Deficiencies (last 6 years)
Deficiencies (over 6 years)
4.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
14% better than Georgia average
Georgia average: 4.9 deficiencies/yearDeficiencies per year
12
9
6
3
0
Occupancy
Latest occupancy rate
46% occupied
Based on a November 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Routine
Census: 97
Deficiencies: 2
Date: Nov 21, 2025
Visit Reason
The inspection was conducted to assess compliance with regulations regarding the facility environment and infection prevention and control practices.
Findings
The facility failed to maintain a clean and comfortable environment due to a heavily soiled PTAC unit filter in one resident room. Additionally, three Licensed Practical Nurses did not follow proper hand hygiene practices during medication administration, posing a risk for infection transmission.
Deficiencies (2)
F 0584: The facility failed to maintain a clean and comfortable environment for one of 97 resident rooms due to heavy substance buildup on the PTAC unit filter, potentially affecting resident comfort and safety.
F 0880: The facility failed to ensure infection control hand hygiene practices were followed by three Licensed Practical Nurses during medication administration, increasing the risk of disease transmission.
Report Facts
Residents in facility: 97
Licensed Practical Nurses observed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN BB | Licensed Practical Nurse | Named in infection control hand hygiene deficiency |
| LPN CC | Licensed Practical Nurse | Named in infection control hand hygiene deficiency |
| LPN AA | Licensed Practical Nurse | Named in infection control hand hygiene deficiency |
| Director of Nursing | Director of Nursing | Provided expectations on infection control during medication pass |
| Interim Maintenance Director | Interim Maintenance Director | Confirmed PTAC unit filter condition |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Nov 14, 2025
Visit Reason
The visit was conducted to investigate intake #GA50006836 and to perform a compliance inspection at Magnolia Manor of Columbus Assisted Living.
Complaint Details
Investigation of intake #GA50006836; no violations found.
Findings
No rule violations were cited as a result of this inspection.
Inspection Report
Annual Inspection
Census: 89
Deficiencies: 4
Date: Aug 29, 2025
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements, including investigation of alleged violations, care plan implementation, accident prevention, and pest control.
Findings
The facility failed to conduct thorough investigations for five sampled residents, failed to implement the care plan for one resident resulting in a fall, failed to ensure adequate supervision to prevent accidents, and failed to maintain an effective pest control program for the resident population.
Deficiencies (4)
F 0610: The facility failed to conduct thorough investigations for five of 19 sampled residents, not interviewing additional residents or assessing injuries adequately.
F 0656: The facility failed to implement the care plan for one resident, resulting in a fall and injury when a CNA provided care alone instead of two-person assistance.
F 0689: The facility failed to ensure one resident was safe from accidents and hazards, resulting in a fall and injury due to lack of adequate supervision and failure to follow the care plan.
F 0925: The facility failed to maintain an effective pest control program for 89 residents, with repeated sightings of mice and bugs over several months.
Report Facts
Resident population: 89
Residents affected: 5
Residents affected: 1
Residents affected: 1
Residents affected: Many
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA1 | Certified Nurse Aide | Named in fall incident due to failure to follow two-person assist care plan |
| RN1 | Registered Nurse | Interviewed regarding fall incident and care plan adherence |
| Director of Nursing | Director of Nursing | Interviewed about investigation procedures and care plan expectations |
| Administrator | Administrator | Interviewed about expectations for investigations and care plan adherence |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Feb 4, 2025
Visit Reason
The purpose of this visit was to investigate intake #GA50000462.
Complaint Details
Investigation started and completed on 2025-02-04 with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Original Licensing
Deficiencies: 0
Date: Sep 3, 2024
Visit Reason
The purpose of this visit was to conduct an initial inspection of Magnolia Manor of Columbus Assisted Living on 9/3/24.
Findings
There were no violations found during this initial inspection.
Inspection Report
Routine
Deficiencies: 4
Date: Jul 14, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, including pre-admission screening, care planning, nutrition assessment, and oxygen therapy management at Magnolia Manor of Columbus Nursing Center - East.
Findings
The facility failed to submit a required PASRR Level II for a resident with a new mental health diagnosis, did not follow the care plan for weekly weights for one resident, failed to complete an admission nutrition assessment for another resident, and did not ensure oxygen therapy was administered according to physician orders or that respiratory equipment was properly maintained.
Deficiencies (4)
F0644: The facility failed to submit a PASRR Level II after a new mental health diagnosis was added for one resident, potentially affecting the level of care and services provided.
F0656: The facility failed to follow the comprehensive care plan regarding weekly weights for one resident, resulting in missed weekly weight recordings.
F0692: The facility failed to complete an admission nutrition assessment for one resident, potentially preventing the resident from receiving required nutrients.
F0695: The facility failed to ensure oxygen was administered according to physician orders for two residents and failed to maintain respiratory equipment in a sanitary manner for one resident, risking medical complications.
Report Facts
Residents reviewed for PASRR Level II: 3
Residents in weight care plan sample: 33
Residents receiving oxygen: 15
Oxygen flow rate for R5: 2
Oxygen flow rate observed for R5: 3.5
Oxygen flow rate for R59: 2
Oxygen flow rate observed for R59: 4
Nutrition supplement dosage for R82: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Named in relation to PASRR Level II submission failure, care plan and weight monitoring issues, and oxygen therapy compliance. |
| CNA EE | Certified Nursing Assistant | Responsible for weekly weights and communication regarding weight monitoring. |
| LPN AA | Licensed Practical Nurse | Administered medications and acknowledged responsibility for cleaning oxygen concentrator filters. |
| RN BB | Registered Nurse | Observed oxygen flow rates and confirmed discrepancies with physician orders. |
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Jun 27, 2024
Visit Reason
The inspection was conducted to investigate complaints regarding medication administration errors, failure to obtain ordered blood sugar levels, inadequate infection control surveillance, and failure to administer pneumococcal vaccines as required.
Complaint Details
The investigation was complaint-driven, focusing on medication administration errors, failure to obtain ordered blood sugar levels, infection control deficiencies related to COVID-19 surveillance, and failure to administer pneumococcal vaccines. The deficiencies were substantiated based on record reviews and staff interviews.
Findings
The facility failed to administer insulin medications as ordered on the day of a scheduled procedure, failed to obtain bedtime fingerstick blood sugar levels as ordered, did not maintain proper infection control surveillance for a COVID-19 positive resident, and failed to administer pneumococcal vaccines to three residents despite documented consents.
Deficiencies (4)
F 0656: The facility failed to ensure medications were administered as ordered for one resident, resulting in insulin being given on a day it was ordered to be held due to a procedure.
F 0684: The facility failed to administer insulin as ordered and failed to obtain bedtime fingerstick blood sugar levels for one resident, increasing the risk of uncontrolled blood glucose.
F 0880: The facility failed to maintain an infection control program that included complete surveillance for one COVID-19 positive resident who was not included in infection tracking logs.
F 0883: The facility failed to ensure pneumococcal vaccines were administered to three residents despite documented consents for vaccination.
Report Facts
Units of Novolog insulin administered: 6
Units of Lantus insulin administered: 30
Residents affected by pneumococcal vaccine deficiency: 3
Residents affected by infection control deficiency: 1
Residents affected by medication administration deficiency: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Interviewed regarding medication administration errors, infection control deficiencies, and vaccination process |
Inspection Report
Complaint Investigation
Deficiencies: 4
Date: Jun 27, 2024
Visit Reason
The inspection was conducted to investigate complaints regarding medication administration errors, infection control deficiencies, and vaccination policy compliance at Magnolia Manor of Columbus Nursing Center - East.
Complaint Details
The investigation was complaint-driven, focusing on medication administration errors, infection control lapses, and vaccination compliance. The deficiencies were substantiated based on staff interviews, record reviews, and policy evaluations.
Findings
The facility failed to administer medications as ordered for a resident scheduled for a procedure, failed to obtain and document fingerstick blood sugar levels as ordered, did not maintain complete infection control surveillance for a COVID-19 positive resident, and failed to ensure pneumococcal vaccines were administered to three residents despite documented consents.
Deficiencies (4)
F 0656: The facility failed to ensure medications were administered as ordered for one resident, resulting in insulin being given on a day it was ordered to be held due to a procedure.
F 0684: The facility failed to provide appropriate treatment and care according to orders, including failure to administer insulin as ordered and failure to obtain bedtime fingerstick blood sugar levels for one resident.
F 0880: The facility failed to maintain an infection prevention and control program that included thorough surveillance for one COVID-19 positive resident who was not included in infection tracking logs.
F 0883: The facility failed to ensure pneumococcal vaccines were administered to three residents despite documented consents and policies requiring vaccination and documentation.
Report Facts
Units of Novolog insulin administered: 6
Units of Lantus insulin administered: 30
Residents affected by pneumococcal vaccine deficiency: 3
Residents affected by infection control deficiency: 1
Residents affected by medication administration deficiency: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing (DON) | Provided explanations regarding medication administration errors, infection control lapses, and vaccination documentation during multiple interviews. |
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Apr 1, 2024
Visit Reason
The purpose of this visit was to investigate intake #GA00244768 with an onsite visit made to the facility on 4/1/24.
Complaint Details
Investigation of intake #GA00244768; no rule violations cited.
Findings
The investigation was started and completed on 4/1/24 with no rule violations cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 0
Date: Dec 18, 2023
Visit Reason
The purpose of this visit was to conduct an investigation on 12/18/23.
Complaint Details
Investigation conducted with no rule violations cited.
Findings
No rule violations were cited as a result of this investigation.
Inspection Report
Complaint Investigation
Deficiencies: 7
Date: Oct 5, 2022
Visit Reason
The inspection was conducted based on complaints and allegations regarding facility maintenance issues, medication misappropriation, abuse allegations, respiratory care, and dental care concerns.
Complaint Details
The investigation was complaint-driven, focusing on allegations of environmental deficiencies, medication misappropriation, abuse, failure to report abuse, improper respiratory care, and failure to provide dental care. The allegations for Residents #38 and #88 involved medication misappropriation and physical abuse, respectively, with failures in reporting and investigation. Resident #41 had concerns about oxygen tubing sanitation, and Resident #37 had unmet dental care needs.
Findings
The facility failed to maintain a clean environment with stained ceiling tiles and vents, failed to ensure proper medication administration and documentation leading to missing narcotic medication, failed to report and investigate allegations of abuse timely, failed to store oxygen tubing and nasal cannulas in a sanitary manner, and failed to ensure a resident received needed dental services after reporting sore gums.
Deficiencies (7)
F 0584: The facility failed to maintain a clean environment as evidenced by stained ceiling tiles and air vents in multiple hallways due to unresolved roof leaks.
F 0600: The facility failed to ensure Resident #38 was free from misappropriation of medication, with missing narcotic doses and inconsistent documentation.
F 0607: The facility failed to implement abuse policies properly after an allegation of physical abuse to Resident #88 was not reported timely or investigated according to protocol.
F 0609: The facility failed to timely report allegations of abuse and misappropriation of property to the state agency for Residents #38 and #88.
F 0610: The facility failed to investigate alleged misappropriation of Resident #38's narcotic medication adequately.
F 0695: The facility failed to store oxygen tubing and nasal cannulas in a sanitary manner when not in use for Resident #41, risking contamination and infection.
F 0791: The facility failed to ensure Resident #37 obtained needed dental services after the resident reported sore gums and desire to see a dentist.
Report Facts
Facility census: 101
Medication missing doses: 6
BIMS score: 4
BIMS score: 12
BIMS score: 7
BIMS score: 13
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN DD | Licensed Practical Nurse | Named in medication misappropriation investigation for Resident #38 |
| LPN MM | Licensed Practical Nurse | Named in medication misappropriation investigation for Resident #38 |
| LPN EE | Licensed Practical Nurse | Named in medication misappropriation investigation and narcotic count for Resident #38 |
| LPN CC | Licensed Practical Nurse | Nurse who received abuse allegation from Resident #88 but failed to report it |
| DON BB | Director of Nursing | Oversaw investigations and reporting for abuse and medication misappropriation |
| Administrator AA | Administrator | Facility administrator involved in oversight of investigations and reporting |
| CNA NN | Certified Nursing Assistant | Provided statements about oxygen tubing storage |
| CNA OO | Certified Nursing Assistant | Provided statements about oxygen tubing storage |
| LPN PP | Licensed Practical Nurse, Unit Manager | Provided statements about oxygen tubing storage |
| Staff JJ | MDS Nurse | Reported dental care needs and lack of referral for Resident #37 |
| Staff KK | Certified Nursing Assistant | Reported Resident #37's mouth pain to nursing staff |
| Staff LL | Social Services | Acknowledged dental care scheduling failure for Resident #37 |
Inspection Report
Monitoring
Deficiencies: 0
Date: Apr 6, 2020
Visit Reason
The purpose of this review is to monitor COVID-19 cases and assess infection control process.
Findings
The report focuses on monitoring COVID-19 cases and evaluating the infection control processes at the facility.
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Nov 28, 2018
Visit Reason
The visit was conducted to perform an annual compliance inspection and to investigate complaint # GA 00191678.
Complaint Details
Complaint # GA 00191678 was investigated during the visit; no citations or deficiencies were found.
Findings
No citations were written as a result of the annual compliance inspection nor the complaint investigation.
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