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Monroe Health and Rehabilitation Center

All states › Tennessee › Madisonville › Monroe Health and Rehabilitation Center

465 Isbill Rd Madisonville, TN 37354 · Monroe County

(423) 442-3990

Accepts Medicare Accepts Medicaid 85 certified beds For profit

CMS certification number 445457 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Monroe Health and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Monroe Health and Rehabilitation Center as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the Tennessee average of 3.1. Inspectors issued 16 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 4 out of 5; for long-term residents, 5 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Staffing

Nursing staff spend about 2.97 hours per resident per day at Monroe Health and Rehabilitation Center, below the Tennessee median of 3.66 (US median: 3.72). About 0.59 of those hours are from registered nurses. On weekends it falls to 2.45 hours, 17% below its all-week average. Ask how weekends are staffed. 38.8% of nursing staff left within a year (Tennessee median 48.7%).

Nursing care per resident per day 2.97 hours
Below the Tennessee median of 3.66 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.59 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.45 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 38.8% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 54.5% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds85
Residents per day 63 About 75% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceJuly 2002
Part of a chainChampion Care
Legal business nameMONROE HEALTH AND REHABILITATION CENTER LLC

Paying for care at Monroe Health and Rehabilitation Center: Medicare and Medicaid

Monroe Health and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Tennessee's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on February 26, 2026 and found 8 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 16 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: 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.

What the inspections found

Over the last three years, inspectors issued 16 citations at Monroe Health and Rehabilitation Center across 4 inspection dates, 3 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 15 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were freedom from abuse, neglect, and exploitation (3) and nursing and physician services (3). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, February 26, 2026). 3 citations were under CMS's abuse, neglect and exploitation rules.

February 26, 2026 · 10 citations · includes complaint inspection

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Mar 27, 2026)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Complaint inspection · Deficient, Provider has date of correction (Mar 27, 2026)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Deficient, Provider has date of correction (Mar 27, 2026)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Deficient, Provider has date of correction (Mar 27, 2026)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Mar 27, 2026)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Mar 27, 2026)

DProvide safe, appropriate dialysis care/services for a resident who requires such services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0698 · Deficient, Provider has date of correction (Mar 27, 2026)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Mar 27, 2026)

DProvide or obtain dental services for each resident.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0791 · Deficient, Provider has date of correction (Mar 27, 2026)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Mar 27, 2026)

June 10, 2024 · 1 citation · includes complaint inspection

DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Jul 16, 2024)

March 21, 2023 · 4 citations

FHave 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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Deficient, Provider has date of correction (Apr 12, 2023)

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Apr 12, 2023)

DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (Apr 12, 2023)

BPost nurse staffing information every day.

Potential for minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has date of correction (Apr 12, 2023)

October 30, 2019 · 1 citation

FHave 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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Deficient, Provider has date of correction (Nov 28, 2019)

Questions to ask on a tour of Monroe Health and Rehabilitation Center

  1. CMS cited the home under its abuse and neglect rules on February 26, 2026. How are staff trained, and how are concerns reported?
  2. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  3. Weekend staffing is 17% below the all-week average. Who is on duty on Saturday nights?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 2/5 2/5 5/5
August 2026 3/5 2/5 2/5 5/5
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Location

Hospitals near Monroe Health and Rehabilitation Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 8.4 mi
    Sweetwater Hospital Association Sweetwater
    Emergency room ★☆☆☆☆ Medicare overall 1 of 5
    Median ER visit 3h 2m for patients treated and sent home
  • 13.8 mi
    Athens Regional Medical Center Athens
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 28m for patients treated and sent home
  • 16.4 mi
    Fort Sanders Loudon Med Center Loudon
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 50m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Waters of Sweetwater a Rehabilitation & Nursing Sweetwater · 8.1 mi away ★★☆☆☆ Inspection 2/5 · Staffing 1/5 90 beds · Medicaid
Wood Village Sweetwater · 8.3 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 89 beds · Medicaid
Starr Regional Health & Rehabilitation Etowah · 12.6 mi away ★★★★★ Inspection 4/5 · Staffing 3/5 88 beds · Medicaid
Life Care Center of Athens Athens · 13.1 mi away ★★☆☆☆ Inspection 1/5 · Staffing 4/5 128 beds · Medicaid
NHC Healthcare, Athens Athens · 13.8 mi away ★★★★★ Inspection 5/5 · Staffing 3/5 86 beds · Medicaid

More nursing homes near Monroe Health and Rehabilitation Center ›   All nursing homes in Madisonville ›

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Other Champion Care nursing homes in Tennessee

Affiliation comes from CMS's affiliated-entity data, October 2026. All 23 Champion Care nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/tennessee/madisonville/monroe-health-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.