ElderGrade
D

51/100

Below average

Monroe Rehabilitation Center

1212 Sunset Drive East, Monroe, NC 28112

CMS 2/5 stars #5 of 7 in Union County (704) 283-8548
Certified beds
147
Occupancy
77%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • 3 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $61,174 in federal fines

    CMS has fined this facility across 4 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

12/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years
  • -8 for 2 actual-harm citation(s) in the last 3 years

Staffing

18/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.99 total nurse hours per resident per day (national median 3.77)
  • 0.51 RN hours per resident per day
  • Weekend staffing drops 13% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 53% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

3/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $61,174 in federal fines across 4 action(s)
  • -2 for 1 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 64 (grade C) — CMS abuse icon on record
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.59 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.51 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.10 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 52.90%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 21 citations

Last standard health inspection: March 19, 2026 (5 months ago).

D Mar 19, 2026 F0565

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

No actual harm, potential for more than minimal harm

G Sep 30, 2025 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm to a resident

E Sep 30, 2025 F0925 From a complaint

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

No actual harm, potential for more than minimal harm

D Sep 30, 2025 F0684 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

J Apr 17, 2025 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy to resident health or safety

G Jan 8, 2025 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm to a resident

E Jan 8, 2025 F0584 From a complaint

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

E Jan 8, 2025 F0761

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of SOVEREIGN HEALTHCARE HOLDINGS, which operates 43 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
SOVEREIGN CAROLINA HOLDINGS LLC Organization DIRECT OWNERSHIP INTEREST
CRONQUIST 2015 FAMILY TR Organization INDIRECT OWNERSHIP INTEREST
JOHN J NOTERMANN BUSINESS TR Organization INDIRECT OWNERSHIP INTEREST
MANGINE, JOHN Individual INDIRECT OWNERSHIP INTEREST
HSP CAROLINA, LLC Organization 5% OR GREATER SECURITY INTEREST
CHERY, DAWN Individual MANAGING CONTROL - GOVERNING BODY
KAAR, SUSAN Individual MANAGING CONTROL - GOVERNING BODY
KERLEY, STEVEN Individual MANAGING CONTROL - GOVERNING BODY
SOUTHERN HEALTHCARE MANAGEMENT LLC Organization OPERATIONAL/MANAGERIAL CONTROL
CRONQUIST, ROYCE Individual OPERATIONAL/MANAGERIAL CONTROL
GHANNAM, WASEEM Individual OPERATIONAL/MANAGERIAL CONTROL
KARSTETTER, BRYCE Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Monroe Rehabilitation Center

What is the ElderGrade for Monroe Rehabilitation Center? +

Monroe Rehabilitation Center holds an ElderGrade of D (51 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Monroe Rehabilitation Center? +

Residents receive an average of 3.59 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Monroe Rehabilitation Center been cited for harming residents? +

Yes. 3 of the 21 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Monroe Rehabilitation Center accept Medicaid? +

Yes, Monroe Rehabilitation Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.