Nursing home
Monarch Springs Wellness & Rehabilitation
894 Leland Avenue, University City, MO 63130 · Map
For profit - Corporation · Part of Opco Skilled Management (52 facilities) · 119 certified beds
Monarch Springs Wellness & Rehabilitation is a Medicare-certified nursing home in University City, Missouri. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.60 hours per resident per day, above the Missouri average of 3.47. Its most recent inspection on Jul 12, 2024 cited 12 deficiencies.
- 1 fine totaling $78,627In CMS records: 2 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Monarch Springs Wellness & Rehabilitation compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.60 | 3.47 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.46 | 0.46 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.74 | 2.32 | 2.34 | above avg |
| Nursing staff turnover | —% | 57.0% | 46.4% | — |
| Deficiencies cited, last inspection | 12.0 | 12.0 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $78,627, 2 total penalties, 1 Medicare payment denial.
What inspectors found at Monarch Springs Wellness & Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Mar 20, 2026 · Full report (PDF) - Potential for harm
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 · Dec 31, 2025 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 31, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 12, 2024 · Full report (PDF) - Potential for harm
Hire a qualified full-time social worker in a facility with more than 120 beds.
Administration Deficiencies · Jul 12, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jul 12, 2024 · Full report (PDF) - Potential for harm
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Jul 12, 2024 · Full report (PDF) - Potential for harm
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 · Jul 12, 2024 · Full report (PDF) - Potential for harm
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 · Jul 12, 2024 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Jul 12, 2024 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Jul 12, 2024 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jul 12, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 894 Leland Avenue
University City, MO 63130 - CMS certification #
- 265831
- Ownership
- For profit - Corporation
- Certified beds
- 119
- Avg residents/day
- 39.8
- Provider type
- Medicare and Medicaid
- First certified
- 2009-07-20
- Chain
- Opco Skilled Management (52 facilities)
- Setting
- Urban
Part of Opco Skilled Management
Opco Skilled Management operates 52 nursing facilities across the United States. View all Opco Skilled Management facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Monarch Springs Wellness & Rehabilitation using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Ssm Health St Mary'S Hospital - St Louis, Saint Louis. 1.8 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- U-city Forest Manor, Saint Louis. 1.2 miles away, straight line.
- Nearest home health agency office
- Aw Health Care, Saint Louis. 1.0 mile away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63130 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc - University City, University City, 0.5 miles away, straight line (CMS rating 3 of 5 stars)
Davita De Baliviere Dialysis, Saint Louis, 1.3 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Davita Hampton Avenue Dialysis, Saint Louis, 2.6 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 23 Medicare hospices tell CMS they serve ZIP code 63130.
Unity Hospice Gsl, LLC, office in Saint Louis, 2.3 miles away, straight line (CMS family survey rating 2 of 5 stars)
Evertrue Hospice, office in Brentwood, 3.1 miles away, straight line (CMS family survey rating 3 of 5 stars)
Acg Hospice, office in Saint Louis, 3.4 miles away, straight line - Nearest geriatric medicine practice
- Aging Well Health Care, LLC, Saint Louis. 1.0 mile away, straight line. 5 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado relatively moderate, heat wave very high, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Monarch Springs Wellness & Rehabilitation a good nursing home?
CMS gives Monarch Springs Wellness & Rehabilitation an overall rating of 1 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Monarch Springs Wellness & Rehabilitation staffed?
Monarch Springs Wellness & Rehabilitation reports 3.60 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Monarch Springs Wellness & Rehabilitation had inspection problems?
Its most recent CMS inspection cited 12 deficiencies.
How many beds does Monarch Springs Wellness & Rehabilitation have?
Monarch Springs Wellness & Rehabilitation is certified for 119 beds.