Monarch Springs Wellness & Rehabilitation

Nursing Home, Palliative Care & Skilled Nursing · University City, MO

CMS overall rating

894 Leland Ave, University City, MO 63130-3239 View map

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Monarch Springs Wellness & Rehabilitation accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Monarch Springs Wellness & Rehabilitation accepts Medicare, Medicaid, and private pay.

Overview of Monarch Springs Wellness & Rehabilitation

Monarch Springs Wellness & Rehabilitation is a 119-bed skilled nursing facility at 894 Leland Avenue, University City, Saint Louis County, Missouri, operated by Monarch Springs Wellness & Rehabilitation LLC under the administration of Kevin Campbell. The facility is Medicare and Medicaid certified, maintains 24-hour on-site staffing, and operates continuously throughout the week. The walk score is 67, indicating moderate walkability in an urban location with access to nearby services.

Staffing composition reflects near-benchmark clinical oversight combined with substantial direct care strength. Registered nurses provide 27 minutes per resident per day, just 4% below Missouri’s state average, maintaining near-standard clinical assessment capacity.

Licensed practical nurses provide 24 minutes per day, representing a 41% reduction compared to the state average of 41 minutes, which may constrain medication administration and wound care delivery. Certified nursing aides provide 2 hours 45 minutes per day, 19% above the state average of 2 hours 19 minutes, indicating robust direct personal care assistance.

Weekend nursing totals 3 hours 28 minutes per day (14% above state average), sustaining care delivery across the calendar week. Weekend RN presence at 20 minutes per day matches the state average. Physical therapist hours are 1 minute per day, 50% below the state average of 2 minutes, substantially limiting rehabilitation capacity for short-stay post-acute recovery.

Long-stay hospitalizations average 1.11 per 1,000 days, representing a 47% improvement over Missouri’s state average of 2.08. Emergency department visits for long-stay residents average 1.56 per 1,000 days, 34% better than the state average of 2.35.

The facility provides rehabilitation services and respite care alongside 24-hour skilled nursing.

The facility accepts Missouri Medicaid programs, including the Aged and Disabled Waiver, Missouri Supplemental Nursing Care, Structured Family Caregiving Waiver, MO HealthNet Aged Blind and Disabled, and Medicare Savings Program. Veterans and spouses may qualify for VA Aid and Attendance benefits. This payment structure makes the facility accessible to residents with government assistance.

The facility’s regulatory record shows zero total inspections recorded, compared to a Missouri state average of seven for comparable skilled nursing facilities. This unusually sparse inspection history requires explanation. Current licensing status and available regulatory documentation should be reviewed before placement.

Families should verify staffing credentials, rehabilitation program protocols, impact of reduced LPN hours, licenses, and inspection reports from the Missouri Department of Health and Senior Services.

Facility Direct Line (314) 726-4767 info@monarchspringswellness.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

2h 49m per day

vs avg

3 of 6 metrics below state avg

Standout metric LPN / LVN is +34% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	22m per day	▼ 20% State avg: 28m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	55m per day	▲ 34% State avg: 41m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 43m per day	▲ 17% State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 50m per day	▲ 25% State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 38% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	14m per day	▼ 30% State avg: 20m per day · National avg: 28m per day

Capacity and availability

239 days

119-bed community

A larger shared setting that may offer more common spaces and organized community services.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 67 / 100

Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate

38%

Lower than the Missouri average: 66.6%

Occupied beds

45 / 119

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceMay 1, 2025

ExpirationFebruary 28, 2027

CountySaint Louis County

License Number052822

Certification TypeMedicare / Medicaid

Monarch Springs Wellness & Rehabilitation is legally operated by Monarch Springs Wellness & Rehabilitation LLC, and administered by Kevin Campbell.

Corporate EntityMONARCH SPRINGS WELLNESS & REHABILITATION LLC

Owner NameMonarch Springs Wellness & Rehabilitation LLC

Skilled Nursing Facility

119 units

Total beds

119 units

Rehabilitation Services

Respite Care

24-Hour Staffing

Pets not allowed

Operating Hours24/7

Since 2018 · 8 years of data 110 deficiencies 17 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Missouri state average

Overall vs. MO average

Latest Inspection December 31, 2025 Complaint Investigation

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	110	35	This facility has 214% more total deficiencies than a typical Missouri assisted living residence (110 vs. MO avg 35).↑ 214% worse
Deficiencies per year Average deficiencies per year since 2018.	13.8	4.4	This facility has 214% more deficiencies per year than a typical Missouri assisted living residence (13.8 vs. MO avg 4.4).↑ 214% worse
Deficiencies per inspection Average deficiencies per inspection.	6.5	2.9	This facility has 124% more deficiencies per inspection than a typical Missouri assisted living residence (6.5 vs. MO avg 2.9).↑ 124% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	17	12	This facility has had 42% more total inspections than the Missouri average (17 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 42% more

Show Inspection Reports

Inspections since 2019

Total health inspections 7

State average N/A

Last Health inspection on Jan 2025

Total health citations

State average N/A

Citations per inspection

4.71

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

26 of 33 citations resulted from standard inspections; and 7 of 33 resulted from complaint investigations.

Breakdown of citation severity (last 7 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

2 critical citations State average: N/A

1 serious citation State average: N/A

28 moderate citations State average: N/A

2 minor citations State average: N/A

Citations history (last 7 years)

Quality of Care serious citation Jan 31, 2025

Corrected

Administration moderate citation Jul 12, 2024

Corrected

Infection Control moderate citation Jul 12, 2024

Corrected

Nursing Services minor citation Jul 12, 2024

Corrected

Total staff 123

Employees 77

Contractors 46

Staff to resident ratio 2.51 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 27

Average shift 8.4 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 20,780

Nursing staff breakdown

10.1 hours

8.9 hours

8.6 hours

Contractor staffing

1,502 contractor hours this quarter

Licensed Practical Nurse: 22 Certified Nursing Assistant: 6 Respiratory Therapy Technician: 4 Clinical Nurse Specialist: 3 Physical Therapy Aide: 3 Registered Nurse: 2 Qualified Social Worker: 2 Physical Therapy Assistant: 2 Medication Aide/Technician: 1 Therapeutic Recreation Specialist: 1

Staff by category


Certified Nursing Assistant	29	6	35	7,954	92	100%	8.6
Licensed Practical Nurse	21	22	43	3,742	92	100%	8.9
Medication Aide/Technician	11	1	12	3,650	92	100%	10
Physical Therapist	5	0	5	1,535	91	99%	6.7
Nurse Practitioner	2	0	2	891	71	77%	9.1
Administrator	2	0	2	709	65	71%	8.1
Occupational Therapy Aide	1	0	1	517	66	72%	7.8
Other Dietary Services Staff	1	0	1	470	60	65%	7.8
Clinical Nurse Specialist	1	3	4	401	45	49%	8.9
Registered Nurse	3	2	5	294	26	28%	10.1
Physical Therapy Aide	0	3	3	171	33	36%	4.9
RN Director of Nursing	1	0	1	164	17	18%	9.7
Qualified Social Worker	0	2	2	143	60	65%	2.3
Respiratory Therapy Technician	0	4	4	88	33	36%	2.7
Physical Therapy Assistant	0	2	2	33	9	10%	3.6
Therapeutic Recreation Specialist	0	1	1	20	6	7%	3.3

35 Certified Nursing Assistant

% of Days 100%

43 Licensed Practical Nurse

% of Days 100%

12 Medication Aide/Technician

% of Days 100%

5 Physical Therapist

% of Days 99%

2 Nurse Practitioner

% of Days 77%

2 Administrator

% of Days 71%

1 Occupational Therapy Aide

% of Days 72%

1 Other Dietary Services Staff

% of Days 65%

4 Clinical Nurse Specialist

% of Days 49%

5 Registered Nurse

% of Days 28%

3 Physical Therapy Aide

% of Days 36%

1 RN Director of Nursing

% of Days 18%

2 Qualified Social Worker

% of Days 65%

4 Respiratory Therapy Technician

% of Days 36%

2 Physical Therapy Assistant

% of Days 10%

1 Therapeutic Recreation Specialist

% of Days 7%

View All Staffing Data

Total fines amount $79K

8% higher than State average

State average: $73K

Number of fines 1

59% fewer fines than State average

State average: 2.4

Payment Denials 1

45% more payment denials than State average

State average: 0.7

Fines amount comparison

This facility $79K

State average $73K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 6.8

38% better than State average

State average: 10.9

Functional decline score 12.8

34% better than State average

State average: 19.5

Long-stay resident measures

Above average

Need for Help with Daily Activities Increased 16.8%

15% better than State average

State average: 19.8%

Walking Ability Worsened 12.0%

42% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 9.6%

47% better than State average

State average: 18.1%

Falls with Major Injury 0.5%

87% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 2.7%

47% better than State average

State average: 5.0%

Urinary Tract Infection 2.2%

21% better than State average

State average: 2.7%

Lost Too Much Weight 1.8%

67% better than State average

State average: 5.6%

Depressive Symptoms 4.9%

62% better than State average

State average: 12.8%

Antipsychotic Use 33.3%

52% worse than State average

State average: 22.0%

Pneumococcal Vaccine 94.1%

10% better than State average

State average: 85.2%

Influenza Vaccine 100.0%

10% better than State average

State average: 90.9%

Hospitalizations per 1,000 days 1.11

47% better than State average

State average: 2.08

ED visits per 1,000 days 1.56

34% better than State average

State average: 2.35

Short-stay resident measures

Pneumococcal Vaccine 32.4%

51% worse than State average

State average: 66.6%

Breakdown by payment type

Medicare

14% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

1% of new residents, often for short stays.

Typical stay 9 - 10 months

Medicaid

85% of new residents, often for long-term daily care.

Typical stay 7 - 8 months

Total residents 49

Medicare

4.1% of residents

Medicaid

93.9% of residents

Private pay or other

2% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Monarch Springs Wellness & Rehabilitation from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 32.2% ↓ 0.2pp vs 2022

Net Patient Income -$932.6K ↓ ~$215.3K vs 2022

Payroll Costs $2.1M ↑ ~$320.5K vs 2022

Operating Margin -29.4% ↓ 3.7pp vs 2022

Metric	2011	2012	2013	2014	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	44.3%	54.0%	55.5%	54.7%	52.5%	44.3%	50.8%	51.2%	47.9%	39.6%	32.4%	32.2%
Beds	130	130	130	130	130	130	130	130	130	130	130	130
Net Income	$374,773	$122,444	$67,519	$20,202	-$214,158	-$24,193	$303,361	$84,837	-$75,221	-$61,102	-$787,035	-$930,801
Gross Revenue	$4,025,600	$5,349,387	$4,826,700	$4,838,123	$5,865,363	$4,965,609	$6,244,581	$6,517,902	$6,022,051	$5,005,168	$4,371,962	$5,012,233
Operating Expenses	$3,513,494	$4,714,001	$4,998,985	$5,123,602	$4,347,536	$3,690,166	$3,969,967	$4,207,504	$4,162,323	$3,833,166	$3,505,727	$4,107,469
Net Patient Income	$372,666	$120,952	$66,437	$18,972	-$215,013	-$27,834	$297,018	$76,006	-$78,661	-$510,944	-$717,318	-$932,612
Net Patient Revenue	$3,886,160	$4,834,953	$5,065,422	$5,142,574	$4,132,523	$3,662,332	$4,266,985	$4,283,510	$4,083,662	$3,322,222	$2,788,409	$3,174,857
Payroll Costs	$1,881,586	$2,338,819	$2,221,497	$2,329,108	$2,179,943	$1,996,603	$2,038,154	$2,196,787	$2,310,192	$2,123,157	$1,768,624	$2,089,133
Operating Margin %	9.6%	2.5%	1.3%	0.4%	-5.2%	-0.8%	7.0%	1.8%	-1.9%	-15.4%	-25.7%	-29.4%
Medicare %	15.1%	11.6%	13.5%	12.4%	3.1%	2.4%	3.9%	2.2%	2.3%	2.5%	0.9%	2.5%
Medicaid %	73.2%	84.3%	82.1%	85.1%	90.1%	87.7%	92.2%	94.6%	95.2%	95.5%	98.3%	96.1%
Private %	11.7%	4.1%	4.4%	2.5%	6.8%	9.9%	3.8%	3.3%	2.5%	2.0%	0.7%	1.4%
Net Patient Revenue/Day	$185	$188	$192	$198	$166	$174	$177	$176	$179	$177	$181	$208
Cost/Day	$167	$184	$190	$197	$174	$175	$165	$173	$183	$204	$228	$269
Avg Length of Stay	92.1 days	116.2 days	125.4 days	127.3 days	290.2 days	280.5 days	199.0 days	307.3 days	296.2 days	250.8 days	205.3 days	238.7 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$3.2M

Net patient income

-$932.6K

For-profit Corporation

Net patient revenue

$3.2M

Net patient income

-$932.6K

Other income

$1.8K

Payroll costs

$2.1M 65.8% of net patient revenue

Other operating costs

$2.0M

Total costs

$4.1M

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Most new residents arrive under Medicaid (85% of admissions), and a typical Medicaid stay runs around 7 - 8 months.

Coverage residents most often arrive under.

Medicare 14%

Private pay 1%

Medicaid 85%

Coverage residents most often leave under.

Medicare 17%

Private pay 2%

Medicaid 82%

0.0 miles from city center Estimated distance in miles from University City's city center to Monarch Springs Wellness & Rehabilitation's address, calculated via Google Maps.

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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


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Nursing Home Explorer

Who is the owner of Monarch Springs Wellness & Rehabilitation?

Monarch Springs Wellness & Rehabilitation is legally operated by Monarch Springs Wellness & Rehabilitation LLC, and administered by Kevin Campbell.

Is Monarch Springs Wellness & Rehabilitation in a walkable area?

Monarch Springs Wellness & Rehabilitation has a walk score of 67. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

What is the license number of Monarch Springs Wellness & Rehabilitation?

According to MO state health department records, Monarch Springs Wellness & Rehabilitation's license number is 052822.

When does Monarch Springs Wellness & Rehabilitation's license expire?

According to MO state health department records, Monarch Springs Wellness & Rehabilitation's license expires on February 28, 2027.

What is the occupancy rate at Monarch Springs Wellness & Rehabilitation?

Monarch Springs Wellness & Rehabilitation's occupancy is 38%.

Are pets allowed at Monarch Springs Wellness & Rehabilitation?

No, Monarch Springs Wellness & Rehabilitation has a no-pet policy.

Does Monarch Springs Wellness & Rehabilitation operate as a for-profit or non-profit?

Monarch Springs Wellness & Rehabilitation is registered as a for-profit in MO.

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Monarch Springs Wellness & Rehabilitation

Overview of Monarch Springs Wellness & Rehabilitation

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Therapy & Rehabilitation

Staffing & Medical

Additional Policies & Features

Amenities & Lifestyle

Contact Monarch Springs Wellness & Rehabilitation

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

35 Certified Nursing Assistant

43 Licensed Practical Nurse

12 Medication Aide/Technician

5 Physical Therapist

2 Nurse Practitioner

2 Administrator

1 Occupational Therapy Aide

1 Other Dietary Services Staff

4 Clinical Nurse Specialist

5 Registered Nurse

3 Physical Therapy Aide

1 RN Director of Nursing

2 Qualified Social Worker

4 Respiratory Therapy Technician

2 Physical Therapy Assistant

1 Therapeutic Recreation Specialist

Penalties and fines

Fines amount comparison

Fines amount comparison

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

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