We arrange tours, appointments, and even moving support so you don’t have to
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Licensed since 1992, Monroe Health and Rehabilitation Center operates as a voluntary nonprofit skilled nursing and rehabilitation facility in Madisonville, Tennessee. The 81-bed community serves residents across Monroe County and provides short-term rehabilitation, long-term skilled nursing care, and respite care. Medicare, Medicaid, and private pay are all accepted.
Across six inspections over the past seven to eight years, the facility recorded 19 total citations, above the Tennessee average of 15.4 but at a per-inspection rate of 3.17, which is below the state mean of 4.39. Two of those citations involved abuse and neglect findings in June 2023 and June 2024, both of which were corrected. No federal fines or enforcement actions have been imposed in the past three years.
CMS rates the facility 3 stars overall, with a Health Inspection sub-rating slightly above the Tennessee average; Quality Measures trail the state by 46%, and nurse staffing averages 22% below the Tennessee benchmark at 2 hours and 51 minutes per resident per day.
The center accepts Medicare, Medicaid, and private pay. Therapy and rehabilitation services, including outpatient therapy, are offered on-site, alongside a courtyard, community garden, family visitation room, and spiritual services.
Admissions data show a predominantly private-pay and Medicare population with typical stays of one to three months, consistent with a post-acute orientation. Long-stay residents show notably low antipsychotic use (2.9% vs. a Tennessee average of 16.5%) and hospitalization rates 32% below the state benchmark. Short-stay outcomes are weaker, with emergency department visits and falls with major injury above state norms.
Monroe Health and Rehabilitation Center fits residents seeking short-term post-acute rehabilitation or respite care in a rural Monroe County setting. It also suits longer-term residents whose care needs align with a skilled nursing environment where clinical oversight and staffing depth are not primary selection criteria.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 150th out of 172 homes in Tennessee for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 37m per day | ■ Avg State avg: 37m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 38m per day | ▼ 41% State avg: 1h 5m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 54m per day | ▼ 12% State avg: 2h 9m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 40m per day | ▼ 21% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 68% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 26m per day | ▲ 6% State avg: 24m per day · National avg: 28m per day |
Higher than the Tennessee average: 71.6%Monroe Health and Rehabilitation Center is administrated by Jason Werden.
In Tennessee, the Department of Health, Division of Health Care Facilities performs unannounced inspections and investigations to ensure facilities provide high-quality resident care.
Tennessee average 3.5
Last Health inspection on Jun 2024
Tennessee average 15.4
Tennessee average 4.39
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.
100% better than Tennessee averageTennessee average: 1.1
67% worse than Tennessee averageTennessee average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
13% fewer staff per resident than Tennessee average
0% compared with Tennessee average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 13 RN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursAssists with medical care and medications.
All 12 LPN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursHelps with daily care and mobility.
All 28 CNA Staff are full-time employees. No contractors work on this role.
28
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
212 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 28 | 0 | 28 | 9,049 | 92 | 100% | 9.1 |
| Registered Nurse | 13 | 0 | 13 | 2,668 | 92 | 100% | 9.1 |
| Licensed Practical Nurse | 12 | 0 | 12 | 2,205 | 92 | 100% | 7.7 |
| RN Director of Nursing | 6 | 0 | 6 | 1,241 | 65 | 71% | 7.7 |
| Medication Aide/Technician | 5 | 0 | 5 | 1,222 | 91 | 99% | 9.9 |
| Speech Language Pathologist | 2 | 0 | 2 | 723 | 79 | 86% | 5.5 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 501 | 62 | 67% | 8.1 |
| Other Dietary Services Staff | 3 | 0 | 3 | 492 | 65 | 71% | 6.5 |
| Dietitian | 1 | 0 | 1 | 476 | 60 | 65% | 7.9 |
| Physical Therapy Assistant | 2 | 0 | 2 | 403 | 66 | 72% | 6.1 |
| Physical Therapy Aide | 1 | 0 | 1 | 388 | 63 | 68% | 6.2 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 176 | 20 | 22% | 8 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 146 | 40 | 43% | 3.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 116 | 24 | 26% | 4.8 |
| Medical Director | 0 | 1 | 1 | 96 | 12 | 13% | 8 |
| Qualified Social Worker | 1 | 0 | 1 | 58 | 26 | 28% | 2.2 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 Tennessee averageTennessee average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.5
51% worse than Tennessee averageTennessee average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
22.5%
40% worse than Tennessee averageTennessee average: 16.0%
Percent of long-stay residents whose ability to move independently worsened
43.9%
102% worse than Tennessee averageTennessee average: 21.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.1%
7% worse than Tennessee averageTennessee average: 20.7%
Percent of long-stay residents experiencing one or more falls with major injury
6.2%
69% worse than Tennessee averageTennessee average: 3.7%
Percent of long-stay high risk residents with pressure ulcers
2.7%
50% better than Tennessee averageTennessee average: 5.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Tennessee averageTennessee average: 2.1%
Percent of long-stay residents who lose too much weight
3.7%
42% better than Tennessee averageTennessee average: 6.3%
Percent of long-stay residents who have depressive symptoms
1.3%
89% better than Tennessee averageTennessee average: 11.0%
Percent of long-stay residents who received an antipsychotic medication
2.9%
83% better than Tennessee averageTennessee average: 16.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
11% better than Tennessee averageTennessee average: 89.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.2%
In line with Tennessee averageTennessee average: 94.5%
Number of hospitalizations per 1,000 long-stay resident days.
1.08
32% better than Tennessee averageTennessee average: 1.58
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.38
12% better than Tennessee averageTennessee average: 1.57
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.0%
15% better than Tennessee averageTennessee average: 79.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Tennessee averageTennessee average: 1.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
87.8%
10% better than Tennessee averageTennessee average: 79.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.7%
7% worse than Tennessee averageTennessee average: 22.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
17.3%
54% worse than Tennessee averageTennessee average: 11.2%
Percentage of SNF residents who experience falls with major injury during their stay.
1.6%
106% worse than Tennessee averageTennessee average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
38.3%
29% worse than Tennessee averageTennessee average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
49.5%
In line with Tennessee averageTennessee average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
29% of new residents, usually for short-term rehab.
70% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
56Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Monroe Health and Rehabilitation Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #164 / 176Payroll — State benchmarkedThis home is ranked 164th out of 176 homes in Tennessee for payroll. Shows total annual staff payroll benchmarked to the Tennessee average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
0.0 miles from city center
Estimated distance in miles from Madisonville's city center to Monroe Health and Rehabilitation Center's address, calculated via Google Maps.
Add your location
Monroe Health and Rehabilitation Center is located in Madisonville, Tennessee.
Here are the financial assistance programs available to residents in Tennessee.
Monroe Health and Rehabilitation Center is in the East Tennessee neighborhood of Madisonville.
Monroe Health and Rehabilitation Center has a walk score of 56. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to TN state health department records, Monroe Health and Rehabilitation Center's license number is 00000186.
Monroe Health and Rehabilitation Center's occupancy is 79%.
Jason Werden is the administrator of Monroe Health and Rehabilitation Center.
Monroe Health and Rehabilitation Center has 81 beds.
Yes — there are 2 photos of Monroe Health and Rehabilitation Center in the photo gallery on this page.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
