigerator showed 2 opened and undated 16-ounce packages of margarine, undated tomatoes, a gallon of apple juice concentrate with a foam layer and a use-by date of 2/4/2026, cooked spaghetti with a use-by date of 3/27/2026, boiled eggs with a use-by date of 3/27/2026, and chopped cucumbers with a use-by date of 3/27/2026. In the dry storage room, surveyors found a large box of bananas black in color with a white powdery substance growing on them, a bag of biscuits with a green and white fuzzy substance and a use-by date of 3/13/2026, 2 boxes of undated croissant rolls, and an opened and undated package of flour tortillas. The Dietary Manager stated the expired and moldy items should be discarded. Further observations showed a metal muffin pan with dried food particles and thick dust on the drying rack, and the warming oven had thick orange and brown buildup on the inside of the doors. In the nutritional refrigerator, surveyors found an opened, undated, and uncovered ice cream cake, an unlabeled and undated fast food box, an undated platter of toast, bacon, and a bowl of yellow substance from an outside restaurant, a swollen plastic container of salad, an unlabeled and undated container of pineapple, an opened container of med pass dated 2/17/2026, and an opened and undated bottle of water. The Dietary Manager and RD both acknowledged that several of these items should have been labeled, dated, or discarded, and the RD stated she had performed one audit that was extensive and concerning.
Infection Control Lapses During Wound Care, Catheter Care, and EBP
Penalty
Summary
The facility failed to maintain infection prevention and control practices during wound care, catheter care, and Enhanced Barrier Precautions for two sampled residents. The facility policy review stated that staff must follow hand hygiene practices, perform hand hygiene before and after glove use, and prevent transmission through proper handling of resident equipment and the environment. Policies also addressed indwelling catheter care and wound care, including providing appropriate care in accordance with current professional standards. Resident #16 was admitted with diagnoses including hemiplegia, adult failure to thrive, and a stage 3 pressure ulcer to the sacrum. The admission MDS showed a BIMS score of 6, indicating severe cognitive impairment, and the resident was dependent on staff for ADLs. During observed wound care, an LPN did not perform hand hygiene before donning a gown and gloves, and repeatedly changed gloves without performing hand hygiene between steps while removing the dressing, cleansing the wound with Dakins solution, applying honey alginate, and covering the wound with a foam dressing. The LPN performed hand hygiene only after exiting the room. When interviewed, the LPN stated hand hygiene was done after patient care, and the DON stated hand hygiene should be done after every glove change and confirmed nurses were expected to perform hand hygiene during wound care. Resident #24 was admitted with diagnoses including paraplegia, diabetes, and neuromuscular dysfunction of the bladder. The quarterly MDS showed a BIMS score of 15, indicating cognitive intactness. On two observations, the resident's indwelling urinary catheter bag was found lying on the floor. The DON stated the bag should not be on the floor and should be in the privacy bag on the side of the bed, and an LPN stated the bag being on the floor was a risk for infection. In a separate observation, an LPN removed a medication cart from the room of a resident on Enhanced Barrier Precautions, and the DON stated the cart should not have been in the room and should stay in the hall.
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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 Columbia
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Nhc Healthcare, Columbia | 0.3 mi | ★★★★★ | 0 | 0 |
| Life Care Center Of Columbia | 1.2 mi | ★★★★★ | 0 | 0 |
| Nhc-maury Regional Transitional Care Center | 1.4 mi | ★★★★★ | 0 | 0 |
| Mt Pleasant Healthcare And Rehabilitation | 9 mi | ★★★★★ | 0 | 0 |
| The Reserve At Spring Hill | 13.5 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.