
Report
TheVardellReport
Monroe Manor
Skilled nursing facility and nursing facility
226 E Monroe Street
Jay, OK 74346

TheVardellReport
Skilled nursing facility and nursing facility
226 E Monroe Street
Jay, OK 74346
Life by Vardell Presents
The deeper story, beautifully organized. Available records, historical context, and questions worth asking.
This report is free. Vardell does not certify, grade or endorse; it shows what the record documents.
The Essentials
Across 9 inspections from April 2021 to June 2026, state surveyors documented 19 findings at Monroe Manor; 19 have a recorded correction; CMS lists 3 enforcement actions in the window.
* Partial year, through October 1, 2026.
| Year | Inspections | Findings | Of which, actual harm (level G or above) |
|---|---|---|---|
| 2021 | 1 | 1 | 0 |
| 2022 | 0 | 0 | 0 |
| 2023 | 1 | 2 | 0 |
| 2024 | 6 | 15 | 3 |
| 2025 | 0 | 0 | 0 |
| 2026 | 1 | 1 | 0 |
Chronology
Every inspection in the record window, newest first. A finding is a deficiency an inspector cited. CMS publishes what a complaint investigation cited, not what the complaint alleged.
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
3 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
5 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
3 findings
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
2 findings
Enforcement Action
Civil money penalty, $8,018 imposed January 23, 2024. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of July 14, 2023, the nearest before the penalty date.
Enforcement Action
Denial of payment imposed January 23, 2024. Status: Closed, February 23, 2024. CMS does not tie a penalty to a survey; listed with the standard health inspection of July 14, 2023, the nearest before the penalty date.
Enforcement Action
Civil money penalty, $23,755 imposed July 23, 2024. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of July 14, 2023, the nearest before the penalty date.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
1 finding
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Severity levels follow the CMS scope and severity grid. A–C: potential for minimal harm. D–F: no actual harm, potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy.
Context
A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.
Inspectors cited F684 in January 2024 and September 2024. This citation covers whether residents receive the treatment their orders, preferences and goals call for. The most serious of these was recorded at level G (actual harm). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F689 in July 2023 and January 2024. This citation covers whether residents are protected from accident hazards and supervised closely enough to prevent accidents, including falls. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
For Your Next Visit
Bring these to the tour. Each one comes from something in the record; the reason is under the question.
How do nurses make sure a doctor’s orders are carried out, and how are families told when something is missed?
Quality of Care: cited in two inspections, most seriously at level G.
What changed in fall prevention and supervision after the last citation, and how do you check that it is still working?
Accident Hazards and Supervision: cited in two inspections, most seriously at level E.
How many nurses and aides are on each shift, including nights and weekends, for the unit we are considering?
No staffing citation appears in this window. Staffing levels are published separately by CMS and are worth asking about directly.
What led to the 2024 fine, and has it been paid?
A $23,755 civil money penalty was imposed July 23, 2024. CMS publishes the fine, not whether it has been paid. The record holds three enforcement actions in the window.
The Evidence
Inspection results and penalties are published by the Centers for Medicare & Medicaid Services from surveys conducted by the Oklahoma state survey agency.
Oklahoma state survey agency
Inspection Apr 9, 2021 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Oklahoma state survey agency
Inspection Jul 14, 2023 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Oklahoma state survey agency
Inspection Jan 23, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Oklahoma state survey agency
Inspection Jan 30, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Oklahoma state survey agency
Inspection May 28, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Oklahoma state survey agency
Inspection Jul 23, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Oklahoma state survey agency
Inspection Aug 14, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Oklahoma state survey agency
Inspection Sep 23, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Oklahoma state survey agency
Inspection Jun 23, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Centers for Medicare & Medicaid Services
Published Oct 1, 2026 · Retrieved Nov 1, 2026
Centers for Medicare & Medicaid Services · 375415
Published Oct 1, 2026 · Retrieved Nov 1, 2026
Record windowApril 9, 2021 – October 1, 2026
Historical coverage varies by agency and location. Missing records do not mean that no complaint or violation occurred.
Data architecture: Cierto supplies the source-backed machine-readable bundle. Life by Vardell independently creates the narrative, design, and consumer report.