Nursing home · University City, MO

Monarch Springs Wellness & Rehabilitation

894 Leland Avenue, University City, MO 63130 · 119 certified beds · for profit ownership · part of Opco Skilled Management

Medicare & Medicaid

Call (314) 726-4767 Directions

Medicare overall rating2 / 5Below averageSt. Louis area 2.1 · Missouri 2.51 · U.S. 2.99

3/5Health inspections Average

1/5Staffing Much below average

3/5Quality measures Average

–Short-stay (rehab) quality Not rated

3/5Long-stay quality Average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on May 7, 2026, when they cited 11 problems, 1 of them from complaint investigations. The most common area was pharmacy service (3 citations). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 11 are marked corrected in the CMS data. At its most recent standard inspection (May 7, 2026) it had 13 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 2.87 hours per resident per day here, 16% less than the Missouri average (3.43) and 26% less than the U.S. average (3.86). Registered nurses account for 0.32 of those hours, versus 0.46 in Missouri and 0.68 nationally.

How Monarch Springs Wellness & Rehabilitation compares

This home's latest CMS figures next to the averages for St. Louis-area homes (97), Missouri (487) and the U.S. (14,680).

	This home	St. Louis area	Missouri	U.S.
Total nurse hours per resident per day	2.87	3.66	3.43	3.86
Registered nurse hours per resident per day	0.32	0.43	0.46	0.68
Weekend nurse hours per resident per day	2.52	3.22	3.01	3.42
Nursing staff turnover (past year)	—	58%	56%	46%
Registered nurse turnover (past year)	—	56%	48%	43%
Citations at the most recent standard inspection	13	14.7	11.4	9.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

May 7, 202611standard + complaint

Mar 20, 20261complaint

Dec 31, 20251complaint

Jan 31, 20251complaint · 1 harm-level citation

Jul 12, 202411standard

May 2, 20243complaint

Dec 9, 202210standard

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 38 of 38 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations

Date	Deficiency	Severity	Status
May 7, 2026	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary	E	Deficient, Provider has date of correction
May 7, 2026	Ensure 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	Deficient, Provider has date of correction
May 7, 2026	The resident has the right to receive notices in a format and a language he or she understands. Resident rights	C	Deficient, Provider has date of correction
May 7, 2026	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection control	E	Deficient, Provider has date of correction
May 7, 2026	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. Pharmacy service	D	Deficient, Provider has date of correction
May 7, 2026	Ensure medication error rates are not 5 percent or greater. Pharmacy service	D	Deficient, Provider has date of correction
May 7, 2026	Provide and implement an infection prevention and control program. Infection control	D	Deficient, Provider has date of correction
May 7, 2026	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. Quality of life and care	D	Deficient, Provider has date of correction
May 7, 2026	Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning	D	Deficient, Provider has date of correction
May 7, 2026	Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident rights · complaint	D	Deficient, Provider has date of correction
May 7, 2026	Reasonably accommodate the needs and preferences of each resident. Resident rights	D	Deficient, Provider has date of correction
Mar 20, 2026	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint	D	Deficient, Provider has date of correction
Dec 31, 2025	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident rights · complaint	D	Deficient, Provider has date of correction
Jan 31, 2025	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of life and care · complaint	G actual harm	Past Non-Compliance
Jul 12, 2024	Post nurse staffing information every day. Nursing and physician services	C	Deficient, Provider has date of correction
Jul 12, 2024	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and dietary	D	Deficient, Provider has date of correction
Jul 12, 2024	Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning	D	Deficient, Provider has date of correction
Jul 12, 2024	Ensure each resident receives an accurate assessment. Resident assessment and care planning	D	Deficient, Provider has date of correction
Jul 12, 2024	Dispose of garbage and refuse properly. Nutrition and dietary	E	Deficient, Provider has date of correction
Jul 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. Pharmacy service	E	Deficient, Provider has date of correction
Jul 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. Resident rights	E	Deficient, Provider has date of correction
Jul 12, 2024	Provide and implement an infection prevention and control program. Infection control	F	Deficient, Provider has date of correction
Jul 12, 2024	Hire a qualified full-time social worker in a facility with more than 120 beds. Administration	F	Deficient, Provider has date of correction
Jul 12, 2024	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary	F	Deficient, Provider has date of correction
Jul 12, 2024	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights	E	Deficient, Provider has date of correction
May 2, 2024	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. Resident rights · complaint	D	Deficient, Provider has date of correction
May 2, 2024	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident assessment and care planning · complaint	D	Deficient, Provider has date of correction
May 2, 2024	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. Quality of life and care · complaint	D	Deficient, Provider has date of correction
Dec 9, 2022	Allow residents to self-administer drugs if determined clinically appropriate. Resident rights	D	Deficient, Provider has date of correction
Dec 9, 2022	Keep all essential equipment working safely. Environmental	D	Deficient, Provider has date of correction
Dec 9, 2022	Encode each residentâs assessment data and transmit these data to the State within 7 days of assessment. Resident assessment and care planning	D	Deficient, Provider has date of correction
Dec 9, 2022	Reasonably accommodate the needs and preferences of each resident. Resident rights	D	Deficient, Provider has date of correction
Dec 9, 2022	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy service	E	Deficient, Provider has date of correction
Dec 9, 2022	Provide and implement an infection prevention and control program. Infection control	E	Deficient, Provider has date of correction
Dec 9, 2022	Hire a qualified full-time social worker in a facility with more than 120 beds. Administration	E	Deficient, Provider has date of correction
Dec 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. Pharmacy service	E	Deficient, Provider has date of correction
Dec 9, 2022	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary	F	Deficient, Provider has date of correction
Dec 9, 2022	Ensure staff are vaccinated for COVID-19 Infection control	C	Deficient, Provider has date of correction

Fines and penalties

No federal fines or payment denials reported by CMS in the past three years.

Location

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Questions about Monarch Springs Wellness & Rehabilitation

Answers computed from CMS data for this facility.

What is Monarch Springs Wellness & Rehabilitation's Medicare rating?

Medicare rates Monarch Springs Wellness & Rehabilitation 2 out of 5 stars overall (below average). The average for St. Louis-area nursing homes is 2.1, for Missouri 2.51 and for the U.S. 2.99.

How did Monarch Springs Wellness & Rehabilitation do on its last inspection?

Has Monarch Springs Wellness & Rehabilitation been fined?

CMS reports no federal fines for this facility in the past three years.

Does Monarch Springs Wellness & Rehabilitation accept Medicaid?

Monarch Springs Wellness & Rehabilitation is certified for both Medicare and Medicaid. Call (314) 726-4767 to ask whether a Medicaid bed is open.

Other nursing homes near University City

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Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.