Monroe Manor: Staffing, Turnover, and Inspection Record
Monroe Manor is a 119-bed government-run nursing home in Paris, Missouri. In the CMS August 2026 release it reported 2.23 nurse aide hours per resident per day, 3% below the Missouri average of 2.29, and 61.4% nursing staff turnover (Missouri average 56.0%).
Monroe Manor
200 South StParis, MO 65275
Monroe County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Monroe Manor, nurse aides logged 2.23 hours per resident per day, 3% below the Missouri average. With about 82 residents a day, that works out to roughly 182 aide hours a day, or about 23 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 16% below the all-days figure.
| Hours per resident per day | This home | Missouri avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.23 | 2.29 | 2.32 |
| Licensed practical nurses | 0.98 | 0.68 | 0.86 |
| Registered nurses | 0.25 | 0.46 | 0.69 |
| All nursing staff | 3.46 | 3.43 | 3.86 |
| All nursing staff, weekends | 2.90 | 3.02 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
61.4% of nursing staff at Monroe Manor left over the year CMS measured, against a Missouri average of 56.0% and a US average of 45.8%. Registered nurse turnover was 50.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 9, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 3 health deficiencies (Missouri average 11.5). CMS lists 1 fine totaling $35,360 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Mar 14, 2024 | Fine | $35,360 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Monroe Manor holds 5 of 5 overall; the Missouri average is 2.5.
About Monroe Manor
- Ownership: Government - County
- Legal name: Monroe County Nursing Home District
- Medicare and Medicaid certified since: Nov 1, 1994
- Councils: resident council
- Area: rural
Nursing homes near Monroe Manor
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Baptist Homes of Shelbina Shelbina | 15.4 | 120 | 2.65 | 3.52 | — | 1 | $20,695 |
| Monroe City Manor Care Center Monroe City | 18.8 | 60 | 2.94 | 4.22 | 36.8% | 4 | $24,408 |
| Heritage Hall Nursing Center Centralia | 19.2 | 60 | 2.08 | 3.26 | 62.8% | 4 | None |
| Pin Oaks Living Center Mexico · abuse citation | 21.2 | 124 | 2.64 | 3.58 | 44.7% | 1 | $26,650 |
| Valley View Health & Rehabilitation Moberly | 22.7 | 96 | 2.16 | 3.13 | 62.5% | 3 | $62,733 |
| North Village Park Moberly · SFF candidate · abuse citation | 23.1 | 183 | 1.28 | 1.60 | 69.8% | 1 | $543,649 |
| Clarence Care Center Clarence | 23.1 | 60 | 3.00 | 4.15 | 40.0% | 3 | None |
| Aspire Senior Living Moberly Moberly | 23.8 | 101 | 2.65 | 3.50 | 60.9% | 1 | $80,640 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.