Neither injury was reported to Minnesota's State Agency within the two-hour window the facility's own policy requires.
Nursing Home News — Page 14
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Inspectors visited the facility at 4335 West Pine Blvd on December 19, 2025, following a complaint.
The resident, identified in inspection records only as CR #1, was a hospice patient at Magnolia Crossing Nursing and Rehabilitation Center.
The resident who had grabbed her was still on the same floor.
Inspectors documented the sequence in detail.
Nobody investigated that one either.
The level of harm was assessed as minimal harm or potential for actual harm, with a few residents affected.
The violation was tagged at a level of minimal harm or potential for actual harm.
That detail came from the facility's own administrator and director of nursing, who confirmed it to inspectors on December 18.
That call came in on the night of December 12, 2025, from inside Franciscan Care Center Sylvania, a 64-bed nursing home in Toledo.
On December 15, the facility ran three CNAs on day shift, two on evening shift, and three on night shift.
The inspection, completed December 22, 2025, was triggered by a complaint.