Federal inspection record · CMS data as of October 1, 2026
Magnolia Wellness Center
3421 Gasconade, Saint Louis, MO · (314) 832-4700
- Certified beds
- 120
- Residents per day
- 75
- Ownership
- For-Profit
- Chain
- Opco Skilled Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 12, 1997
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Magnolia Wellness Center carries 366.5 inspection points. That is fewer than 4% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
84 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (9)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care23F
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- E
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- E
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.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
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.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- C
Ensure the activities program is directed by a qualified professional.
- F
Provide activities to meet all resident's needs.
- F
Ensure the activities program is directed by a qualified professional.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate foot care.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Provide or get specialized rehabilitative services as required for a resident.
- E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
Resident Rights13E
- E
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.
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to manage his or her financial affairs.
- E
Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.
- E
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- E
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.
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- E
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- E
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.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- B
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning9E
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- B
Ensure each resident receives an accurate assessment.
Pharmacy Service7E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure medication error rates are not 5 percent or greater.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure medication error rates are not 5 percent or greater.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Infection Control7F
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
- E
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- E
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- C
Ensure staff are vaccinated for COVID-19
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation5D
- D
Respond appropriately to all alleged violations.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Respond appropriately to all alleged violations.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Administration3F
- D
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- F
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
Nursing and Physician Services3F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- C
Post nurse staffing information every day.
Environmental2E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Inspection history
2024-02-15
25 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
2021-12-08
40 health deficiencies · 17 fire-safety deficiencies
Top issue: Quality of Life and Care (13 deficiencies)
2019-09-06
19 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 15 min of nursing staff time a day, 15 min of it from a registered nurse.
This home
3 h 15 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 59% of nursing staff and 0% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$404,600 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-06-12 | Fine | $152,190 |
| 2026-06-12 | Payment Denial · 13 day denial | $0 |
| 2025-12-12 | Fine | $15,935 |
| 2025-12-12 | Fine | $26,685 |
| 2025-12-12 | Payment Denial · 29 day denial | $0 |
| 2025-10-24 | Fine | $12,438 |
| 2025-03-04 | Fine | $40,717 |
| 2025-03-04 | Payment Denial · 23 day denial | $0 |
| 2024-05-02 | Fine | $139,544 |
| 2024-05-02 | Payment Denial · 1 day denial | $0 |
| 2024-02-15 | Fine | $17,091 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts worse | 2.4 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.9 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine51.5 pts worse | 32.5% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine18.6 pts worse | 72.2% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4 pts better | 0.0% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms27.7 pts worse | 47.7% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.7 pts better | 4.4% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication13.8 pts better | 11.8% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.8 pts better | 16.7% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened11 pts better | 4.8% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased12.9 pts better | 4.5% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.2 pts better | 0.0% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence11.2 pts better | 5.9% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.5 pts worse | 4.9% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine48.9 pts worse | 16.8% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit9 pts better | 4.4% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine61.4 pts worse | 0.0% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.5 pts better | 25.2% | 25.7% | 23.4% |
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Who owns and runs it
14 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Wildflower Healthcare LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 5 facilities |
| 321 Gasconade Street Mo LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Blooming Willow Partners LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 5 facilities |
| Davidovich, Niv | Trustee Of The SNF · Individual | 0% | 26 facilities |
| Derhoben Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 5 facilities |
| Garetz, David | Corporate Officer · Individual | 0% | 72 facilities |
| Hagins, Elizabeth | Trustee Of The SNF · Individual | 0% | 57 facilities |
| Kaplan, Mordechai | Trustee Of The SNF · Individual | 0% | 42 facilities |
| Mindle, Adam | Trustee Of The SNF · Individual | 0% | 58 facilities |
| Pas B Sol Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 5 facilities |
| Sternshein, Jennifer | Trustee Of The SNF · Individual | 0% | 55 facilities |
| Thordsen, Denise | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wildflower Healthcare LLC | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Zimmerman, Caroline | Trustee Of The SNF · Individual | 0% | 35 facilities |
·
Fire safety
30 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke14F
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Have an enclosure around a vertical opening shaft.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Have properly installed hallway dispensers for alcohol-based hand rub.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Egress6E
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Install proper backup exit lighting.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- E
Have properly located and lighted "Exit" signs.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Emergency Preparedness3F
- F
List the names and contact information of those in the facility.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Implement emergency and standby power systems.
Services2E
- E
Have properly installed electrical wiring and gas equipment.
- E
Install properly constructed and protected linen or trash chutes.
Miscellaneous1E
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
·
Other homes nearby
-
Carrie Elligson Gietner Health Care Center
Saint Louis, MO · Reliant Care Management
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 1 h 52 min
- Fines
- $236,408
-
St Louis Altenheim
Saint Louis, MO · Shafiq Malik
Not rated- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 50 min
- Fines
- $0
-
Pine Grove Manor
Saint Louis, MO · Opco Skilled Management
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 7 min
- Fines
- $28,337