Monroe Health and Rehabilitation Center

Name: Monroe Health and Rehabilitation Center
Address: 465 ISBILL RD, Madisonville, TN, 37354, US
Telephone: 4234423990

465 Isbill Rd, Madisonville, TN 37354 · Monroe County · 85 certified beds · avg 62 residents/day · certified since Jul 1, 2002

Part of chain: CHAMPION CARE (22 facilities, chain avg rating 2.2★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.81

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (16)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 26, 2026	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 26, 2026	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Feb 26, 2026	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Feb 26, 2026	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Feb 26, 2026	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Feb 26, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Feb 26, 2026	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Feb 26, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Feb 26, 2026	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Feb 26, 2026	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Jun 10, 2024	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Mar 21, 2023	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Mar 21, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 21, 2023	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Mar 21, 2023	B · Minimal risk, repeated	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Oct 30, 2019	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 10).

Year	Citations	Worst severity that year
2019	1	F
2023	4	F
2024	1	D
2026	10	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Tennessee avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.81	3.62	3.95	bottom 9% in Tennessee; bottom 8% in the U.S.
Registered Nurse hours	0.58	0.57	0.69	top 38% in Tennessee; bottom 49% in the U.S.
Weekend total nurse staffing	2.35	3.15	3.50	bottom 6% in Tennessee; bottom 6% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.43	0.39	0.48	top 32% in Tennessee; top 43% in the U.S.
Total nursing staff turnover (%)	43.5	48.9	45.8	top 35% in Tennessee; top 46% in the U.S.
RN turnover (%)	50.0	43.2	42.9	bottom 37% in Tennessee; bottom 39% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.07, RN 0.63, weekend 2.57. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
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
Monroe Operations Holdings LLC	Organization	5% or Greater Direct Ownership Interest	100%	04/01/2024
Champion Care LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	04/01/2024
Ruvel, Menachem	Individual	Corporate Officer	NOT APPLICABLE	04/01/2024
Ruvel, Menachem	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2024
Weinberg, Yisroel	Individual	Corporate Officer	NOT APPLICABLE	04/01/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"How do you coordinate and monitor care for residents who receive dialysis?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Waters of Sweetwater a Rehabilitation & Nursing	8.1 mi	Sweetwater, TN	★★☆☆☆	2/5
Wood Village	8.3 mi	Sweetwater, TN	★★★★★	5/5
Starr Regional Health & Rehabilitation	12.6 mi	Etowah, TN	★★★★★	4/5
Life Care Center of Athens	13.1 mi	Athens, TN	★★☆☆☆	1/5	abuse
NHC Healthcare, Athens	13.8 mi	Athens, TN	★★★★★	5/5
Etowah Health and Rehabilitation	15.0 mi	Etowah, TN	★☆☆☆☆	2/5
River Grove Health and Rehabilitation	15.5 mi	Loudon, TN	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Madisonville →

Facility data as of CMS processing date 2026-08-01. CCN 445457.

The Care File

Visit checklist — Monroe Health and Rehabilitation Center

465 Isbill Rd, Madisonville, TN 37354 · 4234423990

Health inspection rating 2/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 445457 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)