The home failed to provide safe and appropriate breathing care when a resident needed it. Cited September 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: J
Nursing home report
MONROE MANOR
JAY, OK · Medicare-certified · 98 beds
In good standing
For-profit
Data as of September 1, 2026
2 of 5 overall
MONROE MANOR (JAY, OK) has a 2-out-of-5 overall rating, with a 2-star health inspection and 3-star staffing and quality ratings. Reported nurse staffing is 3.60 hours per resident per day, below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months; recent inspection issues involved respiratory care, following treatment orders and resident goals, and psychotropic medication use.
Facility ratings
Health inspections
Staffing
3.6033 hrs/resident/day
Quality measures
Last inspection: June 23, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6033.
Staffing detail
- Registered nurses
- 0.47
- Licensed practical nurses
- 0.62
- Nurse aides
- 2.51
- Weekend nursing
- 3.33
Hours per resident per day.
Total staff turnover: 60%
Registered nurse turnover: 80%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
28.6%19.2%Improving
Residents with a fall causing major injury
12.1%2.5%Improving
Residents with pressure ulcers (bedsores)
0%2.8%Worsening
Residents with a urinary tract infection
6.5%8.8%Worsening
Residents who lost too much weight
4.5%11.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
0%3.3%Worsening
Residents whose ability to walk got worse
—9.7%—
Long-stay residents on antianxiety or sleep medication
25%16.1%Improving
Short-stay residents newly given an antipsychotic
—13.2%—
Residents with a long-term catheter
0%8.4%Worsening
Residents with new or worsening incontinence
24.1%19.7%Improving
Residents with depressive symptoms
9.7%2.7%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—92.3%—
Long-stay residents given the pneumonia vaccine
90.9%100%Improving
Short-stay residents given the pneumonia vaccine
—52%—
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited September 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited June 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 605 — 42 CFR §483.12 — S/S: E
The home failed to properly reduce or limit psychotropic medication use and try safer non-drug approaches when appropriate. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 758 — 42 CFR §483.45(e) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $23,755 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $31,773 in total fines · 1 payment denial.
- $23,755
Federal fine
Jul 23, 2024
- 8 days
Medicare/Medicaid payment denial
Jan 23, 2024
- $8,018
Federal fine
Jan 23, 2024
Operator & ownership
Recent ownership change · Jan 1, 2023
Now operated by Monroe Manor Nursing, LLC, previously Grand Union Healthcare L.l.c,.
- Ownership
- For profit - Limited Liability company
- Occupancy
- 42.2 residents on an average day (43% of 98 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 24 years
The most recent standard health inspection was more than two years ago.
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.