Magnolia Manor of Midway: Allergy Medication Harm - GA
The medication was Bactrim DS. The allergy contraindication was in the electronic record. The director of nursing, known in the report as the DON, told inspectors she had never received a call from the pharmacy alerting her to the conflict and had not called the pharmacy herself to flag the interaction. She said allergies were entered into the system at admission and during medication reconciliation, visible in the chart's ribbon. None of that stopped the medication from reaching the resident.
The DON also told inspectors that telephone orders were being handled wrong. Nurses were passing orders to other nurses by phone, a practice she said should not happen. Orders received after hours from a provider who called the unit manager directly should have been entered by that manager from home. They weren't.
The administrator, interviewed on October 8, said nurses had since been educated on how to verify with a provider before completing an override. She said the electronic medical record had been updated to include additional alerts and that a new communication tool had been created to improve provider contact. The pharmacy, she explained, sends alerts through the electronic record and by fax, and additional alerts requiring signatures arrive with the nightly medication courier.
When asked whether the electronic record update came before or after the incident involving the resident, the administrator said she was unsure.
She added that staff education should be completed by the time of the inspection, with night shift still expected to receive it.
The resident was monitored and had vitals tracked following the reaction. Inspectors rated the violation as causing actual harm, affecting a small number of residents.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Magnolia Manor of Midway from 2025-10-09 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 23, 2026 · Our methodology
MAGNOLIA MANOR OF MIDWAY in MIDWAY, GA was cited for violations during a health inspection on October 9, 2025.
The allergy contraindication was in the electronic record.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.