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Nursing HomeMedicaid Investigative

Monarch Springs Wellness & Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

894 Leland Avenue, University City, MO 63130119 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.9/5

based on 12 Google reviews

5
4
3
2
1
Monarch Springs Wellness & Rehabilitation Nursing Home in University City, MO — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (12 vs median 10)

Bottom 25% in MO · Below recommended RN staffing · Above average staffing · Worst in OPCO SKILLED MANAGEMENT chain · $78,627 in fines

Source: Medicare data

What this means for your family

This facility is highly regarded for its compassionate staff and strong administrative support, which can provide significant peace of mind for families. While current reviews are overwhelmingly positive, families should schedule a tour to observe the ongoing physical upgrades firsthand and verify that the current staffing levels meet their specific care requirements.

Google Reviews

Google Reviews

12 reviews on Google
Monarch Springs Wellness & Rehabilitation receives consistently high praise for its welcoming atmosphere, professional staff, and proactive administrative support. Families and visitors highlight the facility's ongoing physical upgrades and the dedicated efforts of the social work and nursing teams in ensuring resident comfort and smooth transitions.

Quality Themes

Tap a score for details
FoodN/AStaff10.0Clean9.0Activities9.0MedsN/AMemoryN/AComms9.0ValueN/A

Strengths

  • Welcoming and professional staff
  • Proactive social work and administrative support
  • Clean and well-maintained environment
  • Engaging daily activities

Rating Trends

Tap a year to see what changed

2344.72025(3)5.02026(10)

Distribution · 13 analyzed

5
12
4
1
3
0
2
0
1
0

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the recent focus on maintaining a clean and welcoming environment, what specific steps is the leadership team taking to address the current staffing levels and ensure consistent care for all 119 residents?
  • 2I noticed the facility has had some recent health inspection findings; could you walk me through the quality improvement plan you have in place to address those specific areas?
  • 3The reviews highlight a very proactive social work and administrative team; how do these departments collaborate to ensure residents feel supported and engaged throughout the week?
  • 4With the current staffing rating, how does the facility ensure that residents receive timely assistance with daily needs and medical requests?
  • 5Could you share more about the daily activity schedule and how you tailor these programs to keep residents active and connected within the community?
  • 6In the event of a medical emergency, what is your specific protocol for coordinating care and communicating updates to family members?

Personalized based on this facility's data


Key Review Excerpts

All of the staff who we encountered were very kind, supportive and helpful and we felt they were genuinely rooting for his improvement.

Family member of rehab patient · 2026★★★★★

I took my mom out of another establishment due to bad treatment. Also I forgot about Physical Therapy. All staff are friendly, courteous and I'm able to rest without continuing to worry about my mom.

Long-term resident's family · 2026★★★★★

We have our own on site business office that allows banking hours alongside Medicaid application assistance, a social worker that goes above and beyond even for Smaller problems.

Visitor/Community member · 2026★★★★★
Source: 12 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.37hrs
50%
Registered nurses for medical care
Total Nursing
4.00hrs
98%
All nurses + aides combined

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
4/ 5
Better Than Avg

11

measures

Worse Than Avg

4

measures

Mixed Results

1

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility78.6%
Worse than Avg
Here
78.6%
US
93.4%
MO
84.4%
St. louis
83.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility29.7%
Worse than Avg
Here
29.7%
US
15.5%
MO
23.6%
St. louis
18.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.8%
Better than Avg
Here
13.8%
US
19.5%
MO
25.4%
St. louis
16.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility8.8%
Better than Avg
Here
8.8%
US
19.4%
MO
17.9%
St. louis
18.2%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
MO
90.9%
St. louis
91.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility10.2%
Better than Avg
Here
10.2%
US
12.1%
MO
16.7%
St. louis
18.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility11.8%
Worse than Avg
Here
11.8%
US
81.8%
MO
65.9%
St. louis
63.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
MO
2.2%
St. louis
1.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

13deficiencies
Above state avg (12.0)
10 complaint-triggered
$78,627 in fines

Family complaints have triggered multiple inspections at this facility, including serious issues with abuse protection, emergency response, and care planning. The facility shows recurring problems with safety hazards, medication management, and fire safety systems across multiple years from 2019-2025. While most deficiencies are marked as corrected, the pattern of repeated violations in critical areas like resident protection and emergency preparedness suggests ongoing operational challenges families should carefully consider.

Mar 20, 2026Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Dec 31, 2025Complaint
1
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Jan 31, 2025Complaint
1
0689Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jul 12, 2024Routine
23
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0850Potential for harm · WidespreadCorrected

Administration Deficiencies

Hire a qualified full-time social worker in a facility with more than 120 beds.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0026Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0911Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0814Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0281Potential for harm · PatternCorrected

Egress Deficiencies

Install proper backup exit lighting.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0311Potential for harm · PatternCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0341Potential for harm · PatternCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Jun 18, 2024Complaint
1
0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

May 2, 2024Complaint
3
0622Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0742Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Monarch Springs Wellness & Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

Opco Skilled Management

Chain Size

66 facilities nationwide

Chain avg rating: 2.4/5 · Rank 50 of 52 (Worst)

Ownership & Management

Owners

Arches Healthcare LLC

Owner · Organization

Amber Hc Trust

Owner (parent company) · Organization

First Sweetzer Holdings LLC

Owner (parent company) · Organization

Lucent Advisors LLC

Owner (parent company) · Organization

Rimpau Holdings Trust

Owner (parent company) · Organization

Sasem Investments LLC

Owner (parent company) · Organization

Garetz, David

Owner (parent company)

Kaplan, Esther

Owner (parent company)

Hagins, Elizabeth

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Mindle, Adam

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Arches Healthcare LLC5% or Greater Security InterestBankwell Bank5% or Greater Security InterestForvis Mazars LlpManagerOpco CA Skilled Mgmt INC.ManagerPease Bell Cpas LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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