Monroe City Manor Care Center
1010 Highway 24 & 36 East, Monroe City, MO 63456 · Marion County · 60 certified beds · avg 50 residents/day · certified since Jul 31, 1994
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (9)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 21, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 21, 2025 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Aug 21, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to manage their own money and financial affairs. |
| Aug 21, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Nov 16, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Nov 16, 2023 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Nov 16, 2023 | E · Potential for harm, repeated | The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. |
| Nov 16, 2023 | B · Minimal risk, repeated | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Nov 11, 2020 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 1 | 0 | F |
| 2023 | 4 | 0 | F |
| 2025 | 4 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $24,408.
| Date | Type | Amount / length |
|---|---|---|
| Aug 21, 2025 | Fine | $24,408 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.24 | 3.66 | 3.95 | top 7% in Missouri; top 10% in the U.S. |
| Registered Nurse hours | 0.71 | 0.49 | 0.69 | top 12% in Missouri; top 35% in the U.S. |
| Weekend total nurse staffing | 4.41 | 3.22 | 3.50 | top 9% in Missouri; top 14% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.42 | 0.33 | 0.48 | top 18% in Missouri; top 45% in the U.S. |
| Total nursing staff turnover (%) | 36.8 | 56.0 | 45.8 | top 8% in Missouri; top 28% in the U.S. |
| RN turnover (%) | 16.7 | 47.8 | 42.9 | top 8% in Missouri; top 9% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.22, RN 0.57, weekend 3.55. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 1/5 · long-stay residents: 2/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Copenhaver, Sharon | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/10/2023 |
| Yates, Steve | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/10/2023 |
| Copenhaver, Sharon | Individual | Corporate Director | NOT APPLICABLE | 09/10/2023 |
| Halpin, Stephen | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/1994 |
| Halpin, Stephen | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/1994 |
| Vanlandingham, Brittany | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2021 |
| Vanlandingham, Brittany | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2021 |
| Yates, Steve | Individual | Corporate Director | NOT APPLICABLE | 09/10/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "How are residents' personal funds handled here, and what records can families review?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "How often are beds and bed rails inspected, and who does those checks?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Luther Manor Retirement & Nursing Center | 13.3 mi | Hannibal, MO | ★☆☆☆☆ | 2/5 | |
| Maple Lawn Nursing Home | 14.0 mi | Palmyra, MO | ★☆☆☆☆ | 2/5 | |
| Westview Nursing Home | 14.6 mi | Center, MO | ★☆☆☆☆ | 1/5 | |
| Baptist Homes of Shelbina | 16.8 mi | Shelbina, MO | ★☆☆☆☆ | 1/5 | |
| Beloved Health and Rehabilitation Center | 18.1 mi | Hannibal, MO | ★☆☆☆☆ | 1/5 | abuseSFF |
| Monroe Manor | 18.8 mi | Paris, MO | ★★★★★ | 5/5 | |
| Beth Haven Nursing Home | 18.9 mi | Hannibal, MO | ★☆☆☆☆ | 1/5 | SFF |
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Facility data as of CMS processing date 2026-08-01. CCN 265574.