All citations for Monarch Springs Wellness & Rehabilitation

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

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Last standard health inspection on record

May 7, 2026

Showing 1 to 25 of 85 citations

Harm to a resident
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Isolated (one or a few residents). CMS level G.
Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of January 31, 2025. Found during a complaint inspection.
Past non-compliance: already corrected by the time of the inspection (January 20, 2025).
No harm, with potential for more than minimal harm
Establish staff and initial training requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 21, 2026).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 21, 2026).
No harm, with potential for more than minimal harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0354, Smoke Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 30, 2026).
No harm, with potential for more than minimal harm
Have elevators that firefighters can control in the event of a fire.
Widespread (many residents). CMS level F.
Fire safety citation K-0531, Services Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.
The home has a plan to correct it.
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 21, 2026).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 21, 2026).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 16, 2024).
No harm, with potential for more than minimal harm
Hire a qualified full-time social worker in a facility with more than 120 beds.
Widespread (many residents). CMS level F.
Health citation F-0850, Administration Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 9, 2024).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Widespread (many residents). CMS level F.
Health citation F-0880, Infection Control Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 9, 2024).
No harm, with potential for more than minimal harm
Address subsistence needs for staff and patients.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 16, 2024).
No harm, with potential for more than minimal harm
Establish roles under a Waiver declared by secretary.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 16, 2024).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 16, 2024).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Widespread (many residents). CMS level F.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 16, 2024).
No harm, with potential for more than minimal harm
Meet requirements for the installation and maintenance of electrical systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (August 16, 2024).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of December 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 6, 2023).
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of December 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 20, 2023).
No harm, with potential for more than minimal harm
Conduct risk assessment and an All-Hazards approach.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of December 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 20, 2023).
No harm, with potential for more than minimal harm
Address patient/client population and determine types of services needed.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of December 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 20, 2023).
No harm, with potential for more than minimal harm
Develop Emergency Preparedness policies and procedures.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of December 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 20, 2023).
No harm, with potential for more than minimal harm
List the names and contact information of those in the facility.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of December 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 20, 2023).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of December 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 20, 2023).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of December 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 20, 2023).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Widespread (many residents). CMS level F.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of December 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 20, 2023).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 20, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.