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.
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.
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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.
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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.
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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.
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F-Tag 909 — 42 CFR §483.90 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $24,408 was recorded.
INSPECTION
Health inspection found 4 health deficiencies.
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INSPECTION
Health inspection found 4 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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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.