Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

MONARCH SPRINGS WELLNESS & REHABILITATION

UNIVERSITY CITY, MO · 119 certified beds · Last Life Safety survey May 7, 2026

CMS Certification Number 265831 · first certified July 2009

Ownership

Operated by OPCO SKILLED MANAGEMENT · For profit - Limited Liability company

New ownershipOwnership changed May 1, 2025 (change of ownership)from JPAM CONSULTING, INC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within MO

47 citations — more than 97% of the 487 certified nursing homes in MO. Compared within MO rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 16 citations; the earlier surveys in the window averaged 10.3. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens July 2027 — about 9 months from now. This facility’s last Life Safety survey was May 2026. Facilities in MO are typically surveyed 14–21 months after the last one (median 17), measured over 567 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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6 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

8 of the 47 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

7 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 47 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0584 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.
F-0908 Keep all essential equipment working safely.

How that compares

Citations on file over three years

Compared with the median facility in MO, and nationally. Surveyors differ markedly between states, so the MO figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	47
Median facility in MO	18
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
December 9, 2022	18
June 18, 2024	1
July 12, 2024	12
May 7, 2026	16

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	3	2026-05-07
K-0511	Have properly installed electrical wiring and gas equipment.	2	2026-05-07
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	2	2024-06-18
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	2	2026-05-07
K-0363	Install corridor and hallway doors that block smoke.	2	2024-07-12
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	2	2026-05-07
K-0324	Provide properly protected cooking facilities.	2	2026-05-07
K-0293	Have properly located and lighted "Exit" signs.	2	2026-05-07

What the citations cover

Citations by CMS category

Smoke Deficiencies 17
Egress Deficiencies 9
Emergency Preparedness Deficiencies 8
Services Deficiencies 5
Other 8

Citations by CMS category
Category	Citations
Smoke Deficiencies	17
Egress Deficiencies	9
Emergency Preparedness Deficiencies	8
Services Deficiencies	5
Gas, Vacuum, and Electrical Systems Deficiencies	4
Miscellaneous Deficiencies	3
Construction Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 7, 2026 — 16 citations

Citations issued on May 7, 2026
Tag	What the surveyor checks	Status
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (June 21, 2026)
K-0161	Use approved construction type or materials.	Deficient, Provider has date of correction (June 30, 2026)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (June 21, 2026)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (June 21, 2026)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (June 21, 2026)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (June 21, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (June 21, 2026)
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	Deficient, Provider has date of correction (June 30, 2026)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (June 30, 2026)
K-0500	Meet other general requirements that are deficient.	Deficient, Provider has date of correction (June 21, 2026)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (June 21, 2026)
K-0531	Have elevators that firefighters can control in the event of a fire.	Deficient, Provider has plan of correction
K-0541	Install properly constructed and protected linen or trash chutes.	Deficient, Provider has plan of correction
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (June 21, 2026)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (June 21, 2026)
K-0781	Have restrictions on the use of portable space heaters.	Deficient, Provider has date of correction (June 21, 2026)

July 12, 2024 — 12 citations

Citations issued on July 12, 2024
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (August 16, 2024)
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (August 16, 2024)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (August 16, 2024)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (August 16, 2024)
K-0311	Have an enclosure around a vertical opening shaft.	Deficient, Provider has date of correction (August 16, 2024)
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	Deficient, Provider has date of correction (August 16, 2024)
K-0341	Install a fire alarm system that can be heard throughout the facility.	Deficient, Provider has date of correction (August 16, 2024)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (August 16, 2024)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (August 16, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (August 16, 2024)
K-0911	Meet requirements for the installation and maintenance of electrical systems.	Deficient, Provider has date of correction (August 16, 2024)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (August 16, 2024)

June 18, 2024 — 1 citation

Citations issued on June 18, 2024
Tag	What the surveyor checks	Status
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (July 2, 2024)

December 9, 2022 — 18 citations

Citations issued on December 9, 2022
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (January 20, 2023)
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (January 20, 2023)
E-0007	Address patient/client population and determine types of services needed.	Deficient, Provider has date of correction (January 20, 2023)
E-0013	Develop Emergency Preparedness policies and procedures.	Deficient, Provider has date of correction (January 20, 2023)
E-0030	List the names and contact information of those in the facility.	Deficient, Provider has date of correction (January 20, 2023)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has plan of correction (January 20, 2023)
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has plan of correction (January 20, 2023)
K-0271	Have exits that are accessible at all times.	Deficient, Provider has plan of correction (January 20, 2023)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (January 20, 2023)
K-0324	Provide properly protected cooking facilities.	Waiver has been granted (January 20, 2023)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (January 20, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (January 20, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (January 20, 2023)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (January 20, 2023)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (January 20, 2023)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (January 20, 2023)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (January 20, 2023)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (January 20, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.