Federal inspection record · CMS data as of October 1, 2026
Monroe City Manor Care Center
1010 Highway 24 & 36 East, Monroe City, MO · (573) 735-4850
- Certified beds
- 60
- Residents per day
- 52
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 31, 1994
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Missouri.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Missouri homes
Monroe City Manor Care Center carries 26 inspection points. That is fewer than 86% of Missouri's 479 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Missouri: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–54 pts
- 3★ 54–93.75 pts
- 2★ 93.75–159 pts
- 1★ over 159 pts
Bars show every rated home in Missouri by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
9 health citations on record since 2020. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Nutrition and Dietary4F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1E
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Resident Rights1D
- D
Honor the resident's right to manage his or her financial affairs.
Resident Assessment and Care Planning1D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Environmental1E
- E
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.
Nursing and Physician Services1B
- B
Post nurse staffing information every day.
Inspection history
2025-08-21
4 health deficiencies · 6 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2023-11-16
4 health deficiencies · 12 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2020-11-11
1 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 4 min of nursing staff time a day, 33 min of it from a registered nurse.
This home
4 h 4 min
Missouri average
3 h 24 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 40% of nursing staff and 17% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$24,408 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-21 | Fine | $24,408 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts worse | 2.2 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 1.7 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine15.5 pts better | 99.5% | 84.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine9.2 pts better | 100.0% | 90.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.3 pts worse | 8.3% | 4.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms18.9 pts better | 1.1% | 20.0% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.1 pts worse | 9.2% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.1 pts better | 19.5% | 25.6% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.7 pts worse | 26.2% | 23.5% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.7 pts better | 14.1% | 15.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.8 pts worse | 19.2% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.9 pts worse | 2.8% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3.2 pts worse | 5.4% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.2 pts better | 7.9% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.5 pts better | 2.9% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine28.5 pts better | 94.2% | 65.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.2 pts better | 13.2% | 13.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts worse | 2.7% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine31.9 pts better | 93.3% | 61.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.6 pts better | 24.1% | 25.7% | 23.4% |
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Who owns and runs it
8 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Copenhaver, Sharon | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Copenhaver, Sharon | Corporate Director · Individual | 0% | 1 facilities |
| Halpin, Stephen | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Halpin, Stephen | Adp Of The SNF · Individual | 0% | 2 facilities |
| Vanlandingham, Brittany | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Vanlandingham, Brittany | Adp Of The SNF · Individual | 0% | 1 facilities |
| Yates, Steve | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Yates, Steve | Corporate Director · Individual | 0% | 1 facilities |
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Fire safety
19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Provide properly protected cooking facilities.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Egress3E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Gas, Vacuum, and Electrical Systems3F
- F
Ensure proper usage of power strips and extension cords.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- D
Have proper medical gas storage and administration areas.
Miscellaneous2E
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Emergency Preparedness1F
- F
Establish policies and procedures for volunteers.
Services1E
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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Other homes nearby
-
Luther Manor Retirement & Nursing Center
Hannibal, MO
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 5 min
- Fines
- $13,270
-
Maple Lawn Nursing Home
Palmyra, MO
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 25 min
- Fines
- $55,361
-
Westview Nursing Home
Center, MO · Reliant Care Management
★★★★★- Worst citation, 3 yrs
- H
- Nursing / resident / day
- 2 h 1 min
- Fines
- $27,742