Magnolia Creek Nursing and Rehabilitation

Nursing Home, Memory Care & Skilled Nursing · Covington, TN

CMS overall rating

1992 U.s. 51 S, Covington, TN 38019 View map

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Magnolia Creek Nursing and Rehabilitation accepts Medicare, Medicaid, and private pay.

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Magnolia Creek Nursing and Rehabilitation accepts Medicare, Medicaid, and private pay.

Overview of Magnolia Creek Nursing and Rehabilitation

Magnolia Creek Nursing and Rehabilitation is a 156-bed nursing home in Covington, Tennessee, offering long-term care, rehabilitation services, and daily nursing support. Operating since 1992, the community accepts Medicare, Medicaid, and private pay, making services accessible across a wide range of financial situations. Occupancy remains below the state average at a 56.4% occupancy rate, suggesting bed availability is often easier to secure than at many comparable communities in the region.

CMS currently assigns the community a 1-star overall rating, reflecting performance that falls below Tennessee benchmarks in several key areas. Inspection records over the past seven years show 29 deficiencies across five inspections, including multiple serious and critical-level citations. The most common findings involved quality of care, resident rights, pharmacy services, abuse and neglect prevention, and environmental concerns. Several deficiencies also stemmed from complaint investigations rather than routine annual surveys. All cited issues have reportedly been corrected, and the most recent inspection was completed in September 2025.

Licensed practical nurse coverage exceeds Tennessee averages and may support stronger day-to-day hands-on care for residents. However, registered nurse coverage, certified nursing assistant hours, and overall weekend staffing levels all fall below state benchmarks. Total nursing hours per resident also trail the Tennessee average. Lower staffing levels do not necessarily determine care quality on their own, but they are an important factor for families to discuss directly with leadership, particularly for residents requiring more intensive medical oversight or assistance with daily living activities.

The community provides 24-hour nursing support along with rehabilitation therapies and licensed CNA care. The average length of stay is approximately 108 days, reflecting a blend of transitional recovery and ongoing care needs. Private-pay residents account for a notable share of new admissions, though the community continues to maintain broad access through Medicare and Medicaid participation. Its location along U.S. 51 South also offers relatively convenient access for families and visitors.

Magnolia Creek Nursing and Rehabilitation is ideal for families seeking a larger skilled nursing community in the Covington area with flexible payment options and ongoing bed availability. Its higher LPN staffing levels and broad admissions structure are meaningful advantages, particularly in markets where choices may be limited. At the same time, the community’s inspection history, staffing shortfalls in several categories, and below-average CMS rating make it important for interested families to review state inspection reports carefully and speak directly with administration about quality-improvement efforts, staffing stability, and resident care oversight.

Facility Direct Line (901) 476-1820 info@magnoliacreekrehab.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Tennessee state averages

Total nursing care / resident

3h 6m per day

This facility Tennessee avg (3h 38m per day)

vs Tennessee avg

-14%

5 of 6 metrics below state avg

Standout metric LPN / LVN is +21% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	25m per day	▼ 33% State avg: 37m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	1h 19m per day	▲ 21% State avg: 1h 5m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	1h 36m per day	▼ 26% State avg: 2h 9m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 1m per day	▼ 10% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	3m per day	▼ 41% State avg: 5m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	14m per day	▼ 40% State avg: 24m per day · National avg: 28m per day

Capacity and availability

108 days

156-bed community

A large-scale community that may provide a wide range of amenities, services, and structured programs.

34 years in operation

A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

Walk Score: 68 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

57%

Lower than the Tennessee average: 71.6%

Occupied beds

88 / 156

Average occupied beds in Tennessee homes 82 beds

Facility TypeAssisted Care Living Facility

IssuanceJuly 1, 1992

License Number00000272

Magnolia Creek Nursing and Rehabilitation is administered by Deniece Caldwell.

Owner NameCovington Tn Opco, LLC

Rehabilitation Services

24-Hour Staffing

Pets not allowed

Inspections since 2019

Total health inspections 5

State average 3.5

Last Health inspection on Sep 2025

Total health citations

State average 15.4

Citations per inspection

5.8

State average 4.39

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

24 of 29 citations resulted from standard inspections; and 5 of 29 resulted from complaint investigations.

Breakdown of citation severity (last 7 years)

Critical health citations

82% worse than State average

State average: 1.1

Serious health citations

233% worse than State average

State average: 0.6

2 critical citations State average: 1.1

2 serious citations State average: 0.6

25 moderate citations State average: 13.7

0 minor citations State average: 0.1

Citations history (last 7 years)

Environmental moderate citation Sep 17, 2025

Corrected

Infection Control moderate citation Sep 17, 2025

Corrected

Pharmacy moderate citation Sep 17, 2025

Corrected

Pharmacy moderate citation Sep 17, 2025

Corrected

Total staff 110

Employees 87

Contractors 23

Staff to resident ratio 1.17 : 1

33% fewer staff per resident than Tennessee average

Avg staff/day 41

Average shift 8.6 hours

0% compared with Tennessee average

Total staff hours (quarter) 32,340

Nursing staff breakdown

10.4 hours

9 hours

9.2 hours

Contractor staffing

2,400 contractor hours this quarter

Physical Therapy Aide: 6 Speech Language Pathologist: 5 Respiratory Therapy Technician: 4 Qualified Social Worker: 4 Physical Therapy Assistant: 4

Staff by category


Certified Nursing Assistant	44	0	44	12,949	92	100%	9.2
Licensed Practical Nurse	27	0	27	10,217	92	100%	9
Registered Nurse	5	0	5	2,030	92	100%	10.4
Mental Health Service Worker	2	0	2	980	71	77%	7.8
Dietitian	2	0	2	953	72	78%	7.6
Clinical Nurse Specialist	2	0	2	794	64	70%	6.9
Speech Language Pathologist	0	5	5	755	80	87%	5.8
Physical Therapy Aide	0	6	6	635	71	77%	5.5
Administrator	2	0	2	528	66	72%	8
Nurse Practitioner	1	0	1	528	66	72%	8
Other Dietary Services Staff	1	0	1	510	66	72%	7.7
RN Director of Nursing	1	0	1	452	59	64%	7.7
Qualified Social Worker	0	4	4	438	70	76%	5.8
Respiratory Therapy Technician	0	4	4	397	70	76%	5.4
Physical Therapy Assistant	0	4	4	176	34	37%	5

44 Certified Nursing Assistant

% of Days 100%

27 Licensed Practical Nurse

% of Days 100%

5 Registered Nurse

% of Days 100%

2 Mental Health Service Worker

% of Days 77%

2 Dietitian

% of Days 78%

2 Clinical Nurse Specialist

% of Days 70%

5 Speech Language Pathologist

% of Days 87%

6 Physical Therapy Aide

% of Days 77%

2 Administrator

% of Days 72%

1 Nurse Practitioner

% of Days 72%

1 Other Dietary Services Staff

% of Days 72%

1 RN Director of Nursing

% of Days 64%

4 Qualified Social Worker

% of Days 76%

4 Respiratory Therapy Technician

% of Days 76%

4 Physical Therapy Assistant

% of Days 37%

View All Staffing Data

Total fines amount $41K

52% lower than Tennessee average

Tennessee average: $86K

Number of fines 2

15% more fines than Tennessee average

Tennessee average: 1.7

Payment Denials 1

96% more payment denials than Tennessee average

Tennessee average: 0.5

Fines amount comparison

This facility $41K

Tennessee average $86K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Aug 12, 2025 · $26K

Civil Money Penalty Aug 12, 2025

$26K

Last updated: Jan 2026

High-risk clinical events score 6.8

35% better than Tennessee average

Tennessee average: 10.5

Functional decline score 9.3

52% better than Tennessee average

Tennessee average: 19.5

Long-stay resident measures

Above average

Need for Help with Daily Activities Increased 6.8%

57% better than Tennessee average

Tennessee average: 16.0%

Walking Ability Worsened 11.2%

49% better than Tennessee average

Tennessee average: 21.7%

Low Risk Residents with Bowel/Bladder Incontinence 9.8%

53% better than Tennessee average

Tennessee average: 20.7%

Falls with Major Injury 3.4%

7% better than Tennessee average

Tennessee average: 3.7%

High Risk Residents with Pressure Ulcers 11.7%

115% worse than Tennessee average

Tennessee average: 5.4%

Urinary Tract Infection 3.1%

49% worse than Tennessee average

Tennessee average: 2.1%

Lost Too Much Weight 1.1%

83% better than Tennessee average

Tennessee average: 6.3%

Depressive Symptoms 0.0%

100% better than Tennessee average

Tennessee average: 11.0%

Antipsychotic Use 3.8%

77% better than Tennessee average

Tennessee average: 16.5%

Pneumococcal Vaccine 55.8%

38% worse than Tennessee average

Tennessee average: 89.9%

Influenza Vaccine 97.5%

In line with Tennessee average

Tennessee average: 94.5%

Hospitalizations per 1,000 days 2.08

32% worse than Tennessee average

Tennessee average: 1.58

ED visits per 1,000 days 2.33

48% worse than Tennessee average

Tennessee average: 1.57

Short-stay resident measures

Significantly below average

Pneumococcal Vaccine 58.8%

26% worse than Tennessee average

Tennessee average: 79.7%

Antipsychotic medication increase 0.6%

64% better than Tennessee average

Tennessee average: 1.7%

Influenza Vaccine 89.0%

12% better than Tennessee average

Tennessee average: 79.8%

Re-hospitalized after SNF stay 27.8%

25% worse than Tennessee average

Tennessee average: 22.2%

Emergency department visits 12.7%

13% worse than Tennessee average

Tennessee average: 11.2%

Falls with major injury 4.4%

465% worse than Tennessee average

Tennessee average: 0.8%

Ability to care for self at discharge 54.6%

In line with Tennessee average

Tennessee average: 53.7%

Successful return to home or community 37.8%

25% worse than Tennessee average

Tennessee average: 50.6%

Breakdown by payment type

Medicare

24% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

53% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

23% of new residents, often for long-term daily care.

Typical stay 11 - 12 months

Total residents 94

Medicare

16% of residents

Medicaid

80.9% of residents

Private pay or other

3.2% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Magnolia Creek Nursing and Rehabilitation from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 56.4% ↓ 5.9pp vs 2022

Net Patient Income -$1.2M ↓ ~$194.5K vs 2022

Payroll Costs $4.0M ↑ ~$324.7K vs 2022

Operating Margin -12.3% ↓ 2.7pp vs 2022

Metric	2011	2012	2013	2014	2015	2017	2019	2020	2021	2022	2023
Occupancy %	87.7%	83.3%	73.3%	60.0%	59.6%	73.1%	71.9%	68.9%	60.2%	62.3%	56.4%
Beds	156	156	156	156	156	156	156	156	156	156	156
Net Income	$503,086	$220,327	-$468,548	-$462,723	$5,814,441	$142,926	$720,411	$695,582	$585,618	$738,686	-$613,505
Gross Revenue	$10,267,481	$9,850,672	$10,395,652	$8,931,185	$9,515,719	$10,009,607	$10,626,851	$11,332,887	$10,760,835	$10,779,411	$9,884,406
Operating Expenses	$9,626,408	$8,968,851	$9,380,045	$8,204,662	$8,089,945	$9,430,120	$9,674,839	$10,632,580	$10,802,387	$10,983,105	$10,524,720
Net Patient Income	$500,517	$217,276	-$1,131,631	-$1,241,196	-$347,054	-$251,370	$715,571	-$15,352	-$1,004,404	-$960,167	-$1,154,675
Net Patient Revenue	$10,126,925	$9,186,127	$8,248,414	$6,963,466	$7,742,891	$9,178,750	$10,390,410	$10,617,228	$9,797,983	$10,022,938	$9,370,045
Payroll Costs	$4,652,769	$4,639,026	$4,260,329	$3,667,492	$3,208,186	$4,827,318	$4,329,199	$3,867,667	$3,554,097	$3,646,946	$3,971,680
Operating Margin %	4.9%	2.4%	-13.7%	-17.8%	-4.5%	-2.7%	6.9%	-0.1%	-10.3%	-9.6%	-12.3%
Medicare %	11.2%	10.1%	8.8%	9.1%	10.9%	12.5%	6.1%	7.8%	11.3%	9.7%	8.0%
Medicaid %	0.0%	0.0%	0.0%	0.0%	0.0%	72.3%	80.2%	80.1%	73.9%	73.6%	71.7%
Private %	88.8%	89.9%	91.2%	90.9%	89.1%	15.2%	13.7%	12.1%	14.8%	16.7%	20.3%
Net Patient Revenue/Day	$197	$193	$198	$204	$228	$220	$254	$270	$286	$283	$292
Cost/Day	$187	$189	$225	$240	$238	$227	$236	$270	$315	$310	$328
Avg Length of Stay	186.3 days	176.7 days	207.5 days	149.9 days	220.3 days	155.4 days	155.7 days	143.7 days	102.2 days	94.0 days	108.1 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$9.4M

Net patient income

-$1.2M

For-profit Individual

Net patient revenue

$9.4M

Net patient income

-$1.2M

Other income

$541.2K

Payroll costs

$4.0M 42.4% of net patient revenue

Other operating costs

$6.6M

Total costs

$10.5M

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (53% of admissions), and a typical private pay stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 24%

Private pay 53%

Medicaid 23%

Coverage residents most often leave under.

Medicare 18%

Private pay 53%

Medicaid 29%

0.0 miles from city center Estimated distance in miles from Covington's city center to Magnolia Creek Nursing and Rehabilitation's address, calculated via Google Maps.

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Info below is compiled from CMS reports & the TN Dept. of Health (TDH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.


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NHC HealthCare Johnson City	NH HC HOS SNF	Johnson City	10 Facility 10 TN AVG 88 Rank #425 / 425	100.0% Facility 100.0% TN AVG 71.5 Rank #1 / 272	+40%	3.27 Facility 3.27 TN AVG 3.63 Rank #106 / 177	-8%	-10%	$0 Facility $0 TN AVG $90.9k Rank #1 / 182	3 Facility 3 TN AVG 15.4 Rank #10 / 181	1.5 Facility 1.5 TN AVG 4.4 Rank #5 / 181	-	10	-	2 Facility 2 TN AVG 34 Rank #505 / 551	Howard Nason Jr.	$19.1MFiscal year ending 12/2023 Facility $19.1MFiscal year ending 12/2023 TN AVG $11.5M Rank #21 / 181	$10.6MFiscal year ending 12/2023 Facility $10.6MFiscal year ending 12/2023 TN AVG $4.6M Rank #21 / 181	55.7%Fiscal year ending 12/2023 Facility 55.7%Fiscal year ending 12/2023 TN AVG 41% Rank #72 / 181	445024
Harbert Hills Academy Nursing Home	NH SNF	Savannah	24 Facility 24 TN AVG 88 Rank #415 / 425	66.7% Facility 66.7% TN AVG 71.5 Rank #172 / 272	-7%	5.39 Facility 5.39 TN AVG 3.63 Rank #7 / 177	-55%	+49%	$0 Facility $0 TN AVG $90.9k Rank #1 / 182	17 Facility 17 TN AVG 15.4 Rank #110 / 181	5.7 Facility 5.7 TN AVG 4.4 Rank #142 / 181	-	16	-	60 Facility 60 TN AVG 34 Rank #67 / 551	Alton Cantarutti	-	-	-	445527
Abundant Christian Living Community Assisted Living Center	NH AL IL MC SNF	Johnson City	24 Facility 24 TN AVG 88 Rank #415 / 425	75.0% Facility 75.0% TN AVG 71.5 Rank #139 / 272	+5%	2.35 Facility 2.35 TN AVG 3.63 Rank #177 / 177	-23%	-35%	$0 Facility $0 TN AVG $90.9k Rank #1 / 182	6 Facility 6 TN AVG 15.4 Rank #25 / 181	2.0 Facility 2.0 TN AVG 4.4 Rank #12 / 181	-	18	-	2 Facility 2 TN AVG 34 Rank #505 / 551	Tyler Colbaugh	$10.8MFiscal year ending 12/2023 Facility $10.8MFiscal year ending 12/2023 TN AVG $11.5M Rank #65 / 181	$5.2MFiscal year ending 12/2023 Facility $5.2MFiscal year ending 12/2023 TN AVG $4.6M Rank #65 / 181	48.3%Fiscal year ending 12/2023 Facility 48.3%Fiscal year ending 12/2023 TN AVG 41% Rank #99 / 181	445483
Magnolia Creek Nursing and Rehabilitation	NH MC SNF	S Covington	156 Facility 156 TN AVG 88 Rank #33 / 425	56.5% Facility 56.5% TN AVG 71.5 Rank #216 / 272	-21%	3.10 Facility 3.10 TN AVG 3.63 Rank #141 / 177	-49%	-14%	$32.3k Facility $32.3k TN AVG $90.9k Rank #145 / 182	29 Facility 29 TN AVG 15.4 Rank #163 / 181	5.8 Facility 5.8 TN AVG 4.4 Rank #143 / 181	4	88	-	68 Facility 68 TN AVG 34 Rank #37 / 551	Randy Hurst	$9.4MFiscal year ending 12/2023 Facility $9.4MFiscal year ending 12/2023 TN AVG $11.5M Rank #126 / 181	$4.0MFiscal year ending 12/2023 Facility $4.0MFiscal year ending 12/2023 TN AVG $4.6M Rank #135 / 181	42.4%Fiscal year ending 12/2023 Facility 42.4%Fiscal year ending 12/2023 TN AVG 41% Rank #132 / 181	445461

Nursing Home Explorer

Who is the owner of Magnolia Creek Nursing and Rehabilitation?

Magnolia Creek Nursing and Rehabilitation is legally operated by Covington TN Opco, LLC, and administered by Deniece Caldwell.

Is Magnolia Creek Nursing and Rehabilitation in a walkable area?

Magnolia Creek Nursing and Rehabilitation has a walk score of 68. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Magnolia Creek Nursing and Rehabilitation?

According to TN state health department records, Magnolia Creek Nursing and Rehabilitation's license number is 00000272.

What is the occupancy rate at Magnolia Creek Nursing and Rehabilitation?

Magnolia Creek Nursing and Rehabilitation's occupancy is 57%.

How long has Magnolia Creek Nursing and Rehabilitation been in business?

Magnolia Creek Nursing and Rehabilitation has been operating for approximately 34 years, based on available licensing and registration records.

Are pets allowed at Magnolia Creek Nursing and Rehabilitation?

No, Magnolia Creek Nursing and Rehabilitation has a no-pet policy.

Does Magnolia Creek Nursing and Rehabilitation operate as a for-profit or non-profit?

Magnolia Creek Nursing and Rehabilitation is registered as a for-profit in TN.

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Magnolia Creek Nursing and Rehabilitation

Overview of Magnolia Creek Nursing and Rehabilitation

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Additional Policies & Features

Contact Magnolia Creek Nursing and Rehabilitation

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

44 Certified Nursing Assistant

27 Licensed Practical Nurse

5 Registered Nurse

2 Mental Health Service Worker

2 Dietitian

2 Clinical Nurse Specialist

5 Speech Language Pathologist

6 Physical Therapy Aide

2 Administrator

1 Nurse Practitioner

1 Other Dietary Services Staff

1 RN Director of Nursing

4 Qualified Social Worker

4 Respiratory Therapy Technician

4 Physical Therapy Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

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