Monarch Springs Wellness & Rehabilitation has received an F grade based on CMS data, with a score of 22/100 — placing it among the lowest-rated nursing facilities in Missouri. Families considering this University City facility should carefully review its inspection history and quality metrics.
Staffing at Monarch Springs Wellness & Rehabilitation is near the national average, with 3.60 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 34 deficiencies at Monarch Springs Wellness & Rehabilitation, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.60 | 3.8 | Average |
| Registered Nurses (RN) | 0.46 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.40 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.74 | 2.4 | Above Average |
| Weekend Total Nursing | 3.46 | 3.8 | Average |
| Weekend RN Hours | 0.33 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Dec 30, 2025 · Resident Rights Deficiencies
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Jan 30, 2025 · Quality of Life and Care Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jul 11, 2024 · Nutrition and Dietary Deficiencies
- Tag 0850 Severity FHire a qualified full-time social worker in a facility with more than 120 beds.Jul 11, 2024 · Administration Deficiencies
- Tag 0880 Severity FProvide and implement an infection prevention and control program.Jul 11, 2024 · Infection Control Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 1.8% | 4.5% | Better |
| Falls with major injury | 1.2% | 3.0% | Better |
| On antipsychotic medication | 40.2% | 14.5% | Worse |
| Urinary tract infections | 2.4% | 2.5% | Average |
| ADL decline (daily activities) | 18.5% | 14.0% | Worse |
| Excessive weight loss | 2.7% | 7.5% | Better |
| New/worsened incontinence | 9.5% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $78,627
How This Grade Was Calculated
This facility's grade of F is based on a score of 22 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -7 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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