Magnolia Wellness Center
MAGNOLIA WELLNESS CENTER in SAINT LOUIS, MO — inspection on October 24, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 10/27/25 at 1:15 P.M., the DON said that morning, RN A called and said the resident fell out of the Hoyer, onto the floor.
She asked how many people were in the room when it happened.
She was told by RN A two were in there.
Then the DON asked what type of injury, and it was reported there was bleeding from his/her head.
She told them to call the doctor and 911.
They transported the resident to the hospital.
The hospital did a CT scan, and it revealed laceration to head. CNA D said he/she witnessed the incident and then recanted that.
The CNA changed his/her story.
She thinks it may have been the wrong kind of pad that caused the fall.
During an interview on 10/28/25 at 8:35 A.M., CNA C said he/she saw CNA B and CNA D in the resident's room when he/she went down to check. CNA D was bent down by the resident putting a towel under his/her head. CNA B went out of room to get the nurse. CNA C remembered the pad was blue with different colored straps. CNA C does not know if CNA D was in the room before the fall.
During an interview on 10/24/25 at approximately 5:00 P.M., the Medical Director said he expected staff to follow the facility policy. 2648788
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