Monroe Manor
200 South St, Paris, MO, 65275
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - County
- Certified beds
- 119 · avg 76 residents/day
- Total nursing staff turnover
- 71.2% — higher than most Missouri nursing homesMissouri avg: 56.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 66.7% — higher than most Missouri nursing homesMissouri avg: 50.2% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Missouri averageMissouri avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $35,360 total
Medicare certification
- CMS Certification Number
- 265590
- Certified beds
- 119 beds · avg 76 residents/day
- Ownership type
- Government - County
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Monroe County Nursing Home District
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Disclosed owners (2 on record)
- Guy Callison
Corporate Officer · since 2021
- Shari Embree
Corporate Director · since 2005
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 13)
- E0880·Jan 14, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0658·Nov 12, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
- D0580·Nov 12, 2024Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D0756·Mar 14, 2024
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D0690·Mar 14, 2024
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D0759·Apr 28, 2022
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- E0690·Apr 28, 2022
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D0686·Apr 28, 2022
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Federal penalties
By year
- 20241 fine · $35K
Most recent events
- Mar 14, 2024Fine · $35K
Fire-safety citations
10 Life-Safety-Code citations on file. Most recent: Mar 14, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Monroe Manorinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.