Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under Medicaid (67% of admissions), and a typical Medicaid stay runs around 4 - 5 months.
Magnolia Wellness Center is a 120-bed skilled nursing facility at 3421 Gasconade Street, Saint Louis City, Saint Louis County, Missouri, operated by Sage Nursing & Rehab LLC under the administration of Michael Kleissler. The facility is Medicare and Medicaid certified with a physician on staff and maintains 24-hour nursing services. It has a walk score of 92, placing it in a walkable urban location where daily errands do not require a car.
Registered nurses provide only 12 minutes per resident per day, representing a 57% reduction compared to Missouri’s state average of 28 minutes. This level of RN coverage is substantially below typical skilled nursing facilities. Licensed practical nurses provide 42 minutes per day, matching the state average. Certified nursing aides provide 2 hours 14 minutes per day, slightly below state average.
Weekend total nursing hours are 2 hours 39 minutes per day (13% below state average). Weekend RN presence drops further to 11 minutes per day, which is 45% below the state average of 20 minutes.
Quality outcomes for long-stay residents show concerning patterns. Long-stay hospitalization rates are 3.15 per 1,000 days, representing a 51% increase over Missouri’s state average of 2.08. Long-stay emergency department visits average 1.55 per 1,000 days, which is 34% better than the state average.
Short-stay rehabilitation outcomes are substantially weaker. Re-hospitalization rates are 34.5% (36% worse than the state average of 25.3%), meaning more than one in three discharged residents returns to the hospital following their nursing home stay. This metric suggests either insufficient rehabilitation progress, inadequate discharge planning, or gaps in transitional care protocols. Short-stay emergency department visits occur in 10.0% of residents (25% better than state average of 13.4%).
Falls with major injury occur in 0.0% of residents (100% better than state average of 0.8%), reflecting strong fall prevention measures.
The facility provides rehabilitation services, respite care, and beauty and barber services. Meals are nutritionally balanced and accommodate both medical and faith-based dietary requirements. Health care and dietary management are listed as specific programs.
The facility accepts Missouri Medicaid programs, including the Aged and Disabled Waiver, Missouri Supplemental Nursing Care, Structured Family Caregiving Waiver, MO HealthNet Aged Blind and Disabled, and Medicare Savings Program. Veterans and spouses may qualify for VA Aid and Attendance benefits.
Families should request written documentation of RN staffing rationale and detailed explanation for elevated hospitalization and re-hospitalization rates before admission.
Magnolia Wellness Center is legally operated by Sage Nursing & Rehab LLC, and administered by Emmanuel Jackson.
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
Deficiencies
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total deficiencies
| 75 | 35 | This facility has 114% more total deficiencies than a typical Missouri assisted living residence (75 vs. MO avg 35).↑ 114% worse |
|
Deficiencies per year
| 10.7 | 5 | This facility has 114% more deficiencies per year than a typical Missouri assisted living residence (10.7 vs. MO avg 5).↑ 114% worse |
|
Deficiencies per inspection
| 5.8 | 2.9 | This facility has 100% more deficiencies per inspection than a typical Missouri assisted living residence (5.8 vs. MO avg 2.9).↑ 100% worse |
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
| 13 | 12 | This facility has had 8% more total inspections than the Missouri average (13 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 8% more |
State average N/A
Last Health inspection on Oct 2025
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
55 of 73 citations resulted from standard inspections; 14 of 73 resulted from complaint investigations; and 4 of 73 came from combined inspections (standard and complaint).
State average: N/A
State average: N/A
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
1,452 contractor hours this quarter
| Certified Nursing Assistant | 45 | 0 | 45 | 12,268 | 92 | 100% | 7.4 |
| Medication Aide/Technician | 18 | 0 | 18 | 5,308 | 92 | 100% | 7.9 |
| Licensed Practical Nurse | 22 | 0 | 22 | 5,200 | 92 | 100% | 9.4 |
| Physical Therapist | 9 | 0 | 9 | 3,590 | 92 | 100% | 7 |
| Registered Nurse | 3 | 0 | 3 | 1,135 | 92 | 100% | 8.3 |
| RN Director of Nursing | 2 | 0 | 2 | 1,026 | 74 | 80% | 7.7 |
| Other Dietary Services Staff | 5 | 0 | 5 | 860 | 83 | 90% | 6.7 |
| Occupational Therapy Aide | 2 | 0 | 2 | 859 | 89 | 97% | 6.3 |
| Administrator | 2 | 0 | 2 | 595 | 62 | 67% | 8.5 |
| Dietitian | 1 | 0 | 1 | 501 | 63 | 68% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 493 | 58 | 63% | 8.5 |
| Dental Services Staff | 1 | 0 | 1 | 437 | 56 | 61% | 7.8 |
| Therapeutic Recreation Specialist | 0 | 2 | 2 | 412 | 64 | 70% | 6.1 |
| Physical Therapy Aide | 0 | 1 | 1 | 407 | 63 | 68% | 6.5 |
| Qualified Social Worker | 0 | 1 | 1 | 404 | 59 | 64% | 6.8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 137 | 45 | 49% | 3 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 85 | 35 | 38% | 2.4 |
| Clinical Nurse Specialist | 0 | 1 | 1 | 8 | 1 | 1% | 8 |
Includes penalties issued in 2024-2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Penalties are imposed by CMS for violations of federal nursing home regulations.
5 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
11% of new residents, usually for short-term rehab.
22% of new residents, often for short stays.
67% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Magnolia Wellness Center from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under Medicaid (67% of admissions), and a typical Medicaid stay runs around 4 - 5 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Saint Louis's city center to Magnolia Wellness Center's address, calculated via Google Maps.
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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
| Laclede Groves | NH AL IL MC | St. Louis | - | 251 | - | 35 | - |
| Republic Nursing and Rehab | NH | Republic | - | 127 | - | 48 | Private / Semi-Private Rooms |
| Chaffee Nursing Center | NH HOS SNF | Chaffee | - | 71 | - | 25 | Studio |
| Heisinger Bluffs | NH AL IL MC RC SNF | Jefferson City | - | 111 | - | 32 | 1 Bed / 2 Bed / 3 Bed |
| Magnolia Wellness Center | NH PC SNF | Saint Louis | - | 120 | - | 92 | - |
Magnolia Wellness Center is legally operated by Sage Nursing & Rehab LLC, and administered by Emmanuel Jackson.
Magnolia Wellness Center has a walk score of 92. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
According to MO state health department records, Magnolia Wellness Center's license number is 053438.
According to MO state health department records, Magnolia Wellness Center's license expires on March 11, 2028.
Magnolia Wellness Center's occupancy is 67%.
No, Magnolia Wellness Center has a no-pet policy.
Magnolia Wellness Center is registered as a for-profit in MO.
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