Magnolia Manor
4400 Gulf St, Groves, TX 77619 · Jefferson County · 126 certified beds · avg 107 residents/day · certified since Jul 10, 1985
Part of chain: CANTEX CONTINUING CARE (37 facilities, chain avg rating 3.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Mar 11, 2025 · F-0607 · triggered by a complaint
The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Why it matters: Without working prevention policies, mistreatment is more likely to happen and less likely to be caught.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jan 18, 2025 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Mar 11, 2025 · F-0609 · triggered by a complaint
The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Why it matters: When incidents aren't reported promptly, abusers may continue harming residents and outside authorities can't step in.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jan 18, 2025 (Past Non-Compliance)
▲ Actual harm, repeated · Mar 11, 2025 · F-0697 · triggered by a complaint
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
Severity (H): Multiple residents were actually harmed by the same failure — a pattern of real harm, not an isolated incident.
Corrected: Mar 15, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 11, 2025 · F-0580 · triggered by a complaint
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 15, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (25)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 17, 2026 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Apr 1, 2026 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · from a complaint |
| Jul 2, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jul 2, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jul 2, 2025 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Jul 2, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jul 2, 2025 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Jul 2, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Mar 11, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Mar 11, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Mar 11, 2025 | ▲ H · Actual harm, repeated | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Mar 11, 2025 | ▲ G · Actual harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Mar 11, 2025 | E · Potential for harm, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Mar 11, 2025 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Apr 24, 2024 | F · Potential for harm, facility-wide | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Apr 24, 2024 | E · Potential for harm, repeated | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. |
| Apr 24, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Apr 24, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Apr 24, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Apr 24, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Apr 24, 2024 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Mar 21, 2024 | D · Potential for harm, one-off | The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint |
| Mar 21, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaint |
| Feb 15, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Feb 15, 2023 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | D |
| 2024 | 9 | 0 | F |
| 2025 | 12 | 4 | J ▲ |
| 2026 | 2 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $230,279.
| Date | Type | Amount / length |
|---|---|---|
| Mar 11, 2025 | Fine | $225,929 |
| Mar 21, 2024 | Fine | $4,350 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.14 | 3.46 | 3.95 | bottom 34% in Texas; bottom 19% in the U.S. |
| Registered Nurse hours | 0.26 | 0.44 | 0.69 | bottom 20% in Texas; bottom 6% in the U.S. |
| Weekend total nurse staffing | 2.79 | 3.04 | 3.50 | bottom 38% in Texas; bottom 20% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.18 | 0.34 | 0.48 | bottom 16% in Texas; bottom 9% in the U.S. |
| Total nursing staff turnover (%) | 39.7 | 55.3 | 45.8 | top 20% in Texas; top 35% in the U.S. |
| RN turnover (%) | 0.0 | 54.6 | 42.9 | — |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.92, RN 0.24, weekend 2.59. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 2/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Tyler County Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/01/2015 |
| Cresthaven Health Care Center LTD Co | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/15/2015 |
| Cresthaven Health Care Center LTD Co | Organization | ADP of the SNF | NOT APPLICABLE | 04/09/2025 |
| Dela Cruz, Kristopher | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2022 |
| Riles, Kenosha | Individual | ADP of the SNF | NOT APPLICABLE | 01/06/2025 |
| Smith, Delphia | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/19/2024 |
| Smith, Delphia | Individual | ADP of the SNF | NOT APPLICABLE | 02/19/2024 |
| Williams, Sondra | Individual | Corporate Officer | NOT APPLICABLE | 06/18/2007 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Oak Grove Nursing Home | 1.6 mi | Groves, TX | ★★★★☆ | 5/5 | |
| Sabine Heights Nursing and Rehabilitation Center | 2.4 mi | Port Arthur, TX | ★☆☆☆☆ | 1/5 | abuse |
| Port Arthur Nursing and Rehabilitation Center | 3.6 mi | Port Arthur, TX | ★★☆☆☆ | 1/5 | abuse |
| Bonne Vie | 4.0 mi | Port Arthur, TX | ★★★★★ | 5/5 | |
| Oakwood Manor Nursing Home | 13.3 mi | Vidor, TX | ★★★★☆ | 4/5 | |
| Focused Care at Orange | 13.7 mi | Orange, TX | ★☆☆☆☆ | 2/5 | |
| Vidor Health & Rehabilitation Center | 14.2 mi | Vidor, TX | ★☆☆☆☆ | 1/5 | |
| College Street Health Care Center | 15.3 mi | Beaumont, TX | ★★★★☆ | 4/5 | |
| Beaumont Nursing and Rehabilitation | 15.3 mi | Beaumont, TX | ★★☆☆☆ | 2/5 | |
| Avir at Beaumont | 15.3 mi | Beaumont, TX | ★☆☆☆☆ | 1/5 | abuse |
| Spindletop Hill Nursing and Rehabilitation Center | 15.5 mi | Beaumont, TX | ★☆☆☆☆ | 2/5 | |
| Beaumont Health Care Center | 16.2 mi | Beaumont, TX | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 455538.