Magnolia Manor Of Columbus Nursing Center - East
MAGNOLIA MANOR OF COLUMBUS NURSING CENTER - EAST in COLUMBUS, GA — inspection on August 29, 2025.
Found 4 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of the five-day follow-up it was revealed that . another resident was in the vicinity stating, this is what you get for coming into my room.
Due to the lack of witnesses to the event, it is undetermined whether this resident contributed to the fall occurrence.
Further review of the FRI revealed that although staff were interviewed, no additional residents were interviewed or assessed for injuries. R5 was unable to be interviewed due to her condition.5. A review of R6's undated Face Sheet, located in the EMR under the Face Sheet tab, indicated R6 was admitted to the facility on [DATE] with diagnoses that included chronic obstructive pulmonary disease (COPD), major depressive disorder, and diabetes mellitus with neuropathy.A review of R6's quarterly MDS, with an ARD of 5/14/2025 and located in the EMR under the MDS tab, revealed R6 had a BIMS score of one out of 15, which indicated R6 was severely cognitively impaired. It was recorded that R6 did not exhibit behaviors.A review of R6's FRI, dated 3/27/2025 and provided by the facility, revealed, [R6] verbalized staff was being rough with her while providing care .
Further review of the FRI revealed that although R6 and staff were interviewed, there were no additional residents who were interviewed or assessed for injuries.
During an interview on 8/27/2025 at 9:48 am, the Director of Nursing (DON) was asked if any additional residents were interviewed or assessed during the FRI investigations.
The DON stated she participated in a couple of the investigations, but not all, because they were before she was employed at the facility.
The DON confirmed she did not do any other residents' interviews or physical assessments.
Upon review of the FRIs, the DON was unable to provide documented evidence that resident interviews and assessments had been completed with each incident.
During an interview on 8/29/2025 at 2:46 am, the Administrator was asked what his expectations were related to investigations into Facility Reportable Incidents.
The Administrator stated he would expect a thorough investigation, including resident interviews and assessments, to provide insight into the incidents.
115124 08/29/2025
Magnolia Manor of Columbus Nursing Center - East 2010 Warm Springs Rd Columbus, GA 31904
During the care, CNA1 pulled R3 towards her to turn R3 onto her left side. As CNA1 was cleaning R3's backside, she rolled off the bed. It was recorded that there was no staff partner assisting with R3's care.During an interview on 8/27/2025 at 2:40 pm, Registered Nurse (RN)1 was asked if CNA1 had asked anyone for assistance with R3's care. RN1 stated No. RN1 stated that CNA1 did not ask for help until after the resident fell. RN1 confirmed that R3 was a two-person assist with all ADLs.
During an interview on 8/27/2025 at 9:48 am, the Director of Nursing (DON) stated she expected that staff follow the residents' care plan for those who require extensive assistance.
During an interview on 8/29/2025 at 2:46 pm, the Administrator stated he expected CNA1 to follow R3's care plan, but also to look at residents' changes in care.
115124 08/29/2025
Magnolia Manor of Columbus Nursing Center - East 2010 Warm Springs Rd Columbus, GA 31904
During the care, CNA1 pulled R3 towards her to turn R3 onto her left side. As CNA1 was cleaning R3's backside, she rolled off the bed. It was recorded that there was no staff partner assisting with R3's care.An attempt to contact CNA1 for an interview on 8/27/2025 at 2:30 pm revealed that CNA1's phone number was no longer in service.
During an interview on 8/27/2025 at 2:40 pm, Registered Nurse (RN)1 was asked if CNA1 had asked anyone for assistance with R3's care. RN1 stated No. RN1 stated that CNA1 did not ask for help until after the resident fell. RN1 confirmed that R3 was a two-person assist with all ADLs.During an interview on 8/27/2025 at 9:48 am, the Director of Nursing (DON) was asked what her expectations were for providing care for residents requiring extensive assistance.
The DON stated she expected that staff follow the residents' care plan for those who require extensive assistance.During an interview on 8/29/2025 at 2:46 pm, the Administrator was asked what his expectation was related to the incident with R3.
The Administrator stated he expected CNA1 to follow R3's care plan, but also to look at residents' changes in care.
115124 08/29/2025
Magnolia Manor of Columbus Nursing Center - East 2010 Warm Springs Rd Columbus, GA 31904
potential to lead to further pest infestation in the facility and feelings of discomfort or spread of
dated 12/2012, revealed, . It is the intent of (name of facility) to ensure that all facilities have an effective Pest Control Program .A review of the facility's Resident Council Minutes for the past year, provided by the facility, revealed:2/11/2025 - One resident's family complained of rodents in the facility.
The facility's response was to schedule an exterminator monthly.2/20/2025 - List of old business: Exterminator for bugs and rodents.7/18/2025 - under list of old business (resolved): Pest control-resolved and on-going.A review of the facility's Pest Control Checklist revealed the following pest/rodent sightings:3/27/2025- three residents' rooms on South 2 unit.
Mice.4/3/2025- one resident's room on South 2 unit.
Mice.4/9/2025- one resident's room on South 2 unit.
Mice.4/24/2025- one resident's room on South 2 unit.
Mice.4/29/2025- one resident's room on South 2 unit.
Mice.5/15/2025- two residents' rooms on South 2 unit.
Mice.6/9/2025-one resident's room on North 2 unit.
Roaches.6/10/2025-one resident's room on South 2 unit.
Mice.6/13/2025- one resident's room on South 2 unit.
Mice.7/1/2025- two residents' rooms on South 1 unit.
Roaches.7/4/2025- one resident's room on South 2 unit.
Mice.7/7/2025- two residents' rooms on North 2 unit.
Bugs.7/22/2025- one resident's room on South 2 unit.
Mice.A group interview was conducted on 8/28/2025 at 3:37 pm with the [NAME] President of Physical Plant, Director of Maintenance, Maintenance Administrative Assistant, and Maintenance staff.
The group confirmed the facility had been experiencing an infestation of field mice.
The group confirmed the facility had changed pest control/extermination contractors approximately three months ago and had an intensive six-week eradication conducted.
The group confirmed the facility continues with service twice monthly, and anytime there is a spotting, the company is on-call for treatment.
The infestation was elevated to the quality assurance committee before changing contractors.
Monitoring was initiated throughout the building, and training was held with staff and residents concerning eliminating food and environmental issues that attract mice.During a tour of the facility on 8/28/2025 at 3:45 pm, R10 and R11, residents who have witnessed mice in their rooms, reported that it had been a couple of weeks since they had spotted any mice or heard any other residents mention mice.
There were no mice observed during the survey dates of 8/26/2025, 8/27/2025, 8/28/2025, and 8/29/2025.
Frequently Asked Questions
More Reports
Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.