Monroe Health and Rehabilitation Center
Madisonville, Tennessee · CCN 445457
18 surveys since 2010, 13 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 80
- Surveys
- 18
- Harm or worse
- 13
- Immediate jeopardy
- 11
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 85
- Ownership
- For profit - Limited Liability company
- Chain
- CHAMPION CARE
- County
- Monroe · rural
- Medicare-certified since
- 2002
CMS ratings
- Overall
- 3
- Health inspection
- 2
- Staffing
- 2
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=19, floor 20).
Last survey on record
Feb 26, 2026
256 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.07 | 3.49 |
| Registered-nurse hours per resident day | 0.63 | — |
| Annual nurse turnover | 43.5% | 52.6% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1168.8% | E— | F425.0% |
| No harm, potential for minimal | A— | B16.3% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F7272×
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.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5841×
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.
- F6001×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6091×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
In the surveyor’s words
From the most serious findings on record at Monroe Health and Rehabilitation Center, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF812Feb 26, 2026
Based 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. The findings include: Review of the facility's policy titled, Sanitization, dated 12/2008, revealed .All equipment, food contact surfaces and utensils shall be washed to remove or completely loosen soils by using the manual or mechanical means . […]
- No harm, potential for more than minimal, widespreadF727Mar 21, 2023
Based 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. The findings included: Review of the Facility assessment dated [DATE] showed .staffing plan .Facility Resources needed to provide competent support and care for our resident population every day and during emergencies .Nursing Services DON [Director of Nursing], RN [Registered Nurse] . […]
- No harm, potential for more than minimal, widespreadF812Mar 21, 2023
Based 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. The findings include: The facility policy titled, Refrigerators and Freezers, dated 12/2008 showed .Monthly tracking sheets for all refrigerators .will be posted to record temperatures .will include .temperature .'action taken' .if temperatures are not acceptable .The supervisor will take immediate action if temperatures are out of range .All food shall be appropriately dated to ensure proper rotation by expiration dates .'Use by' dates will be completed… […]
- No harm, potential for more than minimal, widespreadF812Sep 1, 2021
Based on review of facility policies, observation, and interviews, the facility failed to wash hands before donning clean gloves in the kitchen, failed to maintain the dietary kitchen and food service equipment in a clean and sanitary manner, and failed to properly store food in a safe and sanitary manner, during 1 of 1 observations of the dietary department affecting 39 of 40 residents. The findings included: Review of the facility's policy titled Sanitation, last revised ,d+[DATE], showed .All kitchens, kitchen areas and dining areas shall be kept clean, free from litter and rubbish and protected from rodents, roaches, flies, and other insects .All utensils, counters, shelves and equipment shall be kept clean .all equipment, food contact surfaces and utensils shall be washed to remove or… […]
- No harm, potential for more than minimal, isolatedF584Feb 26, 2026
Based 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.The findings include:Review of the facility policy titled, Routine Bathroom Cleaning, dated 6/2025, revealed .provide a clean and sanitary environment for residents .clean entire toilet including handle and underside of flush rim. […]
Read 33 findings in full →The most serious and the most recent: 33 of 80 on record.
Every survey on record
FindingsAt actual harm or above
- Feb 26, 2026Standard and complaint10 findings
- Jun 10, 2024Complaint1 finding
- Jun 7, 2023Complaint1 finding
- Mar 21, 2023Standard4 findings
- Feb 15, 2023Complaint2 findings
- Sep 1, 2021Complaint1 finding
- Oct 30, 2019Standard1 finding
- May 20, 2019Complaint1 finding
Show the 10 earlier surveys
- Nov 27, 2018Complaint1 finding
- Oct 24, 2018Standard10 findings · 1 harm
- Aug 8, 2018Complaint1 finding
- Nov 10, 2015Standard and complaint3 findings
- Sep 10, 2014Standard2 findings
- May 1, 2014Complaint3 findings
- Aug 28, 2013—11 findings · 1 harm
- Jul 20, 2012—1 finding
- Feb 21, 2012Standard25 findings · 11 harm
- Nov 18, 2010—2 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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