Monroe City Manor Care Center

Nursing Home, Hospice Care & Skilled Nursing · Monroe City, MO

CMS overall rating

1010 Highway 24 & 36 East, Monroe City, MO 63456-1116 View map

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Monroe City Manor Care Center accepts Medicaid, Medicare, and private pay.

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Monroe City Manor Care Center accepts Medicaid, Medicare, and private pay.

Overview of Monroe City Manor Care Center

Operated by Monroe City Manor Care Center, Inc, Monroe City Manor Care Center is a nursing home in Missouri, owned by Rosanne Hays and administered by Brittany Vanlandingham. The 60-bed home accepts Medicaid, Medicare, and private pay, giving families multiple options to cover short-term rehabilitation and longer-term nursing care. Its current occupancy is 90% due to its strong engagement with the community.

Rehabilitation is the main focus of the facility’s care program. There are on-site therapy services, a doctor on staff, and specialized programs that include a dedicated Special Care Unit. Total nurse staffing averages 4 hours and 23 minutes per resident each day, providing hands-on assistance and medical oversight. Residents stay for an average of 140 days, including post-acute residents recovering from hospitalization and those requiring ongoing skilled nursing support.

Residents can choose from a range of options for their comfort and daily living. Restaurant-style dining offers numerous meal options every day. There are specialized menus for individual preferences and needs. Private rooms are available, and the building is smoke-free.

Additional amenities include beauty shop services, complimentary cable television, laundry and internet services, and a full schedule of activities coordinated by a dedicated Activities Director seven days a week.

The home’s location has a Walkability Score of 48 out of 100. Some nearby services are accessible on foot, while most trips require transportation. This can be convenient for visiting family members who drive to the facility. Residents who need assistance getting to appointments or activities can access transportation services. Flexible visiting hours are available, and the home has regular community outings to keep residents engaged with the wider neighborhood.

Families interested in the facility may want to tour to see the private room options and learn more about the dining program, activity schedule, and other routines.

Facility Direct Line (573) 735-4850 administrator@monroecitymanor.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 23m per day

vs avg

1 of 6 metrics below state avg

Standout metric Weekend RN is +15% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	29m per day	▲ 5% State avg: 28m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	44m per day	▲ 7% State avg: 41m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 39m per day	▲ 14% State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 22m per day	▲ 11% State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	0m per day	▼ 89% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	23m per day	▲ 15% State avg: 20m per day · National avg: 28m per day

Capacity and availability

140 days

60-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 48 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

90%

Higher than the Missouri average: 66.6%

Occupied beds

54 / 60

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceJuly 1, 2025

ExpirationJune 30, 2027

CountyMarion

License Number052814

CMS Certification Number265574

Certification TypeMedicare / Medicaid

Monroe City Manor Care Center is legally operated by Monroe City Manor Care Center, Inc, and administered by Brittany Vanlandingham.

Corporate EntityMONROE CITY MANOR CARE CENTER, INC

Owner NameMonroe City Manor Care Center, Inc

Skilled Nursing Facility

60 units

Total beds

60 units

Accept Medicaid

Accept Medicare

Rehabilitation Services

Doctor on Staff

24-Hour Staffing

Dedicated Alzheimer's Unit

Pets not allowed

Smoke-Free Facility

Home Cooked Restaurant-Style Dining

Enjoyable Activities

Activities

Volunteer Program

Touring HoursMonday-Saturday: 9:00 AM - 10:00 PM, Sunday: 9:00 AM - 6:00 PM

Since 2018 · 8 years of data 55 deficiencies 10 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Missouri state average

Overall vs. MO average

Latest Inspection August 21, 2025 Routine

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	55	35	This facility has 57% more total deficiencies than a typical Missouri assisted living residence (55 vs. MO avg 35).↑ 57% worse
Deficiencies per year Average deficiencies per year since 2018.	6.9	4.4	This facility has 57% more deficiencies per year than a typical Missouri assisted living residence (6.9 vs. MO avg 4.4).↑ 57% worse
Deficiencies per inspection Average deficiencies per inspection.	5.5	2.9	This facility has 90% more deficiencies per inspection than a typical Missouri assisted living residence (5.5 vs. MO avg 2.9).↑ 90% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	10	12	This facility has had 17% fewer total inspections than the Missouri average (10 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↓ 17% fewer

Show Inspection Reports

Inspections since 2019

Total health inspections 4

State average N/A

Last Health inspection on Nov 2023

Total health citations

State average N/A

Citations per inspection

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

7 of 8 citations resulted from standard inspections; and 1 of 8 resulted from complaint investigations.

Breakdown of citation severity (last 7 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

1 critical citation State average: N/A

0 serious citations State average: N/A

6 moderate citations State average: N/A

1 minor citation State average: N/A

Citations history (last 7 years)

Environmental moderate citation Nov 16, 2023

Corrected

Nursing Services minor citation Nov 16, 2023

Corrected

Nutrition moderate citation Nov 16, 2023

Corrected

Nutrition moderate citation Nov 16, 2023

Corrected

Total staff 84

Employees 71

Contractors 13

Staff to resident ratio 1.56 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 34

Average shift 6.9 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 21,710

Nursing staff breakdown

7.2 hours

7.9 hours

7.1 hours

Contractor staffing

552 contractor hours this quarter

Physical Therapy Aide: 3 Speech Language Pathologist: 2 Qualified Social Worker: 1 Physical Therapy Assistant: 1 Respiratory Therapy Technician: 1 Medical Director: 1 Occupational Therapy Assistant: 1 Feeding Assistant: 1 Occupational Therapy Aide: 1 Other Physician: 1

Staff by category


Certified Nursing Assistant	43	0	43	12,749	92	100%	7.1
Licensed Practical Nurse	11	0	11	3,537	92	100%	7.9
Registered Nurse	8	0	8	1,842	91	99%	7.2
Other Dietary Services Staff	6	0	6	1,499	92	100%	6.4
Administrator	1	0	1	512	64	70%	8
Nurse Practitioner	1	0	1	511	66	72%	7.7
Dental Services Staff	1	0	1	509	64	70%	8
Speech Language Pathologist	0	2	2	204	60	65%	3.3
Physical Therapy Assistant	0	1	1	111	56	61%	2
Qualified Social Worker	0	1	1	97	57	62%	1.7
Feeding Assistant	0	1	1	35	10	11%	3.5
Occupational Therapy Aide	0	1	1	24	3	3%	8
Physical Therapy Aide	0	3	3	22	11	12%	2
Respiratory Therapy Technician	0	1	1	18	15	16%	1.2
Occupational Therapy Assistant	0	1	1	17	3	3%	5.7
Medical Director	0	1	1	13	3	3%	4.2
Other Physician	0	1	1	12	3	3%	4

43 Certified Nursing Assistant

% of Days 100%

11 Licensed Practical Nurse

% of Days 100%

8 Registered Nurse

% of Days 99%

6 Other Dietary Services Staff

% of Days 100%

1 Administrator

% of Days 70%

1 Nurse Practitioner

% of Days 72%

1 Dental Services Staff

% of Days 70%

2 Speech Language Pathologist

% of Days 65%

1 Physical Therapy Assistant

% of Days 61%

1 Qualified Social Worker

% of Days 62%

1 Feeding Assistant

% of Days 11%

1 Occupational Therapy Aide

% of Days 3%

3 Physical Therapy Aide

% of Days 12%

1 Respiratory Therapy Technician

% of Days 16%

1 Occupational Therapy Assistant

% of Days 3%

1 Medical Director

% of Days 3%

1 Other Physician

% of Days 3%

View All Staffing Data

Total fines amount $42K

42% lower than State average

State average: $73K

Number of fines 2

18% fewer fines than State average

State average: 2.4

Payment Denials 0

100% fewer payment denials than State average

State average: 0.7

Fines amount comparison

This facility $42K

State average $73K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Aug 21, 2025 · $30K

Civil Money Penalty Aug 21, 2025

$30K

Last updated: Jan 2026

High-risk clinical events score 7.3

33% better than State average

State average: 10.9

Functional decline score 15.2

22% better than State average

State average: 19.5

Long-stay resident measures

Below average State avg: 2.7

Need for Help with Daily Activities Increased 12.8%

35% better than State average

State average: 19.8%

Walking Ability Worsened 15.4%

25% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 17.5%

In line with State average

State average: 18.1%

Falls with Major Injury 2.6%

37% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 3.0%

40% better than State average

State average: 5.0%

Urinary Tract Infection 5.8%

111% worse than State average

State average: 2.7%

Lost Too Much Weight 3.0%

46% better than State average

State average: 5.6%

Depressive Symptoms 0.0%

100% better than State average

State average: 12.8%

Antipsychotic Use 31.1%

41% worse than State average

State average: 22.0%

Pneumococcal Vaccine 100.0%

17% better than State average

State average: 85.2%

Influenza Vaccine 98.2%

8% better than State average

State average: 90.9%

Hospitalizations per 1,000 days 1.56

25% better than State average

State average: 2.08

ED visits per 1,000 days 1.97

16% better than State average

State average: 2.35

Short-stay resident measures

Significantly below average State avg: 2.1

Pneumococcal Vaccine 97.4%

46% better than State average

State average: 66.6%

Antipsychotic medication increase 2.7%

22% worse than State average

State average: 2.2%

Influenza Vaccine 95.2%

50% better than State average

State average: 63.5%

Re-hospitalized after SNF stay 37.5%

48% worse than State average

State average: 25.3%

Emergency department visits 10.6%

21% better than State average

State average: 13.4%

Falls with major injury 2.4%

209% worse than State average

State average: 0.8%

Ability to care for self at discharge 58.6%

9% better than State average

State average: 53.7%

Successful return to home or community 35.7%

29% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

50% of new residents, usually for short-term rehab.

Typical stay 24 days

Private pay

35% of new residents, often for short stays.

Typical stay 8 - 9 months

Medicaid

15% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Total residents 54

Medicare

7.4% of residents

Medicaid

40.7% of residents

Private pay or other

51.9% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Monroe City Manor Care Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 90.8% ↑ 1.4pp vs 2022

Net Patient Income $472 ↑ ~$176.6K vs 2022

Payroll Costs $2.7M ↑ ~$138.8K vs 2022

Operating Margin 0.0% ↑ 4.8pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	87.5%	90.0%	85.2%	84.3%	84.8%	87.0%	90.5%	92.8%	91.7%	80.0%	85.1%	89.5%	90.8%
Beds	60	60	60	60	60	60	60	60	60	60	60	60	60
Net Income	$160,409	$113,484	$18,289	-$63,373	-$28,428	-$36,372	-$35,505	-$16,108	-$4,657	$293,023	$92,725	-$156,301	$50,031
Gross Revenue	$3,702,834	$3,654,180	$3,490,472	$3,812,400	$3,879,383	$3,694,222	$3,762,029	$3,817,642	$4,008,227	$3,730,278	$3,869,955	$3,685,976	$4,334,651
Operating Expenses	$3,010,536	$3,054,331	$3,070,114	$3,201,268	$3,280,938	$3,339,709	$3,407,096	$3,482,098	$3,614,320	$3,904,487	$3,673,866	$3,846,523	$4,287,933
Net Patient Income	$117,339	$80,037	-$21,022	-$105,199	-$55,788	-$41,896	-$46,084	-$29,731	-$15,607	-$549,275	-$131,938	-$176,177	$472
Net Patient Revenue	$3,127,875	$3,134,368	$3,049,092	$3,096,069	$3,225,150	$3,297,813	$3,361,012	$3,452,367	$3,598,713	$3,355,212	$3,541,928	$3,670,346	$4,288,405
Payroll Costs	$1,730,314	$1,824,711	$1,791,516	$1,874,686	$1,988,117	$2,126,677	$2,138,016	$2,183,532	$2,178,871	$2,306,048	$2,294,569	$2,566,091	$2,704,925
Operating Margin %	3.8%	2.6%	-0.7%	-3.4%	-1.7%	-1.3%	-1.4%	-0.9%	-0.4%	-16.4%	-3.7%	-4.8%	0.0%
Medicare %	13.3%	10.5%	7.4%	10.3%	10.6%	8.8%	8.8%	5.2%	4.7%	7.2%	6.1%	6.4%	6.4%
Medicaid %	53.6%	51.5%	49.3%	51.5%	51.0%	51.6%	41.5%	42.8%	40.5%	45.0%	44.2%	43.8%	45.6%
Private %	33.1%	37.9%	43.3%	38.2%	38.4%	39.5%	49.7%	52.0%	54.8%	47.8%	49.7%	49.8%	47.9%
Net Patient Revenue/Day	$163	$159	$163	$168	$174	$173	$170	$170	$179	$191	$190	$187	$216
Cost/Day	$157	$155	$164	$173	$177	$175	$172	$171	$180	$222	$197	$196	$216
Avg Length of Stay	131.2 days	191.9 days	224.9 days	164.8 days	182.0 days	192.9 days	236.0 days	350.4 days	309.1 days	244.0 days	321.3 days	88.3 days	140.1 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$4.3M

Net patient income

$472

For-profit Partnership

Net patient revenue

$4.3M

Net patient income

$472

Other income

$49.6K

Payroll costs

$2.7M 63.1% of net patient revenue

Other operating costs

$1.6M

Total costs

$4.3M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (50% of admissions), and a typical Medicare stay runs around 24 days.

Coverage residents most often arrive under.

Medicare 50%

Private pay 35%

Medicaid 15%

Coverage residents most often leave under.

Medicare 48%

Private pay 29%

Medicaid 23%

0.0 miles from city center Estimated distance in miles from Monroe City's city center to Monroe City Manor Care Center's address, calculated via Google Maps.

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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


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Nursing Home Explorer

What neighborhood is Monroe City Manor Care Center in?

Monroe City Manor Care Center is in the USA neighborhood of MONROE CITY.

Is Monroe City Manor Care Center in a walkable area?

Monroe City Manor Care Center has a walk score of 48. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Monroe City Manor Care Center?

According to MO state health department records, Monroe City Manor Care Center's license number is 052814.

When does Monroe City Manor Care Center's license expire?

According to MO state health department records, Monroe City Manor Care Center's license expires on June 30, 2027.

What is the occupancy rate at Monroe City Manor Care Center?

Monroe City Manor Care Center's occupancy is 90%.

Are pets allowed at Monroe City Manor Care Center?

No, Monroe City Manor Care Center has a no-pet policy.

Does Monroe City Manor Care Center operate as a for-profit or non-profit?

Monroe City Manor Care Center is registered as a for-profit in MO.

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Monroe City Manor Care Center

Overview of Monroe City Manor Care Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Memory & Specialized Care

Additional Policies & Features

Amenities & Lifestyle

Contact Monroe City Manor Care Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Health Inspection History

Inspections since 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

43 Certified Nursing Assistant

11 Licensed Practical Nurse

8 Registered Nurse

6 Other Dietary Services Staff

1 Administrator

1 Nurse Practitioner

1 Dental Services Staff

2 Speech Language Pathologist

1 Physical Therapy Assistant

1 Qualified Social Worker

1 Feeding Assistant

1 Occupational Therapy Aide

3 Physical Therapy Aide

1 Respiratory Therapy Technician

1 Occupational Therapy Assistant

1 Medical Director

1 Other Physician

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Places of interest near Monroe City Manor Care Center

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