Facility profile · CCN 265831
Monarch Springs Wellness & Rehabilitation
34 federal citations on record , including 2 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $78,627.
Record summary
Federal record · Q1 202634
Total citations
19
Last 3 years
3
Actual harm+
2
Federal penalties
$78,627
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
34 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 31, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Jan 31, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Jul 12, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Jul 12, 2024 | F850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | F | Standard |
| Jul 12, 2024 | F814 | Dispose of garbage and refuse properly. | E | Standard |
| Jul 12, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jul 12, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard |
| Jul 12, 2024 | F761 | 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 | Standard |
| Jul 12, 2024 | F732 | Post nurse staffing information every day. | C | Standard |
| Jul 12, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Jul 12, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jul 12, 2024 | F584 | 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 | Standard |
| Jul 12, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
| May 2, 2024 | F742 | 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 | Complaint |
| May 2, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| May 2, 2024 | F622 | 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 | Complaint |
| Jul 13, 2023 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | K | Complaint |
| Jun 5, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Jun 5, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Dec 9, 2022 | F908 | Keep all essential equipment working safely. | D | Standard |
| Dec 9, 2022 | F888 | Ensure staff are vaccinated for COVID-19 | C | Standard |
| Dec 9, 2022 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Dec 9, 2022 | F850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | Standard |
| Dec 9, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Dec 9, 2022 | F761 | 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 | Standard |
| Dec 9, 2022 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Dec 9, 2022 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard |
| Dec 9, 2022 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Dec 9, 2022 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Aug 19, 2019 | F908 | Keep all essential equipment working safely. | F | Standard |
| Aug 19, 2019 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Aug 19, 2019 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Aug 19, 2019 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard |
| Aug 19, 2019 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $78,627 and 1 payment-denial actions spanning 35 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jun 5, 2023 | Fine | $78,627 | — |
| Jun 5, 2023 | Payment Denial | — | Jul 11, 2023 · 35 days |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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