Monroe Manor Health & Rehabilitation Center
236 West Claiborne Street · Monroeville, AL · 36460 · 2515752648
84 certified beds For profit - Corporation Chain: Ball Healthcare Services
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 75 points, but Recommended is gated: CMS rates its health inspections "much below average". That rule is part of the published method.
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
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.09 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.69 | 0.55–0.75 |
| Weekend hours / resident-day | 3.44 | ≈ weekday level |
| Nursing turnover / year | 23% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (16 in the current record)
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Potential for harm · D April 13, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 4, 2025 · Resident Rights
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Potential for harm · D April 13, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Deficient, Provider has plan of correction · Resident Rights
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Potential for harm · D April 13, 2026
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has plan of correction · Quality of Life and Care
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Potential for harm · D April 13, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Deficient, Provider has plan of correction · Quality of Life and Care
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Potential for harm · D April 13, 2026
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Deficient, Provider has plan of correction · Quality of Life and Care
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Potential for harm · D April 13, 2026
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Deficient, Provider has plan of correction · Quality of Life and Care
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Potential for harm · D April 13, 2026
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 4, 2025 · Pharmacy Service
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Potential for harm · F April 13, 2026
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Deficient, Provider has plan of correction · Administration
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Potential for harm · D April 13, 2026
Provide and implement an infection prevention and control program.
Deficient, Provider has plan of correction · Infection Control
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Potential for harm · D April 13, 2026
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Deficient, Provider has plan of correction · Infection Control
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Potential for harm · E April 13, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has plan of correction · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 13, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Deficient, Provider has plan of correction · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 5, 2019
Provide and implement an infection prevention and control program.
Corrected January 9, 2020 · Infection Control
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Potential for harm · E November 1, 2018
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 30, 2018 · Resident Assessment and Care Planning
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Potential for harm · E November 1, 2018
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 30, 2018 · Nutrition and Dietary
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Potential for harm · E November 1, 2018
Provide and implement an infection prevention and control program.
Corrected November 30, 2018 · Infection Control
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 015398 · certified since January 7, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.