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Nursing HomeMedicaid

Monroe Health and Rehabilitation Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

465 Isbill Rd, Madisonville, TN 3735485 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 60 Google reviews

5
4
3
2
1
Monroe Health and Rehabilitation Center Nursing Home in Madisonville, TN — Street View
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What this means for your family

While many families appreciate the dedicated staff and active social calendar, the facility has faced serious recent allegations regarding resident safety and basic care standards. If you are considering this facility, we strongly recommend asking for a tour of the memory care unit and requesting a detailed explanation of their protocols for call light response times and medication management.

Google Reviews

Google Reviews

60 reviews on Google
Monroe Health and Rehabilitation Center receives highly polarized feedback, with many reviewers praising the staff's kindness and dedication while others report critical failures in safety, cleanliness, and food quality. Families should be aware of significant concerns regarding response times for call lights, medication administration delays, and serious safety incidents involving resident supervision. While many residents and family members report a warm, home-like environment, the recurring complaints about facility maintenance and basic care standards warrant careful investigation.

Quality Themes

Tap a score for details
Food2.0Staff8.0Clean5.0Activities9.0Meds3.0Memory1.0Comms7.0ValueN/A

Strengths

  • Warm, attentive nursing and therapy staff
  • Engaging activities and community outings
  • Personalized, compassionate care
  • Small-facility environment

Concerns

  • Poor food quality, cold meals, and failure to accommodate dietary restrictions (mentioned by 6 reviewers)
  • Slow response times to call lights (mentioned by 2 reviewers)
  • Delays in medication administration (mentioned by 2 reviewers)
  • Facility cleanliness and odors (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2345.0'17(2)5.05.0'19(1)5.04.3'23(11)4.84.6'25(41)5.0'26(4)

Distribution · 67 analyzed

5
59
4
2
3
1
2
0
1
5

How They Respond to Reviews

77%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed the facility has a very active social calendar; could you walk me through what a typical week of activities and community outings looks like for residents?
  • 2We understand that nutrition is a vital part of health; how do you manage dietary restrictions and ensure that meals are served at the proper temperature?
  • 3With a smaller capacity of 85 residents, how do you ensure that staff are able to respond promptly when a resident needs assistance via their call light?
  • 4Could you explain the process for medication administration and how you ensure accuracy and timeliness for residents who require strict schedules?
  • 5I see that you actively engage with feedback online; how does that resident and family input help you improve the day-to-day environment and cleanliness of the facility?
  • 6Given the current staffing ratings, what specific steps are you taking to ensure that every resident receives consistent, personalized attention throughout the day and night?

Personalized based on this facility's data


Key Review Excerpts

This place allowed a memory care patient to enter my mom’s room at night & attack her . My mom just had a massive surgery days prior and was there to heal .

Family member of resident · 2025☆☆☆☆

The call lights go unanswered for well over 20 minutes, the food is disgusting, undercooked and cold, night meds aren’t given until after 11 p.m. the smell will knock you over when you walk in the front door

Family member of resident · 2025☆☆☆☆

The staff is loving and caring. Always willing to help. The kitchen staff always provide my dad with alternate food as he is pickey. I love the activities, warm days outside, movies and popcorn!

Family member of resident · 2025★★★★★
Source: 60 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.62hrs
83%
Registered nurses for medical care
Total Nursing
3.16hrs
77%
All nurses + aides combined
Staff Turnover
38%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

12

measures

Worse Than Avg

3

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility35.1%
Worse than Avg
Here
35.1%
US
19.5%
TN
31.9%
Monroe
15.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility4.0%
Better than Avg
Here
4.0%
US
15.5%
TN
16.9%
Monroe
15.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.3%
Better than Avg
Here
98.3%
US
93.4%
TN
89.5%
Monroe
86.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.0%
Better than Avg
Here
3.0%
US
12.1%
TN
12.9%
Monroe
9.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.9%
Better than Avg
Here
7.9%
US
14.4%
TN
14.6%
Monroe
16.5%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility1.4%
Better than Avg
Here
1.4%
US
4.9%
TN
5.2%
Monroe
6.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility89.1%
Better than Avg
Here
89.1%
US
81.8%
TN
79.4%
Monroe
73.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility87.8%
Better than Avg
Here
87.8%
US
79.8%
TN
79.8%
Monroe
73.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TN
1.6%
Monroe
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
Above state avg (5.9)
4 complaint-triggered

Monroe Health and Rehabilitation Center has concerning patterns including two complaint-triggered investigations for resident abuse protection failures in consecutive years (2023-2024), indicating families have filed reports about safety concerns. The facility shows recurring issues with nursing staffing requirements, fire safety systems, and care planning that have persisted across multiple surveys from 2018-2023, though all violations have reportedly been corrected.

Feb 26, 2026Complaint
2
0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Jun 10, 2024Complaint
1
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Jun 7, 2023Complaint
1
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Mar 21, 2023Routine
7
0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

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.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0732Minimal · PatternCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Oct 30, 2019Routine
4
0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

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.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Oct 24, 2018Routine
13
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0569Potential for harm · PatternCorrected

Resident Rights Deficiencies

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0660Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Plan the resident's discharge to meet the resident's goals and needs.

0770Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0374Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0006Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct risk assessment and an All-Hazards approach.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Monroe Health and Rehabilitation Center

Organization Type

nonprofit

Chain Affiliation

Chain Name

Champion Care

Chain Size

21 facilities nationwide

Chain avg rating: 2.1/5 · Rank 4 of 20

Ownership & Management

Owners

Monroe Operations Holdings LLC

Owner · Organization

100%

Fink, Ephraim

Owner (parent company)

8%

Ruvel, Menachem

Owner (parent company)

33%

Weinberg, Yisroel

Owner (parent company)

33%

Key personnel

Werden, JasonW-2 Managing EmployeeRuvel, MenachemOfficer / DirectorWeinberg, YisroelOfficer / DirectorChampion Care LLCManagerRuvel, MenachemManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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