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Nursing HomeMedicaid

Monroe Health Services

Strong Medicare quality ratings; families often praise occasional instances of kind individual nursing staff. Still worth an in-person visit.

516 26th Ave, Monroe, WI 5356650 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
2.9/5

based on 9 Google reviews

5
4
3
2
1
Monroe Health Services Nursing Home in Monroe, WI — Street View
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What this means for your family

This facility has received multiple reports of serious lapses in patient safety and communication, including failure to notify families of falls and missed medication doses. We strongly advise families to look elsewhere or, if considering this facility, to conduct an unannounced visit and speak directly with current residents' families about their daily experience.

Google Reviews

Google Reviews

9 reviews on Google
Monroe Health Services faces significant criticism regarding patient safety, communication, and basic care standards. While some reviewers mention individual staff members being kind, multiple families and patients report serious lapses in medical oversight, including missed medication and failure to report patient falls.

Quality Themes

Tap a score for details
Food2.0Staff3.0Clean2.0ActivitiesN/AMeds1.0MemoryN/AComms1.0ValueN/A

Strengths

  • Occasional instances of kind individual nursing staff
  • Smooth initial hospital transfer process

Concerns

  • Poor communication with families regarding patient incidents and medical status (mentioned by 2 reviewers)
  • Neglect of basic patient needs such as hydration, vitals monitoring, and timely medication administration (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.02017(2)5.02018(2)2.22023(5)1.02024(2)

Distribution · 11 analyzed

5
4
4
0
3
0
2
2
1
5

How They Respond to Reviews

78%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1We noticed how responsive the management is to feedback, so how do you typically keep families updated on a resident's medical status or any changes in their condition?
  • 2What specific protocols are in place to ensure that medication administration and vital sign monitoring are handled consistently and on schedule?
  • 3Could you tell us more about the dining experience here, specifically regarding how much variety and nutrition is provided in the daily meals?
  • 4How does the team ensure that residents' basic daily needs, like hydration and personal care, are being met throughout every shift?
  • 5What kind of daily activities or social programs are available to keep the residents engaged and active within the community?
  • 6In the event of a medical emergency or a change in health status, what is the immediate process for notifying the family and coordinating care?

Personalized based on this facility's data


Key Review Excerpts

My Dad fell out of bed overnight and we were never given details about what happened. There were no precautions taken to prevent him from hurting himself when he fell nor did they share with us how long he had been laying on the floor.

Long-term resident's family · 2023☆☆☆☆

I never got a glass of water. No one checked my vitals. I was hours over due for my pain pills and another med. My call button didn't work.

Rehab patient · 2024☆☆☆☆

Staff was amazing, but rest was a nightmare. I literally froze every night. Temp was set at 60.

Rehab patient · 2023☆☆☆☆
Source: 9 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.87hrs
OK
Registered nurses for medical care
Total Nursing
3.49hrs
85%
All nurses + aides combined
Staff Turnover
46%
Lower is better (< 30% = good)
RN Turnover
40%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

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

Medicare Rating
2/ 5
Better Than Avg

5

measures

Worse Than Avg

9

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
WI
5.2%

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

🚶

Residents whose walking got worse

↓ Lower is better
This Facility25.0%
Worse than Avg
Here
25.0%
US
15.3%
WI
19.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility24.4%
Worse than Avg
Here
24.4%
US
19.5%
WI
16.8%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility9.6%
Worse than Avg
Here
9.6%
US
4.9%
WI
5.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility18.0%
Worse than Avg
Here
18.0%
US
14.4%
WI
16.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility21.4%
Mixed vs Avgs
Here
21.4%
US
19.4%
WI
25.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility57.1%
Worse than Avg
Here
57.1%
US
79.8%
WI
82.2%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility69.5%
Worse than Avg
Here
69.5%
US
81.8%
WI
86.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.4%
Worse than Avg
Here
3.4%
US
1.6%
WI
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
Well below state avg (9.8)
18 complaint-triggered

Monroe Health Services has concerning patterns with families filing multiple complaints about resident rights violations, care quality issues, and medication management problems. The facility repeatedly struggles with properly notifying families about resident health changes, wound care, and medication safety, with these issues persisting across surveys despite corrections. While all deficiencies show correction dates, the high volume of family-initiated complaints suggests ongoing care concerns that warrant careful consideration.

Dec 3, 2025Complaint
4
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.

0560Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Protect a residents' right to refuse some types of non-requested transfers within the nursing home.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Dec 3, 2025Routine
5
0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0223Potential for harm · PatternCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0912Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have power receptacles that are properly grounded.

Jan 17, 2025Complaint
1
0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Nov 25, 2024Complaint
1
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Aug 8, 2024Complaint
8
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

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.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

Aug 8, 2024Routine
5
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0331Potential for harm · PatternCorrected

Smoke Deficiencies

Construct fire resistant interior walls.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0521Potential for harm · PatternCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0761Potential for harm · PatternCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Monroe Health Services

Organization Type

for profit

Chain Affiliation

Chain Name

North Shore Healthcare

Chain Size

59 facilities nationwide

Chain avg rating: 2.8/5 · Rank 18 of 58

Ownership & Management

Owners

Nshf Operations LLC

Owner · Organization

100%

Mills, David

Owner (parent company)

20%

Key personnel

Cibc Bank USA5% or Greater Security InterestBaumann, TroyOfficer / DirectorHoehn, JeffreyOfficer / DirectorCibc Bank USAManagerCliftonlarsonallen LlpManager
Source: Medicare provider data

Contact

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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