Monroe Health & Rehab Center
1150 Northwest Drive · Charlottesville, VA · 22901 · 4349737933
180 certified beds For profit - Corporation Chain: Saber Healthcare Group
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- 3 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.21 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.45 | 0.55–0.75 |
| Weekend hours / resident-day | 2.76 | ≈ weekday level |
| Nursing turnover / year | 40% | median 45% |
| Fines (3-yr window) | 1 · $10,539 |
Inspection citations (32 in the current record)
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Actual harm · G August 21, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 29, 2025 · Quality of Life and Care
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Potential for harm · D August 21, 2025 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected November 4, 2025 · Resident Rights
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Potential for harm · D August 21, 2025 · found via 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 September 29, 2025 · Resident Rights
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Potential for harm · D August 21, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 4, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 21, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 29, 2025 · Quality of Life and Care
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Potential for harm · D August 21, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 29, 2025 · Quality of Life and Care
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Potential for harm · D August 21, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · F August 21, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected September 29, 2025 · Environmental
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Potential for harm · D July 30, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 22, 2023 · Quality of Life and Care
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Potential for harm · D July 30, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 22, 2023 · Resident Assessment and Care Planning
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Potential for harm · D July 21, 2022
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected August 3, 2022 · Resident Rights
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Potential for harm · D July 21, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 3, 2022 · Resident Assessment and Care Planning
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Potential for harm · D July 21, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 3, 2022 · Resident Assessment and Care Planning
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Potential for harm · D July 21, 2022
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 3, 2022 · Resident Assessment and Care Planning
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Potential for harm · E July 21, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 3, 2022 · Quality of Life and Care
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Potential for harm · D July 21, 2022
Assist a resident in gaining access to vision and hearing services.
Corrected August 3, 2022 · Quality of Life and Care
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Potential for harm · D July 21, 2022
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 3, 2022 · Resident Assessment and Care Planning
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Potential for harm · E March 12, 2020
Ensure each resident receives an accurate assessment.
Corrected March 27, 2020 · Resident Assessment and Care Planning
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Potential for harm · D March 12, 2020
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 27, 2020 · Resident Assessment and Care Planning
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Potential for harm · D March 12, 2020
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 27, 2020 · Quality of Life and Care
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Potential for harm · D March 12, 2020
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 27, 2020 · Quality of Life and Care
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Potential for harm · D March 12, 2020
Provide and implement an infection prevention and control program.
Corrected March 27, 2020 · Infection Control
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Actual harm · G December 13, 2018
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected January 14, 2019 · Quality of Life and Care
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Actual harm · H December 13, 2018
Provide and implement an infection prevention and control program.
Corrected January 14, 2019 · Infection Control
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Potential for harm · E December 13, 2018
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 14, 2019 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 21, 2025 | Fine | $10,539 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495326 · certified since February 27, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.