Monroe Manor
226 E Monroe Street · Jay, OK · 74346 · 9189193276
98 certified beds For profit - Limited Liability company
Why this verdict
- Federal penalties on record: $23,755 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
61% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.53 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.38 | 0.55–0.75 |
| Weekend hours / resident-day | 3.22 | ≈ weekday level |
| Nursing turnover / year | 61% | median 45% |
| Fines (3-yr window) | 2 · $31,773 |
Inspection citations (18 in the current record)
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Immediate jeopardy · J September 23, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected October 21, 2024 · Quality of Life and Care
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Actual harm · G September 23, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 21, 2024 · Quality of Life and Care
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Potential for harm · D September 23, 2024 · found via complaint
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.
Corrected October 21, 2024 · Quality of Life and Care
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Potential for harm · D August 14, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 14, 2024
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 limited.
Corrected October 4, 2024 · Pharmacy Service
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Potential for harm · E August 14, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 4, 2024 · Nutrition and Dietary
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Potential for harm · E August 14, 2024
Provide and implement an infection prevention and control program.
Corrected October 4, 2024 · Infection Control
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Potential for harm · D August 14, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected October 4, 2024 · Infection Control
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Potential for harm · D July 23, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected August 26, 2024 · Quality of Life and Care
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Potential for harm · D May 28, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected June 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 28, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 30, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 23, 2024 · Resident Rights
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Actual harm · G January 23, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 15, 2024 · Quality of Life and Care
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Potential for harm · D January 23, 2024 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected February 13, 2024 · Resident Rights
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Potential for harm · E January 23, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 15, 2024 · Quality of Life and Care
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Potential for harm · D July 14, 2023 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 25, 2023 · Quality of Life and Care
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Potential for harm · E July 14, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 25, 2023 · Quality of Life and Care
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Potential for harm · E April 9, 2021
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected May 5, 2021 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 23, 2024 | Fine | $23,755 |
| January 23, 2024 | Fine | $8,018 |
| January 23, 2024 | Payment Denial | 8 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 375415 · certified since September 15, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.