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Nursing homeFAID #11972

Monroe Health and Rehabilitation Center

465 ISBILL RD, MADISONVILLE, TN, 37354
(423) 442-3990
85 licensed beds
★★★★★3/5CMS Five-Star overall2/5 health inspections2/5 staffing5/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
85
CMS facility ID
445457
Care type
Nursing home
County
Monroe
Facility name
Monroe Health and Rehabilitation Center
Street address
465 ISBILL RD
City / state / ZIP
Madisonville, TN 37354
Phone
(423) 442-3990

About this facility — Monroe Health and Rehabilitation Center

Monroe Health and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Madisonville, Tennessee. It is licensed for 85 beds — below the median for skilled nursing facilities in Tennessee (114 beds).

It is one of 1 senior care facility in Madisonville and 303 skilled nursing facilities across Tennessee. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Monroe Health and Rehabilitation Center 30 times across 8 inspections in the last three years, including 2 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Champion Care
Ownership type
For profit - Limited Liability company

Registered owners & officers

Monroe Operations Holdings Llc
Direct owner — 100% stake — since 2024
Alicia F Mackie Estate
Indirect owner — 10% stake — since 2024
Fink, Ephraim
Indirect owner — 8% stake — since 2024
Champion Care Llc
Operational control — since 2024
Ruvel, Menachem
Officer · Operational control — since 2024
Weinberg, Yisroel
Officer — since 2024

Regulatory standing

Federal court records
2 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2002-07-01
CMS overall rating
3 of 5 stars
Health deficiencies
10 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-02-26
Nurse staffing
3.1 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$289 per day (≈ $8,790/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
43% Medicaid · 10% Medicare · 47% private/other
Occupancy
79% (fiscal year 2024)
Vs. state median
21% below the TN median of $367/day — full state cost breakdown

Services & coverage

Licensed beds
85
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-02-26Health inspectionComplaint-triggered10 citations
F-0584
D · No harm foundFrom a complaint
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.
Corrected 2026-03-27
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-03-27
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2026-03-27
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-03-27
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-03-27
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2026-03-27
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-03-27
F-0791
D · No harm found
Provide or obtain dental services for each resident.
Corrected 2026-03-27
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-03-27
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-03-27
2024-06-10Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-07-16
5 earlier / fire-safety inspections (19 citations)
2023-03-21Health inspection4 citations
F-0727
F · No harm found
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.
Corrected 2023-04-12
F-0732
B · No harm found
Post nurse staffing information every day.
Corrected 2023-04-12
F-0756
D · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-04-12
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-04-12
2019-10-30Health inspection1 citation
F-0727
F · No harm found
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.
Corrected 2019-11-28
2026-02-26Fire-safety inspection8 citations
E-0004
D · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2026-03-27
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2026-03-27
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-03-05
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2026-02-25
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2026-03-18
K-0911
D · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2026-03-13
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-03-13
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2026-03-12
2023-03-21Fire-safety inspection3 citations
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2023-04-21
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-04-21
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-04-12
2019-10-30Fire-safety inspection3 citations
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2019-11-28
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-11-28
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-11-28
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 445457.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 30 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered