Skilled nursing facility · CMS certification number 265831

MONARCH SPRINGS WELLNESS & REHABILITATION

UNIVERSITY CITY, Missouri · Medicare and Medicaid

Certified beds, as filed in Care Compare: 119

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 May 2025 to 31 August 2025 — a reporting period of 122 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 24 February 2026.

Revenue and expenses, fiscal year 2025
Figure	As filed	Where it comes from
Total patient revenue	$945,921	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$35,423	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$910,498	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$1,857,640	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$947,142	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,732	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$944,410	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$944,410 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2025
Figure	As filed	Where it comes from
Total facility beds, all components	119	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	14,637	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	157	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	4,166	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	3	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	4,326	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	4	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	30	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	5	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	39	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.25	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	138.87	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	110.92	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1448091, read from the public cost report file SNF10FY2025.zip.

Fiscal year 2024, ended 31 December 2024

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 12 September 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$5,868,170	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,042,060	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,826,110	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,768,358	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$942,248	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,744	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$939,504	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$939,504 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	130	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,621	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	75	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	117.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	256.26	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	248.28	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1439479, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 October 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$5,012,233	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,837,376	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,174,857	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,107,469	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$932,612	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,811	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$930,801	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$930,801 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	130	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,277	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	64	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.82	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	276.91	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	238.7	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1396521, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 September 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$4,371,962	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,583,553	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,788,409	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,505,727	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$717,318	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$226,190	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$491,128	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$787,035 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	130	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,395	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	75	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	213.2	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	205.27	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1365636, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 January 2023.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$5,005,168	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,682,946	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,322,222	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,833,166	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$510,944	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$449,842	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$61,102	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$61,102 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	130	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,808	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	75	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	68.14	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	264.15	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	250.77	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1339474, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 11 August 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$6,022,051	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,938,389	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,083,662	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,162,323	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$78,661	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,440	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$75,221	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$75,221 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	130	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,807	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	77	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.53	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	355.9	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	296.19	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1329535, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 December 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$6,517,902	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,234,392	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,283,510	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,207,504	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$76,006	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$8,831	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$84,837	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $84,837 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	130	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,280	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	79	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	58.56	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	332.78	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	307.34	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1277823, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$6,244,581	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,977,596	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,266,985	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,969,967	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$297,018	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$6,343	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$303,361	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $303,361 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	130	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,082	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	121	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	73	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	224.39	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	199.02	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1242079, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$4,965,609	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,303,277	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,662,332	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,690,166	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$27,834	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,641	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$24,193	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$24,193 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	130	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,040	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	75	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.22	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	461.05	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	280.53	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1202716, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$5,865,363	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,732,840	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,132,523	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,347,536	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$215,013	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$855	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$214,158	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$214,158 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	130	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	24,957	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	86	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	70.36	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	380.93	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	290.2	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1174186, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 16 October 2015 to 31 December 2015 — a reporting period of 76 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 30 September 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$1,120,439	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$83,925	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$1,036,514	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$767,336	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$269,178	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$18,197	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$287,375	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $287,375 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	130	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	5,574	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	25	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	93.6	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	298	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	222.96	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1143165, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 July 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$4,838,123	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$304,451	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,142,574	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,123,602	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$18,972	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,230	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$20,202	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $20,202 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	130	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,962	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	204	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46.78	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	181.07	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	127.26	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1105736, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 December 2013

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$4,826,700	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$238,722	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,065,422	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,998,985	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$66,437	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,082	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$67,519	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $67,519 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	130	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,326	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	210	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	46.63	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	211.88	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	125.36	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1073122, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 16 June 2014.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$5,349,387	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$514,434	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,834,953	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,714,001	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$120,952	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,492	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$122,444	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $122,444 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	130	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,669	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	221	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	50.42	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	154.55	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	116.15	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1065154, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 19 April 2013.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$4,025,600	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$139,440	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,886,160	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,513,494	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$372,666	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,107	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$374,773	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $374,773 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	130	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,997	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	228	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	56.57	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	112.15	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	92.09	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1027302, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 August 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$2,770,797	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,701,348	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$69,449	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,227	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $70,676 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	130	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	12,890	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	206	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	40.97	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	77	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	62.57	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 416529, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 31 December 2009

Cost report for 20 July 2009 to 31 December 2009 — a reporting period of 164 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 28 June 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$173,968	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$513,961	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$339,993	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$207,985	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$132,008 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	130	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	927	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	17	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	23.7	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	92.14	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	54.53	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 378594, read from the public cost report file SNFFY2009.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
ARCHES HEALTHCARE LLC	5% OR GREATER SECURITY INTEREST	Organization	NOT APPLICABLE	since 05/01/2025
BANKWELL BANK	5% OR GREATER SECURITY INTEREST	Organization	NOT APPLICABLE	since 05/01/2025
894 LELAND AVE MO LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/01/2025
CAMPBELL, KEVIN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/05/2025
FORVIS MAZARS LLP	ADP OF THE SNF	Organization	NOT APPLICABLE	since 06/01/2023
GAO, SHAWN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/05/2025
HERALD ADVISORS LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 08/05/2025
OPCO CA SKILLED MGMT INC.	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/01/2024
PEASE BELL CPAS LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 06/14/2018
ARCHES HEALTHCARE LLC	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 05/01/2025
AMBER HC TRUST	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 05/01/2025
FIRST SWEETZER HOLDINGS LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 05/01/2025
GARETZ, DAVID	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 05/01/2025
KAPLAN, ESTHER	INDIRECT OWNERSHIP INTEREST	Individual	NOT APPLICABLE	since 05/01/2025
LUCENT ADVISORS LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 05/01/2025
RIMPAU HOLDINGS TRUST	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 05/01/2025
SASEM INVESTMENTS LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 05/01/2025
HAGINS, ELIZABETH	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/05/2025
MINDLE, ADAM	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/05/2025
CAMPBELL, KEVIN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/01/2025
FORVIS MAZARS LLP	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 06/01/2023
GAO, SHAWN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/01/2025
GARETZ, DAVID	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/01/2025
GURWITZ, SOLOMON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/01/2025
KAPLAN, ESTHER	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/01/2025
OPCO CA SKILLED MGMT INC.	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 03/01/2024
PEASE BELL CPAS LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 06/14/2018
POTTER SPENCE, ALLENCIA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/01/2025
UNGER, JEFFREY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/01/2025
DAVIDOVICH, NIV	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 05/01/2025
STERNSHEIN, JENNIFER	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 05/01/2025

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of MONARCH SPRINGS WELLNESS & REHABILITATION LLC (enrollment ID O20250805002403).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
ARCHES HEALTHCARE LLC	Organization	5% OR GREATER SECURITY INTEREST	20	5/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
BANKWELL BANK	Organization	5% OR GREATER SECURITY INTEREST	80	5/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
894 LELAND AVE MO LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
FORVIS MAZARS LLP	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
HERALD ADVISORS LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/5/2025	Private equity company: No Real estate investment trust: No Holding company: Yes
KEVIN CAMPBELL	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/5/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
OPCO CA SKILLED MGMT INC.	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
PEASE BELL CPAS LLC	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/14/2018	Private equity company: No Real estate investment trust: No Holding company: No
SHAWN MICHAEL GAO	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/5/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/14/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	7/1/2023	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ARCHES HEALTHCARE LLC	Organization	DIRECT OWNERSHIP INTEREST	100	5/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
AMBER HC TRUST	Organization	INDIRECT OWNERSHIP INTEREST	61.31	5/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
DAVID GARETZ	Individual	INDIRECT OWNERSHIP INTEREST	1	5/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ESTHER KAPLAN	Individual	INDIRECT OWNERSHIP INTEREST	3.2	5/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
FIRST SWEETZER HOLDINGS LLC	Organization	INDIRECT OWNERSHIP INTEREST	1	5/1/2025	Private equity company: No Real estate investment trust: No Holding company: Yes
LUCENT ADVISORS LLC	Organization	INDIRECT OWNERSHIP INTEREST	99	5/1/2025	Private equity company: No Real estate investment trust: No Holding company: Yes
RIMPAU HOLDINGS TRUST	Organization	INDIRECT OWNERSHIP INTEREST	34.49	5/1/2025	Private equity company: No Real estate investment trust: No Holding company: No
SASEM INVESTMENTS LLC	Organization	INDIRECT OWNERSHIP INTEREST	3.2	5/1/2025	Private equity company: No Real estate investment trust: No Holding company: Yes
ALLENCIA POTTER SPENCE	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID GARETZ	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ESTHER KAPLAN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
FORVIS MAZARS LLP	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/1/2023	Private equity company: No Real estate investment trust: No Holding company: No
JEFFREY UNGER	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KEVIN CAMPBELL	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
OPCO CA SKILLED MGMT INC.	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/1/2024	Private equity company: No Real estate investment trust: No Holding company: No
PEASE BELL CPAS LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/14/2018	Private equity company: No Real estate investment trust: No Holding company: No
SHAWN MICHAEL GAO	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SOLOMON L GURWITZ	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JENNIFER STERNSHEIN	Individual	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
NIV DAVIDOVICH	Individual	TRUSTEE OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2025	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 July 2026: A listing under ADP OF THE SNF no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 November 2025: JOHN BRENCICK no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JOHN BRENCICK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JOHN BRENCICK no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JOHN BRENCICK no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JPAM CONSULTING, INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: KEVIN CAMPBELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: KEVIN CAMPBELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DAVID GARETZ appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DAVID GARETZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JENNIFER STERNSHEIN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: PEASE BELL CPAS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: PEASE BELL CPAS LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: 894 LELAND AVE MO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: FORVIS MAZARS LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: FORVIS MAZARS LLP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ALLENCIA POTTER SPENCE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ESTHER KAPLAN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ESTHER KAPLAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: SHAWN MICHAEL GAO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: SHAWN MICHAEL GAO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: NIV DAVIDOVICH appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ARCHES HEALTHCARE LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ARCHES HEALTHCARE LLC appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: AMBER HC TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: RIMPAU HOLDINGS TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LUCENT ADVISORS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JEFFREY UNGER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: SASEM INVESTMENTS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: OPCO CA SKILLED MGMT INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: OPCO CA SKILLED MGMT INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: HERALD ADVISORS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: SOLOMON L GURWITZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BANKWELL BANK appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: FIRST SWEETZER HOLDINGS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 January 2025: JPAM CONSULTING, INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv

Recent changes on this record

1 July 2026: A listing under ADP OF THE SNF no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
24 February 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2025.zip
13 January 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2025.zip
1 November 2025: JOHN BRENCICK no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JOHN BRENCICK no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JOHN BRENCICK no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JOHN BRENCICK no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JPAM CONSULTING, INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: KEVIN CAMPBELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: KEVIN CAMPBELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DAVID GARETZ appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: DAVID GARETZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JENNIFER STERNSHEIN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: PEASE BELL CPAS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: PEASE BELL CPAS LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: 894 LELAND AVE MO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: FORVIS MAZARS LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: FORVIS MAZARS LLP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ALLENCIA POTTER SPENCE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ESTHER KAPLAN appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ESTHER KAPLAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: SHAWN MICHAEL GAO appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: SHAWN MICHAEL GAO appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: NIV DAVIDOVICH appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ARCHES HEALTHCARE LLC appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: ARCHES HEALTHCARE LLC appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: AMBER HC TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: RIMPAU HOLDINGS TRUST appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: LUCENT ADVISORS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: JEFFREY UNGER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: SASEM INVESTMENTS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: OPCO CA SKILLED MGMT INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: OPCO CA SKILLED MGMT INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: HERALD ADVISORS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: SOLOMON L GURWITZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: BANKWELL BANK appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: FIRST SWEETZER HOLDINGS LLC appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
1 November 2025: enrollment_id changed from O20151210001858 to O20250805002403. Skilled_Nursing_Facility_Enrollments_:_2025-11-01.csv

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	7 May 2026	7 May 2026	13	16
2	12 July 2024	12 July 2024	12	12
3	9 December 2022	9 December 2022	13	19

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

38 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
7 May 2026	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	8 May 2026
7 May 2026	Health	F 0574	Resident Rights Deficiencies	The resident has the right to receive notices in a format and a language he or she understands.	C	No	Deficient, Provider has date of correction	8 May 2026
7 May 2026	Health	F 0627	Resident Rights Deficiencies	Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.	D	Yes	Deficient, Provider has date of correction	8 May 2026
7 May 2026	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	8 May 2026
7 May 2026	Health	F 0700	Quality of Life and Care Deficiencies	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.	D	No	Deficient, Provider has date of correction	8 May 2026
7 May 2026	Health	F 0756	Pharmacy Service Deficiencies	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	D	No	Deficient, Provider has date of correction	8 May 2026
7 May 2026	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	8 May 2026
7 May 2026	Health	F 0761	Pharmacy Service Deficiencies	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.	D	No	Deficient, Provider has date of correction	8 May 2026
7 May 2026	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	8 May 2026
7 May 2026	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	8 May 2026
7 May 2026	Health	F 0883	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	E	No	Deficient, Provider has date of correction	8 May 2026
20 March 2026	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	26 March 2026
31 December 2025	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	Yes	Deficient, Provider has date of correction	5 January 2026
31 January 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	G	Yes	Past Non-Compliance	20 January 2025
12 July 2024	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	E	No	Deficient, Provider has date of correction	16 August 2024
12 July 2024	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	E	No	Deficient, Provider has date of correction	16 August 2024
12 July 2024	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	16 August 2024
12 July 2024	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	16 August 2024
12 July 2024	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C	No	Deficient, Provider has date of correction	16 August 2024
12 July 2024	Health	F 0761	Pharmacy Service Deficiencies	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.	E	No	Deficient, Provider has date of correction	16 August 2024
12 July 2024	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	D	No	Deficient, Provider has date of correction	16 August 2024
12 July 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	16 August 2024
12 July 2024	Health	F 0814	Nutrition and Dietary Deficiencies	Dispose of garbage and refuse properly.	E	No	Deficient, Provider has date of correction	16 August 2024
12 July 2024	Health	F 0850	Administration Deficiencies	Hire a qualified full-time social worker in a facility with more than 120 beds.	F	No	Deficient, Provider has date of correction	9 August 2024
12 July 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	9 August 2024
2 May 2024	Health	F 0622	Resident Rights Deficiencies	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.	D	Yes	Deficient, Provider has date of correction	29 May 2024
2 May 2024	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	Yes	Deficient, Provider has date of correction	29 May 2024
2 May 2024	Health	F 0742	Quality of Life and Care Deficiencies	Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.	D	Yes	Deficient, Provider has date of correction	29 May 2024
9 December 2022	Health	F 0554	Resident Rights Deficiencies	Allow residents to self-administer drugs if determined clinically appropriate.	D	No	Deficient, Provider has date of correction	6 January 2023
9 December 2022	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	5 January 2023
9 December 2022	Health	F 0640	Resident Assessment and Care Planning Deficiencies	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.	D	No	Deficient, Provider has date of correction	6 January 2023
9 December 2022	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	No	Deficient, Provider has date of correction	6 January 2023
9 December 2022	Health	F 0761	Pharmacy Service Deficiencies	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.	E	No	Deficient, Provider has date of correction	6 January 2023
9 December 2022	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	6 January 2023
9 December 2022	Health	F 0850	Administration Deficiencies	Hire a qualified full-time social worker in a facility with more than 120 beds.	E	No	Deficient, Provider has date of correction	23 January 2023
9 December 2022	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	No	Deficient, Provider has date of correction	6 January 2023
9 December 2022	Health	F 0888	Infection Control Deficiencies	Ensure staff are vaccinated for COVID-19	C	No	Deficient, Provider has date of correction	6 January 2023
9 December 2022	Health	F 0908	Environmental Deficiencies	Keep all essential equipment working safely.	D	No	Deficient, Provider has date of correction	6 January 2023

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Limited Liability company
Legal Business Name	MONARCH SPRINGS WELLNESS & REHABILITATION LLC
Date First Approved to Provide Medicare and Medicaid Services	2009-07-20
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	St. Louis
Telephone Number	3147264767
Chain Name	OPCO SKILLED MANAGEMENT
Chain ID	773
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	119
Average Number of Residents per Day	54.7
Overall Rating	2
Health Inspection Rating	3
QM Rating	3
Long-Stay QM Rating	3
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

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One email a day naming what moved on MONARCH SPRINGS WELLNESS & REHABILITATION: the field, the value before, the value after, and the date of the file that first showed it.

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On 1 July 2026: A listing under ADP OF THE SNF no longer appears in the Medicare enrollment ownership file, with no owner named. That is one line of the alert.

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The citable document for MONARCH SPRINGS WELLNESS & REHABILITATION

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Missouri at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

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