Magnolia Manor
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 13 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 staffing rating (2/5 stars)
- Above-median deficiencies (12 vs median 8.0)
- High staff turnover (56%)
Above average in Texas · Critically understaffed (RN) · $229,827 in fines
What this means for your family
The facility is highly regarded for its cleanliness and the dedication of its nursing leadership. However, because of a documented report of severe neglect and falls, families should conduct an in-person visit and ask specific questions regarding their fall prevention protocols and monitoring.
Google Reviews
Google Reviews
13 reviews on Google“Magnolia Manor is frequently praised for its cleanliness and the professional, friendly nature of its staff, with specific recognition given to leadership. However, a critical review highlights a severe instance of patient neglect involving multiple falls, which should be investigated by any prospective family.”
Quality Themes
Tap a score for detailsStrengths
- Clean and well-maintained facility
- Friendly and professional staff
- Dedicated leadership/ADON
Concerns
- Severe patient neglect and safety issues
Rating Trends
Tap a year to see what changed
Distribution · 14 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard wonderful things about the cleanliness of the facility and the professionalism of the leadership team; how does the administration ensure that high standard of care is maintained daily?
- 2With the recent focus on improving health inspection outcomes, what specific steps is Magnolia Manor taking to address recent deficiencies and enhance resident safety?
- 3How does the nursing team manage staffing levels during overnight shifts to ensure every resident receives attentive, personalized care?
- 4What is the protocol for handling a medical emergency after hours, and how quickly can a physician be reached?
- 5We would love to hear more about the daily schedule—what kind of social activities or outings are available to keep the residents engaged?
- 6How does the staff ensure that residents' individual needs are met promptly to prevent any lapses in personal care or attention?
Personalized based on this facility's data
Key Review Excerpts
“Great establishment and professional workers. One stood out in particular, ADON Ramona Barnes was literally working throughout the facility. Ramona is well respected at Magnolia Manor and her work ethic and dedication and the respect that she gives is definitely why.”
“Horrible beyond words. My mother was so neglected! Broke her hip twice within 6 months. Awful place.”
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
14
measures
2
measures
1
measures
Residents vaccinated for pneumonia
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 vaccinated for the flu
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Magnolia Manor has significant concerns with families filing multiple complaints that triggered inspections revealing serious issues in abuse prevention, pain management, and resident rights. The facility shows recurring problems across care planning, medication management, and fire safety systems that persist across multiple surveys from 2023 to 2025. While the facility addresses deficiencies when cited, the pattern of repeated violations and family-initiated complaints suggests ongoing quality concerns that warrant careful consideration.
Jul 2, 2025Routine9
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Mar 11, 2025Complaint6
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Apr 24, 2024Routine12
Environmental Deficiencies
Keep all essential equipment working safely.
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Apr 24, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Mar 21, 2024Complaint2
Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Feb 15, 2023Routine5
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Federal Penalties
Fine
Mar 11, 2025
$225,929
Fine
Mar 21, 2024
$4,350
Ownership & Operations
Who Operates This Facility
Tyler County Hospital District
for profit
CRESTHAVEN HEALTH CARE CENTER LTD CO
DELPHIA L SMITH
Chain Affiliation
Cantex Continuing Care
38 facilities nationwide
Chain avg rating: 3.2/5 · Rank 24 of 37
Ownership & Management
Owners
Tyler County Hospital District
Owner · Organization
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
13 reviews from families & visitors
Official Website
Visit cantexcc.com
Medicare data downloads
Original nursing home datasets
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