About Monarch Springs Wellness & Rehabilitation

Monarch Springs Wellness & Rehabilitation is a nursing home in University City, Missouri. Its capacity is 119 beds, below the St. Louis County median of 120 for nursing homes. It is run by a for-profit operator and is part of Opco Skilled Management. It is Medicare certified. Its public inspection record shows 36 citations, the most recent on May 7, 2026. Enforcement records show no fine or payment denial against it. Nurse staffing averages 3.36 hours per resident per day. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

2.0

Staffing

1.0

Quality measures

2.0

CMS Care Compare, October 2026.

Inspection history (36)

Records from August 2019 to May 2026.

June 5, 2023
Tag F0610
Respond appropriately to all alleged violations.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 7, 2023.
December 9, 2022
Tag F0761
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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 6, 2023.
December 9, 2022
Tag F0880
Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 6, 2023.
December 9, 2022
Tag F0558
Reasonably accommodate the needs and preferences of each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 5, 2023.
December 9, 2022
Tag F0908
Keep all essential equipment working safely.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 6, 2023.
December 9, 2022
Tag F0554
Allow residents to self-administer drugs if determined clinically appropriate.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 6, 2023.
December 9, 2022
Tag F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 6, 2023.
December 9, 2022
Tag F0888
Ensure staff are vaccinated for COVID-19.
Severity C: widespread, no actual harm, potential for minimal harm. Corrected January 6, 2023.
December 9, 2022
Tag F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected January 6, 2023.
December 9, 2022
Tag F0850
Hire a qualified full-time social worker in a facility with more than 120 beds.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 23, 2023.
December 9, 2022
Tag F0640
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 6, 2023.
August 19, 2019
Tag F0880
Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 3, 2019.
August 19, 2019
Tag F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 3, 2019.
August 19, 2019
Tag F0698
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 3, 2019.
August 19, 2019
Tag F0908
Keep all essential equipment working safely.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 3, 2019.
August 19, 2019
Tag F0812
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected October 3, 2019.

See the source data on data.cms.gov

Penalties

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing

3.36 nurse hours per resident per day in Q2 2026, down from 4.00 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit

Part of Opco Skilled Management, a chain of 68 nursing homes.

Average CMS star ratings across the chain: 2.4 overall, 2.3 for health inspections, 1.7 for staffing, 4.4 for quality measures.

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in Missouri.

Nursing Homes

Missouri median$6,741/mo

Missouri cost breakdown

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care