Missouri › Monroe County › Paris
Monroe Manor
200 South St, Paris, MO 65275
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Monroe Manor, in Paris, Missouri, is certified for 119 beds under government, county ownership.
CMS gives it 5 of 5 stars overall, above the Missouri median of 2; the health inspection rating is 5, staffing 3 and quality measures 3.
Inspectors recorded 13 health deficiencies across the three most recent survey cycles (3, 5, 5 by cycle, most recent first), none at the actual-harm level. That is 10.9 per 100 beds, fewer than the state median of 32.1.
CMS lists 1 penalty in the period covered: fines totalling $35K.
Reported nurse staffing is 3.5 hours per resident per day (0.3 RN), close to the Missouri median of 3.4; nursing staff turnover is 61.4%.
Compared with county, state and nation
| Measure | This facility | Monroe Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 2 | 3.0 |
| Health citations, 3 cycles | 13 | 13 | 31 | 28.7 |
| Citations per 100 beds | 10.9 | 10.9 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.5 | 3.5 | 3.4 | 3.9 |
| RN hours per resident day | 0.3 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 61.4% | 61.4% | 56.1% | 45.8% |
| Fines listed | $35,360 | $35,360 | $0 | — |
County and state figures are medians across facilities (1 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 9 Apr 2026, 14 Mar 2024.
Severity mix: D ×7 E ×6
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 9 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 15 May 2026 |
| 9 Apr 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 15 May 2026 |
| 9 Apr 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 15 May 2026 |
| 14 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 20 Feb 2025 |
| 12 Nov 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 7 Dec 2024 |
| 12 Nov 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 7 Dec 2024 |
| 14 Mar 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 24 Apr 2024 |
| 14 Mar 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 24 Apr 2024 |
| 28 Apr 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 3 Jun 2022 |
| 28 Apr 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 3 Jun 2022 |
| 28 Apr 2022 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard survey | 3 Jun 2022 |
| 28 Apr 2022 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 3 Jun 2022 |
| 28 Apr 2022 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 3 Jun 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 14 Mar 2024 | Fine | $35,360 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 61.4%, RNs 50.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.7% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.9% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.1% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.3% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.3% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.7% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.6% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, county. Legal business name: Monroe County Nursing Home District.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Monroe Manor been cited for?
13 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Monroe Manor been fined?
Yes. CMS lists fines totalling $35K in the period covered.
How does staffing at Monroe Manor compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Monroe Manor?
Ownership type is government, county. Individual owners and managers are not listed on this site.
When was Monroe Manor last inspected?
The most recent survey or investigation in the CMS record is dated 9 Apr 2026; the most recent standard health survey was 9 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.