Magnolia Wellness Center
Saint Louis, Missouri · CCN 265672
34 surveys since 2010, 13 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 172
- Surveys
- 34
- Harm or worse
- 13
- Immediate jeopardy
- 5
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 120
- Ownership
- For profit - Individual
- Chain
- OPCO SKILLED MANAGEMENT
- County
- St. Louis City
- Medicare-certified since
- 1997
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 1
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 118 for-profit facilities of 100–127 beds in Missouri.
Last survey on record
Jun 12, 2026
150 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.14 | 3.32 |
| Registered-nurse hours per resident day | 0.25 | — |
| Annual nurse turnover | 63.6% | 57.7% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $404,600 across 7 penalties
- Payment denials
- 4
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J22.4% | K— | L— |
| Actual harm | G78.3% | H— | I— |
| No harm, potential for more than minimal | D3440.5% | E2833.3% | F78.3% |
| No harm, potential for minimal | A— | B22.4% | C44.8% |
Most frequently cited here
In CMS’s current monthly file.
- F6896×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F7404×
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- F5843×
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- F6003×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6103×
Respond appropriately to all alleged violations.
In the surveyor’s words
From the most serious findings on record at Magnolia Wellness Center, in the surveyor’s own words.
- Immediate jeopardy, widespreadF725Jan 18, 2022
Based on observation, interview and record review, the facility failed to ensure there were a sufficient number of skilled licensed nurses and other nursing personnel to provide care and respond to each resident's need. The facility also failed to ensure licensed nurse coverage 24 hours a day when a nurse, scheduled to work the evening shift on 1/7/22, failed to report for duty. The facility did not have a system in place to ensure the required coverage was provided. Licensed Practical Nurse (LPN) T, who worked the day shift on 1/7/22, left the facility at approximately 5:00 P.M., with only one certified nursing assistant (CNA) on duty. When the night shift staff arrived, only two CNAs were on duty. […]
- Immediate jeopardy, patternF678Jan 18, 2022
Based on observation, interview and record review, the facility failed to have a system in place to ensure there are an adequate number of staff present at all times who are properly trained and/or certified in cardiopulmonary resuscitation (CPR) for Healthcare Providers to be able to provide CPR until emergency medical services arrive. The facility failed to ensure CPR certified staff were working at the facility on [DATE] on the day and evening shift, [DATE] on the day shift, and [DATE] on the day shift. In addition, the facility failed to ensure CPR certified staff were certified in CPR for Healthcare Providers. This training includes hands-on practice and in-person skills assessment. […]
- Immediate jeopardy, isolatedF684May 2, 2024
Based on interview and record review, the facility failed to provide acceptable nursing services by not directly and continuously monitoring and intervening for one resident who was in respiratory distress (Resident #1). Two therapy staff found the resident difficult to wake, breathing heavily, and would groan and open and then close his/her eyes when his/her name was called. The resident was identified not connected to the oxygen concentrator and the resident did not have his/her BiPap on. The concentrator was broken. When staff attempted to use the emergency oxygen tank (e-tank) on the back of the resident's wheelchair, it was found empty, further delaying treatment while staff went to retrieve a full e-tank. Staff applied the nasal cannula with oxygen at 4 liters from the e-tank. […]
- Immediate jeopardy, isolatedF689Feb 15, 2024
Based on interviews, record reviews, personnel file review, and review of the facility's policy, the facility failed to have two staff available during the mechanical lift transfer of one resident (Resident (R) 73). Staff failed to ensure the mechanical lift device was in working order and inspection of the device showed it had missing bolts. During the transfer, the lift collapsed. The resident was later transferred to the hospital, diagnosed with a brain bleed, underwent surgery, and expired. This had the likelihood to cause serious injury, harm or death for any of the 76 residents that could be transferred by untrained personnel. An Immediate Jeopardy was identified on [DATE] and was determined to exist starting on [DATE]. […]
- Actual harm, patternF600Jan 18, 2022
Based on observation, interview and record review, the facility failed to protect the resident's right to be free from neglect. On 1/7/22, no evening shift nurse reported for duty and the day shift nurse, Licensed Practical Nurse (LPN) T, clocked out at 5:07 P.M. and failed to notify the administrator that he/she was leaving the facility with no licensed nurse to cover the next shift. He/she left the facility with one certified nursing assistant (CNA). This resulted in having no licensed nurse on duty from 1/7/22 at 5:07 P.M. through 1/8/22 at 6:45 A.M. Not having a licensed nurse on duty resulted in one resident (Resident #34) experiencing pain throughout the night without receiving his/her ordered pain medication. […]
Read 25 findings in full →The most serious and the most recent: 25 of 172 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 12, 2026Complaint3 findings · 2 harm
- Apr 9, 2026Complaint4 findings · 1 harm
- Dec 12, 2025Complaint4 findings · 1 harm
- Oct 24, 2025Complaint1 finding · 1 harm
- Aug 7, 2025Complaint1 finding
- Jun 25, 2025Complaint1 finding
- May 2, 2025Complaint2 findings
- Mar 26, 2025Complaint5 findings
Show the 26 earlier surveys
- Mar 4, 2025Complaint2 findings · 1 harm
- Jul 2, 2024Complaint1 finding
- May 2, 2024Complaint1 finding · 1 harm
- Feb 15, 2024Standard and complaint13 findings · 1 harm
- Mar 1, 2023Complaint1 finding
- Nov 30, 2022Complaint1 finding
- Mar 16, 2022Complaint3 findings
- Jan 18, 2022Complaint3 findings · 3 harm
- Dec 8, 2021Standard33 findings · 1 harm
- Jan 8, 2021Complaint2 findings
- Feb 13, 2020Complaint1 finding
- Sep 6, 2019Standard and complaint17 findings
- May 21, 2019Complaint1 finding
- Oct 26, 2018Standard21 findings
- Nov 21, 2017Standard7 findings
- Oct 7, 2016Standard5 findings
- Nov 10, 2015Standard10 findings
- Oct 8, 2015Complaint1 finding
- Nov 3, 2014Standard7 findings
- Nov 15, 2013—9 findings
- Jul 2, 2013—1 finding
- Nov 14, 2012—2 findings
- Dec 7, 2011—5 findings
- Sep 26, 2011—2 findings · 1 harm
- Jul 7, 2011—1 finding
- Dec 9, 2010—1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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