nursing home in Paris, MO
Monroe Manor
200 South St, Paris, MO 65275 · (660) 327-4125
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★3
- Quality measures★★★★★3
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Monroe Manor at a glance
Monroe Manor is a 119-bed government nursing home in Paris, Missouri (Monroe County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the Missouri average of 2.5.
Residents receive about 3.5 hours of nursing care per day (0.3 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (April 9, 2026) found 3 health citations. The Missouri average is 11.4.
Federal regulators fined it 1 time in the past three years, totaling $35,360.
Nursing staff turnover is 61.4% per year (state average 56%).
Facility details
- Type
- Nursing home
- Ownership
- Government - County
- Beds
- 119
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- November 1, 1994
- Resident/family council
- Resident
- County
- Monroe County
- CMS Certification Number
- 265590
Ratings
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 2.5 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 2.2 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 2.8 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 2.7 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.46 hrs | 3.43 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.25 hrs | 0.46 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.23 hrs | 2.29 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 2.90 hrs | 3.01 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 61.4% | 56% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 50% | 47.8% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 11 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 19 | 111.8 | 80.6 | Better |
Penalties
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $35,360 | $37,425 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 119 | 103 | 107 | |
| Average residents per day | 82 | 73 | 86 | |
| Occupancy | 68.8% | 72.4% | 80.9% |
Long-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.1% | 4.1% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 9.7% | 4.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 25.6% | 23.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 3.9% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.7% | 1.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 16.7% | 18.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 10.3% | 17.4% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 10% | 5.3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0.9% | 18.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 11.2% | 25.6% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 17.8% | 17.8% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 92.8% | 90.9% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 84.1% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.3% | 2.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 69.6% | 63.5% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 99% | 65.7% | 82% | Better |
Inspection citations
State inspectors cited this home for 13 health deficiencies and 9 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 9, 2026 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected May 15, 2026 |
| April 9, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected May 15, 2026 |
| April 9, 2026 Fire safety | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Tag K0311 | E Potential harm, pattern | Corrected May 15, 2026 |
| April 9, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected May 15, 2026 |
| April 9, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected May 15, 2026 |
| April 9, 2026 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected May 15, 2026 |
| April 9, 2026 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected May 15, 2026 |
| January 14, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected February 20, 2025 |
| November 12, 2024 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected December 7, 2024 |
| November 12, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected December 7, 2024 |
| March 14, 2024 Fire safety | Ensure that sources of ignition are removed from patients receiving respiratory therapy. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0925 | E Potential harm, pattern | Corrected May 17, 2024 |
| March 14, 2024 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected April 24, 2024 |
| March 14, 2024 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected April 24, 2024 |
| April 28, 2022 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected June 3, 2022 |
| April 28, 2022 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected June 3, 2022 |
| April 28, 2022 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected June 3, 2022 |
| April 28, 2022 Fire safety | Meet other general requirements. Smoke Deficiencies · Tag K0932 | E Potential harm, pattern | Corrected June 3, 2022 |
| April 28, 2022 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | E Potential harm, pattern | Corrected June 3, 2022 |
| April 28, 2022 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected June 3, 2022 |
| April 28, 2022 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected June 3, 2022 |
| April 28, 2022 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected June 3, 2022 |
| April 28, 2022 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected June 3, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $35,360 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| March 14, 2024 | Fine | $35,360 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| EMBREE, SHARI Individual | corporate director | NOT APPLICABLE | 05/01/2005 |
| CALLISON, GUY Individual | corporate officer | NOT APPLICABLE | 02/23/2021 |
| EMBREE, SHARI Individual | w-2 managing employee | NOT APPLICABLE | 05/01/2005 |
Other nursing homes near Monroe Manor
- ★★★★★1Much below average
Monroe City Manor Care Center
1010 Highway 24 & 36 East, Monroe City, MO 63456 · 18.8 mi
For-profit · 60 beds
★★★★★4Above averageHeritage Hall Nursing Center
750 E Highway 22, Centralia, MO 65240 · 19.2 mi
For-profit · 60 beds · Part of Americare Senior Living
★★★★★4Above averagePin Oaks Living Center
1525 West Monroe, Mexico, MO 65265 · 21.2 mi
For-profit · 124 beds · Part of James & Judy Lincoln
- Abuse citation
★★★★★1Much below averageValley View Health & Rehabilitation
1600 East Rollins St, Moberly, MO 65270 · 22.7 mi
For-profit · 96 beds · Part of Mo Op Holdco, LLC
★★★★★3AverageNorth Village Park
2041 Silva Lane, Moberly, MO 65270 · 23.1 mi
For-profit · 183 beds · Part of Reliant Care Management
- Special Focus candidate
- Abuse citation
★★★★★1Much below average
Frequently asked questions
What is Monroe Manor's rating?
Monroe Manor has 5 out of 5 stars on the CMS overall star rating. The average for Missouri nursing homes is 2.5 stars.
How many inspection citations did Monroe Manor receive?
Its most recent standard health inspection found 3 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.
Does Monroe Manor accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Monroe Manor?
It is government - county. The ownership section on this page lists the owners and managers reported to CMS.
Where is Monroe Manor and how do I contact it?
Monroe Manor is at 200 South St, Paris, MO 65275. Phone: (660) 327-4125.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.