Covington, TN

Magnolia Creek Nursing And Rehabilitation

1-star overall rating with 1-star inspections with $41,399 in total fines with 11 recent health deficiencies

1992 Hwy 51 S, Covington, TN

(901) 476-1820

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

156

Certified beds

Average residents

95

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Simcha Hyman & Naftali Zanziper

Operator or chain grouping

Approved since

2002-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.40

Registered nurse staffing

LPN hours / resident day

1.25

Licensed practical nurse staffing

Aide hours / resident day

1.57

Nurse aide staffing

Weekend hours

2.94

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

40%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.1
1.6
0.5 pts worse
1.9
0.2 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.3
1.6
0.7 pts worse
1.8
0.5 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 59.8%
89.9%
30.1 pts worse
93.4%
33.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.5%
94.5%
3 pts better
95.5%
2 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 3.6%
3.6%
About the same
3.3%
0.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
11.8%
11.8 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 0.7%
6.2%
5.5 pts better
5.4%
4.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 24.7%
32.2%
7.5 pts better
19.6%
5.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 8.5%
18.1%
9.6 pts better
16.7%
8.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 6.4%
19.9%
13.5 pts better
16.3%
9.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 7.8%
15.3%
7.5 pts better
14.9%
7.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.9%
0.9 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 3.0%
1.9%
1.1 pts worse
1.7%
1.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 7.2%
20.2%
13 pts better
19.8%
12.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 11.7%
5.4%
6.3 pts worse
5.1%
6.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 62.0%
79.6%
17.6 pts worse
81.7%
19.7 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 12.7%
11.2%
1.5 pts worse
12.0%
0.7 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.6%
1.6 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 89.0%
79.8%
9.2 pts better
79.7%
9.3 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 27.8%
22.2%
5.6 pts worse
23.9%
3.9 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-17 · Fire 2021-12-09

11 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2021-12-09 · Fire 2019-08-21

15 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2019-08-21 · Fire 2018-10-25

3 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

22 fire-safety deficiencies

Top issue: Emergency Preparedness (13 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2019-08-21

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2019-10-05

D · Potential for more than minimal harm 2019-08-21

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2019-10-05

D · Potential for more than minimal harm 2019-08-21

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2019-10-05

D · Potential for more than minimal harm 2019-08-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-10-05

D · Potential for more than minimal harm 2019-08-21

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2019-10-05

D · Potential for more than minimal harm 2018-10-25

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2018-11-23

D · Potential for more than minimal harm 2018-10-25

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2018-11-23

D · Potential for more than minimal harm 2018-10-25

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2018-11-23

D · Potential for more than minimal harm 2018-10-25

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2018-12-04

D · Potential for more than minimal harm 2018-10-25

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2018-12-04

D · Potential for more than minimal harm 2018-10-25

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2018-12-04

D · Potential for more than minimal harm 2018-10-25

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2018-12-04

D · Potential for more than minimal harm 2018-10-25

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2018-11-23

D · Potential for more than minimal harm 2018-10-25

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2018-11-23

C · Minimal harm 2018-10-25

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2018-12-04

C · Minimal harm 2018-10-25

E22 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for sheltering.

Corrected 2018-12-04

C · Minimal harm 2018-10-25

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2018-12-04

C · Minimal harm 2018-10-25

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2019-01-11

C · Minimal harm 2018-10-25

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2018-12-04

C · Minimal harm 2018-10-25

E32 · Emergency Preparedness Deficiencies

Fire Safety

Provide primary/alternate means for communication.

Corrected 2018-12-04

C · Minimal harm 2018-10-25

E34 · Emergency Preparedness Deficiencies

Fire Safety

Provide a means of sharing information on occupancy/needs.

Corrected 2018-11-23

C · Minimal harm 2018-10-25

E35 · Emergency Preparedness Deficiencies

Fire Safety

Provide family notifications of emergency plan.

Corrected 2019-01-11

C · Minimal harm 2018-10-25

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2018-11-23

C · Minimal harm 2018-10-25

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2018-11-23

C · Minimal harm 2018-10-25

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2019-01-10

C · Minimal harm 2018-10-25

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2018-12-04

C · Minimal harm 2018-10-25

E9 · Emergency Preparedness Deficiencies

Fire Safety

Include a process for Emergency Preparedness collaboration.

Corrected 2018-12-04

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-17

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2025-10-02

D · Potential for more than minimal harm 2025-09-17

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-10-02

D · Potential for more than minimal harm 2025-09-17

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-10-02

D · Potential for more than minimal harm 2025-09-17

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-10-02

D · Potential for more than minimal harm 2025-09-17

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-10-02

D · Potential for more than minimal harm 2025-09-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-02

D · Potential for more than minimal harm 2025-09-17

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-10-02

J · Immediate jeopardy 2025-08-12

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-09-02

D · Potential for more than minimal harm 2025-08-12

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-09-02

D · Potential for more than minimal harm 2025-08-12

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-09-02

D · Potential for more than minimal harm 2025-08-12

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-09-02

J · Immediate jeopardy 2023-06-08

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2023-07-03

G · Actual harm 2021-12-09

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2022-01-23

G · Actual harm 2021-12-09

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-01-23

F · Potential for more than minimal harm 2021-12-09

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2022-01-23

F · Potential for more than minimal harm 2021-12-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-01-23

E · Potential for more than minimal harm 2021-12-09

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2022-01-23

E · Potential for more than minimal harm 2021-12-09

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2022-01-23

E · Potential for more than minimal harm 2021-12-09

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2022-01-23

E · Potential for more than minimal harm 2021-12-09

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-01-23

D · Potential for more than minimal harm 2021-12-09

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2022-01-23

D · Potential for more than minimal harm 2021-12-09

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2022-01-23

D · Potential for more than minimal harm 2021-12-09

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-01-23

D · Potential for more than minimal harm 2021-12-09

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2022-01-23

D · Potential for more than minimal harm 2021-12-09

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-01-23

D · Potential for more than minimal harm 2021-12-09

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2022-01-23

D · Potential for more than minimal harm 2021-12-09

F924 · Environmental Deficiencies

Health

Put firmly secured handrails on each side of hallways.

Corrected 2022-01-23

D · Potential for more than minimal harm 2019-08-21

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2019-10-03

D · Potential for more than minimal harm 2019-08-21

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2019-10-03

Penalties and ownership

What sits behind the stars

$26,130 2025-08-12

Fine

Fine · fine $26,130

Fine

$15,269 2023-06-08

Fine

Fine · fine $15,269

Fine

$0 2023-06-08

Payment Denial

Payment Denial · denial start 2023-06-30 · 3 days

3 day denial

Ownership

Clearview Tn SNF Holdco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 9 facilities 2021-12-01
Clearview Healthcare Management Tn LLC

Operational/Managerial Control · Organization

0% 10 facilities 2021-12-01
Hc Family Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 59 facilities 2021-12-01
Hurst, Randy

W-2 Managing Employee · Individual

0% 1 facilities 2021-11-15
Shnz Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 41 facilities 2021-12-01
Sweet Home Management LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 29 facilities 2021-12-01
Vujanovic, Mick

Operational/Managerial Control · Individual

0% 33 facilities 2020-01-01
Vujanovic, Mick

Corporate Officer · Individual

0% 33 facilities 2020-01-01
Zanziper Family Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 64 facilities 2021-12-01

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#2

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Health
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Staffing
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Fines
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#3

Ripley Healthcare And Rehab Center

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2-star overall rating with 2-star inspections with $66,472 in total fines with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
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Health
2 / 5
Staffing
2 / 5
Fines
$66,472

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