Nursing home
Monroe Health and Rehabilitation Center
465 Isbill Rd, Madisonville, TN 37354 · Map
Non profit - Corporation · Part of Champion Care (21 facilities) · 85 certified beds
Monroe Health and Rehabilitation Center is a Medicare-certified nursing home in Madisonville, Tennessee. CMS rates it 3 out of 5 stars overall (2/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.15 hours per resident per day, below the Tennessee average of 3.85. Its most recent inspection on Mar 21, 2023 cited 4 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Monroe Health and Rehabilitation Center compares
This facility vs. the Tennessee and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Tennessee avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.15 | 3.85 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.60 | 0.61 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.85 | 2.15 | 2.34 | below avg |
| Nursing staff turnover | 44.9% | 48.7% | 46.4% | below avg |
| Deficiencies cited, last inspection | 4.0 | 5.9 | 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.
- Every deficiency from the February 26, 2026 inspection was corrected by March 27, 2026
What inspectors found at Monroe Health and Rehabilitation Center
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
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Feb 26, 2026 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Feb 26, 2026 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jun 10, 2024 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jun 7, 2023 - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 21, 2023
Show all 12 deficiencies
- Potential for harm
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.
Nursing and Physician Services Deficiencies · Mar 21, 2023 - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Mar 21, 2023 - Minimal
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Mar 21, 2023 - Potential for harm
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.
Nursing and Physician Services Deficiencies · Oct 30, 2019 - Actual 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 · Oct 24, 2018 - Potential for harm
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights Deficiencies · Oct 24, 2018 - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Oct 24, 2018
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
- 465 Isbill Rd
Madisonville, TN 37354 - CMS certification #
- 445457
- Ownership
- Non profit - Corporation
- Certified beds
- 85
- Avg residents/day
- 62.2
- Provider type
- Medicare and Medicaid
- First certified
- 2002-07-01
- Chain
- Champion Care (21 facilities)
- Setting
- Rural
Part of Champion Care
Champion Care operates 21 nursing facilities across the United States. View all Champion Care facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Monroe Health and Rehabilitation Center using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2025, 2 violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- May 14, 2025: complaint inspection, partial (health). Case closed Aug 10, 2026. 2 violations cited (2 other). Penalties: $300 proposed, $300 now. OSHA record. OSHA recorded the employer as Monroe Health and Rehabilitation Center LLC.
Details
- Other than serious: Cited rule TDLWD. Penalty $300 proposed, $300 now. To be fixed by Jul 23, 2025.
- Other than serious: Cited rule TDLWD. Penalty $0 proposed, $0 now. To be fixed by Jul 23, 2025.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Sweetwater Hospital Association, Sweetwater. 8.3 miles away, straight line. CMS overall hospital rating: 1 of 5 stars.
- Nearest Medicare nursing home
- Waters of Sweetwater A Rehabilitation & Nursing, Sweetwater. 8.1 miles away, straight line.
- Nearest home health agency office
- Sweetwater Hosp Home Health, Sweetwater. 8.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 37354 as rural (rural area).
- Dialysis within 15 miles
- Davita Rocky Top Dialysis, Sweetwater, 8.2 miles away, straight line (CMS rating 3 of 5 stars)
Fmc Skyway, Sweetwater, 8.5 miles away, straight line (CMS rating 3 of 5 stars)
Davita Etowah Dialysis, Etowah, 13.6 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 13 Medicare hospices tell CMS they serve ZIP code 37354.
- Nearest geriatric medicine practice
- Genesis Neuroscience Clinic LLC, Knoxville. 36.4 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 low. By hazard: hurricane relatively low, inland flooding relatively low, wildfire relatively low, tornado relatively moderate, heat wave very low, 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 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively 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 |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Monroe Health and Rehabilitation Center a good nursing home?
CMS gives Monroe Health and Rehabilitation Center an overall rating of 3 out of 5 stars, including 2/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Monroe Health and Rehabilitation Center staffed?
Monroe Health and Rehabilitation Center reports 3.15 total nurse hours per resident per day, compared with the Tennessee average of 3.85.
Has Monroe Health and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Monroe Health and Rehabilitation Center have?
Monroe Health and Rehabilitation Center is certified for 85 beds.