Monroe Health and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 465 Isbill Rd, Madisonville, TN 37354
- CCN
- 445457
- Ownership type
- For-profit, limited liability company
- Certified beds
- 85
- Chain
- Champion Care
- Residents per day
- 62
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Monroe Health and Rehabilitation Center an overall rating of 3 of 5 stars. The last standard survey was on 26 Feb 2026. The latest survey cycle has 10 health citations. The median for nursing homes in Tennessee is 4. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Monroe County median | Tennessee median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 3 homes in the county, 303 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Tennessee median |
|---|---|---|---|
| Cycle 1 (latest) | 26 Feb 2026 | 10 | 4 |
| Cycle 2 | 21 Mar 2023 | 4 | 4 |
| Cycle 3 | No date | 2 | 4 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | E0 | ||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 10 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Feb 2026 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint investigation | 27 Mar 2026 |
| 26 Feb 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 27 Mar 2026 |
| 26 Feb 2026 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 27 Mar 2026 |
| 26 Feb 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 27 Mar 2026 |
| 26 Feb 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 27 Mar 2026 |
| 26 Feb 2026 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 27 Mar 2026 |
| 26 Feb 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 27 Mar 2026 |
| 26 Feb 2026 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 27 Mar 2026 |
| 26 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 27 Mar 2026 |
| 26 Feb 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 27 Mar 2026 |
Survey cycle 2: 4 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 21 Mar 2023 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard survey | 12 Apr 2023 |
| 21 Mar 2023 | F0732 | Post nurse staffing information every day. | B | Standard survey | 12 Apr 2023 |
| 21 Mar 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 12 Apr 2023 |
| 21 Mar 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 12 Apr 2023 |
Survey cycle 3: 2 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 Jun 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 16 Jul 2024 |
| 30 Oct 2019 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard survey | 28 Nov 2019 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Tennessee median | Tennessee average (CMS) |
|---|---|---|---|
| All nurse staff | 3.07 | 3.60 | 3.80 |
| Registered nurses (RN) | 0.63 | 0.50 | 0.60 |
| Licensed practical nurses (LPN) | 0.61 | 1.09 | |
| Nurse aides | 1.82 | 2.12 | |
| All nurse staff, weekends | 2.57 | 3.20 | 3.31 |
- Nurse staff turnover in a year
- 43.5%
- Nurse staff turnover, Tennessee median
- 50.0%
- RN turnover in a year
- 50.0%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Tennessee median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.6% | 12.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.6% | 1.5% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.9% | 3.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.4% | 1.2% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 9.8% | 15.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.4% | 15.6% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Monroe Health and Rehabilitation Center LLC
- Chain
- Champion Care (22 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Monroe Operations Holdings LLC | 5% or greater direct ownership interest | 100% | 1 Apr 2024 |
| Champion Care LLC | Operational/managerial control | 1 Apr 2024 |
The site shows organisations only. It does not show the names of persons.
Other homes in Monroe County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Waters of Sweetwater A Rehabilitation & Nursing | Sweetwater | 2 of 5 | 5 | $0 | 6 Aug 2025 | |
| Wood Village | Sweetwater | 5 of 5 | 2 | $0 | 21 May 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Tennessee Health Facilities Commission: filing a complaintThe complaint page of the State Survey Agency for Tennessee, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Monroe Health and Rehabilitation Center (CCN 445457). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/monroe-health-and-rehabilitation-center-madisonville-tn-445457/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Monroe Health and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 26 Feb 2026. It was a standard survey and a complaint investigation. It gave 10 citations. The standard survey before the last one was on 21 Mar 2023.
- Who operates Monroe Health and Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Champion Care. The CMS ownership file names Champion Care LLC for operational or managerial control. This site does not show the names of persons.
- Is Monroe Health and Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in Tennessee as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.