Monroe Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 85 Google reviews
Watch Monroe Rehabilitation Center
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (2/5 stars)
- Above-median deficiencies (13 vs median 4.0)
- High staff turnover (52%)
Below average in NC · Below recommended RN staffing · Worst in SOVEREIGN HEALTHCARE HOLDINGS chain · $76,381 in fines · Abuse citation
What this means for your family
While the therapy department is frequently praised for helping patients regain independence, the facility suffers from recurring reports of neglect and slow response times. Families should be extremely cautious and are advised to visit frequently at different times of day to ensure their loved one's basic needs are being met.
Google Reviews
Google Reviews
85 reviews on Google“Monroe Rehabilitation Center receives highly polarized feedback, with many families praising the therapy team and specific staff members for their dedication, while others report severe neglect and safety concerns. Critical issues consistently raised include slow response times to call bells, poor hygiene, and inadequate staffing, particularly during evening and weekend shifts. Families considering this facility should be aware of these significant inconsistencies in care quality.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy team
- Some exceptionally dedicated and compassionate individual staff members
- Helpful and professional admissions process
- Active engagement in resident activities and events
Concerns
- Slow or non-existent response to call bells and assistance requests (mentioned by 7 reviewers)
- Poor hygiene, sanitation, and presence of pests (mentioned by 5 reviewers)
- Inadequate staffing levels, especially on evening and night shifts (mentioned by 5 reviewers)
- Poor communication with family members and difficulty reaching staff by phone (mentioned by 4 reviewers)
- Low-quality or cold food service (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 88 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1Given the active engagement in your activities program, what are some of the most popular events residents are participating in this month?
- 2I noticed your therapy team is highly regarded; how do you coordinate their sessions with the nursing staff to ensure residents are well-supported throughout the day?
- 3We understand that timely assistance is critical; what is your current process for monitoring and responding to call bells, especially during the evening and night shifts?
- 4Could you walk us through your current protocols for maintaining room cleanliness and sanitation, and how often are these areas inspected?
- 5We value clear communication; what is the best way for family members to stay updated on their loved one’s care, and who is our primary point of contact for medical updates?
- 6How do you gather feedback on the dining experience, and what steps are you taking to ensure meals are served at the appropriate temperature and meet residents' preferences?
Personalized based on this facility's data
Key Review Excerpts
“My father rarely got his meds on time. A nurse was watching Grey’s Anatomy while preparing meds for patients. My father was showing signs of UTI and a test was never done.”
“The nurses and CNA's are attentive and care for their patients. There is no facility that will be perfect and take care of a family member”
“The staff are amazing. Therapy has been a struggle But then I started to motivate myself and now im able to transfer from my bed to my wheelchair with little help.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
10
measures
5
measures
2
measures
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Monroe Rehabilitation Center shows concerning patterns with families filing 9 complaints triggering federal deficiencies, including serious issues with resident protection from abuse and neglect that recurred twice in 2025. The facility has persistent problems with fire safety systems, resident rights violations, and building maintenance across multiple surveys. While the facility reports corrections for most deficiencies, the repeat complaints and ongoing safety concerns warrant careful consideration during any visit.
Mar 19, 2026Routine1
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Sep 30, 2025Complaint3
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.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Apr 17, 2025Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 8, 2025Complaint8
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.
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.
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.
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.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Jan 8, 2025Routine15
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
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.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Resident Rights Deficiencies
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Resident Rights Deficiencies
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
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Jun 8, 2023Routine19
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
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.
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.
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.
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.
Resident Rights Deficiencies
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
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
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
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.
Federal Penalties
Fine
Sep 30, 2025
$28,243
Fine
Apr 17, 2025
$16,985
Fine
Jan 22, 2025
$4,246
Payment Denial
Jan 22, 2025
7-day denial
Fine
Jan 8, 2025
$11,700
Ownership & Operations
Who Operates This Facility
Monroe Rehabilitation Center
for profit
Chain Affiliation
Sovereign Healthcare Holdings
43 facilities nationwide
Chain avg rating: 3.5/5 · Rank 33 of 43 (Worst)
Ownership & Management
Owners
Sovereign Carolina Holdings LLC
Owner · Organization
Cronquist 2015 Family Tr
Owner (parent company) · Organization
John J Notermann Business Tr
Owner (parent company) · Organization
Mangine, John
Owner (parent company)
Notermann, Brenda
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
85 reviews from families & visitors
Official Website
Visit monroerehabilitation.com
Medicare data downloads
Original nursing home datasets
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.
Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
Brookdale Union Park
< 1 miAssisted Living · Monroe, NC
Brookdale Monroe Square 2
< 1 miAssisted Living · Monroe, NC
Brookdale Monroe Square 1
< 1 miAssisted Living · Monroe, NC
Jesse Helms Nursing Center
< 1 miNursing Home · Monroe, NC
Accordius Health at Monroe
1.9 miNursing Home · Monroe, NC
Avendelle Assisted Living at Wingate
4.3 miAdult Family Home · Wingate, NC