Monarch Springs Wellness & Rehabilitation
894 Leland Avenue · University City, MO · 63130 · 3147264767
119 certified beds For profit - Corporation Chain: Opco Skilled Management
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.00 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.37 | 0.55–0.75 |
| Weekend hours / resident-day | 3.83 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (35 in the current record)
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Potential for harm · D March 20, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 26, 2026 · Quality of Life and Care
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Potential for harm · D December 31, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 5, 2026 · Resident Rights
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Actual harm · G January 31, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 20, 2025 · Quality of Life and Care
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Potential for harm · E July 12, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 16, 2024 · Resident Rights
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Potential for harm · E July 12, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected August 16, 2024 · Resident Rights
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Potential for harm · D July 12, 2024
Ensure each resident receives an accurate assessment.
Corrected August 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 12, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 12, 2024
Ensure 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 locked compartments, separately locked, compartments for controlled drugs.
Corrected August 16, 2024 · Pharmacy Service
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Potential for harm · D July 12, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected August 16, 2024 · Nutrition and Dietary
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Potential for harm · F July 12, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 16, 2024 · Nutrition and Dietary
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Potential for harm · E July 12, 2024
Dispose of garbage and refuse properly.
Corrected August 16, 2024 · Nutrition and Dietary
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Potential for harm · F July 12, 2024
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected August 9, 2024 · Administration
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Potential for harm · F July 12, 2024
Provide and implement an infection prevention and control program.
Corrected August 9, 2024 · Infection Control
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No harm found · C July 12, 2024
Post nurse staffing information every day.
Corrected August 16, 2024 · Nursing and Physician Services
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Potential for harm · D May 2, 2024 · found via complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected May 29, 2024 · Resident Rights
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Potential for harm · D May 2, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 29, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 2, 2024 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected May 29, 2024 · Quality of Life and Care
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Immediate jeopardy · K July 13, 2023 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected August 15, 2023 · Quality of Life and Care
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Immediate jeopardy · J June 5, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 7, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 5, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected July 7, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 9, 2022
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected January 6, 2023 · Resident Rights
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Potential for harm · D December 9, 2022
Reasonably accommodate the needs and preferences of each resident.
Corrected January 5, 2023 · Resident Rights
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Potential for harm · D December 9, 2022
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected January 6, 2023 · Resident Assessment and Care Planning
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Potential for harm · E December 9, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 6, 2023 · Pharmacy Service
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Potential for harm · E December 9, 2022
Ensure 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 locked compartments, separately locked, compartments for controlled drugs.
Corrected January 6, 2023 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265831 · certified since July 20, 2009. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.