nursing home in Madisonville, TN
Monroe Health and Rehabilitation Center
465 Isbill Rd, Madisonville, TN 37354 · (423) 442-3990
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Monroe Health and Rehabilitation Center at a glance
Monroe Health and Rehabilitation Center is a 85-bed for-profit nursing home in Madisonville, Tennessee (Monroe County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Tennessee average of 3.
Residents receive about 3.1 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (February 26, 2026) found 10 health citations. The Tennessee average is 4.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 43.5% per year (state average 48.9%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 85
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Champion Care
- Medicare-certified since
- July 1, 2002
- Resident/family council
- Resident
- County
- Monroe County
- CMS Certification Number
- 445457
Ratings
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 3 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.5 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.6 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.6 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.4 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.07 hrs | 3.80 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.63 hrs | 0.60 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.82 hrs | 2.12 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.57 hrs | 3.31 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 43.5% | 48.9% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 50% | 43.2% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 10 | 4 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 49 | 47.9 | 80.6 | Better |
Penalties
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $22,907 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 85 | 114 | 107 | |
| Average residents per day | 62 | 84 | 86 | |
| Occupancy | 73.4% | 74.8% | 80.9% |
Long-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.9% | 3.4% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2% | 5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 4.4% | 16.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.6% | 1.8% | 1.6% | Average |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.5% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 6.6% | 14% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 9.8% | 17.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 5.7% | 6.1% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 2.9% | 13.8% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 33.3% | 31.7% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 16.2% | 20% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 96.2% | 94.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97.3% | 89.4% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Tennessee avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.4% | 1.7% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 87.8% | 79.8% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 87.1% | 79.3% | 82% | Better |
Inspection citations
State inspectors cited this home for 16 health deficiencies and 14 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 26, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected March 5, 2026 |
| February 26, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected March 13, 2026 |
| February 26, 2026 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | D Potential harm, isolated | Corrected March 13, 2026 |
| February 26, 2026 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected March 12, 2026 |
| February 26, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected February 25, 2026 |
| February 26, 2026 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected March 18, 2026 |
| February 26, 2026 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | D Potential harm, isolated | Corrected March 27, 2026 |
| February 26, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected March 27, 2026 |
| February 26, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected March 27, 2026 |
| February 26, 2026 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected March 27, 2026 |
| February 26, 2026 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected March 27, 2026 |
| February 26, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected March 27, 2026 |
| February 26, 2026 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected March 27, 2026 |
| February 26, 2026 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected March 27, 2026 |
| February 26, 2026 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected March 27, 2026 |
| February 26, 2026 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected March 27, 2026 |
| February 26, 2026 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected March 27, 2026 |
| February 26, 2026 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected March 27, 2026 |
| June 10, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected July 16, 2024 |
| March 21, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected April 12, 2023 |
| March 21, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected April 21, 2023 |
| March 21, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected April 21, 2023 |
| March 21, 2023 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected April 12, 2023 |
| March 21, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected April 12, 2023 |
| March 21, 2023 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected April 12, 2023 |
| March 21, 2023 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | B No harm, pattern | Corrected April 12, 2023 |
| October 30, 2019 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected November 28, 2019 |
| October 30, 2019 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected November 28, 2019 |
| October 30, 2019 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected November 28, 2019 |
| October 30, 2019 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected November 28, 2019 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| MONROE OPERATIONS HOLDINGS LLC Organization | 5% or greater direct ownership interest | 100% | 04/01/2024 |
| ALICIA F MACKIE ESTATE Organization | 5% or greater indirect ownership interest | 10% | 04/01/2024 |
| FINK, EPHRAIM Individual | 5% or greater indirect ownership interest | 8% | 04/01/2024 |
| RUVEL, MENACHEM Individual | corporate officer | NOT APPLICABLE | 04/01/2024 |
| WEINBERG, YISROEL Individual | corporate officer | NOT APPLICABLE | 04/01/2024 |
| CHAMPION CARE LLC Organization | operational/managerial control | NOT APPLICABLE | 04/01/2024 |
| RUVEL, MENACHEM Individual | operational/managerial control | NOT APPLICABLE | 04/01/2024 |
Other nursing homes near Monroe Health and Rehabilitation Center
Waters of Sweetwater A Rehabilitation & Nursing
978 Hwy 11 South, Sweetwater, TN 37874 · 8.1 mi
For-profit · 90 beds · Part of Infinity Healthcare Consulting
★★★★★2Below averageWood Village
520 Old Highway 68, Sweetwater, TN 37874 · 8.3 mi
Non-profit · 89 beds · Part of Twin Rivers Health & Rehabilitation
★★★★★4Above averageStarr Regional Health & Rehabilitation
886 Hwy 411 North, Etowah, TN 37331 · 12.6 mi
For-profit · 88 beds · Part of Lifepoint Health
- CMS high performer
★★★★★5Much above averageLife Care Center of Athens
1234 Frye Street PO Box 786, Athens, TN 37371 · 13.1 mi
For-profit · 128 beds · Part of Life Care Centers of America
- Abuse citation
★★★★★2Below averageNhc Healthcare, Athens
1204 Frye St, Athens, TN 37303 · 13.8 mi
For-profit · 86 beds · Part of National Healthcare Corporation
★★★★★5Much above averageEtowah Health and Rehabilitation
409 Grady Road PO Box 957, Etowah, TN 37331 · 15 mi
For-profit · 120 beds
★★★★★1Much below average
All nursing homes in Madisonville, TN · Compare side by side
Frequently asked questions
What is Monroe Health and Rehabilitation Center's rating?
Monroe Health and Rehabilitation Center has 3 out of 5 stars on the CMS overall star rating. The average for Tennessee nursing homes is 3 stars.
How many inspection citations did Monroe Health and Rehabilitation Center receive?
Its most recent standard health inspection found 10 citations, compared with a Tennessee average of 4.4. Every citation is listed on this page with its severity.
Does Monroe Health and Rehabilitation Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Monroe Health and Rehabilitation Center?
It is for profit - limited liability company and part of Champion Care. The ownership section on this page lists the owners and managers reported to CMS.
Where is Monroe Health and Rehabilitation Center and how do I contact it?
Monroe Health and Rehabilitation Center is at 465 Isbill Rd, Madisonville, TN 37354. Phone: (423) 442-3990.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.