Monroe Rehabilitation Center
1212 Sunset Drive East, Monroe, NC 28112 · Union County · 147 certified beds · avg 114 residents/day · certified since Dec 30, 1986
Abuse citation flag (CMS)
Part of chain: SOVEREIGN HEALTHCARE HOLDINGS (43 facilities, chain avg rating 3.7★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Apr 17, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Apr 10, 2025 (Past Non-Compliance)
▲ Actual harm, one-off · Sep 30, 2025 · F-0600 · triggered by a complaint
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.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 1, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jan 8, 2025 · F-0600 · triggered by a complaint
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.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Nov 2, 2024 (Past Non-Compliance)
All citations in the current public record (21)
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 |
|---|---|---|
| Mar 19, 2026 | D · Potential for harm, one-off | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Sep 30, 2025 | ▲ G · Actual 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 |
| Sep 30, 2025 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint |
| Sep 30, 2025 | 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. · from a complaint |
| Apr 17, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 8, 2025 | ▲ G · Actual 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 |
| Jan 8, 2025 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Jan 8, 2025 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jan 8, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Jan 8, 2025 | 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. |
| Jan 8, 2025 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Jan 8, 2025 | D · Potential for harm, one-off | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint |
| Jan 8, 2025 | C · Minimal risk, facility-wide | The facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency. |
| Jan 8, 2025 | B · Minimal risk, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Jun 8, 2023 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Jun 8, 2023 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jun 8, 2023 | E · Potential for harm, repeated | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Jun 8, 2023 | 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. |
| Jun 8, 2023 | 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. |
| Jun 8, 2023 | B · Minimal risk, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Jun 8, 2023 | B · Minimal risk, repeated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (9 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 0 | E |
| 2025 | 13 | 3 | J ▲ |
| 2026 | 1 | 0 | D |
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)
4 fines totaling $61,174, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Sep 30, 2025 | Fine | $28,243 |
| Apr 17, 2025 | Fine | $16,985 |
| Jan 22, 2025 | Fine | $4,246 |
| Jan 22, 2025 | Payment Denial | 7 days from Apr 22, 2025 |
| Jan 8, 2025 | Fine | $11,700 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.99 | 4.01 | 3.95 | top 31% in North Carolina; top 40% in the U.S. |
| Registered Nurse hours | 0.57 | 0.64 | 0.69 | top 43% in North Carolina; bottom 48% in the U.S. |
| Weekend total nurse staffing | 3.45 | 3.56 | 3.50 | top 37% in North Carolina; top 45% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.53 | 0.41 | 0.48 | top 21% in North Carolina; top 30% in the U.S. |
| Total nursing staff turnover (%) | 52.9 | 49.0 | 45.8 | bottom 40% in North Carolina; bottom 30% in the U.S. |
| RN turnover (%) | 68.8 | 45.7 | 42.9 | bottom 16% in North Carolina; bottom 12% 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 3.59, RN 0.51, weekend 3.10. Staffing rating: 3/5.
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: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cronquist 2015 Family Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/31/2015 |
| John J Notermann Business Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/12/2017 |
| Mangine, John | Individual | Indirect Ownership Interest | NOT APPLICABLE | 05/01/2014 |
| Sovereign Carolina Holdings LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 03/06/2014 |
| Chery, Dawn | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/08/2017 |
| Chery, Dawn | Individual | ADP of the SNF | NOT APPLICABLE | 06/08/2017 |
| Cronquist, Royce | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2018 |
| Cronquist, Royce | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2018 |
| Forvis Mazars LLP | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Ghannam, Waseem | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Ghannam, Waseem | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| HSP Carolina, LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 05/01/2014 |
| HSP Carolina, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/28/2025 |
| Kaar, Susan | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2014 |
| Kaar, Susan | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2014 |
| Karstetter, Bryce | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/17/2024 |
| Karstetter, Bryce | Individual | ADP of the SNF | NOT APPLICABLE | 06/17/2024 |
| Kelly, Michelle | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2018 |
| Kelly, Michelle | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2018 |
| Mangine, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2014 |
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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Does your facility have an active resident council, and how does management respond to its concerns?"
- "How is pest control handled here, and when was the last treatment or inspection?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "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 |
|---|---|---|---|---|---|
| Jesse Helms Nursing Center | 0.6 mi | Monroe, NC | ★★★★★ | 5/5 | |
| Stratford Manor Health & Rehab | 2.0 mi | Monroe, NC | ★★★☆☆ | 4/5 | |
| Pruitthealth-Union Pointe | 4.2 mi | Monroe, NC | ★☆☆☆☆ | 1/5 | |
| Autumn Care of Marshville | 9.1 mi | Marshville, NC | ★☆☆☆☆ | 2/5 | |
| Lake Park Nursing and Rehabilitation Center | 9.5 mi | Indian Trail, NC | ★★★★☆ | 3/5 | |
| White Oak of Waxhaw | 12.0 mi | Waxhaw, NC | ★★★★★ | 5/5 | |
| Royal Park Rehabilitation & Health Center | 13.6 mi | Matthews, NC | ★★☆☆☆ | 2/5 | |
| Willowbrooke Court SC Ctr at Matthews Glen | 13.6 mi | Matthews, NC | ★★★★★ | 4/5 | |
| Matthews Health & Rehab Center | 15.1 mi | Matthews, NC | ★★☆☆☆ | 2/5 | |
| Pavilion Health Center at Brightmore | 17.7 mi | Charlotte, NC | ★★☆☆☆ | 2/5 | |
| Clear Creek Nursing & Rehabilitation Center | 17.9 mi | Mint Hill, NC | ★★☆☆☆ | 2/5 | |
| Brookdale Carriage Club Providence | 18.4 mi | Charlotte, NC | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 345254.