Monarch Springs Wellness & Rehabilitation
University City, St. Louis County, Missouri · CCN 265831 · For-profit (LLC) · part of Opco Skilled Management (66 facilities, chain average 2.3 stars)
CMS rates Monarch Springs Wellness & Rehabilitation 2 of 5 overall as of August 2026. 119 certified beds, 55 residents a day on average. 38 citations on record from the current inspection cycles, 1 involving actual harm; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 3 / — of 5 |
Staffing
| Total nurse staffing | 2.87448 hours per resident per day |
|---|---|
| Registered nurses | 0.31849 hours per resident per day |
| Weekend total | 2.52075 hours per resident per day |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-05-07 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-05-08 |
| 2026-05-07 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-05-08 |
| 2026-05-07 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-08 |
| 2026-05-07 complaint survey |
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · tag F0627 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-08 |
| 2026-05-07 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-08 |
| 2026-05-07 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · tag F0700 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-08 |
| 2026-05-07 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · tag F0756 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-08 |
| 2026-05-07 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-08 |
| 2026-05-07 | 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-08 |
| 2026-05-07 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-08 |
| 2026-05-07 | The resident has the right to receive notices in a format and a language he or she understands. Resident Rights Deficiencies · tag F0574 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2026-05-08 |
| 2026-03-20 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-26 |
| 2025-12-31 complaint survey |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-01-05 |
| 2025-01-31 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Past Non-Compliance 2025-01-20 |
| 2024-07-12 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-08-16 |
| 2024-07-12 | Hire a qualified full-time social worker in a facility with more than 120 beds. Administration Deficiencies · tag F0850 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-08-09 |
| 2024-07-12 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-08-09 |
| 2024-07-12 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-16 |
| 2024-07-12 | 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. Resident Rights Deficiencies · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-16 |
| 2024-07-12 | 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. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-16 |
| 2024-07-12 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-16 |
| 2024-07-12 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-16 |
| 2024-07-12 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-16 |
| 2024-07-12 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-16 |
| 2024-07-12 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2024-08-16 |
| 2024-05-02 complaint survey |
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. Resident Rights Deficiencies · tag F0622 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-29 |
| 2024-05-02 complaint survey |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-29 |
| 2024-05-02 complaint survey |
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. Quality of Life and Care Deficiencies · tag F0742 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-29 |
| 2022-12-09 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-01-06 |
| 2022-12-09 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-01-06 |
| 2022-12-09 | 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. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-01-06 |
| 2022-12-09 | Hire a qualified full-time social worker in a facility with more than 120 beds. Administration Deficiencies · tag F0850 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-01-23 |
| 2022-12-09 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-01-06 |
| 2022-12-09 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-01-06 |
| 2022-12-09 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-01-05 |
| 2022-12-09 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · tag F0640 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-01-06 |
| 2022-12-09 | Keep all essential equipment working safely. Environmental Deficiencies · tag F0908 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-01-06 |
| 2022-12-09 | Ensure staff are vaccinated for COVID-19 Infection Control Deficiencies · tag F0888 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2023-01-06 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Arches Healthcare LLC Organization | 5% or greater security interest | — | 2025-05-01 |
| Bankwell Bank Organization | 5% or greater security interest | — | 2025-05-01 |
| 894 Leland Ave Mo LLC Organization | adp of the snf | — | 2025-05-01 |
| Forvis Mazars LLP Organization | adp of the snf | — | 2023-06-01 |
| Herald Advisors LLC Organization | adp of the snf | — | 2025-08-05 |
| Opco Ca Skilled Mgmt Inc. Organization | adp of the snf | — | 2024-03-01 |
| Pease Bell Cpas LLC Organization | adp of the snf | — | 2018-06-14 |
| Arches Healthcare LLC Organization | direct ownership interest | — | 2025-05-01 |
| Amber Hc Trust Organization | indirect ownership interest | — | 2025-05-01 |
| First Sweetzer Holdings LLC Organization | indirect ownership interest | — | 2025-05-01 |
| Lucent Advisors LLC Organization | indirect ownership interest | — | 2025-05-01 |
| Rimpau Holdings Trust Organization | indirect ownership interest | — | 2025-05-01 |
| Sasem Investments LLC Organization | indirect ownership interest | — | 2025-05-01 |
| Forvis Mazars LLP Organization | operational/managerial control | — | 2023-06-01 |
| Opco Ca Skilled Mgmt Inc. Organization | operational/managerial control | — | 2024-03-01 |
| Pease Bell Cpas LLC Organization | operational/managerial control | — | 2018-06-14 |
| Campbell, Kevin Individual | adp of the snf | — | 2025-08-05 |
| Gao, Shawn Individual | adp of the snf | — | 2025-08-05 |
| Garetz, David Individual | indirect ownership interest | — | 2025-05-01 |
| Kaplan, Esther Individual | indirect ownership interest | — | 2025-05-01 |
| Hagins, Elizabeth Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-08-05 |
| Mindle, Adam Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-08-05 |
| Campbell, Kevin Individual | operational/managerial control | — | 2025-05-01 |
| Gao, Shawn Individual | operational/managerial control | — | 2025-05-01 |
| Garetz, David Individual | operational/managerial control | — | 2025-05-01 |
| Gurwitz, Solomon Individual | operational/managerial control | — | 2025-05-01 |
| Kaplan, Esther Individual | operational/managerial control | — | 2025-05-01 |
| Potter Spence, Allencia Individual | operational/managerial control | — | 2025-05-01 |
| Unger, Jeffrey Individual | operational/managerial control | — | 2025-05-01 |
| Davidovich, Niv Individual | trustee of the snf | — | 2025-05-01 |
| Sternshein, Jennifer Individual | trustee of the snf | — | 2025-05-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Monarch Springs Wellness & Rehabilitation.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in St. Louis County.