Monroe Rehabilitation Center
1212 Sunset Drive East · Monroe, NC · 28112 · 7042838548
147 certified beds For profit - Limited Liability company Chain: Sovereign Healthcare Holdings
Why this verdict
- Carries CMS’s abuse warning icon.
- Federal penalties on record: $61,174 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$61,174 in federal fines in the last 24 months
4 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.44 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.42 | 0.55–0.75 |
| Weekend hours / resident-day | 3.10 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 4 · $61,174 |
Inspection citations (21 in the current record)
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Potential for harm · D March 19, 2026
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected April 7, 2026 · Resident Rights
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Actual harm · G September 30, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 30, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 8, 2025 · Quality of Life and Care
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Potential for harm · E September 30, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected October 1, 2025 · Environmental
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Immediate jeopardy · J April 17, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 10, 2025 · Quality of Life and Care
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Actual harm · G January 8, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 2, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 8, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 8, 2025
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected February 10, 2025 · Quality of Life and Care
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Potential for harm · E January 8, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected February 10, 2025 · Pharmacy Service
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Potential for harm · D January 8, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 10, 2025 · Resident Rights
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Potential for harm · E January 8, 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 February 10, 2025 · Resident Rights
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Potential for harm · D January 8, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected February 10, 2025 · Environmental
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No harm found · C January 8, 2025
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Corrected February 10, 2025 · Resident Rights
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No harm found · B January 8, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected February 10, 2025 · Resident Rights
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Potential for harm · D June 8, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 6, 2023 · Resident Rights
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Potential for harm · E June 8, 2023
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected July 6, 2023 · Nutrition and Dietary
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Potential for harm · E June 8, 2023
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected July 6, 2023 · Nutrition and Dietary
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Potential for harm · D June 8, 2023
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 6, 2023 · Resident Assessment and Care Planning
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Potential for harm · E June 8, 2023 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected July 6, 2023 · Nutrition and Dietary
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No harm found · B June 8, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected July 6, 2023 · Resident Rights
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No harm found · B June 8, 2023
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected July 6, 2023 · Resident Rights
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 30, 2025 | Fine | $28,243 |
| April 17, 2025 | Fine | $16,985 |
| January 22, 2025 | Fine | $4,246 |
| January 22, 2025 | Payment Denial | 7 days |
| January 8, 2025 | Fine | $11,700 |
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 345254 · certified since December 30, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.