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Monarch Springs Wellness & Rehabilitation
894 Leland Avenue, University City, MO 63130 (opens Google Maps) · St. Louis County · (314) 726-4767· 119 certified beds · avg 55 residents/day · certified since Jul 20, 2009 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: OPCO SKILLED MANAGEMENT (66 facilities, chain avg rating 2.3★)
3/5
Health inspection rating (on-site)
inspected May 7, 2026
1
Serious findings on record
most recent Jan 31, 2025
$0
Fines, last 3 years
2.49
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · Jan 31, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Actual harm, isolated · Jan 31, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jan 20, 2025 (Past Non-Compliance)
Inspection findings in the public record
Showing the latest 3 of 38 inspection findings. Open the full record below to read every finding.
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. F-0812
The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. F-0883
The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. F-0558
View all 38 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 7, 2026 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| May 7, 2026 | E · Potential for more than minimal harm, pattern | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
| May 7, 2026 | D · Potential for more than minimal harm, isolated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558 |
| May 7, 2026 | D · Potential for more than minimal harm, isolated | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint · F-0627 |
| May 7, 2026 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| May 7, 2026 | D · Potential for more than minimal harm, isolated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · F-0700 |
| May 7, 2026 | D · Potential for more than minimal harm, isolated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756 |
| May 7, 2026 | D · Potential for more than minimal harm, isolated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759 |
| May 7, 2026 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| May 7, 2026 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| May 7, 2026 | C · Potential for minimal harm, widespread | The facility did not give residents important notices in a format and language they can understand — for example, translated documents or accessible formats for those with vision or hearing loss. · F-0574 |
| Mar 20, 2026 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Dec 31, 2025 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint · F-0580 |
| Jan 31, 2025 | ▲ G · Actual harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Jul 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Jul 12, 2024 | F · Potential for more than minimal harm, widespread | The facility has more than 120 beds but did not hire a qualified full-time social worker as required. · F-0850 |
| Jul 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Jul 12, 2024 | E · Potential for more than minimal harm, pattern | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550 |
| Jul 12, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Jul 12, 2024 | E · Potential for more than minimal harm, pattern | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Jul 12, 2024 | E · Potential for more than minimal harm, pattern | The facility did not dispose of garbage and refuse properly. · F-0814 |
| Jul 12, 2024 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Jul 12, 2024 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Jul 12, 2024 | D · Potential for more than minimal harm, isolated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Jul 12, 2024 | C · Potential for minimal harm, widespread | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732 |
| May 2, 2024 | D · Potential for more than minimal harm, isolated | The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint · F-0622 |
| May 2, 2024 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656 |
| May 2, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD). · from a complaint · F-0742 |
| Dec 9, 2022 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Dec 9, 2022 | E · Potential for more than minimal harm, pattern | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Dec 9, 2022 | E · Potential for more than minimal harm, pattern | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Dec 9, 2022 | E · Potential for more than minimal harm, pattern | The facility has more than 120 beds but did not hire a qualified full-time social worker as required. · F-0850 |
| Dec 9, 2022 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Dec 9, 2022 | D · Potential for more than minimal harm, isolated | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · F-0554 |
| Dec 9, 2022 | D · Potential for more than minimal harm, isolated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558 |
| Dec 9, 2022 | D · Potential for more than minimal harm, isolated | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. · F-0640 |
| Dec 9, 2022 | D · Potential for more than minimal harm, isolated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908 |
| Dec 9, 2022 | C · Potential for minimal harm, widespread | The facility did not make sure its staff were vaccinated for COVID-19 in accordance with the federal requirements in effect at the time. · F-0888 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (11 → 11).
All citationsSerious citations (G–L)
2022
All citations: 10
Serious citations (G–L): 0
2024
All citations: 14
Serious citations (G–L): 0
2025
All citations: 2
Serious citations (G–L): 1
2026
All citations: 12
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 10 | 0 | F |
| 2024 | 14 | 0 | F |
| 2025 | 2 | 1 | G ▲ |
| 2026 | 12 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityMissouri averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.49
Missouri average: 3.66
U.S. average: 3.95
Registered Nurse hours
This facility: 0.28
Missouri average: 0.49
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.18
Missouri average: 3.22
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.49 | 3.66 | 3.95 | bottom 13% in Missouri; bottom 3% in the U.S. |
| Registered Nurse hours | 0.28 | 0.49 | 0.69 | bottom 23% in Missouri; bottom 7% in the U.S. |
| Weekend total nurse staffing | 2.18 | 3.22 | 3.50 | bottom 13% in Missouri; bottom 3% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.17 | 0.33 | 0.48 | bottom 20% in Missouri; bottom 8% in the U.S. |
| Total nursing staff turnover (%) | — | 56.0 | 45.8 | — |
| RN turnover (%) | — | 47.8 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.87, RN 0.32, weekend 2.52.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.87 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Monarch Springs Wellness & Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Amber HC Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2025 |
| Arches Healthcare LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 05/01/2025 |
| First Sweetzer Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2025 |
| Garetz, David | Individual | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2025 |
| Kaplan, Esther | Individual | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2025 |
| Lucent Advisors LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2025 |
| Rimpau Holdings Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2025 |
| Sasem Investments LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2025 |
| 894 Leland Ave Mo LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Arches Healthcare LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 05/01/2025 |
| Bankwell Bank | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 05/01/2025 |
| Campbell, Kevin | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Campbell, Kevin | Individual | ADP of the SNF | NOT APPLICABLE | 08/05/2025 |
| Davidovich, Niv | Individual | Trustee of the SNF | NOT APPLICABLE | 05/01/2025 |
| Forvis Mazars LLP | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2023 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2023 |
| Gao, Shawn | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Gao, Shawn | Individual | ADP of the SNF | NOT APPLICABLE | 08/05/2025 |
| Garetz, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Gurwitz, Solomon | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
Showing 20 of 31 parties CMS has on file for this facility; 11 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Opco Skilled Management — 66 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Pine Grove Manor — Saint Louis, MO · overall 1/5
- Rehab of Kansas City South — Kansas City, MO · overall 1/5abuse
- Rehabilitation Center of Independence, the — Independence, MO · overall 2/5abuse
- Sunrise Nursing & Rehabilitation — Raymore, MO · overall 3/5
- Willowcreek Wellness & Rehabilitation — Florissant, MO · overall 1/5
- Aztec Healthcare — Aztec, NM · overall 2/5abuse
- Betty Dare Wellness & Rehabilitation LLC — Alamogordo, NM · overall 2/5
- Casa Arena Healthcare LLC — Alamogordo, NM · overall 1/5
Listed by state, then facility name — not a ranking. Showing 8 of the 65 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Missouri midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "The ownership record on file lists 31 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 110 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| U-City Forest Manor | 1.2 mi | Saint Louis, MO | ★☆☆☆☆ | 2/5 | |
| Delhaven Manor | 1.5 mi | Saint Louis, MO | ★★★☆☆ | 2/5 | |
| Normandy Nursing Center | 1.9 mi | Saint Louis, MO | ★☆☆☆☆ | 2/5 | abuse |
| Oak Park Care Center | 2.1 mi | Saint Louis, MO | ★★★☆☆ | 4/5 | |
| Barnes-Jewish Extended Care | 2.4 mi | Saint Louis, MO | ★★★☆☆ | 3/5 | |
| Bernard Care Center | 3.2 mi | Saint Louis, MO | ★☆☆☆☆ | 2/5 | |
| Grand Manor Health Care Center | 4.1 mi | Saint Louis, MO | ★☆☆☆☆ | 2/5 | |
| Amberwood Estates Nursing and Rehabilitation | 4.1 mi | Saint Louis, MO | ★☆☆☆☆ | 2/5 | |
| McKnight Place Extended Care | 4.1 mi | Saint Louis, MO | ★★★★☆ | 4/5 | |
| Lutheran Convalescent Home | 4.3 mi | Webster Groves, MO | ★★★★★ | 4/5 | |
| Heritage Care Center | 4.3 mi | Saint Louis, MO | ★☆☆☆☆ | 1/5 | abuseSFF |
| St Johns Place | 4.3 mi | Saint Louis, MO | ★☆☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in St. Louis, MO — 69 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Nazareth Living Center — Saint Louis, MO · overall 1/5
- NHC Healthcare, Maryland Heights — Maryland Heights, MO · overall 4/5
- Oak Knoll Skilled Nursing & Rehabilitation Center — Ferguson, MO · overall 2/5
- Parkwood Skilled Nursing and Rehabilitation Center — Maryland Heights, MO · overall 1/5
- Pillars of North County Health & Rehab Center, the — Florissant, MO · overall 2/5
- Quarters at Des Peres, the — Des Peres, MO · overall 1/5
- Rancho Rehab and Healthcare Center — Florissant, MO · overall 1/5abuse
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 265831.
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