Sweetwater · 8.1 mi
Waters of Sweetwater A Rehabilitation & Nursing
2 of 5 · Medicare
View facility →Monroe Health and Rehabilitation Center
⌖ Madisonville, TN · Monroe County
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Medicare overall rating 3 of 5 stars
Certified beds85
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (limited liability company)
About Monroe Health and Rehabilitation Center
Monroe Health and Rehabilitation Center is a 85-bed for-profit nursing home in Madisonville, TN. Medicare rates it 3 out of 5 stars overall (average); the average in Tennessee is 3.0.
- Inspections: 10 problems at its last full inspection (Feb 2026), more than the Tennessee average of 4.4. None of its recent citations were for residents being harmed.
- Staffing: nurses and aides spend about 3 hr 04 min a day with each resident, less than the Tennessee average of 3 hr 48 min. About 44% of nursing staff left in the past year.
- Fines: no federal fines in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
Key details
Facility nameMonroe Health And Rehabilitation Center
LocationMonroe County, Tennessee
Phone(423) 442-3990
Address465 Isbill Rd, Madisonville, TN 37354 · Monroe County
Medicare provider number445457
Ownership typeFor-profit (limited liability company)
Operating companyChampion Care · 22 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJuly 1, 2002 (24 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
2 strengths and 2 things to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone since Feb 2026No citations for actual harm or immediate jeopardy since Feb 2026.Strength
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
About average
- Registered nurse time per resident38 min a dayTennessee average: 36 minAbout average
- Nursing staff turnover44% a yearTennessee average: 49%About average
Things to ask about
This home hasn’t responded to these yet. Represent this home? Respond →
- Health citations at last inspection10 (Feb 2026)Tennessee average: 4.4.Worse than state average
- Nurse staffing per resident3 hr 04 min a dayTennessee average: 3 hr 48 minWorse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Tennessee average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital14.0%State average: 22.6%Better than average
- Needed an emergency room visit5.5%State average: 11.2%Better than average
- Newly given antipsychotic drugs0.4%State average: 1.7%Better than average
Physical therapist time: about 2 minutes a day per resident, averaged across all residents, including long-term residents who get little or no therapy. That is less than the state average of 5 minutes. It is not one person’s therapy schedule; if rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury4.9%State average: 3.4%Worse than average
- Pressure sores (bedsores)2.0%State average: 5.0%Better than average
- Given antipsychotic drugs4.4%State average: 16.8%Better than average
- Hospital stays per 1,000 resident days0.6State average: 1.7Better than average
Source: Medicare (CMS) quality measures, compared with the Tennessee average. Lower is better for every rate shown.
Ratings over time
Its overall Medicare rating is 3 stars now, down from 5 stars in January 2019. It has ranged from 1 to 5 stars and changed 12 times.
Overall rating3★
Health inspections2★
Staffing2★
Quality of care5★
Nurse hours per resident per day3.1
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 5 | 5 | 1 | 5 | 2.6 |
| Jan 2020 | 1 | 2 | 1 | 3 | 3.3 |
| Jan 2021 | 2 | 2 | – | 3 | 3.6 |
| Jan 2022 | 3 | 2 | 4 | 2 | 4.0 |
| Jan 2023 | 1 | 2 | 1 | 3 | 2.5 |
| Jan 2024 | 1 | 2 | 1 | 4 | 2.9 |
| Feb 2025 | 1 | 2 | 1 | 3 | 2.8 |
| Feb 2026 | 3 | 3 | 2 | 3 | 3.2 |
| Sep 2026 | 3 | 2 | 2 | 5 | 3.1 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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View facility →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.