51/100
Below average
226 E Monroe Street, Jay, OK 74346
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
3 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$31,773 in federal fines
CMS has fined this facility across 2 penalty action(s).
Nursing staff turnover of 60%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: August 14, 2024 (2 years ago).
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Immediate jeopardy to resident health or safety
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Actual harm to a resident
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.
No actual harm, potential for more than minimal harm
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 m...
No actual harm, potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
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.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
No actual harm, potential for more than minimal harm
| Owner | Type | Role | Since |
|---|---|---|---|
| MONROE MANOR NURSING, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| TLC ERETZ MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| AGUIRRE, AYO | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| MEASE, DARRELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| RHINE, ZVI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| TLC ERETZ MANAGEMENT LLC | Organization | ADP OF THE SNF | — |
| AGUIRRE, AYO | Individual | ADP OF THE SNF | — |
| MEASE, DARRELL | Individual | ADP OF THE SNF | — |
| RHINE, ZVI | Individual | ADP OF THE SNF | — |
| MONROE MANOR NURSING, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
| RHINE, ZVI | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — |
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Monroe Manor holds an ElderGrade of D (51 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.60 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 3 of the 18 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Monroe Manor is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.