CareSentinel

Compiled from official CMS federal data

MAGNOLIA WELLNESS CENTER, SAINT LOUIS, MO — Violations & Inspection Reports

CCN 265672 · 3421 GASCONADE, SAINT LOUIS, MO, 63118

Record as of Jun 2026 · Updated monthly from CMS

Does MAGNOLIA WELLNESS CENTER have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), MAGNOLIA WELLNESS CENTER (CCN 265672), in SAINT LOUIS, MO, has federal inspection findings. CMS currently displays its federal abuse icon for this facility — a flag CMS assigns under its own published methodology for abuse-related citations (deficiency tag F600 and related).

In its current inspection cycle, CMS cited the facility for 24 deficiencies; the most severe is rated J, which CMS classifies as Immediate Jeopardy — its most serious level, for noncompliance it found likely to cause serious harm or death. The latest standard health inspection on file is dated 2024-02-15. Earlier-cycle citations appear in the dated timeline below as historical, not current. CMS has $209,248 in civil money penalties on file against the facility. The record also includes 6 abuse- or neglect-related citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series; most recent Apr 2026). This page restates the federal record and draws no conclusion of its own.

Abuse-, fall-, and care-related findings on the federal record

  • 6 citations in CMS's "Freedom from Abuse, Neglect, and Exploitation" family (F600-series) — most recent Apr 2026.
  • 5 citations for accident hazards or inadequate supervision (F689) — the deficiency family behind fall-related findings; most recent Apr 2026.
  • 2 pressure-ulcer care citations (F686) — the consumer term is "bedsores"; most recent Dec 2021.
  • 2 nutrition and hydration citations (F692) — the consumer terms are "malnutrition" and "dehydration"; most recent Dec 2021.
  • 26 findings on file from complaint-triggered inspections.

Every figure above restates CMS’s own dated record; this page draws no conclusion of its own. Strict state filing deadlines can apply to nursing-home injury claims — a licensed attorney in your state can review this record.

FOR FAMILIES

What brings you to this record?

The Federal Record

CMS displays its federal abuse icon on this facility's official record.

Below is this facility's federal inspection record as on file with CMS.

Federal Abuse Icon

Federal abuse icon on file

CMS displays this icon for facilities it has cited for resident abuse under its own published methodology — the government's own flag, restated here.

F600 — Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations.

Civil money penalties on file

$209,248

CMS also records 53 days of payment denial.

Have a lawyer review this record →

About this record: Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

Deficiency timeline

How to read these codes ↓

Showing the 60 most recent of 81 federal records.

Citations are listed by scope/severity (most severe first), not chronologically; each entry is labeled current-cycle or historical.

2024-02-15
CURRENT CYCLE
F689S/S J

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2024-05-02
HISTORICAL
F684S/S J

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-03-04
HISTORICAL
F600S/S G

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

57 more citations on file — Abuse & neglect 5 · Accidents & supervision 3 · Pressure ulcers 1 · Medication & pharmacy 6 · Resident rights 5 · Other citations 33 (expand)
2026-04-09
CURRENT CYCLE
F689S/S G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2026-04-09
CURRENT CYCLE
F627S/S D

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

2026-04-09
CURRENT CYCLE
F740S/S D

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

2026-04-09
CURRENT CYCLE
F610S/S D

Respond appropriately to all alleged violations.

2025-12-12
CURRENT CYCLE
F689S/S G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-12-12
CURRENT CYCLE
F740S/S E

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

2025-12-12
CURRENT CYCLE
F755S/S E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2025-12-12
CURRENT CYCLE
F610S/S D

Respond appropriately to all alleged violations.

2025-10-24
CURRENT CYCLE
F689S/S G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-08-07
CURRENT CYCLE
F600S/S D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2025-06-25
CURRENT CYCLE
F550S/S D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2025-05-02
HISTORICAL
F688S/S 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.

2025-05-02
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-03-26
HISTORICAL
F759S/S E

Ensure medication error rates are not 5 percent or greater.

2025-03-26
HISTORICAL
F880S/S E

Provide and implement an infection prevention and control program.

2025-03-26
HISTORICAL
F688S/S 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.

2025-03-26
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-03-26
HISTORICAL
F658S/S D

Ensure services provided by the nursing facility meet professional standards of quality.

2025-03-04
HISTORICAL
F740S/S D

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

2024-07-02
HISTORICAL
F600S/S D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

2024-02-15
CURRENT CYCLE
F812S/S F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2024-02-15
CURRENT CYCLE
F805S/S E

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

2024-02-15
CURRENT CYCLE
F567S/S E

Honor the resident's right to manage his or her financial affairs.

2024-02-15
CURRENT CYCLE
F921S/S E

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

2024-02-15
CURRENT CYCLE
F636S/S D

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

2024-02-15
CURRENT CYCLE
F940S/S D

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

2024-02-15
CURRENT CYCLE
F909S/S 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.

2024-02-15
CURRENT CYCLE
F755S/S D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2024-02-15
CURRENT CYCLE
F645S/S D

PASARR screening for Mental disorders or Intellectual Disabilities

2024-02-15
CURRENT CYCLE
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2024-02-15
CURRENT CYCLE
F700S/S 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.

2024-02-15
CURRENT CYCLE
F680S/S C

Ensure the activities program is directed by a qualified professional.

2021-12-08
HISTORICAL
F686S/S G

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2021-12-08
HISTORICAL
F680S/S F

Ensure the activities program is directed by a qualified professional.

2021-12-08
HISTORICAL
F679S/S F

Provide activities to meet all resident's needs.

2021-12-08
HISTORICAL
F727S/S 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.

2021-12-08
HISTORICAL
F838S/S 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.

2021-12-08
HISTORICAL
F865S/S F

Have a plan that describes the process for conducting QAPI and QAA activities.

2021-12-08
HISTORICAL
F880S/S F

Provide and implement an infection prevention and control program.

2021-12-08
HISTORICAL
F842S/S E

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2021-12-08
HISTORICAL
F564S/S E

Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.

2021-12-08
HISTORICAL
F887S/S 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.

2021-12-08
HISTORICAL
F881S/S E

Implement a program that monitors antibiotic use.

2021-12-08
HISTORICAL
F882S/S E

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

2021-12-08
HISTORICAL
F725S/S E

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

2021-12-08
HISTORICAL
F658S/S E

Ensure services provided by the nursing facility meet professional standards of quality.

2021-12-08
HISTORICAL
F656S/S E

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2021-12-08
HISTORICAL
F755S/S E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2021-12-08
HISTORICAL
F584S/S 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.

2021-12-08
HISTORICAL
F759S/S E

Ensure medication error rates are not 5 percent or greater.

2021-12-08
HISTORICAL
F761S/S 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.

2021-12-08
HISTORICAL
F804S/S E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

2021-12-08
HISTORICAL
F578S/S 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.

2021-12-08
HISTORICAL
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2021-12-08
HISTORICAL
F687S/S D

Provide appropriate foot care.

2021-12-08
HISTORICAL
F610S/S D

Respond appropriately to all alleged violations.

2021-12-08
HISTORICAL
F825S/S D

Provide or get specialized rehabilitative services as required for a resident.

Overall CMS star rating

This facility: 1  ·  CMS state average: 2.5

Both figures as published by CMS.

You may be reading this record for the first time.

If something happened to someone you love at this facility, this federal record may be new to you today. The company that operates a nursing home, by contrast, is rarely seeing records like this for the first time — operators like these typically retain standing legal, risk, and insurance teams whose routine work includes records exactly like the one on this page. That is not a judgment of this facility; it is how the business is structured. Because strict time limits can apply, families often find it helps to have a qualified person review the record with them sooner rather than later.

Your federal record — tap to preview

Federal record

MAGNOLIA WELLNESS CENTER — Federal Record

CMS overall 1/5 · 24 current-cycle deficiencies · CMS abuse icon listed


Section 7 — Case Context

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SECTION 7 — CASE CONTEXT

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What happened

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If you believe a resident is in immediate danger, call 911. Care concerns can also be reported at no cost to your state survey agency or the Long-Term Care Ombudsman program (ltcombudsman.org) — independent of any legal inquiry.

How to read this record

Making sense of a CMS inspection record

CMS scores every citation on a grid from A to L, combining how widespread a finding was with how serious it was. A–C is a deficiency CMS classifies as no harm; D–F as the potential for harm; G–I as actual harm that reached a resident; and J–L as immediate jeopardy, CMS’s most serious level. Later letters mark more serious findings.

Three questions to ask on a tour

  • How is the home staffed on nights, weekends, and holidays?
  • What happens when a resident’s condition changes suddenly?
  • How, and how quickly, are families told about an incident?

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Download the full federal record (PDF) →