Nursing Home

Monroe Manor

226 E Monroe Street, Jay, OK 74346
98 certified beds 42 residents per day on average

CMS Five-Star Quality Rating

2 out of 5 Stars

Overall rating

Health inspections

From the three most recent annual inspection cycles and recent complaint investigations.

Staffing

Based on nurse staffing hours relative to the care needs of this facility’s residents.

Quality measures

Based on clinical quality measures reported for residents, from assessments and Medicare claims.

Source: CMS Five-Star Quality Rating System. These are CMS's own ratings, shown exactly as published — CareRanks does not adjust or re-weight them. How CMS calculates these ratings ↗

Medicare Outcome Measures

Source: CMS Skilled Nursing Facility Quality Reporting Program. Rates are risk-standardized by CMS; the comparison category is CMS's own, shown exactly as published.

Clinical Quality Measures

Source: CMS MDS quality measures (four-quarter average).

Nurse Staffing

Nurse staffing per resident per day
3.6 hours

OK average: 3.8 hours · National: 3.9 hours

All nursing staff combined: RNs, LPNs/LVNs, and nurse aides.

Registered nurse (RN) time per resident per day
0.5 hours

OK average: 0.3 hours · National: 0.7 hours

RN hours only — the most highly trained nursing staff.

Weekend nurse staffing per resident per day
3.3 hours

OK average: 3.4 hours · National: 3.4 hours

Total nurse staffing on Saturdays and Sundays, when staffing typically dips.

Nursing staff turnover in the past year
60.0%

OK average: 55.5% · National: 45.8%

Share of this facility’s nursing staff who stopped working there over 12 months.

Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.

Penalties & Enforcement

2 fines totaling $31,773 and 1 Medicare payment denial in the recent inspection window (most recent: July 23, 2024).

Federal enforcement actions from CMS's penalty file: civil money penalties (fines) and denials of Medicare payment tied to health-inspection deficiencies.

Ownership

Ownership type
For profit - Limited Liability company
Who owns this facility — 11 entries in CMS's ownership records expand ↓
  • Monroe Manor Nursing, LLC Organization
    Direct owner (≥5%) 100% ownership since 01/01/2023
  • Rhine, Zvi Individual
    Indirect owner (≥5%) 100% ownership since 01/01/2023
  • Monroe Manor Nursing, LLC Organization
    Operational/managerial control since 01/01/2023
  • Tlc Eretz Management LLC Organization
    Operational/managerial control since 03/01/2022
  • Aguirre, Ayo Individual
    Operational/managerial control since 05/20/2025
  • Mease, Darrell Individual
    Operational/managerial control since 03/01/2022
  • Rhine, Zvi Individual
    Operational/managerial control since 03/01/2022
  • Tlc Eretz Management LLC Organization
    Additional disclosable party since 03/01/2022
  • Aguirre, Ayo Individual
    Additional disclosable party since 05/20/2025
  • Mease, Darrell Individual
    Additional disclosable party since 03/01/2022

…and 1 more entry in CMS's ownership records for this facility.

From CMS's nursing-home ownership file. Roles and percentages are as reported to CMS by the facility; one person or entity can hold several roles.

Inspections & Fire Safety — 6 health (OK avg 6.6) · 2 fire (OK avg 2.3) · ⚠ 3 serious Details

19 deficiencies cited across recent inspection cycles, including ⚠ 3 serious (actual harm or immediate jeopardy). Most recent survey: June 23, 2026.

Most recent inspection cycle: 6 health deficiencies · OK average: 6.6 · National: 9.3

5 fire-safety deficiencies cited — most often smoke (3) and emergency preparedness (1).

Most recent fire-safety inspection (2023-07-14): 2 deficiencies · OK average: 2.3 · National: 4.5

Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.

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How Monroe Manor compares nearby

Compared with the 7 other nursing homes within 25 miles — 8 facilities in all, CMS data only.

Among the 8 nursing homes within 25 miles, Monroe Manor's overall star rating is 2★; the median among the 7 peers reporting it is 2★.

Measure This facility Nearby median
Overall star rating reported by 7 of 7 nearby peers 2★ 2★
Health inspections reported by 7 of 7 nearby peers 2★ 3★
Staffing reported by 7 of 7 nearby peers 3★ 3★
Quality measures reported by 7 of 7 nearby peers 3★ 3★

The comparison group

Cohort: within 25 miles · CMS data period 2026-08 · method cohort-v1 · comparisons are never affected by claiming or payment. How nearby comparisons work

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