Skilled nursing · MONROE CITY, MO

MONROE CITY MANOR CARE CENTER

1010 HIGHWAY 24 & 36 EAST, MONROE CITY, MO 63456

60 bedsFor profit - Corporation
2.5Clarity

▲ 0.4 since Jun

Score history
Oct 20262.5▼ 1.0 flagged
Sep 20263.5 flagged
Aug 20263.5▲ 1.4 flagged
Jun 20262.1 flagged

Rescored monthly from the federal and state record.

The Palmelle ReadUpdated 14 Aug 2026

Read this record before you tour: inspectors levied $24,408 in federal fines over the last 36 months, antipsychotic use runs 2.3 times the national median, and falls with major injury far outpace the national rate. Every number below prints the same way for every facility, good or bad — these are the ones to ask about.

palmelle

Written by Palmelle from federal and state records. Last updated 14 Aug 2026. Not paid for or edited by the facility.

In their own words

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The record

CMS Care Compare · Aug 2026
Federal ratings
Overall★★★★☆ 4 of 5
Health inspection★★★★☆ 4 of 5
Staffing★★★★★ 5 of 5
Quality measures★☆☆☆☆ 1 of 5

Staffing · hours per resident per day

Registered-nurse time with each resident, dailyhigher is better

This home
34 min
National
47 min

All nursing time with each resident, dailyhigher is better

This home
4 hr 13 min
National
3 hr 37 min

Nurses who quit each yearlower is better

This home
36.8%
National
53%

Medication & safety · share of long-stay residents

On antipsychotic medicationlower is bettersee why ↓

This home
31.7%
National
14%

On sedatives / sleep medicationlower is better

This home
16.8%
National
15%

Falls causing major injurylower is bettersee why ↓

This home
7.4%
National
1.6%

Physically restrainedlower is better

This home
0%
National
1.1%
Penalties & citations · last 36 months
Federal fines$24,408 · 1 penalty
Abuse iconNot flagged
Conflict flags in latest reconcile6

MO does not publish a state inspection feed Palmelle can verify. This record is built from federal data only.

What the pattern says

Palmelle pattern checks · v1

Mixed — worth touring with these questions in hand.

  • Antipsychotic use runs high. 32% of long-stay residents are on antipsychotics against a 14% national median — ask what share have a qualifying diagnosis.
  • The falls number is the outlier: 5× the national rate. 7.4% of long-stay residents had a fall with major injury vs 1.6% nationally. Combined with the staffing picture, ask hard questions: one bad cluster, a reporting artifact, or a real problem.
  • $24,408 in federal fines. 1 penalty in the last 36 months — the citation detail is in the record above.

These checks are computed the same way for every facility. Good patterns and bad ones both print.

Nearby & comparable

Same records, same rules

Questions families ask

What is the CMS rating for MONROE CITY MANOR CARE CENTER?
MONROE CITY MANOR CARE CENTER has an overall CMS Care Compare rating of 4 out of 5 stars.
Has MONROE CITY MANOR CARE CENTER been cited for resident harm?
MONROE CITY MANOR CARE CENTER has $24,408 in federal fines across 1 penalties in the last 36 months. Details appear in the record above.
What should I ask on a tour?
Ask about staff-to-resident ratios by shift, weekend coverage, and any measure flagged red in the record above — those are the places this facility's numbers leave open questions.

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