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Elevated
OpenScore 130

SAGE NURSING & REHAB LLC

Doing business as MAGNOLIA WELLNESS CENTER

Flagged provider address

3421 GASCONADE ST, SAINT LOUIS, MO, 63118-4201

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Why this was flagged

Elevated
Extreme per-patient billing

Medicare paid far more per patient than peers

In 2021 this provider was paid $32,202 per patient, against a typical $13,600 for the same kind of provider in MO. A genuinely high-need patient mix can explain some of this, but extreme per-patient billing is a classic upcoding and phantom-patient pattern.

Source Medicare Skilled Nursing Payments by Provider · record as of 11 Aug 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 0c26d5

View the records behind this flag →

Moderate
Owner cluster

Owner is tied to 76 providers

An owner or managing party of this provider (DAVID GARETZ) is listed on 76 separate Medicare enrollments. Chains are legal, and most are ordinary business — this is background context, not a fraud indicator on its own.

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

View the records behind this flag →

Owners and managing parties of record

321 GASCONADE STREET MO LLC

5% OR GREATER MORTGAGE INTEREST · O · 100% ownership · since Jul 1, 2024

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

WILDFLOWER HEALTHCARE LLC

5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jul 1, 2024

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

BLOOMING WILLOW PARTNERS LLC

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 97% ownership · since Jul 1, 2024

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

DERHOBEN TRUST

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 63.42% ownership · since Jul 1, 2024

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

PAS B SOL TRUST

5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 34.15% ownership · since Jul 1, 2024

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

MOSHA KAPLAN

5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 2.5% ownership · since Jul 1, 2024

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

ESTHER KAPLAN

5% OR GREATER INDIRECT OWNERSHIP INTEREST · I · 1% ownership · since Jul 1, 2024

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

DENISE THORDSEN

OPERATIONAL/MANAGERIAL CONTROL · I · since Jul 1, 2024

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

ADAM MINDLE

TRUSTEE OF THE SNF · I · since Jul 1, 2024

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

MORDECHAI KAPLAN

TRUSTEE OF THE SNF · I · since Jul 1, 2024

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

NIV DAVIDOVICH

TRUSTEE OF THE SNF · I · since May 1, 2024

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

ELIZABETH HAGINS

TRUSTEE OF THE SNF · I · since Jul 1, 2024

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

JENNIFER STERNSHEIN

TRUSTEE OF THE SNF · I · since Jul 1, 2024

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

DAVID GARETZ

CORPORATE OFFICER · I · since Jul 1, 2024

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

WILDFLOWER HEALTHCARE LLC

OPERATIONAL/MANAGERIAL CONTROL · O · since Nov 25, 2024

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

CAROLINE ZIMMERMAN

TRUSTEE OF THE SNF · I · since Jul 1, 2024

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

Source timeline

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Source records

Each value includes its published file, download date, and weekly version. Open a link to check the source record. Verify this lead yourself.

DetailValuePublished fileRecord as ofPulledVersion
Legal nameSAGE NURSING & REHAB LLCCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Trading nameMAGNOLIA WELLNESS CENTERCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
NPI1427897255CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Medicare certification number265672CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
CMS associate ID8729529334CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Provider typePART A PROVIDER - SKILLED NURSING FACILITYCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Organisation typeLLCCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Street address3421 GASCONADE STCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
CitySAINT LOUISCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
StateMOCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
ZIP63118-4201CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d

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