facebook tracking Monroe Manor, Paris MO: CMS Ratings & Inspections
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Monroe Manor

All states › Missouri › Paris › Monroe Manor

200 South St Paris, MO 65275 · Monroe County

(660) 327-4125

Accepts Medicare Accepts Medicaid 119 certified beds Government

CMS certification number 265590 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Monroe Manor a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Monroe Manor as of October 2026.

CMS rates it 5 out of 5 stars overall, above the Missouri average of 2.6. Inspectors issued 13 citations in the last three years. CMS imposed 1 penalty, including $35,360 in fines, in that time. For short-term rehab patients CMS rates quality 2 out of 5; for long-term residents, 3 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.67 hours per resident per day at Monroe Manor, above the Missouri median of 3.37 (US median: 3.72). About 0.27 of those hours are from registered nurses. On weekends it falls to 3.02 hours, 18% below its all-week average. Ask how weekends are staffed. 61.1% of nursing staff left within a year (Missouri median 56.8%).

Nursing care per resident per day 3.67 hours
Above the Missouri median of 3.37 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.27 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.02 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 61.1% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 40% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds119
Residents per day 84 About 71% of beds filled, on average
OwnershipGovernment - County
Payment acceptedMedicare and Medicaid
Certified sinceNovember 1994
Legal business nameMONROE COUNTY NURSING HOME DISTRICT

Paying for care at Monroe Manor: Medicare and Medicaid

Monroe Manor is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on April 9, 2026 and found 3 deficiencies. In total, inspectors issued 13 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 13 citations at Monroe Manor across 5 inspection dates, 3 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 13 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (4) and resident assessment and care planning (4). The most serious was cited under the CMS rule to "provide and implement an infection prevention and control program" (tag F0880, level E, April 9, 2026).

April 9, 2026 · 3 citations

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (May 15, 2026)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (May 15, 2026)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (May 15, 2026)

January 14, 2025 · 1 citation · includes complaint inspection

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Feb 20, 2025)

November 12, 2024 · 2 citations · includes complaint inspection

EEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Dec 7, 2024)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Dec 7, 2024)

March 14, 2024 · 2 citations

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Apr 24, 2024)

DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (Apr 24, 2024)

April 28, 2022 · 5 citations

EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jun 3, 2022)

EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Jun 3, 2022)

EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Jun 3, 2022)

DProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Deficient, Provider has date of correction (Jun 3, 2022)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Jun 3, 2022)

Questions to ask on a tour of Monroe Manor

  1. Weekend staffing is 18% below the all-week average. Who is on duty on Saturday nights?
  2. CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $35,360 in fines.

DateTypeAmount or length
Mar 14, 2024 Fine $35,360

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 5/5 3/5 2/5
August 2026 5/5 5/5 3/5 3/5
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Location

Hospitals near Monroe Manor

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 22.5 mi
    Moberly Regional Medical Center Moberly
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 1h 54m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Baptist Homes of Shelbina Shelbina · 15.4 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 3/5 120 beds · Medicaid
Monroe City Manor Care Center Monroe City · 18.8 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 60 beds · Medicaid
Heritage Hall Nursing Center Centralia · 19.2 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 60 beds · Medicaid
Pin Oaks Living Center Mexico · 21.2 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 3/5 124 beds · Medicaid
Valley View Health & Rehabilitation Moberly · 22.7 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 96 beds · Medicaid

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Compare Monroe Manor with the 3 closest homes side by side ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/missouri/paris/monroe-manor/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.