Magnolia Creek Nursing and Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 67 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (11 vs median 5.0)
Bottom 25% in TN · Below recommended RN staffing · Worst in SIMCHA HYMAN & NAFTALI ZANZIPER chain · $41,399 in fines
What this means for your family
This facility has a dedicated memory care unit and a strong rehabilitation team that many families appreciate. However, the recurring reports of poor communication and neglectful care are critical red flags. Before choosing this facility, we strongly recommend visiting in person to observe staff-to-resident interactions and asking specifically about their protocol for family updates and resident hygiene assistance.
Google Reviews
Google Reviews
67 reviews on Google“Magnolia Creek Nursing and Rehabilitation receives highly polarized feedback, with many families praising the facility as a caring, family-oriented environment, while others report severe concerns regarding neglect and communication. While some reviewers highlight excellent rehab outcomes and attentive staff, others describe disturbing instances of poor hygiene, unresponsiveness to family inquiries, and inadequate medical care. Prospective families should be aware of these significant inconsistencies in the quality of care provided.”
Quality Themes
Tap a score for detailsStrengths
- Warm, attentive nursing and care staff
- Effective rehabilitation therapy department
- Engaging memory care activities
- Family-oriented and welcoming environment
Concerns
- Difficulty reaching staff by phone or getting updates on residents (mentioned by 4 reviewers)
- Poor hygiene and lack of assistance with basic needs (feeding, grooming) (mentioned by 3 reviewers)
- Neglect of medical conditions (bed sores, catheter care) (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 68 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1I noticed the facility has a large capacity of 156 residents; what specific protocols do you have in place to ensure that each resident receives consistent, personalized attention for daily hygiene and grooming needs?
- 2Communication is very important to our family; what is the most reliable way for us to receive regular updates on our loved one’s health status, and who is our primary point of contact for these check-ins?
- 3Given the recent focus on enhancing medical oversight, could you walk us through your current procedures for monitoring skin integrity and managing specialized needs like catheter care?
- 4We see that your rehabilitation department is highly regarded; how do you integrate those therapy goals into the daily routine for residents who are not in active rehab sessions?
- 5I see that you have been active in responding to some family feedback online; how does that feedback loop influence the changes you make to your daily operations or staff training?
- 6What steps are being taken to ensure that residents receive timely assistance during meal times, especially for those who may need extra support with feeding?
Personalized based on this facility's data
Key Review Excerpts
“My mother has been on the memory care floor for 2yrs now, the staff are always friendly and try to keep me up to date on her progress.”
“My sister is well cared for. Thank you very much. I highly recommend this facility to anyone who is looking for personal and professional care for your loved one.”
“I have called numerous times, most often don’t get an answer; and when I do, there is always an excuse for why they can’t let me talk to her; I.e. it’s shift change and we will call you back, it’s med pass, I’ll call you back, it’s lights out call back tomorrow…it’s like my friend is in PRISON!!!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
5
measures
1
measures
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Recent family complaints triggered serious inspections finding deficiencies in abuse reporting, treatment quality, and medical record protection. Magnolia Creek shows recurring problems with medication management, safety hazards, and infection control across multiple years. While all violations appear corrected, the pattern of repeated issues in core care areas—including medication errors, safety supervision, and resident rights—suggests ongoing operational challenges families should investigate during visits.
Sep 17, 2025Routine7
Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Aug 12, 2025Complaint4
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jun 8, 2023Complaint1
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Dec 9, 2021Routine15
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights Deficiencies
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.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
Put firmly secured handrails on each side of hallways.
Aug 21, 2019Routine7
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Pharmacy Service Deficiencies
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.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Oct 25, 2018Routine22
Egress Deficiencies
Add 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.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies
Include a process for Emergency Preparedness collaboration.
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Emergency Preparedness Deficiencies
Establish policies and procedures for sheltering.
Emergency Preparedness Deficiencies
Establish policies and procedures for volunteers.
Emergency Preparedness Deficiencies
Develop a communication plan.
Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Emergency Preparedness Deficiencies
Provide a means of sharing information on occupancy/needs.
Emergency Preparedness Deficiencies
Provide family notifications of emergency plan.
Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Emergency Preparedness Deficiencies
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Federal Penalties
Fine
Aug 12, 2025
$16,985
Ownership & Operations
Who Operates This Facility
Magnolia Creek Nursing and Rehabilitation
for profit
Chain Affiliation
Simcha Hyman & Naftali Zanziper
85 facilities nationwide
Chain avg rating: 2.3/5 · Rank 81 of 94 (Worst)
Ownership & Management
Owners
Vujanovic, Mick
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
67 reviews from families & visitors
Official Website
Visit magnoliacreekrehab.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.