Monroe Manor
200 South St, Paris, MO 65275
Monroe Manor, a 119-bed government - county nursing facility in Paris, MO, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #45 of 479 rated homes in MO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below 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: 6603274125
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- 5 / 5
- Much above average · CMS overall · nat'l 3.0
- #45 of 479
- In-state rank among rated MO homes
- 3.46
- Below average · nurse hrs/day · nat'l 3.86
- 13
- Inspection findings
The verdict
Monroe Manor, a 119-bed government - county nursing facility in Paris, MO, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #45 of 479 rated homes in MO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.
- 5 / 5
- CMS overall · national 3.0
- #45 of 479
- In-state rank among rated MO homes
- 3.46
- Nurse hrs/resident-day · national 3.86
- 13
- 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 Government - County. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 265590
- Ownership
- Government - County
- Provider Type
- Medicare and Medicaid
- Beds
- 119
- Residents
- 82
- In Hospital
- No
- County
- Monroe
- Last Inspection
- Apr 9, 2026
Staffing Data
How the 3.46 total nursing hours per resident-day are staffed:
- RN Hours
- 0.25 (nat'l avg: 0.69)
- LPN Hours
- 0.98
- CNA Hours
- 2.23
- Total Nursing Hours
- 3.46 (nat'l avg: 3.86)
- PT Hours
- 0.05
- Nursing Turnover
- 61.4%
- RN Turnover
- 50.0%
What the CMS Record Reveals About Monroe Manor
According to CMS Nursing Home Compare, Monroe Manor ranks #45 of 479 rated nursing homes in MO on overall stars (tie-broken by health+staffing+quality, then fewer fines). Monroe Manor operates 119 certified beds in Paris, MO with approximately 82 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 5★ · staffing 3★ · quality 3★).
The inspection file contains 13 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $35K against this provider. Staffing is reported at 3.46 total nursing hours per resident day (national average 3.86), with RN coverage at 0.25 per resident day.
Classified as "Government - County" 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 61.4% (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 (13 most recent)
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: May 15, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 15, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: May 15, 2026
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Feb 20, 2025
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: Dec 7, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Dec 7, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Category: Pharmacy Service Deficiencies
Corrected: Apr 24, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 24, 2024
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Jun 3, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 3, 2022
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 3, 2022
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: Jun 3, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 3, 2022
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.7% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.9% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.1% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.3% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.7% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.6% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.3% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 10.0% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.9% | 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 | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 11.2% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 92.8% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 17.8% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 99.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 69.6% | No |
Penalty History 1 penalties totaling $35K
| Date | Type | Amount |
|---|---|---|
| Mar 14, 2024 | Fine | $35K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Monroe Manor, both outside MO so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside MO (119 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside MO (4.46 here).
Nearby Nursing Homes in MO
486 other nursing homes are on record in MO; 6 are shown here.
Abbey Senior Health
O Fallon, MO
Aberdeen Heights
Kirkwood, MO
Abode Health and Wellness Center
Independence, MO
Abundant Acres Care and Rehab
Savannah, MO
Adair Village
Clinton, MO
Advanced Care of St Joseph
Saint Joseph, MO
Understanding Nursing Home Data
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 MO registry aggregates state averages and the highest-rated homes in this cohort. View MO registry
- Peer homes near 119 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 Manor?
Where does Monroe Manor rank among nursing homes in MO?
What are the staffing levels at Monroe Manor?
How many beds does Monroe Manor have?
Does Monroe Manor have any deficiencies on record?
Has Monroe Manor received any fines or penalties?
Who owns Monroe Manor?
When was Monroe Manor last inspected?
What quality measures are tracked for Monroe Manor?
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.
Read our methodology - how this data is sourced, computed, and verified.
