Total health inspections
6
State average N/A
Last Health inspection on Jun 2024
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Monroe Health and Rehabilitation Center
Assisted Living Home
Monroe Health and Rehabilitation Center
Assisted Living Home
Monroe Health and Rehabilitation Center is located in Madisonville, Tennessee. It offers skilled nursing services, short-term rehabilitation, long-term care services, and a variety of personalized care options. The center provides a comprehensive range of therapy and care programs for treating various post-acute challenges.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
81
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
78.5%
Residents per day (avg)
60
Occupancy rate
78.5%
Residents per day (avg)
60
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
29% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
70% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
1% of new residents, often for long-term daily care.
Typical stay
11 years
Finances and operations
Voluntary non-profit home
Other
Home revenue
$19.7M
Surplus of revenue
$15.9M
Voluntary non-profit home
Other
Home revenue
$19,655,872.00
Surplus of revenue
$15,852,077.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.8M
81-bed community
A larger shared setting that may offer more common spaces and organized community services.
33 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
License Status
LicensedFacility Type
Nursing Home
License Date
July 1, 1992
Additional licensing details
License number:
00000186
CMS Certification Number:
445457
Ownership & operating entity
Monroe Health and Rehabilitation Center is administrated by Jason Werden.
Owner name:
Monroe Health and Rehabilitation Center
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Skilled Nursing
Licensed Nurses/CNAs
Short-Term Rehab
All Levels of Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Skilled Nursing Care, Rehabilitation, Outpatient Therapy, Memory Care, Long-Term Care, Activities.
Dining & Nutrition
Food Description
Three delicious and nutritious meals daily.
Meals Included
Yes
Inspection History
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
Latest inspection
Date:October 30, 2019
1 enforcement action
Penalties or interventions imposed by state regulators when facilities do not comply with quality, safety or regulatory standards.
1
Compare Assisted Living around Usa
The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.
Monroe Health and Rehabilitation Center
+52%
-21%
+8%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
TN 37354
81
No
-
MONROE OPERATIONS HOLDINGS LLC
78.5%
$5,054,040.00
$2,454,615.00
48.6%
59.80
2.8509
19
1
+52%-21%+8%-
Job Haines Home
-21%
+63%
-41%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
HC
Home Care
HC
Hospice Care
SNF
Nursing Homes 24/7 care needed
Bloomfield
40
No
85
HAVERON, NOREEN
45.5%
$13,340,016.00
$10,214,151.00
76.6%
36.90
6.3081
4
-
-21%+63%-41%Studio / 1 Bed / Private / Semi-Private Rooms
Village Care Homes Assisted Living – Stephen F Austin
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Conroe
16
No
27
VILLAGE CHANGE LLC
-
-
-
-
-
-
-
-
-
-
Private / Semi-Private Suite
Countryside Manor Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Conroe
12
No
8
GOLDEN OAKS VILLAS, LLC
-
-
-
-
-
-
-
-
-
-
-
Anton’s Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Boerne
10
No
-
-
-
-
-
-
-
-
-
-
-
-
-
Monroe Health and Rehabilitation Center
Type of care:
SNF
AL
Community:
TN 37354
Bed Count:
81
Pets Allowed:
No
Operator:
MONROE OPERATIONS HOLDINGS LLC
CCN:
445457
Occupancy:
78.5%
Home Revenue:
$5,054,040.00
Payroll Costs:
$2,454,615.00
Payroll %:
48.6%
Avg Residents/Day:
59.80
Overall Rating:
Adj Nurse Hours:
2.8509
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
19
Severe Citations:
1
RN share vs State Avg:
+52%
+52%
Staffing vs State Avg:
-21%
-21%
Occupancy vs State Avg:
+8%
+8%
Job Haines Home
Type of care:
AL
HC
HC
SNF
Community:
Bloomfield
Bed Count:
40
Pets Allowed:
No
Operator:
HAVERON, NOREEN
CCN:
315392
Occupancy:
45.5%
Home Revenue:
$13,340,016.00
Payroll Costs:
$10,214,151.00
Payroll %:
76.6%
Avg Residents/Day:
36.90
Overall Rating:
Adj Nurse Hours:
6.3081
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
-21%
-21%
Staffing vs State Avg:
+63%
+63%
Occupancy vs State Avg:
-41%
-41%
Bed Options:
Studio / 1 Bed / Private / Semi-Private Rooms
Places of interest near Monroe Health and Rehabilitation Center
0.0 miles from city center
Madisonville, TN 37354
Calculate Travel Distance to Monroe Health and Rehabilitation Center
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
76
Total Staff
74
Employees
2
Contractors
20,803
Total Hours (Quarter)
28
Avg Staff/Day
8.2
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 10 | 8.2 | No |
| Licensed Practical Nurse | 11 | 8.3 | No |
| Certified Nursing Assistant | 23 | 9.2 | No |
Staff by Category
Administration ⓘ
2 staff
8hs shift avg
Nursing Staff ⓘ
52 staff
8.8hs shift avg
Physicians & Practitioners ⓘ
5 staff
7.9hs shift avg
Therapy Services ⓘ
12 staff
5.6hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
2.4hs shift avg
Dietary Services ⓘ
3 staff
7.7hs shift avg
Other Services ⓘ
1 staff
8.3hs shift avg
Contractor Analysis
1.1%
of total hours from contractors
235 contractor hours this quarter
Occupational Therapy Aide: 1
Medical Director: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 23 | 0 | 23 | 8,642 | 91 | 100% | 9.2 |
| Licensed Practical Nurse | 11 | 0 | 11 | 2,893 | 91 | 100% | 8.3 |
| Registered Nurse | 10 | 0 | 10 | 2,095 | 91 | 100% | 8.2 |
| RN Director of Nursing | 3 | 0 | 3 | 1,469 | 65 | 71% | 7.9 |
| Medication Aide/Technician | 5 | 0 | 5 | 1,132 | 88 | 97% | 10.8 |
| Speech Language Pathologist | 2 | 0 | 2 | 894 | 78 | 86% | 6.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 525 | 63 | 69% | 8.3 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Physical Therapy Assistant | 2 | 0 | 2 | 510 | 74 | 81% | 6.2 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Dietitian | 1 | 0 | 1 | 456 | 57 | 63% | 8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 332 | 46 | 51% | 7.2 |
| Physical Therapy Aide | 3 | 0 | 3 | 293 | 60 | 66% | 4.4 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 202 | 48 | 53% | 4.2 |
| Occupational Therapy Aide | 1 | 1 | 2 | 135 | 29 | 32% | 4.7 |
| Medical Director | 0 | 1 | 1 | 104 | 13 | 14% | 8 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 79 | 10 | 11% | 7.2 |
| Qualified Social Worker | 1 | 0 | 1 | 59 | 24 | 26% | 2.5 |
Health Inspection History
Inspections
Total health citations
19
Citations per inspection
3.17
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
15 of 19 citations resulted from standard inspections; and 4 of 19 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
In line with State averageState average: N/A
Serious Health citations
1
1
In line with State averageState average: N/A
0 critical citations
1 serious citation
17 moderate citations
1 minor citation
Citations history (last 3 years)
Abuse/Neglect moderate citation
Jun 10, 2024
Corrected
Abuse/Neglect moderate citation
Jun 07, 2023
Corrected
Nursing Services moderate citation
Mar 21, 2023
Corrected
Nursing Services minor citation
Mar 21, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: Non-Profit Corporation
Part of: Senior Living Support Svcs/Trousdale F
Resident Census by Payment Source
56
Total Residents
Medicare
7
(12.5%)
ⓘ
Medicaid
26
(46.4%)
ⓘ
Private Pay/Other
23
(41.1%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.8
51% worse than State averageState average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.5
51% worse than State averageState average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
22.5%
Percent of long-stay residents whose need for help with daily activities has increased
22.5%
40% worse than State averageState average: 16.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
43.9%
Percent of long-stay residents whose ability to move independently worsened
43.9%
102% worse than State averageState average: 21.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.1%
7% worse than State averageState average: 20.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.2%
Percent of long-stay residents experiencing one or more falls with major injury
6.2%
69% worse than State averageState average: 3.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.7%
Percent of long-stay high risk residents with pressure ulcers
2.7%
50% better than State averageState average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than State averageState average: 2.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.7%
Percent of long-stay residents who lose too much weight
3.7%
42% better than State averageState average: 6.3%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.3%
Percent of long-stay residents who have depressive symptoms
1.3%
89% better than State averageState average: 11.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
2.9%
Percent of long-stay residents who received an antipsychotic medication
2.9%
83% better than State averageState average: 16.5%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than State averageState average: 89.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.2%
In line with State averageState average: 94.5%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.0%
15% better than State averageState average: 79.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than State averageState average: 1.7%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.8%
10% better than State averageState average: 79.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Monroe Health and Rehabilitation Center based on CMS SNF Cost Reports.
Occupancy Rate
78.5%
↑ 15.6pp vs 2023
Net Income
$15,852,077
↑ ~$15.7M vs 2023
Total Payroll
$2,711,508
↓ ~$476K vs 2023
Profit Margin
313.7%
↑ 311.4pp vs 2023
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Guides for Better Senior Living
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