Nursing HomeInspections

Monarch Springs Wellness & Rehabilitation

Nursing home in University City, MO

Medicare & Medicaid certified2★ overall (CMS)

Call (314) 726-4767Send a messageMap ↗

Public-record details

Address
894 Leland Avenue, University City, MO 63130
Phone
(314) 726-4767
Listed under
For-profit, No fines in 3 years
Medicare CCN
265831
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
3 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
119
Average residents per day
55
Ownership
For-profit, limited Liability company
Legal business name
Monarch Springs Wellness & Rehabilitation LLC
Chain
Opco Skilled Management (66 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 20, 2009
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 265831. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 7, 2026. CMS lists 38 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 9, 2022 to May 7, 2026): 7 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
May 7, 2026The resident has the right to receive notices in a format and a language he or she understands.
Resident Rights		C
Potential for minimal harm, widespread
May 7, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated
May 7, 2026Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
May 7, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 7, 2026Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with…
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 7, 2026Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service		D
Potential for more than minimal harm, isolated
May 7, 2026Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		D
Potential for more than minimal harm, isolated
May 7, 2026Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service		D
Potential for more than minimal harm, isolated
May 7, 2026Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
May 7, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
May 7, 2026Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control		E
Potential for more than minimal harm, pattern
Mar 20, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 38. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.87 hours
Registered nurse (RN) time per resident per day
0.32 hours
Nurse aide time per resident per day
1.96 hours
Total nurse staffing on weekends
2.52 hours

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.