Monroe County, Missouri · Nursing home
Monroe Manor
5 of 5 overall from CMS
200 South St, Paris, MO 65275
At a glance
- Overall rating 5 of 5 Above the state average of 2.5
- Nurse time per resident, per day 3.46 hours Above the state average of 3.43
- Nursing staff who left in a year 61.4% Above the state average of 56.0%
- Health citations, last 3 inspection cycles 13 None at the harm level or above
- Fines in 3 years $35,360 1 fine
- Certified beds in use 68.8% of 119 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Monroe Manor is a 119-bed nursing home in Paris, Missouri (Monroe County). CMS rates it 5 of 5 stars overall as of Sep 2026. It reports 3.46 nurse staffing hours per resident per day, above the Missouri average of 3.43. CMS lists 1 fine totaling $35,360 in the past three years.
- Certified beds
- 119
- Residents per day (average)
- 81.9
- Certified since
- 1994 (32 yrs)
Government - County Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Monroe Manor
Chosen from this home's public data.
- CMS lists 1 fine totaling $35,360 in the past three years. What changed after the most recent one?Penalties in CMS data
- Nursing staff turnover is 61.4%, above the Missouri average of 56.0%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 2.90 hours per resident on weekends against 3.46 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 5 of 5 Missouri average 2.5
- Health inspections 5 of 5 Missouri average 2.8
- Staffing 3 of 5 Missouri average 2.2
- Quality measures 3 of 5 Missouri average 2.7
The vertical line marks the Missouri average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.46 h Missouri average 3.43
- Nurse aides 2.23 h Missouri average 2.29
- Licensed practical nurses 0.98 h Missouri average 0.68
- Registered nurses 0.25 h Missouri average 0.46
- All staff, weekends 2.90 h Missouri average 3.01
How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Missouri average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover61.4%
- Missouri average56.0%
- Registered nurse turnover50.0%
- Missouri average47.8%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Missouri and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Missouri | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 16.7% | 18.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 10.0% | 5.3% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% | 1.1% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 3.9% | 2.3% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.9% | 18.5% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.1% | 4.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 84.1% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 10.3% | 17.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.2% | 25.6% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.8% | 90.9% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 9.7% | 4.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.8% | 17.8% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 25.6% | 23.5% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.47 | 2.11 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.58 | 2.33 | 1.78 |
Short-stay residents
| Measure | This home | Missouri | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% | 65.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% | 2.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 69.6% | 63.5% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.1% | 26.0% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 13.2% | 13.7% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 13 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 3 were cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Apr 9, 2026 | 3 | 4 |
| Mar 14, 2024 | 5 | 1 |
| Apr 28, 2022 | 5 | 4 |
Missouri homes averaged 11.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (13)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (May 15, 2026)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 15, 2026)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (May 15, 2026)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Feb 20, 2025)
-
EPotential for more than minimal harm, pattern
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 7, 2024)
Show 8 more
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Dec 7, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 24, 2024)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Apr 24, 2024)
-
EPotential for more than minimal harm, pattern
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 3, 2022)
-
EPotential for more than minimal harm, pattern
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 3, 2022)
-
EPotential for more than minimal harm, pattern
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 3, 2022)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Jun 3, 2022)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Jun 3, 2022)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Mar 14, 2024 | Fine | $35,360 |
Missouri homes averaged 0.8 fines and $37,425 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Missouri
- Size168 of 487 by certified beds
- Missouri average residents per day73.0
- ChainNone listed
- Resident or family councilResident
- Homes in Monroe County1
Common questions
What is the CMS star rating for Monroe Manor?
Monroe Manor has an overall rating of 5 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 5, staffing is 3 and quality measures is 3.
How many beds does Monroe Manor have?
Monroe Manor has 119 certified beds. It averages 81.9 residents per day, about 68.8% of its certified beds.
How much nursing care do residents get at Monroe Manor?
The home reports 3.46 hours of nurse staffing per resident per day, including 0.25 hours from registered nurses. The Missouri average is 3.43 hours and 0.46 hours from registered nurses.
Has Monroe Manor been fined?
Yes. CMS lists 1 fine totaling $35,360 in the past three years.
Does Monroe Manor accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Baptist Homes of Shelbina 120beds 48.8%in use 3.52nurse hours a day
- 4 of 5 Monroe City Manor Care Center 60beds 82.5%in use 4.22nurse hours a day
- 4 of 5 Heritage Hall Nursing Center 60beds 71.3%in use 3.26nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Monroe County
Who to call in Missouri
These offices serve residents of every nursing home in Missouri.
- Long-term care ombudsman Missouri Long-Term Care Ombudsman Program 800-309-3282 (Email: LTCOmbudsman@health.mo.gov) An advocate for residents and their families.
- File a complaint about a nursing home Adult Abuse and Neglect Hotline (long-term care facility complaints) 1-800-392-0210 (7 days a week, 7 a.m. to 8 p.m. Relay Missouri 1-800-735-2966. Reports can also be made online (moapss.health.mo.gov, linked from Health.Mo.Gov/abuse).) The state agency that inspects nursing homes.
Missouri staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 265590. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.