PlainNursing
CMS Nursing Home Compare · August 2026

Monroe Manor

226 E Monroe Street, Jay, OK 74346

Monroe Manor, a 98-bed for profit - limited liability company nursing facility in Jay, OK, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #163 of 281 rated homes in OK on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy 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: 9189193276

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2 / 5
Below average · CMS overall · nat'l 3.0
#163 of 281
In-state rank among rated OK homes
3.60
Below average · nurse hrs/day · nat'l 3.86
19
Inspection findings · 3 serious

The verdict

Monroe Manor, a 98-bed for profit - limited liability company nursing facility in Jay, OK, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #163 of 281 rated homes in OK on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#163 of 281
In-state rank among rated OK homes
3.60
Nurse hrs/resident-day · national 3.86
19
Inspection findings · 3 serious

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 283 OK nursing homes split by ownership sector

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

Health Inspection

2/5

Staffing

3/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
375415
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
98
Residents
42
In Hospital
No
County
Delaware
Last Inspection
Aug 14, 2024

Staffing Data

How the 3.60 total nursing hours per resident-day are staffed:

RN Hours
0.47 (nat'l avg: 0.69)
LPN Hours
0.62
CNA Hours
2.51
Total Nursing Hours
3.60 (nat'l avg: 3.86)
PT Hours
0.01
Nursing Turnover
60.0%
RN Turnover
80.0%

What the CMS Record Reveals About Monroe Manor

According to CMS Nursing Home Compare, Monroe Manor ranks #163 of 281 rated nursing homes in OK on overall stars (tie-broken by health+staffing+quality, then fewer fines). Monroe Manor operates 98 certified beds in Jay, OK with approximately 42 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 3★ · quality 3★).

The inspection file contains 19 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 2 penalties totaling $32K levied against this facility. Reported nurse staffing runs 3.60 total hours per resident day (national average 3.86); RN hours specifically are 0.47 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Monroe Manor falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 60.0% (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 (19 most recent)

E - Pattern - Minimal harm Jun 23, 2026 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 31, 2026

D - Isolated - Minimal harm Sep 23, 2024 Tag: 0693

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 21, 2024

G - Isolated - Actual harm Sep 23, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 21, 2024

J - Isolated - Jeopardy Sep 23, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 21, 2024

D - Isolated - Minimal harm Aug 14, 2024 Tag: 0883

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

Category: Infection Control Deficiencies

Corrected: Oct 4, 2024

D - Isolated - Minimal harm Aug 14, 2024 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 4, 2024

E - Pattern - Minimal harm Aug 14, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 4, 2024

E - Pattern - Minimal harm Aug 14, 2024 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: Oct 4, 2024

E - Pattern - Minimal harm Aug 14, 2024 Tag: 0758

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Category: Pharmacy Service Deficiencies

Corrected: Oct 4, 2024

D - Isolated - Minimal harm Jul 23, 2024 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 26, 2024

D - Isolated - Minimal harm May 28, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 6, 2024

D - Isolated - Minimal harm May 28, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 6, 2024

D - Isolated - Minimal harm Jan 30, 2024 Tag: 0580

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

Category: Resident Rights Deficiencies

Corrected: Feb 23, 2024

D - Isolated - Minimal harm Jan 23, 2024 Tag: 0557

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Category: Resident Rights Deficiencies

Corrected: Feb 13, 2024

E - Pattern - Minimal harm Jan 23, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 15, 2024

G - Isolated - Actual harm Jan 23, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Feb 15, 2024

D - Isolated - Minimal harm Jul 14, 2023 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 25, 2023

E - Pattern - Minimal harm Jul 14, 2023 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 25, 2023

E - Pattern - Minimal harm Apr 9, 2021 Tag: 0688

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: May 5, 2021

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 5.7% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 3.2% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 10.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 8.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 10.7% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 1.3% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 21.8% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 13.2% Yes
Percentage of long-stay residents who lose too much weight Long Stay 9.7% No
Percentage of long-stay residents who have depressive symptoms Long Stay 2.9% 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 96.1% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 16.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 92.3% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 19.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 72.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History 2 penalties totaling $32K

Date Type Amount
Jul 23, 2024 Fine $24K
Jan 23, 2024 Fine $8K
Jan 23, 2024 Payment Denial -

Nationwide facilities with similar scale or staffing

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

What the CMS records show for Monroe Manor

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 OK registry aggregates state averages and the highest-rated homes in this cohort. View OK registry
  • Peer homes near 98 beds show how CMS stars vary at a similar scale in OK. 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 Manor?
Monroe Manor has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (3★), and quality measures (3★).
Where does Monroe Manor rank among nursing homes in OK?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Monroe Manor ranks 163rd among 281 rated nursing homes in OK (#163 of 281). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Monroe Manor?
Monroe Manor reports 3.60 total nursing hours per resident day (national average: 3.86). RN hours are 0.47 per resident day (national average: 0.69). Nursing staff turnover is 60.0%.
How many beds does Monroe Manor have?
Monroe Manor has 98 certified beds with approximately 42 residents. The facility is located at 226 E Monroe Street, Jay, OK 74346.
Does Monroe Manor have any deficiencies on record?
Yes, Monroe Manor has 19 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has Monroe Manor received any fines or penalties?
Yes, Monroe Manor has received 2 penalties totaling $32K.
Who owns Monroe Manor?
Monroe Manor is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Monroe Manor last inspected?
The most recent health inspection for Monroe Manor was on Aug 14, 2024. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Monroe Manor?
Monroe Manor 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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