Monroe Manor
200 South St · Paris, MO · 65275 · 6603274125
119 certified beds Government - County
- Inspection results have improved across recent cycles.
The composite number cleared 73 points, but Recommended is gated: staffing below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.23 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
71% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 5 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.26 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.23 | 0.55–0.75 |
| Weekend hours / resident-day | 2.66 | ≈ weekday level |
| Nursing turnover / year | 71% | median 45% |
| Fines (3-yr window) | 1 · $35,360 |
Inspection citations (13 in the current record)
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Potential for harm · E January 14, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected February 20, 2025 · Infection Control
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Potential for harm · D November 12, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 7, 2024 · Resident Rights
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Potential for harm · E November 12, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 7, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 14, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 24, 2024 · Quality of Life and Care
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Potential for harm · D March 14, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected April 24, 2024 · Pharmacy Service
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Potential for harm · E April 28, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 3, 2022 · Resident Assessment and Care Planning
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Potential for harm · E April 28, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 3, 2022 · Resident Assessment and Care Planning
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Potential for harm · D April 28, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 3, 2022 · Quality of Life and Care
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Potential for harm · E April 28, 2022
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected June 3, 2022 · Quality of Life and Care
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Potential for harm · D April 28, 2022
Ensure medication error rates are not 5 percent or greater.
Corrected June 3, 2022 · Pharmacy Service
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Actual harm · G March 8, 2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 12, 2019 · Quality of Life and Care
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Potential for harm · E March 8, 2019
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 12, 2019 · Resident Rights
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Potential for harm · E March 8, 2019
Provide and implement an infection prevention and control program.
Corrected April 12, 2019 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 14, 2024 | Fine | $35,360 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265590 · certified since November 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.