The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2018 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
MONROE HEALTH AND REHABILITATION CENTER
MADISONVILLE, TN · Medicare-certified · 85 beds
In good standing
Non-profitChain member
3 of 5 overall
3 of 5 stars overall. Health inspection and staffing are both 2 of 5 stars, quality measures are 5 of 5 stars, reported nurse staffing is 3.16 hours per resident per day versus the 4.1 federal benchmark, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.1622 hrs/resident/day
Quality measures
Last inspection: February 26, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1622.
Staffing detail
- Registered nurses
- 0.62
- Licensed practical nurses
- 0.64
- Nurse aides
- 1.90
- Weekend nursing
- 2.66
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 50%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
4%Improving
Residents with a fall causing major injury
5.6%Improving
Residents with pressure ulcers (bedsores)
1.4%Improving
Residents with a urinary tract infection
1.7%Worsening
Residents who lost too much weight
5.4%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
7.9%Improving
Residents whose ability to walk got worse
16.5%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
35.1%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
1%Improving
Residents with new or worsening incontinence
18.7%Improving
Residents with depressive symptoms
3%Worsening
Long-stay residents given the seasonal flu vaccine
96.2%Steady
Long-stay residents given the pneumonia vaccine
98.3%Worsening
Short-stay residents given the seasonal flu vaccine
87.8%Steady
Short-stay residents given the pneumonia vaccine
89.1%Worsening
What the inspectors found
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited March 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to notify residents about certain money balances and to return resident funds when someone was discharged, evicted, or died. Cited October 2018 — limited pattern, potential for harm.
View the original federal record
F-Tag 569 — 42 CFR §483.10 — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited February 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of CHAMPION CARE · 21 homes · 2.2 stars avg
- Occupancy
- 58.7 residents on an average day (69% of 85 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 23 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.