Nursing home report
Registered name: MONROE CITY MANOR CARE CENTER
MONROE CITY, MO · Medicare-certified · 60 beds
Monroe City Manor has an overall rating of 4 out of 5 stars, with strong staffing (5/5) and health inspection results (4/5), but a very low quality measures rating (1/5). It reported 4.22 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it had $24,408 in fines in the last 24 months plus a recent federal penalty.
Health inspections
Staffing
4.2168 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2168.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
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.
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.
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.
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.
F-Tag 909 — 42 CFR §483.90 — S/S: E
Reported nurse staffing met or exceeded the federal recommendation.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
A federal fine of $24,408 was recorded.
Health inspection found 4 health deficiencies.
Health inspection found 4 health deficiencies.
Health inspection found 1 health deficiency.
On record with Medicare: 1 fine · $24,408 in total fines.
Federal fine
Aug 21, 2025
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.
