Monroe Manor Health & Rehabilitation Center

Name: Monroe Manor Health & Rehabilitation Center
Address: 236 WEST CLAIBORNE STREET, Monroeville, AL, 36460, US
Telephone: 2515752648

236 West Claiborne Street, Monroeville, AL 36460 · Monroe County · 84 certified beds · avg 68 residents/day · certified since Jan 7, 1988

Part of chain: BALL HEALTHCARE SERVICES (9 facilities, chain avg rating 2.4★)

1/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.49

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

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
Apr 13, 2026	F · Potential for harm, facility-wide	The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Apr 13, 2026	E · Potential for harm, repeated	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
Apr 13, 2026	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Apr 13, 2026	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Apr 13, 2026	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Apr 13, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Apr 13, 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.
Apr 13, 2026	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Apr 13, 2026	D · Potential for harm, one-off	The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life.
Apr 13, 2026	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Apr 13, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 13, 2026	D · Potential for harm, one-off	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Dec 5, 2019	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Nov 1, 2018	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Nov 1, 2018	E · Potential for harm, repeated	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.
Nov 1, 2018	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (1 → 12).

Year	Citations	Worst severity that year
2018	3	E
2019	1	D
2026	12	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	Alabama avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.49	4.43	3.95	top 48% in Alabama; top 23% in the U.S.
Registered Nurse hours	0.82	0.74	0.69	top 30% in Alabama; top 26% in the U.S.
Weekend total nurse staffing	3.81	3.73	3.50	top 40% in Alabama; top 29% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.37	0.36	0.48	top 42% in Alabama; bottom 46% in the U.S.
Total nursing staff turnover (%)	19.0	46.9	45.8	top 1% in Alabama; top 2% in the U.S.
RN turnover (%)	21.4	39.5	42.9	top 17% in Alabama; top 16% 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 3.95, RN 0.72, weekend 3.36. Staffing rating: 4/5.

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: 3/5 · long-stay residents: 2/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Ball, Clarence	Individual	5% or Greater Direct Ownership Interest	100%	07/01/2003
Ball Healthcare - Monroe, INC.	Organization	ADP of the SNF	NOT APPLICABLE	04/09/2025
Ball Healthcare Service, INC	Organization	Operational/Managerial Control	NOT APPLICABLE	07/01/2003
Ball Healthcare Service, INC	Organization	ADP of the SNF	NOT APPLICABLE	07/07/2025
Ball, Clarence	Individual	Corporate Director	NOT APPLICABLE	07/01/2003
Broughton, Thomas	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2024
Broughton, Thomas	Individual	ADP of the SNF	NOT APPLICABLE	08/01/2024
Greenwood, Kayla	Individual	Operational/Managerial Control	NOT APPLICABLE	02/27/2024
Greenwood, Kayla	Individual	ADP of the SNF	NOT APPLICABLE	02/27/2024
Hall, Matthew	Individual	Corporate Officer	NOT APPLICABLE	09/16/2014
Hall, Matthew	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2014
Perrigin, Zed	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2016
Perrigin, Zed	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2016

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 were the findings behind this administration citation, and what has leadership changed since?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you coordinate and monitor care for residents who receive dialysis?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"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
Englewood Health Care Center	2.1 mi	Monroeville, AL	★★★★★	4/5

Compare this facility with the 1 closest →

All facilities in Monroeville →

Facility data as of CMS processing date 2026-08-01. CCN 015398.

The Care File

Visit checklist — Monroe Manor Health & Rehabilitation Center

236 West Claiborne Street, Monroeville, AL 36460 · 2515752648

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $0

Questions for the administrator:

☐ "What were the findings behind this administration citation, and what has leadership changed since?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "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 015398 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)