Hearth Record

Monarch Springs Wellness & Rehabilitation

A nursing home in University City, Missouri 63130

894 Leland Avenue, University City, Missouri 63130. (314) 726-4767.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 28 citations in 6 months of the last 36. Last cited May 2026. Most serious: actual harm (G). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

13 health citations at the latest inspection cycle

The Missouri average is 11.4.

Last standard inspection May 7, 2026.

Most serious in three years: actual harm (G), at a complaint inspection on Jan 31, 2025

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

28 citations in 6 months of the last 36. Last cited May 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.

28 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 28 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 7 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

May 7, 2026: standard inspection10 citations
  • Reasonably accommodate the needs and preferences of each resident.

    Rule F0558. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 8, 2026.

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 8, 2026.

  • 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.

    Rule F0700. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 8, 2026.

  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Rule F0756. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 8, 2026.

  • Ensure medication error rates are not 5 percent or greater.

    Rule F0759. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 8, 2026.

  • 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.

    Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 8, 2026.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 8, 2026.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 8, 2026.

  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Rule F0883. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 8, 2026.

  • The resident has the right to receive notices in a format and a language he or she understands.

    Rule F0574. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: May 8, 2026.

May 7, 2026: standard and complaint inspection1 citation
  • Ensure the transfer/discharge meets the resident’s needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Rule F0627. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 8, 2026.

Mar 20, 2026: complaint inspection1 citation
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 26, 2026.

Dec 31, 2025: complaint inspection1 citation
  • Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Rule F0580. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 5, 2026.

Jan 31, 2025: complaint inspection1 citation
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. G: actual harm. From a complaint. Correction date, as CMS recorded it: Jan 20, 2025.

Jul 12, 2024: standard inspection11 citations
  • Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Rule F0550. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 16, 2024.

  • 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.

    Rule F0584. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 16, 2024.

  • Ensure each resident receives an accurate assessment.

    Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 16, 2024.

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 16, 2024.

  • 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.

    Rule F0761. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 16, 2024.

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Rule F0804. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 16, 2024.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 16, 2024.

  • Dispose of garbage and refuse properly.

    Rule F0814. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 16, 2024.

  • Hire a qualified full-time social worker in a facility with more than 120 beds.

    Rule F0850. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 9, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 9, 2024.

  • Post nurse staffing information every day.

    Rule F0732. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Aug 16, 2024.

May 2, 2024: complaint inspection3 citations
  • 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.

    Rule F0622. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 29, 2024.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 29, 2024.

  • 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.

    Rule F0742. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 29, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Jul 20, 2009.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, limited liability company.
  • 119 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • No fines in the last three years.
  • No Medicare payment denials in the last three years.
  • 7 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Who does the caring?

3.36 nurse hours per resident per day

The Missouri average is 3.40.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeMissouri average
Nurse hours per resident per day3.363.40
Of which registered nurses0.310.46
At weekends2.962.96
Nursing staff turnover61.7%56.9%
Registered nurse turnover80%50%
Administrators who leftNot givenNot given

Who owns it?

  • Arches Healthcare LLC owns 100% directly since May 1, 2025.
  • Opco CA Skilled Mgmt Inc. and Forvis Mazars LLP and Pease Bell Cpas LLC run it.
  • 15 owners or officers are people: Esther Kaplan (owns a share through other companies, 3.2%); David Garetz (owns a share through other companies, 1%); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Solomon L Gurwitz (runs it (operational or managerial control)); Jeffrey Unger (runs it (operational or managerial control)); Niv Davidovich (trustee); Shawn Michael Gao (runs it (operational or managerial control)); Shawn Michael Gao (additional disclosable party (controls, leases property to, or provides services to the home)); Esther Kaplan (runs it (operational or managerial control)); Allencia Potter Spence (runs it (operational or managerial control)); Jennifer Sternshein (trustee); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); David Garetz (runs it (operational or managerial control)); Kevin Campbell (runs it (operational or managerial control)); Kevin Campbell (additional disclosable party (controls, leases property to, or provides services to the home)).
  • Part of Opco Skilled Management (68 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Arches Healthcare LLCOwns a share directly100%May 1, 2025
Lucent Advisors LLCOwns a share through other companies99%May 1, 2025
Bankwell BankHolds 5% or more security interest80%May 1, 2025
Amber Hc TrustOwns a share through other companies61.31%May 1, 2025
Rimpau Holdings TrustOwns a share through other companies34.49%May 1, 2025
Arches Healthcare LLCHolds 5% or more security interest20%May 1, 2025
Sasem Investments LLCOwns a share through other companies3.2%May 1, 2025
First Sweetzer Holdings LLCOwns a share through other companies1%May 1, 2025
Herald Advisors LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 5, 2025
Opco CA Skilled Mgmt Inc.Runs it (operational or managerial control)Mar 1, 2024
Opco CA Skilled Mgmt Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Mar 1, 2024
Forvis Mazars LLPRuns it (operational or managerial control)Jun 1, 2023
Forvis Mazars LLPAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 1, 2023
894 Leland Ave Mo LLCAdditional disclosable party (controls, leases property to, or provides services to the home)May 1, 2025
Pease Bell Cpas LLCRuns it (operational or managerial control)Jun 14, 2018
Pease Bell Cpas LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 14, 2018

How do residents fare?

  • CMS rates its quality measures 2 of 5 (Missouri average 2.9).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating2 of 5
Health inspections3 of 5
Staffing1 of 5
Quality measures2 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 4.3 miles, this one had the 6th most health citations at the latest inspection cycle (13; the middle value was 12.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Monarch Springs Wellness & Rehabilitation This nursing home13
U-City Forest Manor1.220
Delhaven Manor1.510
Normandy Nursing Center1.917
Oak Park Care Center2.17
Barnes-Jewish Extended Care2.412
Bernard Care Center3.229
Grand Manor Health Care Center4.116
Mcknight Place Extended Care4.111
Amberwood Estates Nursing and Rehabilitation4.123
Lutheran Convalescent Home4.35
St Johns Place4.310

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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