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 51 to 75 of 85 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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).

  19. 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).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, 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).

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

    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 D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of March 20, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2026).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of December 31, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 5, 2026).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 2024).

  24. 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 July 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 2024).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, 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).

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.