MONARCH SPRINGS WELLNESS & REHABILITATION – UNIVERSITY CITY, MO

CMS Verified | 2026-03-01

Monarch Springs Wellness & Rehabilitation

894 LELAND AVENUE, University City, MO 63130
(314) 726-4767
119 beds
All University City facilities
1.0*
Overall
2.0*
Health Inspection
4.0*
Quality Care
1.0*
Staffing
68.88
Score /100
#8790
National Rank

#8790
of 14703 facilities
National
40.2% position
#142
of 487 in MO
State Rank
#20
of 69 in St. Louis
County Rank
#1
City Rank
#1
of 2 in ZIP 63130
ZIP Rank






About Monarch Springs Wellness & RehabilitationMonarch Springs Wellness & Rehabilitation is located at 894 Leland Avenue, University City, MO, reachable at (314) 726-4767. This For profit – Corporation facility operates 119.0 certified beds and serves an average of 39 residents per day. It is part of the Opco Skilled Management network (52 facilities nationwide). Medicare and Medicaid services have been provided since 2009-07-20. The facility currently holds a poor (1-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Monarch Springs Wellness & Rehabilitation

Address

894 Leland Avenue, University City, MO 63130

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 119 Certified Beds
  • Ownership: For profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: OPCO SKILLED MANAGEMENT

Quick Verdict

Overall Quality
❌ Poor (1★) overall rating
Health Inspection
⚠️ Below Average (2★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
✅ Above Average (4★) quality of care
Compliance
❌ 7 fine(s) over 5 years
5-Year Trend
Declining over 5 years
68.88
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#8790 of 14703 nationally – #142 of 487 in Missouri

Who Is This Facility Best For?

Monarch Springs Wellness & Rehabilitation may be considered for families with limited options in University City, MO, but its lower CMS ratings suggest careful due diligence is warranted. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

1 / 5
Health Inspection

2 / 5
Staffing Rating

1 / 5
Quality Measures (QM)

4 / 5
Long-Stay QM Rating

4 / 5
Short-Stay QM Rating

N/A

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightMonarch Springs Wellness & Rehabilitation currently provides 3 hours 36 minutes of total nurse staffing per resident per day, including 27 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 36 minutes
Nurse Aide Hours2 hours 45 minutes
Licensed Practical Nurse (LPN) Hours24 minutes
Registered Nurse (RN) Hours27 minutes
Physical Therapist Hours1 minute

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 28 minutes
Weekend Registered Nurse (RN) Hours20 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $78,627. 19 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period.
Number of Fines (current period) 1
Total Fines Amount $78627.0
Payment Denials 1
Total Penalties 2
Abuse Flag on Record N
Total Weighted Health Survey Score 150.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#8,790
of 14,703
National
Bottom 40%
#142
of 487
MO State
Top 29% in MO
#20
of 69
️ St. Louis County
#20 of 69
#1
of 1
️ University City
Best in city
#1
of 2
ZIP 63130
Best in ZIP

Nationally, Monarch Springs Wellness & Rehabilitation ranks 8790th out of 14,703 facilities (composite score: 68.9/100), placing it in the below average nationwide. Within MO, it ranks 142nd out of 487 nursing homes. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #8,058 nationally and RN hours rank #9,684 nationally (#181 in MO).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank MO State Rank Note
2022 3.22 #10,187 / 14,703 #191 / 487 Below average
2023 2.58 #13,515 / 14,703 #387 / 487 ⚠️ Bottom 10%
2024 3.16 #11,351 / 14,703 #266 / 487 ⚠️ Bottom 25%
2025 3.28 #10,948 / 14,703 #232 / 487 Below average
2026 3.60 #8,058 / 14,703 #160 / 487 Below average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank MO State Rank Note
2022 0.41 #10,530 / 14,703 #217 / 487 Below average
2023 0.31 #12,043 / 14,703 #310 / 487 ⚠️ Bottom 25%
2024 0.37 #11,060 / 14,703 #241 / 487 ⚠️ Bottom 25%
2025 0.26 #13,193 / 14,703 #354 / 487 ⚠️ Bottom 25%
2026 0.46 #9,684 / 14,703 #181 / 487 Below average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Monarch Springs Wellness & Rehabilitation is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2009-07-20. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (314) 726-4767 or your local Medicaid office to verify current eligibility.

Monarch Springs Wellness & Rehabilitation holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (1★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 68.9/100, placing it #8790 of 14703 facilities nationally and #142 of 487 in Missouri. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Monarch Springs Wellness & Rehabilitation receives a reported average of 3 hours 36 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 27 minutes; Licensed Practical Nurse (LPN) — 24 minutes; Nurse Aide — 2 hours 45 minutes. On weekends, total nurse staffing is 3 hours 28 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $78,627. 19 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $78,627, and 1 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 150.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Monarch Springs Wellness & Rehabilitation ranks 8790th out of 14,703 facilities (composite score: 68.9/100), placing it in the below average nationwide. Within MO, it ranks 142nd out of 487 nursing homes. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #8,058 nationally and RN hours rank #9,684 nationally (#181 in MO). Our composite quality score of 68.9/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in University City, visit: https://nursinghomesnearme.org/missouri/university-city/

Contact and Location

ADR
Address

894 LELAND AVENUE, University City, MO 63130
Get directions on Google Maps

TEL
LLC
Legal Name

MONARCH SPRINGS WELLNESS & REHABILITATION LLC

MAP

Facility Details

Number of Certified Beds 119
Average Residents / Day 39 (33% occupancy)
Ownership Type For profit – Corporation
Provider Type Medicare and Medicaid
County St. Louis County, MO
City University City, MO
ZIP Code 63130
Approved Since July 20, 2009
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 265831
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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