Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Magnolia Manor Of Marion County during CMS and state inspections, most recent first.
The facility failed to ensure the nutritional value of pureed meat by not following recipe instructions. A staff member did not measure ingredients as required, pouring chicken base directly from the container. This was confirmed by the staff member, Certified Food Manager, and Registered Dietitian, who all emphasized the importance of following recipes to maintain nutritional value.
The facility failed to maintain a safe, clean, and homelike environment in six rooms, with issues such as leaking faucets, a broken dresser, a blown light bulb, and dirty blinds. The Maintenance Director was unaware of these issues, despite the use of the TELS system for monitoring maintenance tasks.
A facility failed to obtain a physician order for hand splints for a resident with contractures, leading to inconsistent application. The resident, with conditions such as cerebral palsy and intellectual disabilities, was observed with contracted hands and required staff assistance for daily activities. Despite the care plan indicating a risk for contractures, the splints were only applied nine out of 32 days, with no documentation of refusal. Staff interviews confirmed the inconsistency, resulting in a deficiency identified during a survey.
A facility failed to maintain a medication error rate below five percent, resulting in a 7.69% error rate. An LPN administered furosemide and losartan to a resident with hypertensive chronic kidney disease and other conditions, despite the resident's systolic blood pressure being below the threshold specified in the physician's orders. The error was confirmed by the ADON after reviewing the MAR and discussing with the LPN.
The facility failed to follow infection control practices for four residents, including improper cleaning of a glucometer, lack of sanitization of shared equipment, and inadequate use of PPE during wound care. A resident with diabetes had their glucometer cleaned incorrectly, and shared equipment was not sanitized between uses on two residents. Additionally, a resident on Enhanced Barrier Precautions did not receive proper care as the LPN did not wear the required PPE.
Failure to Follow Pureed Food Recipe
Penalty
Summary
The facility failed to ensure the nutritional value of meat during the pureed process by not following the recipe instructions. Specifically, the staff member responsible for preparing pureed food for 16 residents did not measure all ingredients as required. During an observation, it was noted that the staff member poured chicken base directly from the container without measuring it, which was against the facility's policy and the recipe instructions. This practice was confirmed by the staff member during an interview. Further interviews with the Certified Food Manager and the Registered Dietitian confirmed that the recipe instructions should be followed to maintain the nutritional value of the food. The Registered Dietitian emphasized that not following the recipe could affect the nutritional value of the food. The facility's Administrator also confirmed that the expectation is for the cooks to adhere to the policy and procedure by following the recipe for preparing pureed food.
Facility Fails to Maintain Safe and Homelike Environment
Penalty
Summary
The facility failed to provide a safe, clean, comfortable, and homelike environment for residents in six out of forty-nine rooms. Specifically, rooms 112, 114, and 120 had leaking faucets on the hot water side, causing water to pool on the sink tops. Room 138b had a broken bedside dresser, room 109 had a blown light bulb, and room 139 had dirty blinds and a discolored air conditioning unit. These deficiencies were observed during multiple screenings and confirmed by the Maintenance Director during walking rounds. The Maintenance Director was unaware of the issues needing repair, despite the facility's use of the TELS system, an electronic system designed to monitor maintenance tasks. The Administrator, who has been working at the facility since December 2023, stated that all staff have access to the TELS system and are expected to report needed repairs. However, the system did not alert the Administrator or the Maintenance Director about the required repairs, indicating a lapse in communication or reporting within the facility's maintenance management process.
Failure to Obtain Physician Order for Splints in Resident with Contractures
Penalty
Summary
The facility failed to obtain a physician order for the application of hand splints for a resident with known contractures, which was identified during a survey. The resident, who has diagnoses including intellectual disabilities, cerebral palsy, and anxiety disorder, was observed with contracted hands and was dependent on staff for assistance with daily activities. The resident's care plan indicated a risk for contractures and included the use of splints and braces. However, there was no specific physician order for the splints until the survey date, despite the resident's condition and care needs. Documentation revealed that the splints were applied inconsistently, with records showing they were only applied nine out of 32 days in the month prior to the survey. Interviews with staff confirmed that the splints were not applied daily as required, and there was no documentation of the resident refusing the splints. The Restorative staff was responsible for ensuring the application of the splints, but the lack of documentation indicated that the splints were not consistently applied, leading to the deficiency identified by the surveyors.
Medication Error Rate Exceeds Acceptable Threshold
Penalty
Summary
The facility failed to maintain a medication error rate of less than five percent during medication administration for one resident, resulting in a rate of 7.69%. This deficiency was identified through observation, staff interviews, and record reviews. The facility's policy on medication administration requires nurses to verify patient identity and medication details before administration. However, during an observation, a Licensed Practical Nurse (LPN) administered medications to a resident despite being informed that the resident's systolic blood pressure was below the threshold specified in the physician's orders. The resident involved had diagnoses including hypertensive chronic kidney disease, essential primary hypertension, and morbid obesity. The physician's orders specified that certain medications, furosemide and losartan, should be withheld if the resident's systolic blood pressure was below 110. Despite this, the LPN administered these medications after being informed of a blood pressure reading of 108/68. The Assistant Director of Nursing confirmed the error after reviewing the Medication Administration Record and discussing the incident with the LPN.
Infection Control Deficiencies in Resident Care
Penalty
Summary
The facility failed to adhere to infection control practices for four residents, leading to deficiencies in the care provided. For one resident with Type 2 Diabetes Mellitus, the glucometer was not cleaned according to the manufacturer's guidelines. The LPN used an alcohol swab instead of the recommended disinfectant wipes, and the glucometer was placed on the medication cart without a barrier. This was confirmed by the LPN and the Infection Control Nurse, who both believed that using an alcohol swab was acceptable, contrary to the manufacturer's instructions. Additionally, shared equipment such as a blood pressure cuff was not sanitized between uses on two residents, as observed with a CNA who did not clean the equipment between residents. Furthermore, a resident on Enhanced Barrier Precautions due to a wound did not receive appropriate care, as the LPN performing wound care did not wear the required PPE, only donning gloves. The LPN was under the impression that the precautions were no longer necessary after the wound was downgraded, which was a misunderstanding of the facility's policy and CDC guidelines.
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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 Buena Vista
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Four County Health And Rehabilitation | 19.3 mi | — | 0 | 0 |
| Miona Geriatric & Dementia Center | 19.7 mi | — | 0 | 0 |
| Lillian Carter Health Center By Harborview | 21.6 mi | — | 9 | 0 |
| Taylor County Health And Rehabilitation | 22.3 mi | — | 4 | 0 |
| Muscogee Manor & Rehabilitation Ctr | 23 mi | — | 12 | 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 August 2026) and official state health department websites.