Monroe Health and Rehabilitation Center — nursing home in Madisonville, TN

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 85 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 63.4 CMS, MDS-derived
CMS Certification Number: 445457
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jul 1, 2002
Ownership type: For profit - Limited Liability company
Operator (legal business name): Monroe Health and Rehabilitation Center LLC
CMS chain: Champion Care 23 facilities
Phone: (423) 442-3990
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Feb 26, 2026

Citations

30

16 health · 14 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D20	E1	F8
Minimal	A·	B1	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 445457
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 85
First approved: Jul 1, 2002
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Tennessee.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Feb 26, 2026	Fire safety	Fire Safety Standard	8	Potential harm	—	Open →
Feb 26, 2026	Health	Health Complaint, Health Standard	10	Potential harm	—	Open →
Jun 10, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Mar 21, 2023	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Mar 21, 2023	Health	Health Standard	4	Potential harm	—	Open →
Oct 30, 2019	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Oct 30, 2019	Health	Health Standard	1	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D20	E1	F8
Minimal	A·	B1	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Feb 26, 2026	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Mar 27, 2026
Feb 26, 2026	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 27, 2026
Feb 26, 2026	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 5, 2026
Feb 26, 2026	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 25, 2026
Feb 26, 2026	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 18, 2026
Feb 26, 2026	K-0911	Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 13, 2026
Feb 26, 2026	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 13, 2026
Feb 26, 2026	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 12, 2026
Feb 26, 2026	F-0584	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 · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 27, 2026	Complaint
Feb 26, 2026	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 27, 2026
Feb 26, 2026	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 27, 2026
Feb 26, 2026	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 27, 2026
Feb 26, 2026	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 27, 2026
Feb 26, 2026	F-0698	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 27, 2026
Feb 26, 2026	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 27, 2026
Feb 26, 2026	F-0791	Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 27, 2026
Feb 26, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Mar 27, 2026
Feb 26, 2026	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 27, 2026	Complaint
Jun 10, 2024	F-0600	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 · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 16, 2024	Complaint
Mar 21, 2023	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 21, 2023
Mar 21, 2023	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 21, 2023
Mar 21, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 12, 2023
Mar 21, 2023	F-0727	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Apr 12, 2023
Mar 21, 2023	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 12, 2023
Mar 21, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Apr 12, 2023
Mar 21, 2023	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	B · Minimal Pattern	Corrected Apr 12, 2023
Oct 30, 2019	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 28, 2019
Oct 30, 2019	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 28, 2019
Oct 30, 2019	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 28, 2019
Oct 30, 2019	F-0727	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Nov 28, 2019

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 3

Staffingstate 2.5

Quality measuresstate 3.7

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing2.97

State avg 3.82US avg 3.90

Registered nurse (RN)0.59

State avg 0.60US avg 0.69

Licensed practical nurse0.63

State avg 1.08US avg 0.86

Nurse aide1.75

State avg 2.14US avg 2.35

Weekend total nurse2.45

State avg 3.32US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.80 (case-mix index 1.49).

Staff turnover

Total nursing staff turnover38.8%

State avg 48.6%US avg 45.3%

Registered nurse turnover54.5%

State avg 43.2%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Feb 26, 2026
Cycle 1 health score: 52
Total weighted score: 49

Operating entity

Monroe Health and Rehabilitation Center LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Champion Care

23 facilities in 3 states. CMS chain ID 134.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.4

Ownership disclosures

Disclosures

6

Organizations

3

Individuals

3

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Monroe Operations Holdings LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Apr 1, 2024
Alicia F Mackie Estate	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	10%	Apr 1, 2024

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Monroe Operations Holdings LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Apr 1, 2024
Alicia F Mackie Estate	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	10%	Apr 1, 2024
Champion Care LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2024
Menachem Ruvel	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2024
Menachem Ruvel	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 1, 2024
Yisroel Weinberg	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 1, 2024

Same chain in Tennessee

All 22 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Lyonsview Health and Rehabilitation Center 5837 Lyons View Pike, Knoxville, TN 37919 CCN 445114SFF Candidate	222	May 19, 2026	245 IJ3 harm	$12k
Sevierville Health and Rehabilitation Center 415 Catlett Rd, Sevierville, TN 37862 CCN 445132	98	Mar 4, 2026	15	—
Highlands Health and Rehabilitation Center 3549 Norriswood, Memphis, TN 38111 CCN 445165	180	Jul 29, 2026	311 IJ	$15k
Okeena Health and Rehabilitation Center LLC 1900 Parr Avenue, Dyersburg, TN 38024 CCN 445446	130	Apr 22, 2026	25	—
Avondale Health and Rehabilitation Center, LLC 2031 Avondale Street Po Box 446, Humboldt, TN 38343 CCN 445454	89	Jul 22, 2026	28	—
Patriot Health and Rehabilitation Center 800 Volunteer Drive, Paris, TN 38242 CCN 445462	127	Jul 8, 2026	171 harm	$30k
Dyersburg Health and Rehabilitation Center 350 East Tickle Street, Dyersburg, TN 38024 CCN 445497	123	Dec 11, 2025	416 IJ2 harm	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 465 Isbill Rd, Madisonville, TN 37354
ZIP: 37354
County: Monroe County FIPS 47123
State: Tennessee
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Waters of Sweetwater a Rehabilitation & Nursing 978 Hwy 11 South, Sweetwater, TN 37874 CCN 445456	13.1 km	90	Aug 6, 2025	262 IJ	—
Wood Village 520 Old Highway 68, Sweetwater, TN 37874 CCN 445322	13.3 km	89	Jun 3, 2026	11	—
Life Care Center of Athens 1234 Frye Street Po Box 786, Athens, TN 37371 CCN 445298Abuse icon	21.1 km	128	Mar 28, 2026	231 IJ	$12k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	445457	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	445457	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 445457

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction