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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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.
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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.
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F-Tag 657 — 42 CFR §483.21(b)(2) — 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 3 health deficiencies.
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 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 2 health deficiencies.
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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.