Magnolia Post Acute Care

    635 S Magnolia Ave, El Cajon, CA, 92020
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousCurrent/former resident
    3.0

    Compassionate care but safety concerns

    I had a mixed experience. The nurses, CNAs, therapy and activities teams were compassionate, hardworking and helped with rehab - staff were often kind, communicative and the facility frequently felt clean and well run. However I also encountered (and heard many reports of) intermittent odors/dirty areas, slow or missing pain meds, delayed call-light responses, occasional rude or inattentive staff/social work, and safety/neglect concerns - so I'm grateful for the good care but would recommend caution and close oversight.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.02 · 128 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.7
    • Staff

      4.2
    • Meals

      2.9
    • Amenities

      4.1
    • Value

      1.0

    Pros

    • Compassionate, caring nursing staff
    • Helpful, hardworking CNAs and aides
    • Strong physical therapy and rehab team
    • Creative, engaging activities program
    • Clean and well-maintained facility (many reviews)
    • Prompt, effective maintenance response
    • Supportive and knowledgeable social workers (in many cases)
    • Efficient admissions and front office staff
    • Individualized, patient-centered care
    • Homelike, welcoming environment
    • Rehabilitative outcomes enabling residents to return home
    • Timely medication administration (reported by some families)
    • Accommodating dining and special-diet options
    • Dedicated leadership and involved DON/administrator
    • Seamless collaboration across departments (reported)
    • Family-like atmosphere and personalized attention
    • Helpful discharge coordination and case management (often)
    • Festive programming and celebrations for residents
    • Good parking and pleasant outdoor/garden areas
    • Immaculate kitchen and housekeeping (reported by many)
    • Friendly, approachable administration and staff
    • Staff frequently going above and beyond
    • Quick problem resolution for minor issues
    • Positive recommendations from many families
    • Attentive front desk and greeting staff
    • Support for post-hospital transitions (IHSS/homecare assistance noted)
    • Therapy staff who motivate and engage patients
    • Calm, quiet neighborhood/location (reported)
    • High satisfaction with activities and engagement
    • Overall high marks from multiple reviewers (5-star experiences)

    Cons

    • Inconsistent quality of care between shifts and staff members
    • Understaffing and staff perceived as overworked
    • Slow or unresponsive call button responses
    • Delayed, missing, or refused pain medication
    • Medication and pharmacy delivery delays
    • Allegations of neglect, abuse, injury, and serious harm (falls, broken ribs, ICU admissions)
    • Reports alleging death or severe medical complications tied to facility care
    • Poor communication from case managers and social workers
    • Rude or unprofessional staff members (including social workers and front office at times)
    • Cleanliness problems reported by some (foul odors, dirty bath water)
    • Safety hazards (missing bed rails, wheelchair hazards, other facility safety issues)
    • Discharge delays and mismanaged or delayed discharges
    • Miscommunication about care plans, allergies, and IV management
    • Theft concerns and lost personal items alleged
    • Visitation restrictions and hostile or unfriendly visitation policies
    • Overcrowded or shared restrooms and outdated decor/comfort issues
    • Alleged denial of hospital transfer or timely medical attention
    • Language-based disrespect or discrimination reported
    • Inaccurate website/photos or misleading marketing impressions
    • Long waits for prescriptions (several-hour delays)
    • Allegations that facility or staff inflate ratings
    • Unresponsive administration to complaints in some cases
    • Staff impatience or rushed, brusque treatment (jaded behavior)
    • Inconsistent housekeeping/cleanliness reports across reviewers
    • Serious legal actions or investigations referenced by reviewers

    Summary review

    Overall sentiment across the reviews for Magnolia Post Acute Care is strongly polarized. A large portion of reviewers give very positive accounts highlighting compassionate, attentive staff—particularly nurses, CNAs, and the rehabilitation team—and praise the facility's cleanliness, maintenance, activities, and leadership involvement. Many families report excellent rehabilitative outcomes, with physical and occupational therapy teams credited for enabling patients to return home. These positive reviews emphasize individualized, patient-centered care, quick maintenance response, accommodating dining, active recreational programming, and an approachable admissions and office staff. Several reviews describe heartfelt gestures, celebration of special events, and staff who go above and beyond usual duties, producing a family-like, supportive atmosphere for recovery.

    Counterbalancing those positive narratives are numerous, often severe complaints describing inconsistent care quality and safety concerns. Recurring negative themes include understaffing and staff who are overworked, slow or nonresponsive call-light responses, and frequent communication breakdowns with case managers and social workers. Medication management problems surface repeatedly—examples include delayed or missing analgesics, pharmacy delivery delays, alleged refusal to provide pain medication, and examples of IV management issues. Multiple reviewers report serious adverse events they attribute to facility care: falls, injuries (broken ribs, bruises), ICU transfers, emergency surgery, and even allegations of death or permanent complications. Some reviews allege legal action or investigations and charge neglectful behavior such as leaving patients unattended, failing to change diapers, removing call lights, or not responding to calls for help.

    Facilities and operations receive mixed evaluations. Many reviewers describe Magnolia as immaculate, well-run, and pleasant with an inviting garden, efficient housekeeping and kitchen teams, and staff who maintain a homelike environment. Several reports single out the director of nursing and administration as highly involved and responsive. Conversely, a notable minority of reviewers describe the facility as dirty, foul-smelling, or poorly organized, with specific hygiene complaints (unclean bath water, uncovered beverages) and issues with outdated decor, uncomfortable beds, and crowded shared restrooms. These divergent impressions suggest variability over time or across units/shifts.

    Staff behavior and communication emerge as a central dividing line. Numerous testimonials emphasize caring, compassionate, and attentive caregivers who facilitate rehabilitation and provide peace of mind for families. At the same time, a substantial number of reviews detail rude, unprofessional, or dismissive staff (including named individuals such as case workers and social workers), lost binders or paperwork, and poor administrative follow-through on complaints. Some families praise the social work and discharge coordination, while others describe unresponsive case managers or hostile social workers, indicating inconsistency in family communication and transition support.

    Safety, medical oversight, and accountability are prominent concerns in the negative reviews and are often described in stark terms. Issues cited include safety hazards (missing bed rails, wheelchair extension hazards), insufficient monitoring (residents left on floors or ignored), and alleged failure to escalate medical needs appropriately (delayed hospital transfers, denial of needed care). Several reviewers describe escalating incidents that resulted in severe outcomes for residents; these are serious allegations that contrast sharply with the many positive rehabilitation stories. Additionally, reviewers occasionally allege operational issues such as stolen items, inflated ratings, or long prescription wait times, compounding worries about management transparency.

    Patterns and takeaways: the reviews portray Magnolia Post Acute Care as a facility capable of delivering excellent post-acute and rehabilitative care—when staffed and managed effectively—with many families reporting successful recoveries and positive personal attention. However, the facility also appears to suffer from significant variability in staff performance, responsiveness, and safety practices according to multiple reviewers. This variability ranges from outstanding, five-star experiences to reports of neglect and harm. Prospective families and referral sources should be aware of these contrasting experiences: the most frequently praised elements are the therapy teams, compassionate caregivers, cleanliness, and leadership involvement; the most serious and frequent concerns are inconsistent staffing, call-light responsiveness, medication management, communication failures, and safety incidents.

    In summary, Magnolia Post Acute Care receives both high praise and serious criticism in the reviews provided. Many reviewers express trust and gratitude for the staff and rehabilitation outcomes, while a nontrivial number report safety, neglect, medication, hygiene, or communication problems—some alleging severe consequences. The reviews suggest that outcomes and experiences at Magnolia may depend heavily on staffing levels, specific shifts or units, and individual caregivers. Families considering this facility should weigh both the strong positive testimonials about therapy and individualized care and the documented negative incidents, and ask targeted questions about staffing, recent incidents or investigations, medication policies, call response times, and how the facility addresses complaints and safety concerns.

    Location

    Map showing location of Magnolia Post Acute Care

    About Magnolia Post Acute Care

    Magnolia Post Acute Care sits at 635 S Magnolia Ave in El Cajon, California, and it's a nursing home with 99 certified beds and about 88 residents each day, where people can find short-term rehabilitation and long-term care in a modern setting with landscaped grounds and well-appointed rooms, both private and semi-private, so you end up with a place that feels more like a real home than some cold hospital. Residents get daily care from skilled nurses, and they have support with personal needs like dressing or bathing, three kinds of therapy-physical, occupational, and speech-plus regular housekeeping, on-site meals with nutritious menus, and laundry services for comfort and ease. The center also helps more independent seniors with choices like single-family homes, condos, and mobile homes, so people aren't boxed into one type of living situation, and they offer everything from active senior community options and residential care to continuing care communities and even memory care for those living with Alzheimer's, which costs quite a bit more than usual healthcare for seniors but is covered in some part by Medicaid or Medicare, depending on your case. Magnolia Post Acute Care has a busy events calendar with morning-to-night activities, trips to the local mall, and a monthly newsletter so residents and families stay in the know, and the activities really do help people feel connected and keep their bodies and minds busy. The staff, managed by Michael Williams since 2014 and owned by Flagstone Healthcare South LLC under The Ensign Group, work hard to create a supporting community, and they try to talk clearly with residents and families about care plans, health concerns, and changes. Inspectors from the Centers for Medicare and Medicaid Services have reported 33 total deficiencies, including some on infection control, resident assessment, care planning, and even one for not protecting residents from the wrongful use of belongings or money, so the place isn't flawless-these areas will want close attention if someone's considering living here. Nurses average 4.08 hours per resident each day, but the nurse turnover rate is 45.8%, which is high and could matter if someone wants stability in care staff. Magnolia Post Acute Care does offer state-of-the-art therapy and rehab, emphasizing getting folks back on their feet with tailored programs and therapist support, so people needing extra help after illness or injury find good help here, and there's a sense of openness with 24-hour access and rooms that welcome visitors. The whole place tries to offer comfort and careful attention, but patients and their families will want to look at inspection reports for details and maybe talk things over with the staff, because the place has good points like the caring nursing team and engaging activities, but also areas that need continued improvement, all summed up with a 3.7-star rating from 63 reviews.

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