Magnolia Manor at Northern Neck Senior Care Community
Reviewer concerns include severe patient neglect and hygiene issues (mentioned by 2 reviewers) — investigate before committing.
based on 5 Google reviews
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What this means for your family
This facility presents significant risks, with multiple reports of medical neglect, hygiene failures, and lack of promised therapy. If you choose to use this facility, you must implement rigorous daily monitoring of hygiene and medication, as reviewers have documented serious lapses in basic care.
Google Reviews
Google Reviews
5 reviews on Google“Families should exercise extreme caution as multiple reviewers report severe issues including medical neglect, lack of hygiene care, and unorganized operations. While one reviewer noted polite phone interactions, the prevailing themes are serious allegations of patient neglect, inadequate therapy, and poor administrative oversight.”
Quality Themes
Tap a score for detailsStrengths
- Polite phone staff
Concerns
- Severe patient neglect and hygiene issues (mentioned by 2 reviewers)
- Inadequate or non-existent therapy services (mentioned by 2 reviewers)
- Poor communication and unorganized operations (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 5 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1I noticed your phone staff is very polite and welcoming; how does that same level of attentiveness carry over to the in-person care provided by the floor staff?
- 2Could you walk me through your daily routine for maintaining cleanliness and hygiene in the residents' private rooms and common areas?
- 3What specific protocols do you have in place to ensure medication management is accurate and that there are no lapses in care?
- 4How does the facility handle medical emergencies or sudden changes in a resident's health during the overnight hours?
- 5What kind of specialized programming or support is available specifically for residents who may need extra help with memory care?
- 6How do you ensure that communication between the care team and family members stays consistent and organized?
Personalized based on this facility's data
Key Review Excerpts
“Staff shutting doors to the rooms, leaving patients sitting in soiled diaper for THREE HOURS (MIL wants to use the toilet but no one gets her out of the bed).”
“I struggle to give one star. Operations is unorganized. There wasn’t any information provided on how things worked. I had to call a meeting.”
“Their neglect 0f care and the doctors incompetence lead to my mother dying was there for months for therapy and went down hill after being there without any explanation and no follow up or follow through”
State Inspection History
State Inspections
Source: VA State Licensing Agency
Nov 24, 2025Routine
Type of inspection: Renewal Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 11-24-25 from 10:30 a.m.- 3:30 p.m. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 33 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 4 Number of staff records reviewed: 3 Number of interviews conducted with residents: 3 Number of interviews conducted with staff: 3 Additional Comments/Discussion: The following items were also reviewed/observed: facility documentation, facility postings, first aid kit, medication pass, physician?s orders, medication administration records. An exit meeting was conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Kimberly Davis, Licensing Inspector at (804) 356-3572 or by email at Kimberly.M.Davis@dss.virginia.gov
Based on a review of staff records the facility failed to ensure that each staff person shall annually submit the results of a risk assessment, documenting that the individual is free of tuberculosis (TB) in a communicable form as evidenced by the completion of the current screening form published by the Virginia Department of Health or a form consistent with it. Evidence: The record for Staff # 2 (date of hire: 12-17-23) contained a TB screening last dated 12-19-23. This was confirmed by staff.
Based on a review of resident records the facility failed to ensure that the rights and responsibilities of residents in assisted living facilities shall be reviewed annually with each resident or his legal representative or responsible individual and each staff person. Evidence of this review shall be the resident's, his legal representative's or responsible individual's, or staff person's written acknowledgment of having been so informed, which shall include the date of the review and shall be filed in the resident's or staff person's record. Evidence: The record for Staff # 2 (date of hire: 12-17-23 contained a written acknowledgment of the review of the rights and responsibilities of residents in assisted living facilities last dated 11-30-23. This was confirmed by staff.
Based on a review of facility documentation the facility failed to ensure that a record of the required fire and emergency evacuation drills shall be kept in the facility for two years. Such record shall include: 1. Identity of the person conducting the drill; 2. The date and time of the drill; 3. The method used for notification of the drill; 4. The number of staff participating; 5. The number of residents participating; 6. Any special conditions simulated; 7. The time it took to complete the drill; 8. Weather conditions; and 9. Problems encountered, if any. Evidence: The facility provided a Fire Drill Report form for the months of August, September, and October 2025 that did not record the number of residents participating, any special conditions simulated, the time it took to complete the drill, weather conditions, and problems encountered, if any. This was confirmed by staff.
Nov 20, 2024Routine
Type of inspection: Renewal Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 11-20-24 from 10:35 a.m.-2:05 p.m. and 11-25-24 from 11:05 a.m.-1:50 p.m. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 32 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 4 Number of interviews conducted with residents: 3 Number of interviews conducted with staff: 2 Additional Comments/Discussion: The following items were also reviewed/observed during the inspection: facility documentation, facility postings, lunch meal/menu, first aid kit, medication pass, physician?s orders, and medication administration records. An exit meeting was conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Kimberly Davis, Licensing Inspector at (804) 662-7578 or by email at Kimberly.M.Davis@dss.virginia.gov
Based on a review of staff records the facility failed to ensure that the orientation and training required in subsections B and C of this section shall occur within the first seven working days of employment. Evidence: The record for Staff # 2 (date of hire: 8-17-24) did not contain documentation of orientation, as confirmed by Staff # 1.
Based on a review of staff records the facility failed to ensure that each staff person on or within seven days prior to the first day of work at the facility prior to coming in contact with residents shall submit the results of a risk assessment, documenting the absence of Tuberculosis (TB) in a communicable form as evidenced by the completion of the current screening form published by the Virginia Department of Health or a form consistent with it. Evidence: The record for Staff # 2 (date of hire: 9-17-24) did not contain the results of a TB risk assessment as evidenced by the completion of the current screening form published by the Virginia Department of Health or a form consistent with it, as confirmed by Staff # 1.
Based on a review of staff records the facility failed to ensure that each direct care staff member shall maintain current certification in first aid. Evidence: The record for Staff # 3 (date of hire: 8-21-24) did not contain documentation of first aid certification, as confirmed by Staff # 1.
Based on a review of resident records the facility failed to ensure that based upon review of the UAI
Based on a review of resident records the facility failed to ensure that within the 30 days preceding admission, a person shall have a physical examination by an independent physician. Evidence: The record for Resident # 3 (admit date: 10-26-24) contained a physical examination dated 10-31-24.
Based on a review of resident records the facility failed to ensure that a copy of the written discharge statement shall be retained in the resident's record. Evidence: The record for Resident # 4 (discharge date 5-31-24) did not contain a written discharge statement upon review, as confirmed by Staff # 1.
Based on a review of facility documentation the facility failed to ensure that it shall comply with the Virginia Statewide Fire Prevention Code (13VAC5-51) as determined by at least an annual inspection by the appropriate fire official. Evidence: The facility?s last fire inspection was dated 5-24-23.
Based on an interview with staff, the facility failed to ensure that at least once every six months, all staff currently on duty on each shift shall participate in an exercise in which the procedures for resident emergencies are practiced. Documentation of each exercise shall be maintained in the facility for at least two years. Evidence: The facility was unable to provide documentation of a practice exercise for resident emergencies for all staff on duty on each shift, as confirmed by Staff # 1.
Nov 2, 2023Routine
Type of inspection: Renewal Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 11-2-23 from 10:36 a.m.-3:45 p.m. and 11-17-23 from 8:35 a.m.-10:40 a.m. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 25 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 6 Number of staff records reviewed: 3 Number of interviews conducted with residents: 3 Number of interviews conducted with staff: 3 Additional Comments/Discussion: The following items were also reviewed/observed during the inspection-facility documentation, facility postings, first aid kit, menu, resident activities, medication pass, physician?s orders, and medication administration records. An exit meeting was conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Kimberly Davis, Licensing Inspector at (804) 662-7578 or by email at Kimberly.M.Davis@dss.virginia.gov
Based on a review of staff records the facility failed to ensure that each staff person on or within seven days prior to the first day of work at the facility prior to coming in contact with residents shall submit the results of a risk assessment, documenting the absence of Tuberculosis (TB) in a communicable form as evidenced by the completion of the current screening form published by the Virginia Department of Health or a form consistent with it. Evidence: The record for Staff # 1 (date of hire:10-17-23) contained a TB assessment that did not document the absence of TB in a communicable form.
Jul 18, 2023Routine
Type of inspection: Monitoring Date(s) of inspection and time the licensing inspector was on-site at the facility for each day of the inspection: 7-18-23 from 10:37 a.m. to 5:10 p.m. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: 27 The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 6 Number of staff records reviewed: 3 Number of interviews conducted with residents: 5 Number of interviews conducted with staff: 3 Additional Comments/Discussion: The following items were also reviewed/observed during the inspection- facility documentation, facility postings, first aid kit, emergency food/water, medication pass, physician?s orders, and Medication Administration Records. An exit meeting was conducted to review the inspection findings. The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law. If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview. Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected. Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area. Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Kimberly Davis, Licensing Inspector at (804) 662-7578 or by email at Kimberly.M.Davis@dss.virginia.gov
Based on a review of staff records the facility failed to ensure that in a facility licensed for both residential and assisted living care, all direct care staff shall attend at least 18 hours of training annually. EXCEPTION: Direct care staff who are licensed health care professionals or certified nurse aides shall attend at least 12 hours of annual training. Evidence: -The record Staff # 1 (date of hire: 10-16-21) did not contain documentation of at least 12 hours of annual training. -The record for Staff # 2 (date of hire: 6-16-22) did not contain documentation of at least 18 hours of training annually.
Based on a review of staff records the facility failed to ensure that at least two of the required hours of direct care staff training shall focus on infection control and prevention. Evidence: The record for Staff # 2 (date of hire: 6-16-22) did not contain documentation of at least two hours of infection control training.
Based on a review of staff records the facility failed to ensure that each direct care staff member who does not have current certification in first aid shall receive certification in first aid within 60 days of employment. Evidence: The record for Staff # 3 (date of hire: 5-11-23) did not contain documentation of first aid certification.
Based on a review of resident records the facility failed to ensure that a copy of the written discharge statement shall be retained in the resident's record. Evidence: The record for Resident # 1 (discharge date: 1-31-22) and Resident # 2 (discharge date: 4-19-23) did not contain a written discharge statement.
Based on a review of resident records the facility failed to ensure that the rights and responsibilities of residents in assisted living facilities shall be reviewed annually with each resident or his legal representative or responsible individual. Evidence of this review shall be the resident's, his legal representative's or responsible individual's written acknowledgment of having been so informed, which shall include the date of the review and shall be filed in the resident's or staff person's record. Evidence: -The record for Resident # 4 (admit date: 8-30-2020) contained an acknowledgment of resident rights last dated 2-24-21. -The record for Resident # 5 (admit date: 1-11-17) contained an acknowledgment of resident rights last dated 2-26-21.
Based on a review of resident records the facility failed to ensure that the resident's record shall contain the physician's or other prescriber's signed written order or a dated notation of the physician's or other prescriber's oral order. Orders shall be organized chronologically in the resident's record. Evidence: 3 of 3 resident records reviewed during the medication pass did not contain signed physician?s orders.
Based on a review of facility documentation the facility failed to ensure that the facility shall develop and implement an orientation and semi-annual review on the emergency preparedness and response plan for all staff, residents, and volunteers, with emphasis placed on an individual's respective responsibilities. The review shall be documented by signing and dating. The orientation and review shall cover responsibilities for: 1. Alerting emergency personnel and sounding alarms; 2. Implementing evacuation, shelter in place, and relocation procedures; 3. Using, maintaining, and operating emergency equipment; 4. Accessing emergency medical information, equipment, and medications for residents; 5. Locating and shutting off utilities; and 6. Utilizing community support services. Evidence: The facility?s documentation of a review of Emergency Preparedness dated 1-31-23 contained the names of staff, but not residents or volunteers.
Based on a review of facility documentation the facility failed to ensure that at least once every six months, all staff currently on duty on each shift shall participate in an exercise in which the procedures for resident emergencies are practiced. Documentation of each exercise shall be maintained in the facility for at least two years. Evidence: The facility failed to provide documentation of a practice exercise for a resident emergency.
May 2, 2023RoutineCleanReport
Type of inspection: Initial Date(s) of inspection: 5/02/2023. Time the licensing inspector was on-site at the facility for each day of the inspection: 1:30p.m. ? 2:19 p.m. The Acknowledgement of Inspection form was signed and left at the facility for each date of the inspection. Number of residents present at the facility at the beginning of the inspection: The licensing inspector completed a tour of the physical plant that included the building and grounds of the facility. Number of resident records reviewed: 0 Number of staff records reviewed:0 Number of interviews conducted with residents: 02. Number of interviews conducted with staff: 03. Observations by licensing inspector: Buildings/Grounds, criminal record checks, and Additional Comments/Discussion: The evidence gathered during the inspection determined no violations with applicable standard(s) or law. The inspection summary will be posted to the VDSS website should the facility be issued a license to operate. The department's inspection findings are subject to public disclosure. Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of a licensed facility. For more information about the VDSS Licensing Programs, please visit: www.dss.virginia.gov Should you have any questions, please contact Vashti Colson, Licensing Inspector at (804) 662-9432 or by email at Vashti.Colson@dss.virginia.gov
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