Monroe Health and Rehabilitation Center
Nursing Home, Hospice Care, Memory Care, Palliative Care & Respite Care · Madisonville, TN
CMS overall rating Info 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.

Monroe Health and Rehabilitation Center

Nursing Home, Hospice Care, Memory Care, Palliative Care & Respite Care · Madisonville, TN
CMS overall rating Info 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.
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Monroe Health and Rehabilitation Center accepts Medicare, Medicaid, and private pay.

Overview of Monroe Health and Rehabilitation Center

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.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
Health Inspection Info 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.
Staffing Info 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.
Quality Measures Info 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.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to state averages

Total nursing care / resident Info 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.
2h 51m per day
Rank #169 / 192Nurse hours — State benchmarkedThis home is ranked 169th out of 192 homes in Tennessee. Shows adjusted nurse hours per resident per day benchmarked to the Tennessee average, with a ranking across 192 Tennessee facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg

4 of 6 metrics below state avg

Standout metric Weekend RN is +6% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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 Info 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 Info 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 Info 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 Info 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 Info 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

Capacity and availability

Avg. Length of Stay
109 days
Bed community size
81-bed community Rank #204 / 426Bed count — State benchmarkedThis home is ranked 204th out of 426 homes in Tennessee. Shows this facility's certified or reported bed count compared to other Tennessee facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
33 years in operation Rank #67 / 385Years in operation — State benchmarkedThis home is ranked 67th out of 385 homes in Tennessee. Shows how long this facility has been in operation compared to other Tennessee facilities. Longer operating histories may benefit residents, families, and staff.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 56 / 100 Rank #86 / 553Walk Score — State benchmarkedThis home is ranked 86th out of 553 homes in Tennessee. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Tennessee facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

About this community

Occupancy

Occupancy rate
79%
Rank #143 / 319Occupancy rate — State benchmarkedThis home is ranked 143rd out of 319 homes in Tennessee. Shows this facility's occupancy rate versus the Tennessee average, with its Statewide rank out of 319. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Tennessee average: 71.6%
Occupied beds
64 / 81
Average occupied beds in Tennessee homes 82 beds

License Details

Facility TypeNursing Home
StatusLicensed
IssuanceJuly 1, 1992
License Number00000186
CMS Certification Number445457

Ownership & Operating Entity

Monroe Health and Rehabilitation Center is administered by Jason Werden.

Owner NameMonroe Health And Rehabilitation Center

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Amenities & Lifestyle

Cable Television
Wireless Internet
Courtyard
Community Garden
Family Visitation Room
Three Delicious And Nutritious Meals Daily
Housekeeping And Laundry Service
A Barber/Beauty Salon
Scheduled Transportation
Short-Term Respite Stays
Spiritual Services
Specific ProgramsOutpatient Therapy

Contact Monroe Health and Rehabilitation Center

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.

Since 2020 · 6 years of data

Health Inspection History

Inspections since 2018
Total health inspections 6

State average N/A


Last Health inspection on Jun 2024

Total health citations
19 Rank #133 / 196Health citations — State benchmarkedThis home is ranked 133rd out of 196 homes in Tennessee. Shows this facility's total health deficiency citations benchmarked to the Tennessee State average, with a ranking across all 196 TN facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
3.17 Rank #58 / 196Citations per inspection — State benchmarkedThis home is ranked 58th out of 196 homes in Tennessee. Shows average deficiency citations per CMS inspection for this facility versus the Tennessee mean across 196 facilities with citation data. Lower is better.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


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 8 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
1
In line with State average

State average: N/A

0 critical citations State average: N/A

1 serious citation State average: N/A

17 moderate citations State average: N/A

1 minor citation State average: N/A
Citations history (last 8 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

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 85
Employees 83
Contractors 2
Staff to resident ratio 1.52 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 28
Average shift 8.1 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 20,983

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 13 RN Staff are full-time employees. No contractors work on this role. 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 12 LPN Staff are full-time employees. No contractors work on this role. 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 28 CNA Staff are full-time employees. No contractors work on this role. 28
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.1 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

1%

212 contractor hours this quarter

Occupational Therapy Aide: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant280289,04992100%9.1
Registered Nurse130132,66892100%9.1
Licensed Practical Nurse120122,20592100%7.7
RN Director of Nursing6061,2416571%7.7
Medication Aide/Technician5051,2229199%9.9
Speech Language Pathologist2027237986%5.5
Administrator1015126470%8
Nurse Practitioner1015126470%8
Mental Health Service Worker1015016267%8.1
Other Dietary Services Staff3034926571%6.5
Dietitian1014766065%7.9
Physical Therapy Assistant2024036672%6.1
Physical Therapy Aide1013886368%6.2
Clinical Nurse Specialist4041762022%8
Respiratory Therapy Technician2021464043%3.6
Occupational Therapy Aide0111162426%4.8
Medical Director011961213%8
Qualified Social Worker101582628%2.2
28 Certified Nursing Assistant
% of Days 100%
13 Registered Nurse
% of Days 100%
12 Licensed Practical Nurse
% of Days 100%
6 RN Director of Nursing
% of Days 71%
5 Medication Aide/Technician
% of Days 99%
2 Speech Language Pathologist
% of Days 86%
1 Administrator
% of Days 70%
1 Nurse Practitioner
% of Days 70%
1 Mental Health Service Worker
% of Days 67%
3 Other Dietary Services Staff
% of Days 71%
1 Dietitian
% of Days 65%
2 Physical Therapy Assistant
% of Days 72%
1 Physical Therapy Aide
% of Days 68%
4 Clinical Nurse Specialist
% of Days 22%
2 Respiratory Therapy Technician
% of Days 43%
1 Occupational Therapy Aide
% of Days 26%
1 Medical Director
% of Days 13%
1 Qualified Social Worker
% of Days 28%

Penalties and fines

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.

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 Info 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 average

State average: 10.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 29.5
51% worse than State average

State average: 19.5

Long-stay resident measures
Significantly above average State avg: 3.7 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 22.5%
40% worse than State average

State average: 16.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 43.9%
102% worse than State average

State average: 21.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 22.1%
7% worse than State average

State average: 20.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 6.2%
69% worse than State average

State average: 3.7%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.7%
50% better than State average

State average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than State average

State average: 2.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.7%
42% better than State average

State average: 6.3%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.3%
89% better than State average

State average: 11.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 2.9%
83% better than State average

State average: 16.5%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
11% better than State average

State average: 89.9%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.2%
In line with State average

State average: 94.5%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.08
32% better than State average

State average: 1.58

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.38
12% better than State average

State average: 1.57

Short-stay resident measures
Below average State avg: 3.4 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 92.0%
15% better than State average

State average: 79.7%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 1.7%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 87.8%
10% better than State average

State average: 79.8%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 23.7%
7% worse than State average

State average: 22.2%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 17.3%
54% worse than State average

State average: 11.2%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 1.6%
106% worse than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 38.3%
29% worse than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 49.5%
In line with State average

State average: 50.6%

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 56
Medicare
7
12.5% of residents
Medicaid
26
46.4% of residents
Private pay or other
23
41.1% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 03/2024.

Nonprofit
Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.4M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.3M
Nonprofit Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$5.4M Rank #30 / 196Revenue — State benchmarkedThis home is ranked 30th out of 196 homes in Tennessee. Shows this facility's annual revenue compared to the Tennessee average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.3M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$14.6M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #183 / 196Payroll — State benchmarkedThis home is ranked 183rd out of 196 homes in Tennessee. 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.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.7M 49.6% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #196 / 196Payroll % — State benchmarkedThis home is ranked 196th out of 196 homes in Tennessee. Shows payroll as a percentage of revenue versus the Tennessee average. Well-run Tennessee facilities typically land around 50–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Tennessee that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$1.5M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$4.2M

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (70% of admissions), and a typical private pay stay runs around 2 - 3 months.

Admissions
186 total

Coverage residents most often arrive under.

Medicare 29%
Private pay 70%
Medicaid 1%
Discharges
161 total

Coverage residents most often leave under.

Medicare 27%
Private pay 71%
Medicaid 2%

Places of interest near Monroe Health and Rehabilitation Center

Address 0.0 miles from city center Info Estimated distance in miles from Madisonville's city center to Monroe Health and Rehabilitation Center's address, calculated via Google Maps.

Calculate Travel Distance to Monroe Health and Rehabilitation Center

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Address

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The information below is reported by the Tennessee Department of Health, Division of Health Care Facilities.

Monroe Health and Rehabilitation Center
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Frequently Asked Questions about Monroe Health and Rehabilitation Center

What neighborhood is Monroe Health and Rehabilitation Center in?

Monroe Health and Rehabilitation Center is in the East Tennessee neighborhood of Madisonville.

Is Monroe Health and Rehabilitation Center in a walkable area?

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.

What is the license number of Monroe Health and Rehabilitation Center?

According to TN state health department records, Monroe Health and Rehabilitation Center's license number is 00000186.

What is the occupancy rate at Monroe Health and Rehabilitation Center?

Monroe Health and Rehabilitation Center's occupancy is 79%.

Does Monroe Health and Rehabilitation Center operate as a for-profit or non-profit?

Monroe Health and Rehabilitation Center is registered as a non-profit in TN.

Who is the administrator of Monroe Health and Rehabilitation Center?

Jason Werden is the administrator of Monroe Health and Rehabilitation Center.

How many beds does Monroe Health and Rehabilitation Center have?

Monroe Health and Rehabilitation Center has 81 beds.

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