Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Monroe Manor during CMS and state inspections, most recent first.
A resident with Alzheimer's disease frequently wandered and touched items with unclean hands, including other residents' belongings and food, without staff intervention for hand hygiene. Despite the care plan addressing inappropriate behaviors, it lacked specific hand hygiene measures. Staff interviews revealed challenges in maintaining sanitation, and observations showed a lack of consistent staff action to clean the resident's hands or the items they touched.
The facility failed to follow physician orders and document care for three residents, leading to deficiencies in wound care, lab monitoring, and dressing changes. A resident with a significant wound history did not receive weekly skin assessments or a follow-up urinalysis. Another resident with hypokalemia and an ileus did not have timely lab monitoring, and a third resident's discharge orders for dressing changes were not transcribed, resulting in missed care.
The facility failed to notify physicians of condition changes for two residents, one with increased confusion and abdominal issues, and another with behavioral symptoms and a missed urine test. Despite family notification, there was no documentation of physician contact until a lab result prompted action. Interviews revealed a lack of communication and documentation, with no policy guiding physician notification.
Failure to Ensure Hand Hygiene for Resident with Dementia
Penalty
Summary
The facility failed to ensure proper hand hygiene for a resident diagnosed with Alzheimer's disease, who exhibited behaviors such as wandering, incontinence, and inappropriate touching of genitals. The resident frequently placed their hands in their pants and touched various items around the unit, including other residents' belongings, meal trays, and food items, without staff intervention to provide hand hygiene. Despite the resident's care plan addressing socially inappropriate behaviors, it lacked specific interventions for hand hygiene related to the resident's behavior. Observations revealed that the resident continued to wander with their hands in their pants, touching other residents and items without staff redirection or hand hygiene assistance. Staff interviews indicated difficulty in maintaining sanitation due to the resident's behaviors, and there was a lack of consistent staff intervention to clean the resident's hands or the items they touched. The facility's policy on hand hygiene was not effectively implemented, as staff did not consistently sanitize high-touch areas or ensure the resident's hands were cleaned after contact with genitals or other items. Interviews with staff and residents highlighted the impact of the resident's behaviors on the facility environment, with other residents expressing discomfort and staff acknowledging challenges in keeping areas sanitized. The Director of Nursing noted attempts to educate staff on hand hygiene, but the deficiency persisted, indicating a failure to adequately monitor and address the resident's hygiene needs in accordance with the facility's policy.
Failure to Follow Physician Orders and Document Care
Penalty
Summary
The facility failed to ensure that three residents received care and services according to physician's orders and professional standards. Resident #2, who had a significant wound and skin history, did not have weekly skin assessments completed and documented as ordered. Additionally, a follow-up urinalysis ordered on 08/01/24 was not obtained. The facility also failed to document attempts to collect the urine sample or notify the physician of the inability to collect it. Interviews with staff revealed a lack of documentation and communication regarding the resident's care refusals. Resident #1, who had a diagnosis of hypokalemia and an ileus, did not have labs obtained as ordered to monitor potassium levels. The facility failed to follow up timely on lab results, which were delayed due to issues with the lab company. The resident's potassium supplement was not administered as ordered due to unavailability, and there was a lack of documentation regarding the ordered labs and follow-up actions. The delay in obtaining and reporting lab results led to a gap in the resident's treatment. Resident #3's discharge orders for dressing changes around a biliary drain tube and a g-tube were not transcribed into the facility's orders, resulting in missed dressing changes. The resident reported uncertainty about when the dressings were last changed, and observations confirmed drainage and odor from the dressings. The DON acknowledged the oversight in transcribing the orders, which led to the deficiency in care for Resident #3.
Failure to Notify Physician of Resident Condition Changes
Penalty
Summary
The facility failed to notify the physician of changes in condition for two residents, leading to a deficiency. For the first resident, who was admitted for rehabilitation and had a history of dementia and congestive heart failure, staff did not inform the physician about increased confusion and abdominal distension observed on multiple occasions. Despite the resident's family being notified of the decline, there was no documentation of physician notification until a lab result prompted a call to the physician, after which the family decided to transport the resident to the hospital. The second resident, who exhibited behavioral symptoms and had a severely impaired cognition, was not properly managed as staff failed to notify the physician about increased behaviors and the inability to obtain a urine sample as ordered. The resident's behaviors included verbal outbursts, wandering, and hallucinations, which were not communicated to the physician, and the urine sample was not collected due to the resident's delusional state. The resident was eventually sent to the hospital for evaluation without prior physician notification of these issues. Interviews with staff, including the DON and RN, revealed a lack of documentation and communication regarding the residents' changes in condition. The DON expected staff to notify physicians of any changes, but there was no policy in place for when to notify physicians, contributing to the oversight. The residents' physicians confirmed they were not informed of the changes, highlighting a communication breakdown within the facility.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 88 citations issued within 25 miles in the last 12 months — including the 6 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Paris
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Baptist Homes Of Shelbina | 15.4 mi | ★★★★★ | 0 | 0 |
| Monroe City Manor Care Center | 18.8 mi | ★★★★★ | 10 | 2 |
| Heritage Hall Nursing Center | 19.2 mi | ★★★★★ | 5 | 0 |
| Pin Oaks Living Center | 21.2 mi | ★★★★★ | 9 | 0 |
| Valley View Health & Rehabilitation | 22.7 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.