Nursing home
Monroe City Manor Care Center
1010 Highway 24 & 36 East, Monroe City, MO 63456 · Map
For profit - Corporation · 60 certified beds
Monroe City Manor Care Center is a Medicare-certified nursing home in Monroe City, Missouri. CMS rates it 4 out of 5 stars overall (4/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.91 hours per resident per day, above the Missouri average of 3.47. Its most recent inspection on Aug 21, 2025 cited 4 deficiencies.
- 2 fines totaling $37,057In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Monroe City Manor Care Center compares
This facility vs. the Missouri and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Missouri avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.91 | 3.47 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.59 | 0.46 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.59 | 2.32 | 2.34 | above avg |
| Nursing staff turnover | 42.1% | 57.0% | 46.4% | below avg |
| Deficiencies cited, last inspection | 4.0 | 12.0 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the August 21, 2025 inspection was corrected by September 25, 2025
Penalties in CMS records: 2 fines totaling $37,057, 2 total penalties.
What inspectors found at Monroe City Manor Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Aug 21, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Aug 21, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Aug 21, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to manage his or her financial affairs.
Resident Rights Deficiencies · Aug 21, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Nov 16, 2023 · Full report (PDF)
Show all 10 deficiencies
- Potential for harm
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Environmental Deficiencies · Nov 16, 2023 · Full report (PDF) - Potential for harm
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · Nov 16, 2023 · Full report (PDF) - Minimal
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Nov 16, 2023 · Full report (PDF) - Immediate jeopardy
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care Deficiencies · Jul 5, 2023 - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Nov 11, 2020
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1010 Highway 24 & 36 East
Monroe City, MO 63456 - CMS certification #
- 265574
- Ownership
- For profit - Corporation
- Certified beds
- 60
- Avg residents/day
- 53.0
- Provider type
- Medicare and Medicaid
- First certified
- 1994-07-31
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Monroe City Manor Care Center using Google Maps.
Other public records
- Website says Nurse 24 hours a day, transportation
Full public records, with dates and sources
Care and services
From the community’s website
What Monroe City Manor Care Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
Our nursing staff includes a Licensed Professional Nurse on duty 24 hours per day with qualified nurse aides.
(page, checked Oct 12, 2026) - Provides transportation.
Assisted Transportation
(page, checked Oct 12, 2026) - Smoke-free.
Smoke-Free Facility
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Hannibal Regional Hospital, Hannibal. 14.3 miles away, straight line. CMS overall hospital rating: 2 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Luther Manor Retirement & Nursing Center, Hannibal. 13.3 miles away, straight line.
- Nearest home health agency office
- Hannibal Regional Hospital Home Health Agency, Hannibal. 14.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Pharmacy. 18.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 63456 as rural (rural area).
- Dialysis within 15 miles
- Davita Hannibal Dialysis, Hannibal, 14.3 miles away, straight line (CMS rating 4 of 5 stars)
- Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 63456.
- Nearest geriatric medicine practice
- Quincy Physicians And Surgeons Clinic, PLLC, Quincy. 26.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding relatively high, wildfire relatively low, tornado relatively high, heat wave very high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Monroe City Manor Care Center a good nursing home?
CMS gives Monroe City Manor Care Center an overall rating of 4 out of 5 stars, including 4/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Monroe City Manor Care Center staffed?
Monroe City Manor Care Center reports 3.91 total nurse hours per resident per day, compared with the Missouri average of 3.47.
Has Monroe City Manor Care Center had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Monroe City Manor Care Center have?
Monroe City Manor Care Center is certified for 60 beds.