MONROE MANOR – PARIS, MO

CMS Verified | 2026-03-01

Monroe Manor

200 SOUTH ST, Paris, MO 65275
(660) 327-4125
119 beds
All Paris facilities
5.0*
Overall
5.0*
Health Inspection
2.0*
Quality Care
2.0*
Staffing
60.07
Score /100
#12026
National Rank

#12026
of 14703 facilities
National
18.2% position
#269
of 487 in MO
State Rank
#1
of 1 in Monroe
County Rank
#1
of 1 in Paris
City Rank
#1
of 1 in ZIP 65275
ZIP Rank






About Monroe ManorMonroe Manor is located at 200 South St, Paris, MO, reachable at (660) 327-4125. This Government – County facility operates 119.0 certified beds and serves an average of 73 residents per day. Medicare and Medicaid services have been provided since 1994-11-01. The facility currently holds a excellent (5-star) overall rating from the Centers for Medicare & Medicaid Services (CMS).
Facility

Monroe Manor

Address

200 South St, Paris, MO 65275

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 119 Certified Beds
  • Ownership: Government – County
  • Resident Council: Resident
  • Automatic Sprinklers: Yes

Quick Verdict

Overall Quality
✅ Excellent (5★) overall rating
Health Inspection
✅ Excellent (5★) health inspection
Staffing
⚠️ Below Average (2★) staffing rating
Quality of Care
⚠️ Below Average (2★) quality of care
Compliance
❌ 18 fine(s) over 5 years
5-Year Trend
Improving over 5 years
60.07
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#12026 of 14703 nationally – #269 of 487 in Missouri

Who Is This Facility Best For?

Monroe Manor is a strong choice for families in the Paris, MO area seeking a well-inspected, high-quality care environment. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 2 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

5 / 5
Health Inspection

5 / 5
Staffing Rating

2 / 5
Quality Measures (QM)

2 / 5
Long-Stay QM Rating

3 / 5
Short-Stay QM Rating

1 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightMonroe Manor currently provides 3 hours 21 minutes of total nurse staffing per resident per day, including 14 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 76.1%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 21 minutes
Nurse Aide Hours2 hours 21 minutes
Licensed Practical Nurse (LPN) Hours47 minutes
Registered Nurse (RN) Hours14 minutes
Physical Therapist Hours0 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 46 minutes
Weekend Registered Nurse (RN) Hours7 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $35,360. 13 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 1
Total Fines Amount $35360.0
Payment Denials 0
Total Penalties 1
Abuse Flag on Record N
Total Weighted Health Survey Score 19.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#12,026
of 14,703
National
Bottom 18%
#269
of 487
MO State
Bottom 45% in MO
#1
of 1
️ Monroe County
Best in county
#1
of 1
️ Paris
Best in city
#1
of 1
ZIP 65275
Best in ZIP

Nationally, Monroe Manor ranks 12026th out of 14,703 facilities (composite score: 60.1/100), placing it in the bottom 25% nationwide. Within MO, it ranks 269th out of 487 nursing homes. For 2026 staffing: total nurse hours rank #10,578 nationally and RN hours rank #13,525 nationally (#389 in MO).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank MO State Rank Note
2022 2.85 #12,583 / 14,703 #293 / 487 ⚠️ Bottom 25%
2023 2.84 #12,790 / 14,703 #338 / 487 ⚠️ Bottom 25%
2024 1.91 #14,145 / 14,703 #443 / 487 ⚠️ Bottom 5%
2025 3.07 #12,553 / 14,703 #292 / 487 ⚠️ Bottom 25%
2026 3.35 #10,578 / 14,703 #242 / 487 Below average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank MO State Rank Note
2022 0.36 #11,610 / 14,703 #277 / 487 ⚠️ Bottom 25%
2023 0.33 #11,654 / 14,703 #289 / 487 ⚠️ Bottom 25%
2024 0.31 #12,111 / 14,703 #310 / 487 ⚠️ Bottom 25%
2025 0.36 #11,640 / 14,703 #248 / 487 ⚠️ Bottom 25%
2026 0.24 #13,525 / 14,703 #389 / 487 ⚠️ Bottom 10%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Monroe Manor is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1994-11-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (660) 327-4125 or your local Medicaid office to verify current eligibility.

Monroe Manor holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 5 out of 5 stars. This is made up of three components: Health Inspection (5★), Staffing (2★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 60.1/100, placing it #12026 of 14703 facilities nationally and #269 of 487 in Missouri. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Monroe Manor receives a reported average of 3 hours 21 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 14 minutes; Licensed Practical Nurse (LPN) — 47 minutes; Nurse Aide — 2 hours 21 minutes. On weekends, total nurse staffing is 2 hours 46 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 76.1%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $35,360. 13 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $35,360, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 19.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Monroe Manor ranks 12026th out of 14,703 facilities (composite score: 60.1/100), placing it in the bottom 25% nationwide. Within MO, it ranks 269th out of 487 nursing homes. For 2026 staffing: total nurse hours rank #10,578 nationally and RN hours rank #13,525 nationally (#389 in MO). Our composite quality score of 60.1/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Paris, visit: https://nursinghomesnearme.org/missouri/paris/

Contact and Location

ADR
Address

200 SOUTH ST, Paris, MO 65275
Get directions on Google Maps

TEL
LLC
Legal Name

MONROE COUNTY NURSING HOME DISTRICT

MAP
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ZIP 65275

Facility Details

Number of Certified Beds 119
Average Residents / Day 73 (62% occupancy)
Ownership Type Government – County
Provider Type Medicare and Medicaid
County Monroe County, MO
City Paris, MO
ZIP Code 65275
Approved Since November 1, 1994
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 265590
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org