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 32 citations

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).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0211, Egress Deficiencies. Inspection of June 18, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (July 2, 2024).
No harm, with potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pattern (more than a few residents). CMS level E.
Health citation F-0755, Pharmacy Service 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
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.
Pattern (more than a few residents). CMS level E.
Health citation F-0761, Pharmacy Service 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
Hire a qualified full-time social worker in a facility with more than 120 beds.
Pattern (more than a few residents). CMS level E.
Health citation F-0850, Administration Deficiencies. Inspection of December 9, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (January 23, 2023).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Pattern (more than a few residents). CMS level E.
Health citation F-0880, Infection Control 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
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0211, Egress Deficiencies. Inspection of December 9, 2022. Found during a standard inspection.
The home has a plan to correct it (January 20, 2023).
No harm, with potential for more than minimal harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0223, Egress Deficiencies. Inspection of December 9, 2022. Found during a standard inspection.
The home has a plan to correct it (January 20, 2023).
No harm, with potential for more than minimal harm
Have exits that are accessible at all times.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0271, Egress Deficiencies. Inspection of December 9, 2022. Found during a standard inspection.
The home has a plan to correct it (January 20, 2023).
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 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
Provide properly protected cooking facilities.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of December 9, 2022. Found during a standard inspection.
A waiver was granted (January 20, 2023).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0372, 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 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 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 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 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 proper usage of power strips and extension cords.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0920, 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).
No harm, with potential for more than minimal harm
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Isolated (one or a few residents). CMS level D.
Health citation F-0622, Resident Rights Deficiencies. Inspection of May 2, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (May 29, 2024).

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.