Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

MONROE MANOR

PARIS, MO · 119 certified beds · Last Life Safety survey April 9, 2026

CMS Certification Number 265590 · first certified November 1994

Ownership

Independently operated (no chain recorded by CMS) · Government - County

No change of ownership on CMS record since January 1, 2016, when the records begin.

9
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within MO

9 citations — more than 19% of the 487 certified nursing homes in MO. Compared within MO rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens June 2027 — about 8 months from now. This facility’s last Life Safety survey was April 2026. Facilities in MO are typically surveyed 14–21 months after the last one (median 17), measured over 567 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 9 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in MO, and nationally. Surveyors differ markedly between states, so the MO figure is the meaningful one.

This facility9MO median18National median11
Citations on file over three years, compared
MeasureCitations
This facility9
Median facility in MO18
Median facility nationally11

Survey history

Citations at each Life Safety survey
42022-0412024-0342026-04
Citations at each Life Safety survey
Survey dateCitations
April 28, 20224
March 14, 20241
April 9, 20264

Most-cited tags

Most-cited tags at this facility
K-09202K-03241K-09251K-09321K-03111K-09231K-03631K-03211
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0920Ensure proper usage of power strips and extension cords.22026-04-09
K-0324Provide properly protected cooking facilities.12026-04-09
K-0925Ensure that sources of ignition are removed from patients receiving respiratory therapy.12024-03-14
K-0932Meet other general requirements.12022-04-28
K-0311Have an enclosure around a vertical opening shaft.12026-04-09
K-0923Have proper medical gas storage and administration areas.12022-04-28
K-0363Install corridor and hallway doors that block smoke.12022-04-28
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12026-04-09

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Gas, Vacuum, and Electrical Systems Deficiencies4

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 9, 2026 — 4 citations

Citations issued on April 9, 2026
TagWhat the surveyor checksStatus
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (May 15, 2026)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (May 15, 2026)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (May 15, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (May 15, 2026)

March 14, 2024 — 1 citation

Citations issued on March 14, 2024
TagWhat the surveyor checksStatus
K-0925Ensure that sources of ignition are removed from patients receiving respiratory therapy.Deficient, Provider has date of correction (May 17, 2024)

April 28, 2022 — 4 citations

Citations issued on April 28, 2022
TagWhat the surveyor checksStatus
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 3, 2022)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 3, 2022)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (June 3, 2022)
K-0932Meet other general requirements.Deficient, Provider has date of correction (June 3, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.