Magnolia Creek Nursing and Rehabilitation
1992 Hwy 51 S · Covington, TN · 38019 · 9014761820
156 certified beds For profit - Individual Chain: Simcha Hyman & Naftali Zanziper
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.32 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.41 | 0.55–0.75 |
| Weekend hours / resident-day | 3.02 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | 1 · $16,985 |
Inspection citations (29 in the current record)
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Potential for harm · D September 17, 2025
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected October 2, 2025 · Resident Rights
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Potential for harm · D September 17, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 2, 2025 · Quality of Life and Care
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Potential for harm · D September 17, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected October 2, 2025 · Quality of Life and Care
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Potential for harm · D September 17, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 2, 2025 · Pharmacy Service
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Potential for harm · D September 17, 2025
Ensure 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.
Corrected October 2, 2025 · Pharmacy Service
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Potential for harm · D September 17, 2025
Provide and implement an infection prevention and control program.
Corrected October 2, 2025 · Infection Control
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Potential for harm · D September 17, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected October 2, 2025 · Environmental
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Immediate jeopardy · J August 12, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 2, 2025 · Quality of Life and Care
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Potential for harm · D August 12, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 2, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 12, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected September 2, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 12, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 2, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J June 8, 2023 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected July 3, 2023 · Quality of Life and Care
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Actual harm · G December 9, 2021
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 23, 2022 · Resident Assessment and Care Planning
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Actual harm · G December 9, 2021
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 23, 2022 · Quality of Life and Care
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Potential for harm · D December 9, 2021
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 23, 2022 · Resident Rights
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Potential for harm · E December 9, 2021
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected January 23, 2022 · Resident Rights
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Potential for harm · E December 9, 2021
Honor 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.
Corrected January 23, 2022 · Resident Rights
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Potential for harm · D December 9, 2021
Respond appropriately to all alleged violations.
Corrected January 23, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 9, 2021
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 23, 2022 · Quality of Life and Care
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Potential for harm · D December 9, 2021
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 23, 2022 · Quality of Life and Care
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Potential for harm · D December 9, 2021
Ensure medication error rates are not 5 percent or greater.
Corrected January 23, 2022 · Pharmacy Service
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Potential for harm · E December 9, 2021
Ensure 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.
Corrected January 23, 2022 · Pharmacy Service
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Potential for harm · F December 9, 2021
Ensure 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.
Corrected January 23, 2022 · Nutrition and Dietary
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Potential for harm · E December 9, 2021
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 23, 2022 · Nutrition and Dietary
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Potential for harm · F December 9, 2021
Provide and implement an infection prevention and control program.
Corrected January 23, 2022 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 12, 2025 | Fine | $16,985 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445461 · certified since October 1, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.