PlainNursing
CMS Nursing Home Compare · August 2026

Monroe City Manor Care Center

1010 Highway 24 & 36 East, Monroe City, MO 63456

Monroe City Manor Care Center, a 60-bed for profit - corporation nursing facility in Monroe City, MO, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #98 of 479 rated homes in MO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 5737354850

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4 / 5
Above average · CMS overall · nat'l 3.0
#98 of 479
In-state rank among rated MO homes
4.22
Above average · nurse hrs/day · nat'l 3.86
9
Inspection findings

The verdict

Monroe City Manor Care Center, a 60-bed for profit - corporation nursing facility in Monroe City, MO, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #98 of 479 rated homes in MO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. No recent finding reached the actual-harm level.

4 / 5
CMS overall · national 3.0
#98 of 479
In-state rank among rated MO homes
4.22
Nurse hrs/resident-day · national 3.86
9
Inspection findings on file

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 487 MO nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

4/5

Staffing

5/5

Quality Measures

1/5

Long-Stay Quality

2/5

Facility Information

Provider Number
265574
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
60
Residents
50
In Hospital
No
County
Marion
Last Inspection
Aug 21, 2025

Staffing Data

How the 4.22 total nursing hours per resident-day are staffed:

RN Hours
0.57 (nat'l avg: 0.69)
LPN Hours
0.71
CNA Hours
2.94
Total Nursing Hours
4.22 (nat'l avg: 3.86)
PT Hours
0.01
Nursing Turnover
36.8%
RN Turnover
16.7%

What the CMS Record Reveals About Monroe City Manor Care Center

According to CMS Nursing Home Compare, Monroe City Manor Care Center ranks #98 of 479 rated nursing homes in MO on overall stars (tie-broken by health+staffing+quality, then fewer fines). Monroe City Manor Care Center operates 60 certified beds in Monroe City, MO with approximately 50 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 5★ · quality 1★).

The inspection file contains 9 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. This provider has been fined 1 time by CMS, for a combined $24K. Per resident day, this facility reports 4.22 total nursing hours (national average 3.86) and 0.57 RN hours.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Monroe City Manor Care Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 36.8% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (9 most recent)

D - Isolated - Minimal harm Aug 21, 2025 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 25, 2025

D - Isolated - Minimal harm Aug 21, 2025 Tag: 0567

Honor the resident's right to manage his or her financial affairs.

Category: Resident Rights Deficiencies

Corrected: Sep 17, 2025

E - Pattern - Minimal harm Aug 21, 2025 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Sep 17, 2025

E - Pattern - Minimal harm Aug 21, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 25, 2025

B - Pattern - No harm Nov 16, 2023 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 31, 2023

E - Pattern - Minimal harm Nov 16, 2023 Tag: 0909

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Category: Environmental Deficiencies

Corrected: Dec 31, 2023

E - Pattern - Minimal harm Nov 16, 2023 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 31, 2023

F - Widespread - Minimal harm Nov 16, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 31, 2023

F - Widespread - Minimal harm Nov 11, 2020 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 4, 2020

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 17.2% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 3.1% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 4.9% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 7.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 14.7% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 2.6% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 31.7% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 9.2% No
Percentage of long-stay residents who have depressive symptoms Long Stay 1.1% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.5% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 16.8% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.1% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 9.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 96.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 95.2% No

Penalty History 1 penalties totaling $24K

Date Type Amount
Aug 21, 2025 Fine $24K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Monroe City Manor Care Center, both outside MO so the neighborhoods are not the same-state geography list below.

What the CMS records show for Monroe City Manor Care Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The MO registry aggregates state averages and the highest-rated homes in this cohort. View MO registry
  • Peer homes near 60 beds show how CMS stars vary at a similar scale in MO. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Monroe City Manor Care Center?
Monroe City Manor Care Center has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (5★), and quality measures (1★).
Where does Monroe City Manor Care Center rank among nursing homes in MO?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Monroe City Manor Care Center ranks 98th among 479 rated nursing homes in MO (#98 of 479). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Monroe City Manor Care Center?
Monroe City Manor Care Center reports 4.22 total nursing hours per resident day (national average: 3.86). RN hours are 0.57 per resident day (national average: 0.69). Nursing staff turnover is 36.8%.
How many beds does Monroe City Manor Care Center have?
Monroe City Manor Care Center has 60 certified beds with approximately 50 residents. The facility is located at 1010 Highway 24 & 36 East, Monroe City, MO 63456.
Does Monroe City Manor Care Center have any deficiencies on record?
Yes, Monroe City Manor Care Center has 9 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Monroe City Manor Care Center received any fines or penalties?
Yes, Monroe City Manor Care Center has received 1 penalties totaling $24K.
Who owns Monroe City Manor Care Center?
Monroe City Manor Care Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Monroe City Manor Care Center last inspected?
The most recent health inspection for Monroe City Manor Care Center was on Aug 21, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Monroe City Manor Care Center?
Monroe City Manor Care Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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