Monroe Manor
226 E Monroe Street, Jay, OK, 74346
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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
- For profit - Limited Liability company
- Certified beds
- 98 · avg 43 residents/day
- Total nursing staff turnover
- 60.9% — near the Oklahoma averageOklahoma avg: 56.0% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 66.7% — higher than most Oklahoma nursing homesOklahoma avg: 54.7% · National avg: 43.3% · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $31,773 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 375415
- Certified beds
- 98 beds · avg 43 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Monroe Manor Nursing, Llc
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Parent entity
Tlc Eretz Management Llc
Disclosed owners (5 on record)
- Ayo Aguirre
Operational/managerial Control · since 2025
- Monroe Manor Nursing, Llc
5% or Greater Direct Ownership Interest · 100% · since 2023
- Tlc Eretz Management LlcParent
5% or Greater Direct Ownership Interest · 100% · since 2023
- Zvi Rhine
5% or Greater Direct Ownership Interest · 100% · since 2023
- Darrell r Mease
Operational/managerial Control · since 2022
Recent change of ownership
January 2023 (3 years ago) · acquired from Grand Union Healthcare L.l.c,
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Change of Ownership, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 18)
- J0695·Sep 23, 2024Complaint
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0693·Sep 23, 2024Complaint
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- G0684·Sep 23, 2024Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0883·Aug 14, 2024
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E0880·Aug 14, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Aug 14, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0758·Aug 14, 2024
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is li…
- D0657·Aug 14, 2024
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Federal penalties
By year
- 20242 fines · $32K · 1 payment denial
Most recent events
- Jul 23, 2024Fine · $24K
- Jan 23, 2024Payment denial · 8 days · starting Feb 15, 2024
- Jan 23, 2024Fine · $8,018
Largest single fine on record: $24K.
Fire-safety citations
5 Life-Safety-Code citations on file. Most recent: Jul 14, 2023. 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.