Buena Vista, GA

Magnolia Manor Of Marion County

3-star overall rating with 3-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

349 Geneva Road, Buena Vista, GA

(229) 649-7100

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

70

Certified beds

Average residents

66

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Magnolia Manor Senior Living

Operator or chain grouping

Approved since

1996-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

6 facilities

Chain averages 3 overall / 3 health / 3 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.35

Registered nurse staffing · state 0.49 · national 0.68

LPN hours / resident day

1.24

Licensed practical nurse staffing · state 0.93 · national 0.87

Aide hours / resident day

2.60

Nurse aide staffing · state 2.15 · national 2.35

Total nurse hours

4.19

All reported nurse hours · state 3.57 · national 3.89

Licensed hours

1.59

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

3.65

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.18

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.39

CMS adjusted RN staffing hours

Adjusted total hours

4.67

CMS adjusted total nurse staffing hours

Case-mix index

1.23

Higher values indicate more complex resident acuity

RN turnover

73%

Annual RN turnover · state 46% · national 45%

Total nurse turnover

49%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,981

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

21.84

Composite VBP score used to determine payment impact.

Payment multiplier

0.9827

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

0

Baseline 47.46% · Performance 68.49% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

4.37

Baseline 3.79 hours · Performance 4.32 hours · Measure score 4.37 · Achievement 4.37 · Improvement 2.17

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.97%	10.72% 0.2 pts worse	No Different than the National Rate · Eligible stays 30 · Observed rate 10% · Lower 95% interval 6.88%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	0.66	1.02 0.4 pts better
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 16 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	1.18%	8.2% 7 pts worse	Numerator 1 · Denominator 85
Staff flu vaccination coverage	28.57%	42% 13.4 pts worse	Numerator 24 · Denominator 84
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.3	2.2 0.9 pts better	1.9 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 0.9 · Expected 1.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.0	2.0 About the same	1.8 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.5 · Expected 1.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	91.2% 8.8 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.3%	95.0% 3.3 pts better	95.5% 2.8 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.3%
Percentage of long-stay residents experiencing one or more falls with major injury	5.0%	3.2% 1.8 pts worse	3.3% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 5.3% · Q3 1.7% · Q4 3.0% · 4Q avg 5.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.5%	9.6% 5.1 pts better	11.4% 6.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.4% · Q3 4.5% · Q4 8.3% · 4Q avg 4.5%
Percentage of long-stay residents who lose too much weight	0.6%	5.9% 5.3 pts better	5.4% 4.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.1% · 4Q avg 0.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.6%	20.7% 2.9 pts worse	19.6% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 24.4% · Q3 19.6% · Q4 23.4% · 4Q avg 23.6%
Percentage of long-stay residents who received an antipsychotic medication	18.4%	21.4% 3 pts better	16.7% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 16.1% · Q3 19.4% · Q4 19.4% · 4Q avg 18.4% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	13.4%	17.9% 4.5 pts better	16.3% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 27.7% · Q4 7.7% · 4Q avg 13.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	18.0%	16.2% 1.8 pts worse	14.9% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 27.3% · Q3 12.5% · Q4 16.7% · 4Q avg 18.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.2%	1.1% 0.1 pts worse	1.0% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 1.5% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.4%	2.5% 2.1 pts better	1.7% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.5% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	16.8%	16.1% 0.7 pts worse	19.8% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 24.2% · Q3 19.6% · Q4 12.5% · 4Q avg 16.8%
Percentage of long-stay residents with pressure ulcers	5.5%	6.2% 0.7 pts better	5.1% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 7.4% · Q3 5.0% · Q4 5.8% · 4Q avg 5.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	78.8%	80.4% 1.6 pts worse	81.7% 2.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 77.8% · Q2 71.0% · Q3 83.3% · 4Q avg 78.8%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	71.0%	78.2% 7.2 pts worse	79.7% 8.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 71.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-16 · Fire 2025-01-16

5 health deficiencies

Top issue: Infection Control (1 deficiency)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2023-07-23 · Fire 2023-07-23

5 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2021-12-16 · Fire 2021-12-16

2 health deficiencies

Top issue: Nursing and Physician Services (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-01-16

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2025-02-15

D · Potential for more than minimal harm 2025-01-16

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-02-15

D · Potential for more than minimal harm 2023-07-23

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-09-06

D · Potential for more than minimal harm 2023-07-23

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-09-06

D · Potential for more than minimal harm 2023-07-23

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-09-06

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-01-16

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-03-02

D · Potential for more than minimal harm 2025-01-16

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 2025-03-02

D · Potential for more than minimal harm 2025-01-16

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-02

D · Potential for more than minimal harm 2025-01-16

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-03-02

D · Potential for more than minimal harm 2025-01-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-02

F · Potential for more than minimal harm 2023-07-23

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 2023-09-06

E · Potential for more than minimal harm 2023-07-23

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 2023-09-06

D · Potential for more than minimal harm 2023-07-23

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 2023-09-06

D · Potential for more than minimal harm 2023-07-23

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 2023-09-06

D · Potential for more than minimal harm 2023-07-23

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-09-06

D · Potential for more than minimal harm 2021-12-16