Monroe Manor
Monroe Manor – Medicare Certified Since 1994
Monroe Manor is a Medicare and Medicaid certified skilled nursing facility located in Paris, Missouri. This facility has been serving the community for 32 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.
This facility has 119 certified beds with a current occupancy rate of 59% (averaging 70 residents per day), which is below average. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.
Staffing Levels: Based on CMS payroll data, this facility provides approximately 3.1 hours of total nursing care per resident per day (2 hours from CNAs, 0.84 hours from LPNs, 0.26 hours from RNs). Physical therapy staffing is 0.05 hours per resident per day.
Medicare Quality Ratings: According to CMS, Monroe Manor has an overall quality rating of 4 out of 5 stars, which is above average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 5 stars, staffing: 2 stars, quality measures: 1 stars.
Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.
Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.
Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.
Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.
Local Comparison Snapshot
How Monroe Manor compares to 213 facilities in Rural MO
Click a measure name to jump to details • Hover over ⓘ for definitions
Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 213 facilities in Rural MO.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.
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Medicare Star Ratings
Official CMS ratings based on health inspections, staffing, and quality measures
Data as of December 2025
Star Ratings History
Quarterly performance from 2013-2026
How Does This Facility Compare?
Compared to 213 other nursing homes in Rural MO
Based on CMS Medicare star ratings. Higher ratings indicate better performance.
Staffing Hours per Resident Day
Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.
Staff Turnover Rate
Lower turnover rates generally indicate a more stable workforce and better continuity of care.
Agency/Contract Staff Usage
Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.
Agency Staff Trends
Historical agency/contract staff usage by role
Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.
Direct Care Staffing
Average minutes of direct nursing care per resident per day
Data as of December 2025
Staffing Trends
Direct care minutes per resident per day
Occupancy Rate History
Average daily residents as a percentage of certified beds
Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.
Staff Turnover History
Annual percentage of nursing staff who left the facility
Data as of December 2025
Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.
Average Daily Rate
Average daily charge for care at this facility
Based on CMS Cost Report data (inpatient revenue ÷ total patient days)
Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.
Financial Health
Comprehensive financial indicators from CMS Cost Reports
Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.
Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.
Who Stays Here
Breakdown of residents by payment type
Based on fiscal year 2023 cost report data
Average Length of Stay
How long residents typically stay at this facility
Based on fiscal year 2023 cost report data
Services
Comprehensive skilled nursing services, rehabilitation programs, and medical care in PARIS
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Current Job Openings
Reviews
The Nurses and staff at Monroe manor Are amazing. They took care of my dad like he was their family. We couldn’t have asked for a better facility to take care of him and his final days.
From the moment we made the first contact for my Mom and every day since we have been treated like family. There is no other place I would rather have my loved one. My Mom gets the BEST care from every employee in this facility. The staff treat the residents like they would their own family. Maddie transported Mom from the hospital and has taken her to doctor’s appointments since, she is wonderful, thoughtful, kind and loving! She told me she treats her patients in the vehicle and drives with care and caution as she does for her loved ones. It’s not just a job for the employees at Monroe Manor, it’s about giving the best care, showing respect and loving the elderly. Thank You Monroe Manor staff for the great job you are doing!
Nursing staff are courteous, helpful and professional for the most part. ...place is clean and well maintained and staff actually pay attention to residents. Office charge nurse has authority issues which is funny cause it's a rural podink nursing home, not a top of the line urban medical center.. Overall not bad as far as nursing homes go, tho I never want to be in one.
The staff that give direct care to the residents are wonderful and treat residents with lots of love. The administration staff on the other hand do NOT care about their staff making them work countless hours without a thank you.
Me and my family are very grateful to the caring and loving atmosphere of MM. Our mother receives the very best of care from the staff and from local doctor Mary Crawford. God bless them all.
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