Monroe Health and Rehabilitation Center
465 Isbill Rd · Madisonville, TN · 37354 · 4234423990
85 certified beds Non profit - Corporation Chain: Champion Care
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.16 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.62 | 0.55–0.75 |
| Weekend hours / resident-day | 2.66 | ≈ weekday level |
| Nursing turnover / year | 38% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (19 in the current record)
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Potential for harm · D February 26, 2026 · found via complaint
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.
Corrected March 27, 2026 · Resident Rights
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Potential for harm · D February 26, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · D June 10, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 16, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 7, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 19, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F March 21, 2023
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.
Corrected April 12, 2023 · Nursing and Physician Services
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Potential for harm · D March 21, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected April 12, 2023 · Pharmacy Service
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Potential for harm · F March 21, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 12, 2023 · Nutrition and Dietary
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No harm found · B March 21, 2023
Post nurse staffing information every day.
Corrected April 12, 2023 · Nursing and Physician Services
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Potential for harm · F October 30, 2019
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.
Corrected November 28, 2019 · Nursing and Physician Services
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Actual harm · G October 24, 2018
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 16, 2018 · Quality of Life and Care
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Potential for harm · E October 24, 2018
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected November 13, 2018 · Resident Rights
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Potential for harm · D October 24, 2018
Assess the resident when there is a significant change in condition
Corrected November 9, 2018 · Resident Assessment and Care Planning
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Potential for harm · D October 24, 2018
Ensure each resident receives an accurate assessment.
Corrected November 13, 2018 · Resident Assessment and Care Planning
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Potential for harm · D October 24, 2018
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected November 16, 2018 · Resident Assessment and Care Planning
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Potential for harm · D October 24, 2018
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 16, 2018 · Resident Assessment and Care Planning
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Potential for harm · D October 24, 2018
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 9, 2018 · Resident Assessment and Care Planning
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Potential for harm · D October 24, 2018
Plan the resident's discharge to meet the resident's goals and needs.
Corrected November 12, 2018 · Resident Assessment and Care Planning
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Potential for harm · D October 24, 2018
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected November 16, 2018 · Administration
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Potential for harm · D October 24, 2018
Provide and implement an infection prevention and control program.
Corrected November 16, 2018 · Infection Control
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445457 · certified since July 1, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.