Nursing home report
UNIVERSITY CITY, MO · Medicare-certified · 119 beds
MONARCH SPRINGS WELLNESS & REHABILITATION has a 1-star overall rating, with a 1-star staffing rating, a 2-star health inspection rating, and a 4-star quality measures rating. It is flagged as the lowest overall rating; reported nurse staffing is 4.00 hours per resident per day, slightly below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.
Health inspections
Staffing
4.0017 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0017.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the pneumonia vaccine
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited July 2023 — limited pattern, immediate jeopardy to residents.
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: K
The nursing home failed to protect residents from abuse and neglect by others. Cited June 2023 — isolated incident, immediate jeopardy to residents.
F-Tag 600 — 42 CFR §483.12 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2025 — isolated incident, actual harm.
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2024 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to hire a qualified full-time social worker in a facility with more than 120 beds. Cited July 2024 — widespread issue, potential for harm.
F-Tag 850 — 42 CFR §483.70 — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
On record with Medicare: 1 fine · $78,627 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Jun 5, 2023
Federal fine
Jun 5, 2023
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
