GoodStanding

Nursing home report

MONROE MANOR

PARIS, MO · Medicare-certified · 119 beds

In good standing
Government-run
Data as of September 1, 2026
5 of 5 overall

Monroe Manor in Paris, MO has a 5 out of 5 star overall rating, with 5 stars for health inspections but only 3 stars for staffing and quality measures. Reported nurse staffing is 3.46 hours per resident per day, below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.4596 hrs/resident/day

Quality measures

Last inspection: April 9, 2026Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4596.

Staffing detail

Registered nurses
0.25
Licensed practical nurses
0.98
Nurse aides
2.23
Weekend nursing
2.90

Hours per resident per day.

Total staff turnover: 61%
Registered nurse turnover: 50%

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

18.6%29.2%Worsening

Residents with a fall causing major injury

1.5%0%Improving

Residents with pressure ulcers (bedsores)

18.7%7%Improving

Residents with a urinary tract infection

1.6%6.2%Worsening

Residents who lost too much weight

9.1%12.7%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

17.9%15.1%Improving

Residents whose ability to walk got worse

6.6%8.4%Worsening

Long-stay residents on antianxiety or sleep medication

10.5%10.7%No change

Short-stay residents newly given an antipsychotic

3%0%Improving

Residents with a long-term catheter

1.8%1.1%Improving

Residents with new or worsening incontinence

11.3%18.9%Worsening

Residents with depressive symptoms

1.6%0%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

—92.8%—

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

—69.6%—

Short-stay residents given the pneumonia vaccine

98.3%100%Improving

What the inspectors found

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: E

The nursing home failed to provide services that met professional standards of quality. Cited November 2024 — limited pattern, potential for harm.

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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E

The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited April 2022 — limited pattern, potential for harm.

View the original federal record

F-Tag 690 — 42 CFR §483.25(e) — S/S: E

The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited April 2022 — limited pattern, potential for harm.

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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E

The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited April 2022 — limited pattern, potential for harm.

View the original federal record

F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E

Recent history

  1. STAFFING

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

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. STAFFING

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

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  6. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $35,360 in total fines.

  • Federal fine

    Mar 14, 2024

    $35,360

Operator & ownership

Ownership
Government - County
Occupancy
81.9 residents on an average day (69% of 119 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.