Monroe Health and Rehabilitation Center: Staffing, Turnover, and Inspection Record
Monroe Health and Rehabilitation Center is a 85-bed for-profit nursing home in Madisonville, Tennessee, part of Champion Care. In the CMS August 2026 release it reported 1.82 nurse aide hours per resident per day, 14% below the Tennessee average of 2.12, and 43.5% nursing staff turnover (Tennessee average 48.9%).
Monroe Health and Rehabilitation Center
465 Isbill RdMadisonville, TN 37354
Monroe County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Monroe Health and Rehabilitation Center, nurse aides logged 1.82 hours per resident per day, 14% below the Tennessee average. With about 62 residents a day, that works out to roughly 114 aide hours a day, or about 14 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 16% below the all-days figure.
| Hours per resident per day | This home | Tennessee avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.82 | 2.12 | 2.32 |
| Licensed practical nurses | 0.61 | 1.09 | 0.86 |
| Registered nurses | 0.63 | 0.60 | 0.69 |
| All nursing staff | 3.07 | 3.80 | 3.86 |
| All nursing staff, weekends | 2.57 | 3.31 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
43.5% of nursing staff at Monroe Health and Rehabilitation Center left over the year CMS measured, against a Tennessee average of 48.9% and a US average of 45.8%. Registered nurse turnover was 50.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 26, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 10 health deficiencies (Tennessee average 4.7). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Monroe Health and Rehabilitation Center holds 3 of 5 overall; the Tennessee average is 3.0.
About Monroe Health and Rehabilitation Center
- Ownership: For profit - Limited Liability company
- Chain: Champion Care, 22 homes
- Legal name: Monroe Health and Rehabilitation Center LLC
- Medicare and Medicaid certified since: Jul 1, 2002
- Councils: resident council
- Area: rural
Nursing homes near Monroe Health and Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Waters of Sweetwater a Rehabilitation & Nursing Sweetwater | 8.1 | 90 | 1.90 | 3.33 | 53.1% | 2 | None |
| Wood Village Sweetwater | 8.3 | 89 | 2.01 | 3.48 | 27.9% | 5 | None |
| Starr Regional Health & Rehabilitation Etowah | 12.6 | 88 | 1.97 | 3.98 | — | 5 | $8,697 |
| Life Care Center of Athens Athens · abuse citation | 13.1 | 128 | 2.03 | 3.54 | 29.4% | 2 | $19,145 |
| NHC Healthcare, Athens Athens | 13.8 | 86 | 2.23 | 4.07 | 50.8% | 5 | None |
| Etowah Health and Rehabilitation Etowah | 15.0 | 120 | 1.62 | 3.22 | — | 1 | $21,692 |
| River Grove Health and Rehabilitation Loudon | 15.5 | 180 | 1.72 | 3.13 | 40.0% | 2 | None |
| Decatur Wellness and Rehabilitation Center Decatur | 23.5 | 88 | 2.27 | 3.52 | 58.6% | 3 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.