Missouri ›Paris

Monroe Manor

Name: Monroe Manor
Address: 200 SOUTH ST, Paris, MO, 65275, US
Telephone: 6603274125

200 South St, Paris, MO 65275 · Monroe County · 119 certified beds · avg 82 residents/day · certified since Nov 1, 1994

5/5

Health inspection rating (on-site)

Serious findings on record

$35,360

Fines, last 3 years

4.46

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

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 (13)

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
Apr 9, 2026	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 9, 2026	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.
Apr 9, 2026	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jan 14, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Nov 12, 2024	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Nov 12, 2024	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Mar 14, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Mar 14, 2024	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Apr 28, 2022	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Apr 28, 2022	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Apr 28, 2022	E · Potential for harm, repeated	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Apr 28, 2022	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Apr 28, 2022	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 3).

Year	Citations	Worst severity that year
2022	5	E
2024	4	E
2025	1	E
2026	3	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 $35,360.

Date	Type	Amount / length
Mar 14, 2024	Fine	$35,360

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)	4.46	3.66	3.95	top 20% in Missouri; top 24% in the U.S.
Registered Nurse hours	0.32	0.49	0.69	bottom 32% in Missouri; bottom 12% in the U.S.
Weekend total nurse staffing	3.74	3.22	3.50	top 25% in Missouri; top 31% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.12	0.33	0.48	bottom 8% in Missouri; bottom 3% in the U.S.
Total nursing staff turnover (%)	61.4	56.0	45.8	bottom 38% in Missouri; bottom 14% in the U.S.
RN turnover (%)	50.0	47.8	42.9	top 46% in Missouri; bottom 39% 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 3.46, RN 0.25, weekend 2.90. Staffing rating: 3/5.

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: 3/5 · long-stay residents: 3/5 · short-stay residents: 2/5

Who owns this facility

Government - County

Owner / manager	Type	Role	Stake	Since
Callison, Guy	Individual	Corporate Officer	NOT APPLICABLE	02/23/2021
Embree, Shari	Individual	W-2 Managing Employee	NOT APPLICABLE	05/01/2005
Embree, Shari	Individual	Corporate Director	NOT APPLICABLE	05/01/2005

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"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
Baptist Homes of Shelbina	15.4 mi	Shelbina, MO	★☆☆☆☆	1/5
Monroe City Manor Care Center	18.8 mi	Monroe City, MO	★★★★☆	4/5
Heritage Hall Nursing Center	19.2 mi	Centralia, MO	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Paris →

Facility data as of CMS processing date 2026-08-01. CCN 265590.

The Care File

Visit checklist — Monroe Manor

200 South St, Paris, MO 65275 · 6603274125

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $35,360

Questions for the administrator:

☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 265590 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)