Missouri › St. Louis County › University City
Monarch Springs Wellness & Rehabilitation
894 Leland Avenue, University City, MO 63130
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 119 beds, Monarch Springs Wellness & Rehabilitation serves University City in St. Louis County, Missouri and has taken Medicare and Medicaid residents since 2009.
CMS gives it 2 of 5 stars overall, equal to the Missouri median; the health inspection rating is 3, staffing 1 and quality measures 3.
Inspectors recorded 38 health deficiencies across the three most recent survey cycles (13, 12, 13 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 31.9 per 100 beds, about the same as the state median of 32.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 2.9 hours per resident per day (0.3 RN), close to the Missouri median of 3.4.
Compared with county, state and nation
| Measure | This facility | St. Louis Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 38 | 46 | 31 | 28.7 |
| Citations per 100 beds | 31.9 | 38.3 | 32.1 | 26.8 |
| Total nurse hours per resident day | 2.9 | 3.5 | 3.4 | 3.9 |
| RN hours per resident day | 0.3 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | — | 60.7% | 56.1% | 45.8% |
| Fines listed | $0 | $14,433 | $0 | — |
County and state figures are medians across facilities (69 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 7 May 2026, 12 Jul 2024.
Severity mix: G ×1 D ×20 E ×10 F ×4 C ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 7 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 8 May 2026 |
| 7 May 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 8 May 2026 |
| 7 May 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 8 May 2026 |
| 7 May 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 8 May 2026 |
| 7 May 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 8 May 2026 |
| 7 May 2026 | F0700 | Try 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 the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 8 May 2026 |
| 7 May 2026 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 8 May 2026 |
| 7 May 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 8 May 2026 |
| 7 May 2026 | F0761 | 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. | D | Standard survey | 8 May 2026 |
| 7 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 8 May 2026 |
| 7 May 2026 | F0574 | The resident has the right to receive notices in a format and a language he or she understands. | C | Standard survey | 8 May 2026 |
| 20 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 26 Mar 2026 |
| 31 Dec 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 5 Jan 2026 |
| 31 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 20 Jan 2025 |
| 12 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 16 Aug 2024 |
| 12 Jul 2024 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | F | Standard survey | 9 Aug 2024 |
| 12 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 9 Aug 2024 |
| 12 Jul 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 16 Aug 2024 |
| 12 Jul 2024 | F0584 | 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. | E | Standard survey | 16 Aug 2024 |
| 12 Jul 2024 | F0761 | 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. | E | Standard survey | 16 Aug 2024 |
| 12 Jul 2024 | F0814 | Dispose of garbage and refuse properly. | E | Standard survey | 16 Aug 2024 |
| 12 Jul 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 16 Aug 2024 |
| 12 Jul 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 16 Aug 2024 |
| 12 Jul 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 16 Aug 2024 |
| 12 Jul 2024 | F0732 | Post nurse staffing information every day. | C | Standard survey | 16 Aug 2024 |
| 2 May 2024 | F0622 | 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. | D | Complaint investigation | 29 May 2024 |
| 2 May 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 29 May 2024 |
| 2 May 2024 | F0742 | 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. | D | Complaint investigation | 29 May 2024 |
| 9 Dec 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 6 Jan 2023 |
| 9 Dec 2022 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 6 Jan 2023 |
| 9 Dec 2022 | F0761 | 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. | E | Standard survey | 6 Jan 2023 |
| 9 Dec 2022 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | Standard survey | 23 Jan 2023 |
| 9 Dec 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 6 Jan 2023 |
| 9 Dec 2022 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 6 Jan 2023 |
| 9 Dec 2022 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 5 Jan 2023 |
| 9 Dec 2022 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 6 Jan 2023 |
| 9 Dec 2022 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 6 Jan 2023 |
| 9 Dec 2022 | F0888 | Ensure staff are vaccinated for COVID-19 | C | Standard survey | 6 Jan 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.8% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.0% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.4% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.0% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.4% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 33.3% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Monarch Springs Wellness & Rehabilitation Llc. Chain: Opco Skilled Management (66 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Arches Healthcare LLC | Direct ownership interest | NOT APPLICABLE | 05/01/2025 |
| First Sweetzer Holdings LLC | Indirect ownership interest | NOT APPLICABLE | 05/01/2025 |
| Lucent Advisors LLC | Indirect ownership interest | NOT APPLICABLE | 05/01/2025 |
| Sasem Investments LLC | Indirect ownership interest | NOT APPLICABLE | 05/01/2025 |
| Arches Healthcare LLC | 5% or greater security interest | NOT APPLICABLE | 05/01/2025 |
| Bankwell Bank | 5% or greater security interest | NOT APPLICABLE | 05/01/2025 |
| Forvis Mazars LLP | Operational/managerial control | NOT APPLICABLE | 06/01/2023 |
| Opco Ca Skilled Mgmt Inc. | Operational/managerial control | NOT APPLICABLE | 03/01/2024 |
| Pease Bell Cpas LLC | Operational/managerial control | NOT APPLICABLE | 06/14/2018 |
| 894 Leland Ave Mo LLC | Adp of the snf | NOT APPLICABLE | 05/01/2025 |
| Forvis Mazars LLP | Adp of the snf | NOT APPLICABLE | 06/01/2023 |
| Herald Advisors LLC | Adp of the snf | NOT APPLICABLE | 08/05/2025 |
| Opco Ca Skilled Mgmt Inc. | Adp of the snf | NOT APPLICABLE | 03/01/2024 |
| Pease Bell Cpas LLC | Adp of the snf | NOT APPLICABLE | 06/14/2018 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in St. Louis County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Aberdeen Heights | Kirkwood | 38 | 5 | 5 | 5 | 9 | 23.7 | — | 15 Aug 2025 |
| Bethesda Southgate | Saint Louis | 130 | 5 | 5 | 4 | 15 | 11.5 | — | 1 May 2025 |
| Christian Extended Care & Rehabilitation | Saint Louis | 60 | 5 | 5 | 2 | 12 | 20.0 | — | 28 Mar 2025 |
| Delmar Gardens of Meramec Valley | Fenton | 190 | 5 | 5 | 2 | 22 | 11.6 | — | 5 Dec 2025 |
| Friendship Village Chesterfield | Chesterfield | 98 | 5 | 4 | 5 | 21 | 21.4 | — | 3 Apr 2026 |
| Lutheran Convalescent Home | Webster Groves | 251 | 5 | 4 | 5 | 9 | 3.6 | — | 7 Nov 2024 |
| Lutheran Senior Services At Meramec Bluffs | Ballwin | 32 | 5 | 5 | 5 | 8 | 25.0 | — | 29 Dec 2025 |
| Mason Pointe Care Center | Chesterfield | 63 | 5 | 5 | 4 | 17 | 27.0 | — | 22 Aug 2024 |
All 69 facilities in St. Louis County
Questions and answers
How many deficiencies has Monarch Springs Wellness & Rehabilitation been cited for?
38 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Monarch Springs Wellness & Rehabilitation been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Monarch Springs Wellness & Rehabilitation compare?
Reported total nurse staffing is 2.9 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Monarch Springs Wellness & Rehabilitation?
It is part of the Opco Skilled Management chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Arches Healthcare LLC, First Sweetzer Holdings LLC and Lucent Advisors LLC. Individual owners and managers are not listed on this site.
When was Monarch Springs Wellness & Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 7 May 2026; the most recent standard health survey was 7 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.