Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
4/5
Health inspection rating (on-site)
inspected Aug 21, 2025
0
Serious findings on record
$24,408
Fines, last 3 years
5.24
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 9 inspection findings. Open the full record below to read every finding.
E · Potential for more than minimal harm, pattern
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. F-0812
E · Potential for more than minimal harm, pattern
The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. F-0883
D · Potential for more than minimal harm, isolated
The facility did not honor residents' right to manage their own money and financial affairs. F-0567
View all 9 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
Date
Severity
What the facility was cited for
Aug 21, 2025
E · Potential for more than minimal harm, pattern
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. · F-0812
Aug 21, 2025
E · Potential for more than minimal harm, pattern
The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883
Aug 21, 2025
D · Potential for more than minimal harm, isolated
The facility did not honor residents' right to manage their own money and financial affairs. · F-0567
Aug 21, 2025
D · Potential for more than minimal harm, isolated
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Nov 16, 2023
F · Potential for more than minimal harm, widespread
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. · F-0812
Nov 16, 2023
E · Potential for more than minimal harm, pattern
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. · F-0803
Nov 16, 2023
E · Potential for more than minimal harm, pattern
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. · F-0909
Nov 16, 2023
B · Potential for minimal harm, pattern
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. · F-0732
Nov 11, 2020
F · Potential for more than minimal harm, widespread
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. · F-0812
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2020
All citations:
1
Serious citations (G–L):
0
2023
All citations:
4
Serious citations (G–L):
0
2025
All citations:
4
Serious citations (G–L):
0
All bars start at zero. Exact values and supporting details remain below.
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.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
Date
Type
Amount / length
Aug 21, 2025
Fine
$24,408
Nurse staffing (from payroll records, adjusted for how much care residents need)
Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityMissouri averageU.S. average
Total nurse staffing (hours per resident per day)
This facility:
5.24
Missouri average:
3.66
U.S. average:
3.95
Registered Nurse hours
This facility:
0.71
Missouri average:
0.49
U.S. average:
0.69
Weekend total nurse staffing
This facility:
4.41
Missouri average:
3.22
U.S. average:
3.50
All bars start at zero. Exact values and supporting details remain below.
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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.22 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
No verified facility-specific private-pay price is available in our data for Monroe City Manor Care Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
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Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
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Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.