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.
State average 6.6
Last Health inspection on Oct 2025
State average 36.5
State average 5.67
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: 0.7
State average: 1
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.
Add your location
Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Missouri average is: 54.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Laclede Groves | NH AL IL MC SNF | St. Louis | 251
Facility
251
MO AVG
96
Rank
#3 / 450 |
40.9%
Facility
40.9%
MO AVG
66.5%
Rank
#365 / 407 | -39% | 5.27
Facility
5.27
MO AVG
3.74
Rank
#20 / 268 | +48% | +41% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 9
Facility
9
MO AVG
36.5
Rank
#10 / 274 | 4.5
Facility
4.5
MO AVG
5.7
Rank
#99 / 274 | - | 103 | - |
35
Facility
35
MO AVG
46
Rank
#353 / 545 | John Komlos | $24.9MFiscal year ending 12/2023
Facility
$24.9MFiscal year ending 12/2023
MO AVG
$7.4M
Rank
#3 / 251 | $27.4MFiscal year ending 12/2023
Facility
$27.4MFiscal year ending 12/2023
MO AVG
$3.9M
Rank
#2 / 251 | 109.9%Fiscal year ending 12/2023
Facility
109.9%Fiscal year ending 12/2023
MO AVG
54.9%
Rank
#1 / 251 | 265600 | ||||
| Linden Woods Village | NH AL IL SNF | Gladstone | 40
Facility
40
MO AVG
96
Rank
#415 / 450 |
85.0%
Facility
85.0%
MO AVG
66.5%
Rank
#73 / 407 | +28% | 4.20
Facility
4.20
MO AVG
3.74
Rank
#65 / 268 | +31% | +12% | $0
Facility
$0
MO AVG
$76.9k
Rank
#1 / 276 | 12
Facility
12
MO AVG
36.5
Rank
#27 / 274 | 4.0
Facility
4.0
MO AVG
5.7
Rank
#71 / 274 | - | 34 | - |
53
Facility
53
MO AVG
46
Rank
#216 / 545 | Amanda Fizer | $8.5MFiscal year ending 12/2023
Facility
$8.5MFiscal year ending 12/2023
MO AVG
$7.4M
Rank
#67 / 251 | $3.8MFiscal year ending 12/2023
Facility
$3.8MFiscal year ending 12/2023
MO AVG
$3.9M
Rank
#93 / 251 | 44.8%Fiscal year ending 12/2023
Facility
44.8%Fiscal year ending 12/2023
MO AVG
54.9%
Rank
#207 / 251 | 265855 | ||||
| St. Clair Nursing Center | NH HOS MC SNF | St Clair | 79
Facility
79
MO AVG
96
Rank
#273 / 450 |
73.4%
Facility
73.4%
MO AVG
66.5%
Rank
#159 / 407 | +10% | 3.81
Facility
3.81
MO AVG
3.74
Rank
#116 / 268 | -19% | +2% | $12.7k
Facility
$12.7k
MO AVG
$76.9k
Rank
#170 / 276 | 7
Facility
7
MO AVG
36.5
Rank
#6 / 274 | 2.3
Facility
2.3
MO AVG
5.7
Rank
#10 / 274 | - | 58 | A+ |
48
Facility
48
MO AVG
46
Rank
#261 / 545 | St. Clair Nursing LLC | $5.7MFiscal year ending 12/2023
Facility
$5.7MFiscal year ending 12/2023
MO AVG
$7.4M
Rank
#125 / 251 | $3.1MFiscal year ending 12/2023
Facility
$3.1MFiscal year ending 12/2023
MO AVG
$3.9M
Rank
#131 / 251 | 55.5%Fiscal year ending 12/2023
Facility
55.5%Fiscal year ending 12/2023
MO AVG
54.9%
Rank
#105 / 251 | 265495 | ||||
| Farmington Presbyterian Manor | NH AL IL MC SNF | Farmington | 90
Facility
90
MO AVG
96
Rank
#225 / 450 |
74.4%
Facility
74.4%
MO AVG
66.5%
Rank
#147 / 407 | +12% | 4.33
Facility
4.33
MO AVG
3.74
Rank
#59 / 268 | +49% | +16% | $12.6k
Facility
$12.6k
MO AVG
$76.9k
Rank
#169 / 276 | 9
Facility
9
MO AVG
36.5
Rank
#10 / 274 | 2.3
Facility
2.3
MO AVG
5.7
Rank
#10 / 274 | 1 | 67 | A+ |
66
Facility
66
MO AVG
46
Rank
#113 / 545 | Jane Hull | $8.7MFiscal year ending 06/2024
Facility
$8.7MFiscal year ending 06/2024
MO AVG
$7.4M
Rank
#65 / 251 | $4.7MFiscal year ending 06/2024
Facility
$4.7MFiscal year ending 06/2024
MO AVG
$3.9M
Rank
#61 / 251 | 53.6%Fiscal year ending 06/2024
Facility
53.6%Fiscal year ending 06/2024
MO AVG
54.9%
Rank
#128 / 251 | 265583 | ||||
| Magnolia Wellness Center | NH PC SNF | Saint Louis | 120
Facility
120
MO AVG
96
Rank
#87 / 450 |
66.7%
Facility
66.7%
MO AVG
66.5%
Rank
#206 / 407 | 0% | 2.12
Facility
2.12
MO AVG
3.74
Rank
#257 / 268 | -68% | -43% | $209.2k
Facility
$209.2k
MO AVG
$76.9k
Rank
#268 / 276 | 73
Facility
73
MO AVG
36.5
Rank
#257 / 274 | 6.6
Facility
6.6
MO AVG
5.7
Rank
#197 / 274 | 5 | 80 | - |
92
Facility
92
MO AVG
46
Rank
#23 / 545 | - | $4.7MFiscal year ending 12/2023
Facility
$4.7MFiscal year ending 12/2023
MO AVG
$7.4M
Rank
#170 / 251 | $1.8MFiscal year ending 12/2023
Facility
$1.8MFiscal year ending 12/2023
MO AVG
$3.9M
Rank
#217 / 251 | 38.4%Fiscal year ending 12/2023
Facility
38.4%Fiscal year ending 12/2023
MO AVG
54.9%
Rank
#239 / 251 | 265672 |
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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