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MAGNOLIA CREEK NURSING AND REHABILITATION Inspection Report, Violations & Safety Grade (COVINGTON, Tennessee)

1992 HWY 51 S, COVINGTON, Tennessee 38019

Phone: 9014761820

CMS Overall:1/5

Overview & Bed Count

Certified Beds
156
Avg Residents/Day
86.6
Ownership
For profit - Individual
Provider Type
Medicare and Medicaid
County
Tipton
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health1/5
Staffing2/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityTennessee AvgDifference
RN Hours per Resident per Day0.440.60-0.15
Total Nurse Hours per Resident per Day3.353.82-0.47
CMS Staffing Rating2/52.5/5-
Nursing Staff Turnover41.3%48.6%-

Health Citation History

28 health citations on record

DateCategoryDescriptionSeverity
2025-09-17Resident Rights DeficienciesNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.D – Moderate Harm Potential
2025-09-17Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-09-17Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D – Moderate Harm Potential
2025-09-17Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2025-09-17Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D – Moderate Harm Potential
2025-09-17Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-09-17Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D – Moderate Harm Potential
2025-08-12Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.J – Immediate Jeopardy
2025-08-12Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2025-08-12Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2025-08-12Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2021-12-09Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.G – Actual Harm
2021-12-09Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G – Actual Harm
2021-12-09Nutrition and Dietary DeficienciesEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.F – Moderate Harm Potential
2021-12-09Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2021-12-09Resident Rights DeficienciesNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.E – Moderate Harm Potential
2021-12-09Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2021-12-09Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E – Moderate Harm Potential
2021-12-09Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2021-12-09Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2021-12-09Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2021-12-09Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential
2021-12-09Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2021-12-09Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2021-12-09Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D – Moderate Harm Potential
2021-12-09Environmental DeficienciesPut firmly secured handrails on each side of hallways.D – Moderate Harm Potential
2019-08-21Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2019-08-21Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D – Moderate Harm Potential

Fire Safety Citation History

27 fire safety citations on record

DateCategoryDescriptionSeverity
2019-08-21Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2019-08-21Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2019-08-21Smoke DeficienciesInstall an approved automatic sprinkler system.D – Moderate Harm Potential
2019-08-21Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2019-08-21Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.D – Moderate Harm Potential
2018-10-25Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.D – Moderate Harm Potential
2018-10-25Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2018-10-25Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2018-10-25Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.D – Moderate Harm Potential
2018-10-25Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.D – Moderate Harm Potential
2018-10-25Miscellaneous DeficienciesHave restrictions on the use of portable space heaters.D – Moderate Harm Potential
2018-10-25Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.D – Moderate Harm Potential
2018-10-25Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2018-10-25Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential
2018-10-25Emergency Preparedness DeficienciesConduct risk assessment and an All-Hazards approach.C – Minimal Harm Potential
2018-10-25Emergency Preparedness DeficienciesInclude a process for Emergency Preparedness collaboration.C – Minimal Harm Potential
2018-10-25Emergency Preparedness DeficienciesEstablish policies and procedures including evacuation.C – Minimal Harm Potential
2018-10-25Emergency Preparedness DeficienciesEstablish policies and procedures for sheltering.C – Minimal Harm Potential
2018-10-25Emergency Preparedness DeficienciesEstablish policies and procedures for volunteers.C – Minimal Harm Potential
2018-10-25Emergency Preparedness DeficienciesDevelop a communication plan.C – Minimal Harm Potential
2018-10-25Emergency Preparedness DeficienciesProvide emergency officials' contact information.C – Minimal Harm Potential
2018-10-25Emergency Preparedness DeficienciesProvide primary/alternate means for communication.C – Minimal Harm Potential
2018-10-25Emergency Preparedness DeficienciesProvide a means of sharing information on occupancy/needs.C – Minimal Harm Potential
2018-10-25Emergency Preparedness DeficienciesProvide family notifications of emergency plan.C – Minimal Harm Potential
2018-10-25Emergency Preparedness DeficienciesEstablish emergency prep training and testing.C – Minimal Harm Potential
2018-10-25Emergency Preparedness DeficienciesEstablish staff and initial training requirements.C – Minimal Harm Potential
2018-10-25Emergency Preparedness DeficienciesConduct testing and exercise requirements.C – Minimal Harm Potential

Total Penalties & Fines

$16,985
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2025-08-12Fine$16,985-

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