Federal inspection record · CMS data as of October 1, 2026

Magnolia Gardens Center for Nursing and Rehabilita

1028 Blair Street, Thomasville, NC · (336) 472-7771

CMS overall rating

3 of 5

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Certified beds
120
Residents per day
98
Ownership
For-Profit
Chain
Alliance Health Group
Medicare / Medicaid
Medicare + Medicaid
Certified since
October 31, 2002

1

How this home got 3 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among North Carolina homes

Magnolia Gardens Center for Nursing and Rehabilita carries 33 inspection points. That is fewer than 44% of North Carolina's 415 rated homes.

5★4★3★2★1★+13 homes above 189.505102550100inspection points → fewer is better on the leftThis home · 33 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–4 pts
  • 4★ 4–15 pts
  • 3★ 15–35 pts
  • 2★ 35–73.5 pts
  • 1★ over 73.5 pts

Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

19 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 1 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 14 4 pts
E 3 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. J

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

    July 18, 2025 · Complaint inspection · Quality of Life and Care · F689 · Not yet marked corrected

Everything else, by area of care

Resident Rights6E
  1. E

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

    May 21, 2024 · Complaint · F550 · Corrected June 11, 2024

  2. E

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    May 21, 2024 · Complaint · F565 · Corrected June 11, 2024

  3. D

    Reasonably accommodate the needs and preferences of each resident.

    May 21, 2024 · Complaint · F558 · Corrected June 11, 2024

  4. D

    Reasonably accommodate the needs and preferences of each resident.

    July 20, 2023 · Standard · F558 · Corrected August 17, 2023

  5. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    July 20, 2023 · Standard · F582 · Corrected August 17, 2023

  6. D

    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.

    July 20, 2023 · Standard · F584 · Corrected August 17, 2023

Resident Assessment and Care Planning3D
  1. D

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

    November 18, 2025 · Standard · F657 · Corrected November 24, 2025

  2. D

    Assess the resident when there is a significant change in condition

    July 20, 2023 · Standard · F637 · Corrected August 17, 2023

  3. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    July 20, 2023 · Standard · F656 · Corrected August 17, 2023

Administration3E
  1. D

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    November 18, 2025 · Standard · F849 · Corrected November 24, 2025

  2. E

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    May 21, 2024 · Complaint · F867 · Corrected June 11, 2024

  3. D

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    July 20, 2023 · Standard · F867 · Corrected August 17, 2023

Quality of Life and Care3D
  1. D

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

    July 11, 2024 · Complaint · F690 · Corrected August 2, 2024

  2. D

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

    May 21, 2024 · Complaint · F689 · Corrected June 11, 2024

  3. D

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

    July 20, 2023 · Standard · F690 · Corrected August 17, 2023

Nursing and Physician Services1F
  1. F

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    November 18, 2025 · Standard · F727 · Corrected November 24, 2025

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    March 6, 2025 · Complaint · F607 · Corrected February 22, 2025

Nutrition and Dietary1D
  1. D

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    July 20, 2023 · Standard · F808 · Corrected August 17, 2023

Inspection history

  1. 2025-11-18

    3 health deficiencies · 4 fire-safety deficiencies

    Top issue: Administration (1 deficiency)

  2. 2024-07-11

    3 health deficiencies · 13 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  3. 2023-07-20

    13 health deficiencies · 3 fire-safety deficiencies

    Top issue: Resident Rights (6 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 19 min of nursing staff time a day, 32 min of it from a registered nurse.

This home

3 h 19 min

North Carolina average

3 h 52 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 49% of nursing staff and 11% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$16,153 in federal fines on record over the past three years.

DatePenaltyAmount
2025-07-18Fine$16,153

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.9 pts better94.3%92.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.3 pts worse92.4%94.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injuryAbout the same3.4%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms3.2 pts better3.6%6.8%13.5%
Percentage of long-stay residents who lose too much weight3.5 pts better3.6%7.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication21.9 pts worse43.0%21.1%19.5%
Percentage of long-stay residents who received an antipsychotic medication17.1 pts worse31.0%13.9%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened6.2 pts worse22.8%16.6%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.3 pts worse17.3%15.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same0.6%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection1.2 pts better0.9%2.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.5 pts worse29.4%19.9%18.3%
Percentage of long-stay residents with pressure ulcers0.6 pts worse6.0%5.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.3 pts worse72.2%81.5%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit8.3 pts better4.4%12.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication3.9 pts worse5.3%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.5 pts worse71.6%81.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.2 pts better20.0%22.2%23.4%

·

Who owns and runs it

3 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Alliance Health Group LLCOperational/Managerial Control · Organization0%11 facilities
Emanuel, YosefCorporate Officer · Individual0%13 facilities
Parker, EricOperational/Managerial Control · Individual0%1 facilities

·

Fire safety

20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Gas, Vacuum, and Electrical Systems6F
  1. F

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

    July 20, 2023 · K914 · Corrected October 26, 2023

  2. F

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

    July 20, 2023 · K916 · Corrected October 26, 2023

  3. E

    Have proper medical gas storage and administration areas.

    July 20, 2023 · K923 · Corrected October 26, 2023

  4. D

    Meet requirements for the installation and maintenance of electrical systems.

    July 20, 2023 · K911 · Corrected October 26, 2023

  5. D

    Ensure that testing and maintenance of electrical equipment is performed.

    September 1, 2022 · K921 · Corrected November 20, 2022

  6. D

    Have proper medical gas storage and administration areas.

    September 1, 2022 · K923 · Corrected November 20, 2022

Smoke5E
  1. D

    Install corridor and hallway doors that block smoke.

    July 11, 2024 · K363 · Corrected September 27, 2024

  2. E

    Properly provide smoke detection systems in areas open to corridors.

    July 20, 2023 · K347 · Corrected October 26, 2023

  3. E

    Install corridor and hallway doors that block smoke.

    July 20, 2023 · K363 · Corrected October 26, 2023

  4. D

    Install properly constructed windows in hallway walls or doors.

    July 20, 2023 · K364 · Corrected October 26, 2023

  5. D

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    July 20, 2023 · K374 · Corrected October 26, 2023

Construction4F
  1. D

    Use approved construction type or materials.

    July 11, 2024 · K161 · Corrected September 27, 2024

  2. F

    Use approved construction type or materials.

    July 20, 2023 · K161 · Corrected October 26, 2023

  3. D

    Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

    July 20, 2023 · K111 · Corrected October 26, 2023

  4. D

    Use approved construction type or materials.

    September 1, 2022 · K161 · Corrected November 20, 2022

Egress2F
  1. D

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    July 11, 2024 · K211 · Corrected September 27, 2024

  2. F

    Install emergency lighting that can last at least 1 1/2 hours.

    July 20, 2023 · K291 · Corrected October 26, 2023

Services2F
  1. D

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    July 11, 2024 · K521 · Corrected September 27, 2024

  2. F

    Have properly installed electrical wiring and gas equipment.

    July 20, 2023 · K511 · Corrected October 26, 2023

Miscellaneous1F
  1. F

    Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

    July 20, 2023 · K700 · Corrected October 26, 2023

·

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