Federal inspection record · CMS data as of October 1, 2026
Monarch Springs Wellness & Rehabilitation
894 Leland Avenue, University City, MO · (314) 726-4767
- Certified beds
- 119
- Residents per day
- 55
- Ownership
- For-Profit
- Chain
- Opco Skilled Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 20, 2009
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Monarch Springs Wellness & Rehabilitation carries 74 inspection points. That is fewer than 53% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
38 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights9E
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- C
The resident has the right to receive notices in a format and a language he or she understands.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
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.
- D
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
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Reasonably accommodate the needs and preferences of each resident.
Pharmacy Service6E
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure medication error rates are not 5 percent or greater.
- D
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
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
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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.
Nutrition and Dietary5F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Dispose of garbage and refuse properly.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control5F
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- C
Ensure staff are vaccinated for COVID-19
Resident Assessment and Care Planning5D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Quality of Life and Care3D
- D
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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.
Administration2F
- F
Hire a qualified full-time social worker in a facility with more than 120 beds.
- E
Hire a qualified full-time social worker in a facility with more than 120 beds.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Environmental1D
- D
Keep all essential equipment working safely.
Inspection history
2026-05-07
13 health deficiencies · 16 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2024-07-12
12 health deficiencies · 12 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
2022-12-09
13 health deficiencies · 19 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 21 min of nursing staff time a day, 19 min of it from a registered nurse.
This home
3 h 21 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 62% of nursing staff and 80% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts worse | 2.4 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts worse | 3.0 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine25.6 pts worse | 58.4% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine51.2 pts worse | 39.6% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.8 pts worse | 5.8% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms14.8 pts better | 5.2% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.6 pts worse | 8.7% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication12.4 pts better | 13.2% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication12.8 pts worse | 36.3% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.9 pts better | 10.9% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.3 pts better | 10.1% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.2 pts better | 0.0% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6 pts better | 11.1% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts better | 3.2% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine50.9 pts worse | 14.8% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.6 pts worse | 16.0% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine30.6 pts worse | 30.8% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.4 pts worse | 27.1% | 25.7% | 23.4% |
·
Who owns and runs it
31 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 894 Leland Ave Mo LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Amber Hc Trust | Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Arches Healthcare LLC | Direct Ownership Interest · Organization | 0% | 3 facilities |
| Arches Healthcare LLC | 5% Or Greater Security Interest · Organization | 0% | 3 facilities |
| Bankwell Bank | 5% Or Greater Security Interest · Organization | 0% | 12 facilities |
| Campbell, Kevin | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Campbell, Kevin | Adp Of The SNF · Individual | 0% | 1 facilities |
| Davidovich, Niv | Trustee Of The SNF · Individual | 0% | 26 facilities |
| First Sweetzer Holdings LLC | Indirect Ownership Interest · Organization | 0% | 30 facilities |
| Forvis Mazars Llp | Operational/Managerial Control · Organization | 0% | 295 facilities |
| Forvis Mazars Llp | Adp Of The SNF · Organization | 0% | 295 facilities |
| Gao, Shawn | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Gao, Shawn | Adp Of The SNF · Individual | 0% | 6 facilities |
| Garetz, David | Indirect Ownership Interest · Individual | 0% | 72 facilities |
| Garetz, David | Operational/Managerial Control · Individual | 0% | 72 facilities |
| Gurwitz, Solomon | Operational/Managerial Control · Individual | 0% | 43 facilities |
| Hagins, Elizabeth | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 57 facilities |
| Herald Advisors LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Kaplan, Esther | Indirect Ownership Interest · Individual | 0% | 59 facilities |
| Kaplan, Esther | Operational/Managerial Control · Individual | 0% | 59 facilities |
| Lucent Advisors LLC | Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Mindle, Adam | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 58 facilities |
| Opco Ca Skilled Mgmt Inc. | Operational/Managerial Control · Organization | 0% | 42 facilities |
| Opco Ca Skilled Mgmt Inc. | Adp Of The SNF · Organization | 0% | 42 facilities |
| Pease Bell Cpas LLC | Operational/Managerial Control · Organization | 0% | 15 facilities |
| Pease Bell Cpas LLC | Adp Of The SNF · Organization | 0% | 15 facilities |
| Potter Spence, Allencia | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rimpau Holdings Trust | Indirect Ownership Interest · Organization | 0% | 16 facilities |
| Sasem Investments LLC | Indirect Ownership Interest · Organization | 0% | 24 facilities |
| Sternshein, Jennifer | Trustee Of The SNF · Individual | 0% | 55 facilities |
| Unger, Jeffrey | Operational/Managerial Control · Individual | 0% | 47 facilities |
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Fire safety
47 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke17F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Provide properly protected cooking facilities.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Install corridor and hallway doors that block smoke.
- E
Have an enclosure around a vertical opening shaft.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install a fire alarm system that can be heard throughout the facility.
- E
Install an approved automatic sprinkler system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- E
Provide properly protected cooking facilities.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Egress9E
- E
Install emergency lighting that can last at least 1 1/2 hours.
- E
Have properly located and lighted "Exit" signs.
- E
Install proper backup exit lighting.
- E
Have properly located and lighted "Exit" signs.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Have exits that are accessible at all times.
- E
Install emergency lighting that can last at least 1 1/2 hours.
Emergency Preparedness8F
- F
Establish staff and initial training requirements.
- F
Address subsistence needs for staff and patients.
- F
Establish roles under a Waiver declared by secretary.
- F
Develop Emergency Preparedness policies and procedures.
- F
List the names and contact information of those in the facility.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct risk assessment and an All-Hazards approach.
- F
Address patient/client population and determine types of services needed.
Services5F
- F
Have elevators that firefighters can control in the event of a fire.
- E
Meet other general requirements that are deficient.
- E
Have properly installed electrical wiring and gas equipment.
- E
Install properly constructed and protected linen or trash chutes.
- E
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems4F
- F
Meet requirements for the installation and maintenance of electrical systems.
- E
Have proper medical gas storage and administration areas.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Ensure proper usage of power strips and extension cords.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Have restrictions on the use of portable space heaters.
Construction1E
- E
Use approved construction type or materials.
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