Nursing homeActive
Monroe Manor
226 E Monroe Street, Jay, OK 74346918919327698 certified beds · 42 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
9
since 2021
Deficiencies
19
● 0● 16● 3
Penalties · 3 yrs
$31,773
2 fines · 1 action
Last survey
2026-06-23
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 3
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Oklahoma State Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-06-23 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-09-23 | Complaint | 012 | CMS-2567 (Care Compare) | — |
| 2024-08-14 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-07-23 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-05-28 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-01-30 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-01-23 | Complaint | 021 | CMS-2567 (Care Compare) | — |
| 2023-07-14 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2021-04-09 | Standard | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Oklahoma State Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-31Record 375415-20260623-F605
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-10-21Record 375415-20240923-F684
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-10-21Record 375415-20240923-F695
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-21Record 375415-20240923-F693
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-04Record 375415-20240814-F657
F758Implement 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-04Record 375415-20240814-F758
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-04Record 375415-20240814-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-04Record 375415-20240814-F880
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-04Record 375415-20240814-F883
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-26Record 375415-20240723-F697
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-06Record 375415-20240528-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-06Record 375415-20240528-F610
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-23Record 375415-20240130-F580
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-02-15Record 375415-20240123-F684
F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-13Record 375415-20240123-F557
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-15Record 375415-20240123-F689
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-25Record 375415-20230714-F677
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-08-25Record 375415-20230714-F689
F688Provide 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.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-05-05Record 375415-20210409-F688
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-07-23 | Civil money penalty | $23,755 | CMS · Penalties |
| 2024-01-23 | Civil money penalty | $8,018 | CMS · Penalties |
| 2024-01-23 | Denial of payment for new admissions Payment denial for 8 days, from 2024-02-15 | — | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.47
Facility
Oklahoma
National
Oklahoma 0.34 · National 0.69
Total nurse hours per resident day3.60
Facility
Oklahoma
National
Oklahoma 3.79 · National 3.86
Weekend total nurse hours3.33
Facility
Oklahoma
National
Oklahoma 3.44 · National 3.42
Total nursing staff turnover60%
Facility
Oklahoma
National
Oklahoma 56% · National 46%
Registered nurse turnover80%
Facility
Oklahoma
National
Oklahoma 54% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Oklahoma | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.3% | 4.7% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 8.5% | 4.7% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 21.8% | 17.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 10.0% | 2.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 5.7% | 13.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 9.7% | 3.3% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 16.7% | 25.7% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Monroe Manor Nursing, LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Rhine, Zvi Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | — | — |
| Aguirre, Ayo Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mease, Darrell Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Monroe Manor Nursing, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rhine, Zvi Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Tlc Eretz Management LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Aguirre, Ayo Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mease, Darrell Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rhine, Zvi Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Tlc Eretz Management LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Oklahoma.
No county cost figures on file for Delaware.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Grove Nursing Center Grove | 10.5 mi | 2026-06-04 | 0120 |
| Betty Ann Nursing Center Grove | 10.5 mi | 2025-09-03 | 0161 |
| Grand Lake Villa Grove | 10.6 mi | 2026-04-29 | 083 |
| Maple Healthcare And Rehab Fairland | 22.4 mi | 2025-01-02 | 070 |
| Quail Ridge Living Center, Inc Colcord | 21.3 mi | 2026-07-02 | 0140 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |