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.

Back to Monarch Springs Wellness & Rehabilitation

Last standard health inspection on record

May 7, 2026

Showing 1 to 25 of 29 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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.

  5. 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).

  6. 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).

  7. 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 8, 2026).

  8. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0883, Infection Control Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 8, 2026).

  9. No harm, with potential for more than minimal harm

    Use approved construction type or materials.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0161, Construction Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2026).

  10. No harm, with potential for more than minimal harm

    Install emergency lighting that can last at least 1 1/2 hours.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2026).

  11. No harm, with potential for more than minimal harm

    Have properly located and lighted "Exit" signs.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2026).

  12. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0324, 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).

  13. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0353, 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).

  14. No harm, with potential for more than minimal harm

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0374, 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).

  15. No harm, with potential for more than minimal harm

    Meet other general requirements that are deficient.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0500, Services Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2026).

  16. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0511, Services Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2026).

  17. No harm, with potential for more than minimal harm

    Install properly constructed and protected linen or trash chutes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0541, Services Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.

    The home has a plan to correct it.

  18. No harm, with potential for more than minimal harm

    Have restrictions on the use of portable space heaters.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0781, 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).

  19. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 8, 2026).

  20. No harm, with potential for more than minimal harm

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0627, Resident Rights Deficiencies. Inspection of May 7, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 8, 2026).

  21. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 8, 2026).

  22. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 8, 2026).

  23. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 8, 2026).

  24. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 8, 2026).

  25. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 8, 2026).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.