Senior CareScorecard

Nursing home · Monroe City, MO

Monroe City Manor Care Center

1010 Highway 24 & 36 East, Monroe City, MO 63456 · 60 certified beds · for profit ownership

Medicare & MedicaidFined $24,408 in 3 years
Medicare overall rating4 / 5Above averageHannibal area 1.5 · Missouri 2.51 · U.S. 2.99
4/5Health inspections Above average
5/5Staffing Much above average
1/5Quality measures Much below average
1/5Short-stay (rehab) quality Much below average
2/5Long-stay quality Below average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on Aug 21, 2025, when they cited 4 problems. The most common area was nutrition and dietary (1 citation). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 4 are marked corrected in the CMS data. At its most recent standard inspection (Aug 21, 2025) it had 4 citations, compared with an average of 16.7 for Hannibal-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 4.22 hours per resident per day here, 23% more than the Missouri average (3.43) and 9% more than the U.S. average (3.86). Registered nurses account for 0.57 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 37% over the past year, 19 points lower than Missouri (56%) and 9 points lower than the U.S. (46%).

How Monroe City Manor Care Center compares

This home's latest CMS figures next to the averages for Hannibal-area homes (15), Missouri (487) and the U.S. (14,680).

This homeHannibal areaMissouriU.S.
Total nurse hours per resident per day4.223.513.433.86
Registered nurse hours per resident per day0.570.340.460.68
Weekend nurse hours per resident per day3.553.163.013.42
Nursing staff turnover (past year)37%55%56%46%
Registered nurse turnover (past year)17%52%48%43%
Citations at the most recent standard inspection416.711.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

Aug 21, 20254standard
Nov 16, 20234standard
Nov 11, 20201standard

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 9 of 9 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Aug 21, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
EDeficient, Provider has date of correction
Aug 21, 2025Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection control
EDeficient, Provider has date of correction
Aug 21, 2025Honor the resident's right to manage his or her financial affairs.
Resident rights
DDeficient, Provider has date of correction
Aug 21, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
DDeficient, Provider has date of correction
Nov 16, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Nov 16, 2023Ensure 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
EDeficient, Provider has date of correction
Nov 16, 2023Regularly 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
EDeficient, Provider has date of correction
Nov 16, 2023Post nurse staffing information every day.
Nursing and physician services
BDeficient, Provider has date of correction
Nov 11, 2020Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction

Fines and penalties

DateTypeAmount
Aug 21, 2025Fine$24,408

Location

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Questions about Monroe City Manor Care Center

Answers computed from CMS data for this facility.

What is Monroe City Manor Care Center's Medicare rating?

Medicare rates Monroe City Manor Care Center 4 out of 5 stars overall (above average). The average for Hannibal-area nursing homes is 1.5, for Missouri 2.51 and for the U.S. 2.99.

How did Monroe City Manor Care Center do on its last inspection?

Inspectors' most recent visit in the CMS data was on Aug 21, 2025, when they cited 4 problems. The most common area was nutrition and dietary (1 citation). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 4 are marked corrected in the CMS data. At its most recent standard inspection (Aug 21, 2025) it had 4 citations, compared with an average of 16.7 for Hannibal-area homes, 11.4 in Missouri and 9.2 nationally.

Has Monroe City Manor Care Center been fined?

Yes. CMS reports 1 fine totaling $24,408 in the past three years.

Does Monroe City Manor Care Center accept Medicaid?

Monroe City Manor Care Center is certified for both Medicare and Medicaid. Call (573) 735-4850 to ask whether a Medicaid bed is open.

Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.