North Carolina › Union County › Monroe
Monroe Rehabilitation Center
1212 Sunset Drive East, Monroe, NC 28112
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 147 beds, Monroe Rehabilitation Center serves Monroe in Union County, North Carolina and has taken Medicare and Medicaid residents since 1986.
CMS gives it 2 of 5 stars overall, below the North Carolina median of 3; the health inspection rating is 2, staffing 3 and quality measures 3.
Inspectors recorded 21 health deficiencies across the three most recent survey cycles (4, 10, 7 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 14.3 per 100 beds, about the same as the state median of 15.6.
CMS lists 5 penalties in the period covered: fines totalling $61K and 1 payment denial.
Reported nurse staffing is 3.6 hours per resident per day (0.5 RN), close to the North Carolina median of 3.5; nursing staff turnover is 52.9%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Union Co. median | North Carolina median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 21 | 20 | 16 | 28.7 |
| Citations per 100 beds | 14.3 | 14.3 | 15.6 | 26.8 |
| Total nurse hours per resident day | 3.6 | 4.0 | 3.5 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.5 | 0.7 |
| Nursing staff turnover | 52.9% | 47.2% | 48.6% | 45.8% |
| Fines listed | $61,174 | $34,624 | $8,512 | — |
County and state figures are medians across facilities (7 in the county, 419 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: North Carolina average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Mar 2026, 8 Jan 2025.
Severity mix: J ×1 G ×2 D ×8 E ×6 B ×3 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 19 Mar 2026 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard survey | 7 Apr 2026 |
| 30 Sep 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 1 Oct 2025 |
| 30 Sep 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint investigation | 1 Oct 2025 |
| 30 Sep 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 8 Sep 2025 |
| 17 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 10 Apr 2025 |
| 8 Jan 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 2 Nov 2024 |
| 8 Jan 2025 | 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. | E | Complaint investigation | 10 Feb 2025 |
| 8 Jan 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 10 Feb 2025 |
| 8 Jan 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 10 Feb 2025 |
| 8 Jan 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 10 Feb 2025 |
| 8 Jan 2025 | F0693 | 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. | D | Standard survey | 10 Feb 2025 |
| 8 Jan 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Complaint investigation | 10 Feb 2025 |
| 8 Jan 2025 | F0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | C | Standard survey | 10 Feb 2025 |
| 8 Jan 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 10 Feb 2025 |
| 8 Jun 2023 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 6 Jul 2023 |
| 8 Jun 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 6 Jul 2023 |
| 8 Jun 2023 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 6 Jul 2023 |
| 8 Jun 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 6 Jul 2023 |
| 8 Jun 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 6 Jul 2023 |
| 8 Jun 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard survey | 6 Jul 2023 |
| 8 Jun 2023 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | B | Standard survey | 6 Jul 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 30 Sep 2025 | Fine | $28,243 | |
| 17 Apr 2025 | Fine | $16,985 | |
| 22 Jan 2025 | Payment denial | — | 7 days |
| 22 Jan 2025 | Fine | $4,246 | |
| 8 Jan 2025 | Fine | $11,700 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff 52.9%, RNs 68.8%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.2% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.4% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.7% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.7% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.0% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.6% | 13.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Monroe Rehabilitation Center Llc. Chain: Sovereign Healthcare Holdings (43 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Sovereign Carolina Holdings LLC | Direct ownership interest | NOT APPLICABLE | 03/06/2014 |
| John J Notermann Business Tr | Indirect ownership interest | NOT APPLICABLE | 11/12/2017 |
| Hsp Carolina, LLC | 5% or greater security interest | NOT APPLICABLE | 05/01/2014 |
| Southern Healthcare Management LLC | Operational/managerial control | NOT APPLICABLE | 05/01/2014 |
| Forvis Mazars LLP | Adp of the snf | NOT APPLICABLE | 01/01/2025 |
| Hsp Carolina, LLC | Adp of the snf | NOT APPLICABLE | 05/28/2025 |
| Sabra Health Care Reit Inc | Adp of the snf | NOT APPLICABLE | 05/01/2014 |
| Southern Healthcare Management LLC | Adp of the snf | NOT APPLICABLE | 05/28/2025 |
| Sovereign Carolina Disbursements, LLC | Adp of the snf | NOT APPLICABLE | 05/01/2014 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Union County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Jesse Helms Nursing Center | Monroe | 70 | 5 | 5 | 3 | 5 | 7.1 | — | 14 Aug 2025 |
| White Oak of Waxhaw | Waxhaw | 100 | 5 | 5 | 3 | 0 | 0.0 | — | — |
| Lake Park Nursing and Rehabilitation Center | Indian Trail | 120 | 4 | 3 | 5 | 22 | 18.3 | $35K | 22 Jan 2026 |
| Stratford Manor Health & Rehab | Monroe | 60 | 3 | 4 | 1 | 20 | 33.3 | — | 10 Apr 2025 |
| Autumn Care of Marshville | Marshville | 110 | 1 | 2 | 1 | 15 | 13.6 | $45K | 12 Feb 2026 |
| Pruitthealth-Union Pointe | Monroe | 90 | 1 | 1 | 4 | 33 | 36.7 | $198K | 25 Jun 2026 |
All 7 facilities in Union County
Questions and answers
How many deficiencies has Monroe Rehabilitation Center been cited for?
21 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The North Carolina median is 16 per facility.
Has Monroe Rehabilitation Center been fined?
Yes. CMS lists fines totalling $61K in the period covered, plus 1 payment denial.
How does staffing at Monroe Rehabilitation Center compare?
Reported total nurse staffing is 3.6 hours per resident per day against a North Carolina median of 3.5 and a national average of 3.9.
Who operates Monroe Rehabilitation Center?
It is part of the Sovereign Healthcare Holdings chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Sovereign Carolina Holdings LLC, John J Notermann Business Tr and Southern Healthcare Management LLC. Individual owners and managers are not listed on this site.
When was Monroe Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 19 Mar 2026; the most recent standard health survey was 19 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.