Magnolia Crossing Nursing And Rehabilitation Cente
Magnolia Crossing Nursing and Rehabilitation Cente in Houston, TX — inspection on August 19, 2025.
Found 2 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
During a telephone interview on 08/19/25 at 9:56 a.m., Nurse A said on Saturday, 08/16/25, she was in the middle of taking care of a critical resident when Resident #1's family member came up to her and told her the CNAs were in the resident's room changing him and cleaning him up when one of the aides had hit him in the face.
She said the resident's family member could not name the CNA, but the two CNAs in the room were, CNA A and CNA B.
She said she asked CNA B if they had encountered anything in the room, and CNA B said Resident #1 told his family member that they had hit him in the face, but CNA B said she was by the bed with the other aide the whole time and it did not happen.
She said CNA B told her they washed the resident's face with a washcloth.
She said CNA B told her Resident #1 alleged she was the one who hit him in the face.
She said after their conversation, she went into her critical resident's room to provide care.
She said she sent out the critical resident to the hospital, stayed very late, forgot about the reported allegation of abuse from the resident's family member until this Investigator called her for this interview.
She said she did not report the alleged abuse to anyone because she was juggling the allegation of abuse and the critical resident at the same time.
She said when there was an alleged allegation of abuse, the Administrator, was to be called immediately.
She said abuse should be reported immediately because there was alleged harm to the resident.
She also said the resident would not trust staff, or could have sustained a serious injury, or their family would not trust staff.
She said she did not ask Resident #1 anything about the alleged abuse because CNA A was still in the room picking up the linens off the floor.
She said she received training on abuse, neglect, and exploitation.
She said unfortunately she forgot to report the allegation of abuse and apologized for forgetting to report.
During an interview on 08/19/25 at 12:25 p.m., the DON said when a nurse received an allegation of potential harm to a resident, they secured the resident, removed the potential harm, and notified the Administrator. He said they would notify the family/next of kin and the provider as well. He said he was not aware that Resident #1's family member reported an allegation of resident abuse to Nurse A this past Saturday, 08/16/25. He said failure to report abuse could cause a delay of treatment, if needed, and a delay of an investigation.
During an interview on 08/19/25 at 1:19 p.m., the Administrator said she was not aware that Resident #1's family member reported an allegation of resident abuse to Nurse A on Saturday, 08/16/25.
She said she was going to report it to the state today.
She said staff members CNA A, CNA B, and Nurse A, had been suspended until the investigation was completed, and they would be in-servicing staff on Abuse/neglect and reporting.
676333 08/19/2025
Magnolia Crossing Nursing and Rehabilitation Cente 10800 Flora Mae Meadows Rd Houston, TX 77089
until the investigation was completed, and they would be in-servicing staff on Abuse/neglect and
welfare and rights of each resident by developing and implementing written policies and procedures
occurrence that is observed or reported by.resident, relative.but has not yet been investigated.V. A.
An immediate investigation is warranted when.reports of abuse.occur.VII. A.1.
Reporting of all alleged violations to the Administrator, state agency.within specified timeframes: a.
Immediately, but not later than 2 hours after the allegation is made, if the events that cause that allegation involve abuse or result in serious bodily injury, or.
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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.