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Complaint Investigation

Monarch Springs Wellness & Rehabilitation

December 31, 2025 · University City, MO · 894 Leland Avenue
Citations 1
CMS Rating 1/5
Beds 119
Provider ID 265831
Healthcare Facility
Monarch Springs Wellness & Rehabilitation
University City, MO  ·  View full profile →
Inspection Summary

MONARCH SPRINGS WELLNESS & REHABILITATION in UNIVERSITY CITY, MO — inspection on December 31, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0580
Resident Rights Deficiencies
Potential for More Than Minimal Harm

During an interview on 12/30/25 at 9:50 A.M., LPN B said LPN A should have called the resident's physician and guardian about the resident going to the hospital. He/She was not sure if the guardian was notified.

There was a lot going on at that time. On the day the resident went out to the hospital, LPN B was an orientee and it was his/her first day.

Standard protocol for any facility is to call the resident's physician and get an order to send the resident to the hospital and to contact the guardian to make them aware.

During an interview on 12/29/25 at 2:25 P.M. with the Director of Nursing (DON) and Administrator, the DON said LPN A should have called the resident's guardian and documented the call and the change of condition in the resident's medical record. LPN A did not do a proper follow-up.

The DON did not know why this was not completed.

The Administrator agreed with the DON. 2701154

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in UNIVERSITY CITY, MO, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from MONARCH SPRINGS WELLNESS & REHABILITATION or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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