Home / Tennessee / Madisonville
Monroe Health and Rehabilitation Center
465 Isbill Rd, Madisonville, TN 37354 · Monroe County · (423) 442-3990
85 certified beds, about 62 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2002
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 445457 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 26, 2026, inspectors cited 10 health deficiencies (the Tennessee average is 4.4, the national average 9.2).
None of its 16 health citations since October 2019 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.07 hours per resident per day, against 3.80 across Tennessee and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.
43.5% of nursing staff left within the year CMS measured (Tennessee average 48.9%).
CMS links it to Champion Care, an affiliated group of 22 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
110/19
403/23
106/24
1002/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 16 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
0E
4F
Potential for minimal harm
0A
1B
0C
February 26, 2026Standard inspection, Complaint inspection · 10 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on facility policy review, observations, and interviews, the facility failed to clean and store kitchen equipment in 1 of 1 kitchen and failed to maintain 1 of 1 walk in freezers in a sanitary condition which had the potential to affect 65 of 65 residents residing in the facility.
- D 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.
Inspectors wroteBased on facility policy review, observations, and interviews, the facility failed to maintain a clean and sanitary environment for 5 resident rooms (room [ROOM NUMBER], #114, #116, #117 and #118) of 8 rooms observed on 1 of 2 hallways for a clean and sanitary environment.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on facility policy review, medical record review, and interviews, the facility failed to report an allegation of verbal abuse to the State Designated Authority (State Agency) for 1 resident (Resident #37) of 6 residents reviewed for abuse.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on facility policy review, medical record review, and interviews, the facility failed to ensure an allegation of verbal abuse was investigated for 1 resident (Resident #37) of 6 residents reviewed for abuse.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on facility policy review, Lippincott Nursing Center website review, medical record review, observation, pharmacy documentation review, and interviews, the facility failed to ensure basic standards for the rights of medication administration were followed for 1 resident (Resident #25) of 3 residents reviewed for medication administration.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews the facility failed to ensure an order was obtained for oxygen (O2) administration, failed to ensure O2 warning signs were placed on the resident's door, and failed to ensure tubing was changed timely for 1 resident (Resident #61), failed to ensure oxygen tubing (nasal cannula) was stored appropriately for 2 residents (Residents #61 and #41), and failed to administer O2 at the prescribed physician rate for 1 resident (Resident #5) of 6 residents reviewed for O2 administration.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on facility policy review, medical record review, observations, and interviews, the facility failed to ensure care needs related to dialysis were consistent with professional standards of practice and the comprehensive person-centered care plan for 1 resident (Resident #5) of 2 residents reviewed for dialysis.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on facility policy review, medical record review, observation, and interviews, the facility failed to ensure the pharmacy provided an accurate physician prescribed medication for 1 resident (Resident #25) of 3 residents observed for medication administration.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on facility policy review, medical record review, and interviews, the facility failed to accurately assess the dental status and assist in providing alternate funding sources or delivery systems to meet the dental needs of 1 resident (Resident #43) of 3 residents reviewed for dental services.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on facility policy, medical record review, and interviews, the facility failed to maintain an accurate and complete medical record for 3 residents (Resident's #77, #5, and #6) of 24 sampled residents.
June 10, 2024Complaint inspection · 1 citation
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on facility policy review, medical record review, facility investigation documentation review, and interview, the facility failed to prevent abuse for 3 residents, (Residents #3, #4, and #5) of 7 residents reviewed for abuse or neglect. The facility failures resulted when the facility failed to protect Residents #3, #4, and #5 from abuse by Resident #2, who was involved in 3 separate altercations between 1/16/2024 and 1/20/2024 in which he slapped Resident #4 on 1/16/2024, slapped Resident #3 on 1/19/2024, and grabbed Resident #5's arm on 1/20/2024. The Findings Include: [...]
March 21, 2023Standard inspection · 4 citations
- F 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.
Inspectors wroteBased on review of the facility's assessment, facility's nursing staff schedules, daily nursing staff posting sheets, time clock punches, and interviews, the facility failed to provide the services of a Registered Nurse (RN) for the minimum requirement of 8 consecutive hours a day for 30 days (during the 4th quarter 10/1/2022-12/31/2022) of 92 days reviewed.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on facility policy reviews, observations, and interviews, the facility failed to maintain a safe and sanitary kitchen for 1 of 1 reach in cooler, in 1 of 1 walk-in freezers, in 1 of 1 milk cooler, and failed to ensure a beard covering was used for 1 of 4 employees working in the kitchen affecting 56 of 56 residents in the facility.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on facility policy review, medical record review, and interview, the facility failed to act upon the consulting Pharmacist's recommendations for 2 residents (Residents #2 and #6) of 5 residents reviewed for unnecessary medications.
- B Post nurse staffing information every day.
Inspectors wroteBased on facility policy review, observation, and interview, the facility failed to post daily staffing for 1 day of 3 days reviewed.
October 30, 2019Standard inspection · 1 citation
- F 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.
Inspectors wroteBased on review of the facility's nursing staff schedules and interview, the facility failed to ensure a Registered Nurse (RN) worked 7 days a week for at least 8 hours a day for 14 days of 122 days reviewed.
Fire safety inspections
14 fire safety citations on file: 8 on February 26, 2026, 3 on March 21, 2023, 3 on October 30, 2019.
Every fire safety citation14 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Develop and maintain an Emergency Preparedness Program (EP).
- D Provide properly protected cooking facilities.
- D Have properly installed electrical wiring and gas equipment.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Meet requirements for the installation and maintenance of electrical systems.
- D Ensure proper usage of power strips and extension cords.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- D Provide properly protected cooking facilities.
- E Inspect, test, and maintain automatic sprinkler systems.
- D Provide properly protected cooking facilities.
- D Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Tennessee | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.07 | 3.80 | 3.86 |
| Registered nurses | 0.63 | 0.60 | 0.69 |
| All nursing staff on weekends | 2.57 | 3.31 | 3.42 |
| Nurse aides | 1.82 | ||
| Licensed practical nurses | 0.61 | ||
| Nursing staff turnover (share who left in a year) | 43.5% | 48.9% | 45.8% |
| Registered nurse turnover | 50.0% | 43.2% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.19 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.27 on weekdays and 2.57 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.08 in April to June 2025 to 3.07 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.07 | 0.63 | 3.27 | 2.57 | 0.0% | 0 of 90 | 62 |
| Oct to Dec 2025 | 3.16 | 0.62 | 3.36 | 2.66 | 0.0% | 0 of 92 | 59 |
| Jul to Sep 2025 | 3.15 | 0.60 | 3.35 | 2.67 | 0.0% | 0 of 92 | 62 |
| Apr to Jun 2025 | 3.08 | 0.49 | 3.27 | 2.60 | 0.0% | 0 of 91 | 60 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Tennessee, Jan to Mar 2026 | 3.75 | 0.56 | 3.95 | 3.27 | 4.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Tennessee
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Tennessee, all employers | |||
| CNAs (nursing assistants) | $18.27 | $17.09 to $19.66 | 27,040 |
| LPNs and LVNs | $28.31 | $23.64 to $30.12 | 20,830 |
| Registered nurses | $39.18 | $36.28 to $45.79 | 72,200 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Tennessee | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 6.6 | 14.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.6 | 1.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.9 | 3.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.4 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.8 | 17.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.0 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.4 | 16.9 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 14.0 | 22.6 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.5 | 11.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.6 | 1.8 |
Owners and operators
Legal business name: MONROE HEALTH AND REHABILITATION CENTER LLC. CMS links this home to Champion Care, a group of 22 nursing homes averaging 2.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Monroe Operations Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 04/01/2024 |
| Alicia F Mackie Estate | 5% or greater indirect ownership interest | Organization | 10% | 04/01/2024 |
| Fink, Ephraim | 5% or greater indirect ownership interest | Individual | 8% | 04/01/2024 |
| Ruvel, Menachem | Corporate officer | Individual | 04/01/2024 | |
| Weinberg, Yisroel | Corporate officer | Individual | 04/01/2024 | |
| Champion Care LLC | Operational/managerial control | Organization | 04/01/2024 | |
| Ruvel, Menachem | Operational/managerial control | Individual | 04/01/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on February 26, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on February 26, 2026: "Provide safe and appropriate respiratory care for a resident when needed."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 3 problems in this area, most recently on 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."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on February 26, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.57 hours per resident per day, below the Tennessee average of 3.31.
Other nursing homes nearby
- Waters of Sweetwater a Rehabilitation & Nursing Sweetwater, 8.1 mi · 2 of 5 stars · 19 citations
- Wood Village Sweetwater, 8.3 mi · 4 of 5 stars · 4 citations
- Starr Regional Health & Rehabilitation Etowah, 12.6 mi · 5 of 5 stars · 11 citations
- Life Care Center of Athens Athens, 13.1 mi · 2 of 5 stars · 16 citations
- NHC Healthcare, Athens Athens, 13.8 mi · 5 of 5 stars · 8 citations
- Etowah Health and Rehabilitation Etowah, 15 mi · 1 of 5 stars · 16 citations
- River Grove Health and Rehabilitation Loudon, 15.5 mi · 2 of 5 stars · 23 citations
- Decatur Wellness and Rehabilitation Center Decatur, 23.5 mi · 3 of 5 stars · 9 citations
Tennessee contacts for a concern about a nursing home
These are the official offices in Tennessee. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Tennessee Health Facilities Commission, Division of Licensure and Regulation, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Tennessee Long-Term Care Ombudsman, Department of Disability and Aging, 877-236-0013. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Monroe Health and Rehabilitation Center's Medicare star rating?
- CMS rates Monroe Health and Rehabilitation Center 3 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Monroe Health and Rehabilitation Center get at its last inspection?
- 10 health deficiencies at the standard inspection on February 26, 2026. The Tennessee average is 4.4.
- Has Monroe Health and Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Monroe Health and Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Monroe Health and Rehabilitation Center?
- CMS lists 7 owners and managers, and links the home to Champion Care. Legal business name: MONROE HEALTH AND REHABILITATION CENTER LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.