Magnolia Wellness Center
3421 Gasconade · Saint Louis, MO · 63118 · 3148324700
120 certified beds For profit - Individual Chain: Opco Skilled Management
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Inspection results have improved across recent cycles.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$53,155 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.20 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.15 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.20 | 0.55–0.75 |
| Weekend hours / resident-day | 2.67 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | 4 · $209,248 |
Inspection citations (81 in the current record)
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Actual harm · G April 9, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 10, 2026 · Quality of Life and Care
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Potential for harm · D April 9, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 10, 2026 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D April 9, 2026 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected March 17, 2026 · Resident Rights
-
Potential for harm · D April 9, 2026 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected April 10, 2026 · Quality of Life and Care
-
Actual harm · G December 12, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 10, 2026 · Quality of Life and Care
-
Potential for harm · D December 12, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 10, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 12, 2025 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected April 10, 2026 · Quality of Life and Care
-
Potential for harm · E December 12, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 13, 2025 · Pharmacy Service
-
Actual harm · G October 24, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
-
Potential for harm · D August 7, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 25, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 23, 2025 · Resident Rights
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Potential for harm · D May 2, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 3, 2025 · Quality of Life and Care
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Potential for harm · E May 2, 2025 · found via complaint
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected May 3, 2025 · Quality of Life and Care
-
Potential for harm · D March 26, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 26, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 3, 2025 · Quality of Life and Care
-
Potential for harm · D March 26, 2025 · found via complaint
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected May 3, 2025 · Quality of Life and Care
-
Potential for harm · E March 26, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected April 22, 2025 · Pharmacy Service
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Potential for harm · E March 26, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 2, 2025 · Infection Control
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Actual harm · G March 4, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 5, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 4, 2025 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected March 5, 2025 · Quality of Life and Care
-
Potential for harm · D July 2, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 29, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J May 2, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 15, 2024 · Quality of Life and Care
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Immediate jeopardy · J February 15, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 29, 2024 · Quality of Life and Care
-
Potential for harm · E February 15, 2024
Honor the resident's right to manage his or her financial affairs.
Corrected March 29, 2024 · Resident Rights
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Potential for harm · D February 15, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected March 29, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 12, 2025 | Payment Denial | 29 days |
| October 24, 2025 | Fine | $12,438 |
| March 4, 2025 | Fine | $40,717 |
| March 4, 2025 | Payment Denial | 23 days |
| May 2, 2024 | Fine | $139,002 |
| May 2, 2024 | Payment Denial | 1 days |
| February 15, 2024 | Fine | $17,091 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265672 · certified since March 12, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.