The reviews for Magnolia Square Nursing present a highly polarized and complex picture. A significant portion of reviewers report compassionate, professional, and attentive care: specific staff members (notably Erica at the front desk, Thea, Anne, Shana, Kim, and Tia) are repeatedly praised for communication, emotional support, and hands-on care. Multiple families credit the facility with successful rehab outcomes, good therapy (PT/OT), and an overall homelike environment with well-maintained rooms, pleasant outdoor areas, and engaging activities. Several reviews indicate that a change in administration led to noticeable improvements, including cleaner rooms, better staff culture, and higher-quality care for some residents. These positive accounts emphasize dignity, respect, responsive front-desk support, and instances where individualized communication and family outreach made a tangible difference in patient outcomes.
Counterbalancing those positives are numerous, serious and recurring concerns describing inconsistent and sometimes dangerous lapses in care. The most frequent negative themes are understaffing and uneven staff performance: families report too few CNAs and nurses on duty (especially on weekends and nights), slow response to call lights, and caregivers who appear uncaring or rushed. These staffing problems are linked to missed or delayed basic care tasks — missed medications or oxygen not being provided, delayed diaper changes, failure to reposition residents, and residents being left in bed to eat rather than being assisted to the dining room. Several reviewers described severe medical deterioration that they attribute to neglect, including dramatic weight loss (one cited a drop from 134 lbs to 85 lbs), pneumonia leading to hospitalization, and doctors refusing to discharge patients because the facility could not meet care needs.
Cleanliness and infection control are another major area of conflict. While some families describe the facility as neat, odor-free, and well maintained, others recount alarming hygiene problems: rooms described as dirty with leftover dishes and filthy bathrooms, caked spills on floors, broken glass, filthy clothing, and even bedbug allegations in at least one review. Multiple reports also identify poor infection control and reluctance or refusal by staff to use PPE or masks, which is particularly concerning during COVID-19. Several families reported that COVID restrictions prevented hospice access and in some cases blocked timely hospice involvement; other reviews describe hospice being promised but not delivered or being denied due to questioned documentation.
Administrative issues and communication failures are prominent. Reviews include numerous complaints about unreturned calls, lack of notification for hospital transfers, billing disputes, overcharging, and prolonged refund delays. There are also several claims of improper record transfers, documentation errors, and even allegations of fraudulent charting and signing off on treatments that were not provided. Management turnover and instability are repeatedly mentioned as drivers of uneven care; conversely, some reviewers note a strong turnaround under newer administrators who improved communication and staff morale.
Safety, resident dignity, and family experience vary widely. Some families describe caring, attentive staff who go beyond expectations, keep families informed, and provide comforting end-of-life care. Others report theft (cellphone stolen), roommate harassment, police being called on family members, and insensitive or rude staff when collecting belongings or addressing family concerns. Dining experiences are mixed: some praise the food and menus, while others report cold meals, lack of assistance at mealtimes, and long waits. Activity programs are present and appreciated by some residents but others say there are too few activities and residents are forgotten. Financial and administrative processes (billing, refunds, discharge paperwork) create additional stress for families when they fail.
Overall sentiment is highly mixed and polarized: there are clear examples of excellent, compassionate care and successful rehabilitation, often centered around particular staff members and leadership that prioritize communication and dignity. At the same time, there are multiple, serious accounts of neglect, poor hygiene, medication and documentation problems, and administrative failures that have led to medical deterioration, hospitalizations, and in some cases death. The pattern suggests that care at Magnolia Square can vary dramatically depending on staffing levels, specific caregivers on duty, and management stability. Families considering this facility should weigh both the strong positive testimonials about individual staff and rehabilitation success and the many red flags about consistency, cleanliness, infection control, hospice access, documentation, and billing. Prospective residents and families would benefit from direct, ongoing communication with administration about staffing ratios, infection-control policies, hospice procedures, medication management, documentation practices, and guaranteed points of contact to help mitigate the variability described in these reviews.
