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
Nursing home report
MONARCH SPRINGS WELLNESS & REHABILITATION
UNIVERSITY CITY, MO · Medicare-certified · 119 beds
In good standing
For-profitChain member
Data as of September 1, 2026
2 of 5 overall
Monarch Springs Wellness & Rehabilitation in University City, MO has a 2-star overall rating, with a 1-star staffing rating and reported nurse staffing below the federal benchmark (2.87 vs. 4.1 hours per resident per day). Health inspection and quality measures are both 3 stars, with 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: $0
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 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 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
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 develop and follow policies to make sure residents received flu and pneumonia vaccinations. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 883 — 42 CFR §483.80 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- 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 - Limited Liability company
- Chain
- Part of OPCO SKILLED MANAGEMENT · 68 homes · 2.3 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.