Nursing home
Accordius Health at Monroe
204 Old Highway 74 East, Monroe, NC 28112 · Map
For profit - Limited Liability company · Part of Simcha Hyman & Naftali Zanziper (94 facilities) · 60 certified beds
Accordius Health at Monroe is a Medicare-certified nursing home in Monroe, North Carolina. CMS rates it 4 out of 5 stars overall (2/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.26 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Apr 10, 2025 cited 4 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Accordius Health at Monroe compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.26 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.68 | 0.59 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.95 | 2.33 | 2.34 | below avg |
| Nursing staff turnover | 67.3% | 50.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 4.0 | 5.6 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Accordius Health at Monroe
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 10, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 10, 2025 · Full report (PDF) - Minimal
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies · Apr 10, 2025 · Full report (PDF) - Minimal
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Apr 10, 2025 · Full report (PDF) - Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Jan 31, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jan 31, 2025 · Full report (PDF) - Potential for harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · Nov 30, 2023 · Full report (PDF) - Potential for harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Nov 30, 2023 · Full report (PDF) - Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Nov 30, 2023 · Full report (PDF) - Actual harm
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Jun 17, 2022 - Actual harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Jun 17, 2022 - Actual harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Jun 17, 2022
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 204 Old Highway 74 East
Monroe, NC 28112 - CMS certification #
- 345345
- Ownership
- For profit - Limited Liability company
- Certified beds
- 60
- Avg residents/day
- 53.3
- Provider type
- Medicare and Medicaid
- First certified
- 1991-01-30
- Chain
- Simcha Hyman & Naftali Zanziper (94 facilities)
- Setting
- Urban
Part of Simcha Hyman & Naftali Zanziper
Simcha Hyman & Naftali Zanziper operates 94 nursing facilities across the United States. View all Simcha Hyman & Naftali Zanziper facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Accordius Health at Monroe using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Atrium Health Union, Monroe. 1.6 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Jesse Helms Nursing Center, Monroe. 1.6 miles away, straight line.
- Nearest home health agency office
- Atrium Health At Home Union, Monroe. 3.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Pharmacy. 2.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28112 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Union County Dialysis, Monroe, 1.0 mile away, straight line (CMS rating 4 of 5 stars)
Fmc - Metrolina Kidney Center Monroe, Monroe, 1.8 miles away, straight line (CMS rating 4 of 5 stars)
Davita Crooked Creek - Marshville, Indian Trail, 10.7 miles away, straight line (CMS rating 5 of 5 stars) - Hospice
- 12 Medicare hospices tell CMS they serve ZIP code 28112.
Atrium Health Hospice Union, office in Monroe, 2.3 miles away, straight line (CMS family survey rating 4 of 5 stars)
Hospice & Palliative Care Charlotte Region, office in Charlotte, 21.6 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Carolinas Physicians Network Inc, Monroe. 1.6 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively low, inland flooding relatively high, wildfire very low, tornado very high, heat wave relatively moderate, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Accordius Health at Monroe a good nursing home?
CMS gives Accordius Health at Monroe an overall rating of 4 out of 5 stars, including 2/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Accordius Health at Monroe staffed?
Accordius Health at Monroe reports 3.26 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Accordius Health at Monroe had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Accordius Health at Monroe have?
Accordius Health at Monroe is certified for 60 beds.