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Nursing home report

MONARCH SPRINGS WELLNESS & REHABILITATION

UNIVERSITY CITY, MO · Medicare-certified · 119 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

Monarch Springs Wellness & Rehabilitation in University City, MO has a 1-star overall rating, with a 1-star staffing rating and nurse staffing below the federal benchmark (2.87 vs. 4.1 hours per resident per day). It has the lowest overall rating flag, a 2-star health inspection rating, 3-star quality measures, and no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

2.8745 hrs/resident/day

Quality measures

Last inspection: May 7, 2026Penalties, last 24 months: $0lowest overall rating

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8745.

Staffing detail

Registered nurses
0.32
Licensed practical nurses
0.60
Nurse aides
1.96
Weekend nursing
2.52

Hours per resident per day.

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

36.4%43.2%Worsening

Residents with a fall causing major injury

2.4%6.7%Worsening

Residents with pressure ulcers (bedsores)

2%3%Worsening

Residents with a urinary tract infection

7.3%0%Improving

Residents who lost too much weight

2.7%12.5%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

16.2%0%Improving

Residents whose ability to walk got worse

23.4%

Long-stay residents on antianxiety or sleep medication

13.5%16.7%Worsening

Short-stay residents newly given an antipsychotic

0%

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

15.9%15.6%No change

Residents with depressive symptoms

13.9%0%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

90.2%22.2%Worsening

Short-stay residents given the pneumonia vaccine

4%5.1%Improving

What the inspectors found

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.

View the original federal record

F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: K

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

F-Tag 850 — 42 CFR §483.70 — S/S: F

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited July 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  6. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Operator & ownership

Recent ownership change · May 1, 2025

Now operated by Monarch Springs Wellness & Rehabilitation, previously Ackert Park Skilled Nursing & Rehabilitation Center.

Ownership
For profit - Corporation
Chain
Part of OPCO SKILLED MANAGEMENT · 68 homes · 2.2 stars avg
Occupancy
54.7 residents on an average day (46% of 119 beds)
Resident voice
Resident council
Medicare history
Certified for 17 years

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.