The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2019 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
MONROE MANOR
PARIS, MO · Medicare-certified · 119 beds
In good standing
Government-run
5 of 5 overall
Monroe Manor in Paris, MO has a 5 out of 5 overall rating, with 5 out of 5 for health inspections but lower staffing and quality measures ratings at 2 out of 5. Reported nurse staffing is 3.26 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.2572 hrs/resident/day
Quality measures
Last inspection: January 14, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2572.
Staffing detail
- Registered nurses
- 0.23
- Licensed practical nurses
- 0.82
- Nurse aides
- 2.21
- Weekend nursing
- 2.66
Hours per resident per day.
Total staff turnover: 71%
Registered nurse turnover: 67%
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
20%29.2%Worsening
Residents with a fall causing major injury
1.5%1.5%No change
Residents with pressure ulcers (bedsores)
18.2%7.5%Improving
Residents with a urinary tract infection
0%5.9%Worsening
Residents who lost too much weight
7.4%8.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.4%17.6%Worsening
Residents whose ability to walk got worse
17.4%11%Improving
Long-stay residents on antianxiety or sleep medication
10.7%10.5%No change
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
1%0%Improving
Residents with new or worsening incontinence
16.9%22.3%Worsening
Residents with depressive symptoms
0%0%No change
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
98.2%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 January 2025 — limited pattern, potential for harm.
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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.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — 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
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $35,360 in total fines.
- $35,360
Federal fine
Mar 14, 2024
Operator & ownership
- Ownership
- Government - County
- Occupancy
- 76.1 residents on an average day (64% of 119 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 31 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.