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 19 of 19 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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).

  19. 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).

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.