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Nursing home report

MONROE CITY MANOR CARE CENTER

MONROE CITY, MO · Medicare-certified · 60 beds

Needs attention
For-profit
3 of 5 overall

MONROE CITY MANOR CARE CENTER in Monroe City, MO has a 3-star overall rating, with stronger health inspection and staffing scores (4 stars each) but a very low quality measures rating (1 star). Reported nurse staffing is 3.87 hours per resident per day, below the federal benchmark of 4.1, and it had $24,408 in fines in the last 24 months with a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.866 hrs/resident/day

Quality measures

Last inspection: August 21, 2025Penalties, last 24 months: $24,408recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.866.

Staffing detail

Registered nurses
0.49
Licensed practical nurses
0.73
Nurse aides
2.64
Weekend nursing
3.37

Hours per resident per day.

Total staff turnover: 42%
Registered nurse turnover: 20%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

33.3%Improving

Residents with a fall causing major injury

5.3%Worsening

Residents with pressure ulcers (bedsores)

2%Worsening

Residents with a urinary tract infection

4.9%Improving

Residents who lost too much weight

7.8%Worsening

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

13.8%Worsening

Residents whose ability to walk got worse

15.1%Improving
Show all measures

Long-stay residents on antianxiety or sleep medication

16.4%Improving

Short-stay residents newly given an antipsychotic

3.4%Steady

Residents with a long-term catheter

2.6%Improving

Residents with new or worsening incontinence

12.6%Improving

Residents with depressive symptoms

0.6%Worsening

Long-stay residents given the seasonal flu vaccine

98.1%Steady

Long-stay residents given the pneumonia vaccine

99.5%Worsening

Short-stay residents given the seasonal flu vaccine

95.2%Steady

Short-stay residents given the pneumonia vaccine

98.1%Steady

What the inspectors found

The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited July 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The nursing home failed to develop and follow policies to make sure residents received flu and pneumonia vaccinations. Cited August 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 883 — 42 CFR §483.80 — S/S: E

The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited November 2023 — limited pattern, potential for harm.

View the original federal record

F-Tag 803 — 42 CFR §483.60 — S/S: E

The nursing home failed to regularly check beds, mattresses, and bed rails to make sure they were safely attached and safe to use. Cited November 2023 — limited pattern, potential for harm.

View the original federal record

F-Tag 909 — 42 CFR §483.90 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. PENALTY

    A federal fine of $24,408 was recorded.

  3. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $37,057 in total fines.

  • Federal fine

    Aug 21, 2025

    $24,408
  • Federal fine

    Jul 5, 2023

    $12,649

Operator & ownership

Ownership
For profit - Corporation
Occupancy
52.4 residents on an average day (87% of 60 beds)
Resident voice
Resident council
Medicare history
Certified for 31 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.