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
Facility ID:
Frequently Asked Questions
More Reports
Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.