Nursing Homes in Monroe, North Carolina
Monroe has 4 Medicare-certified nursing homes with 367 beds. The city average CMS rating is 2.5 stars, which is at North Carolina's state average of 2.8 stars. 1 facility earns a B grade or better and is recommended for family consideration.
Compare 4 nursing homes · data
See the 1 recommended nursing homeWorth Considering
1
Facilities graded A or B that meet our quality standards
City Average
-0.30 vs state
Total Beds
367
across 4 facilities
High Risk Facilities
2
0 under CMS review
2 with abuse citations
Nurse Availability
37 min
RN time per resident daily
Below CMS recommendation
Well Staffed
1
exceed staffing threshold
25% of facilities
Zero Fines
passed all inspections
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Trend
0
improved vs last year
0 declined
Top Rated in Monroe
Jesse Helms Nursing Center
Explore Nearby Cities
Jesse Helms Nursing Center
★★★★★ · 80/100 · 70 beds
Accordius Health At Monroe
★★★★★ · 20/100 · 60 beds
Monroe Rehabilitation Center
★★★★★ · 0/100 · 147 beds
Pruitthealth-union Pointe
★★★★★ · 0/100 · 90 beds
Showing 1–4 of 4 facilities
All 4 Nursing Homes in Monroe
A-ZWant to learn more about nursing home care in Monroe?
Fines · Deficiencies · Ownership Data · Quality Comparisons
About Nursing Home Care in Monroe
When it comes to nursing home care in Monroe, NC, families should proceed with caution. The standout is Monroe Rehabilitation Center, but it's crucial to note that it carries serious red flags, including a Grade F rating due to abuse citations. Overall, Monroe's nursing home market is concerning, offering limited options and substantial risks for families seeking quality care for their loved ones.
If you’re looking for alternatives, consider visiting Accordius Health at Monroe and PruittHealth-Union Pointe. However, be cautious—both facilities have a Grade F rating due to abuse citations. The remaining facilities in Monroe do not have clear strengths or a solid reputation, making it wise to look at nearby cities like Charlotte or Gastonia for better options. For example, Brookdale Carriage Club Providence in nearby Charlotte offers a more favorable environment with a 5-star CMS rating.
On the other hand, families should skip Monroe Rehabilitation Center, Accordius Health at Monroe, and PruittHealth-Union Pointe. Each of these facilities has a Grade F rating and serious issues, including abuse citations and significant fines—specifically, $198K in fines for PruittHealth. A practical tip for families is to visit any facility at different times of the day to observe staff interactions and overall cleanliness before making a decision.
Monroe at a Glance
Good News
- • 2 facilities with clean records—no fines in 3 years
- • 1 community-run facility (non-profit)
- • 1 facility has more nurses than required
Be Aware
- • 2 facilities have serious problems—check before visiting
- • 1 facility with critical staffing shortages
- • Some facilities have less nurse time than recommended
- • 2 facilities with abuse citations
What's Changing
- → 4 facilities stayed the same
- ★ Overall: Monroe is stable
Questions Monroe Families Should Ask
Based on what we found in local inspection data
How many RN hours per resident do you provide daily?
CMS recommends 0.75 hrs; Monroe avg is 0.62 hrs (37 min)
Have you received any fines in the past 3 years?
2 of 4 Monroe facilities have zero fines
What were your most recent inspection findings?
Ask for specifics—2 local facilities have serious deficiencies
What is your staff-to-resident ratio on weekends?
Weekend staffing often differs from weekday levels
Finding Quality Nursing Home Care in Monroe, North Carolina
Monroe, North Carolina's Union County seat, has 4 Medicare-certified nursing homes with approximately 367 beds. Families have solid options to choose from.
Monroe vs. North Carolina: Near State Average
Monroe nursing homes perform near the state average on key quality metrics. The city's average CMS rating of 2.50 stars is close to North Carolina's statewide average of 2.80 stars.
1 of 4 facility earns a B grade or better. Families should still research carefully, as 2 facilities have significant concerns.
Understanding Our Trust Score System
The Trust Score is a 0-100 rating calculated from CMS's official nursing home database. The score combines five data categories:
- Health Inspection Results — Recent deficiencies, their severity, and patterns over time
- Staffing Levels — RN hours, total nursing hours, and weekend staffing
- Quality Measures — Clinical outcomes like falls, pressure ulcers, and rehospitalizations
- Penalties — Fines, payment denials, and enforcement actions
- Complaints — Substantiated complaints and their severity
In Monroe, 1 facility scores a B grade or better, indicating they meet quality benchmarks across these categories. We recommend families prioritize these facilities and carefully research any facility rated C or below before visiting.
Staffing: A Significant Concern in Monroe
Staffing levels are among the most important predictors of nursing home quality. Research consistently shows that facilities with more nursing staff—especially registered nurses—have better outcomes for residents.
Monroe facilities average 0.62 RN hours per resident day, which falls below the CMS-recommended threshold of 0.75 hours. The typical Monroe resident receives approximately 37 minutes of RN attention daily—compared to the 45 minutes experts recommend.
1 Monroe facilities exceed CMS staffing recommendations. Families prioritizing staffing should look for facilities with the "Top Staffing" badge and ask specifically about RN hours during facility visits.
Ownership: Mix of For-Profit and Non-Profit
Monroe has 1 non-profit nursing homes and 3 for-profit facilities. 4 of 4 facilities are chain-owned, with the remainder independently operated.
Research suggests non-profit facilities often have higher staffing levels and fewer deficiencies on average, though ownership type alone does not guarantee quality. Families should evaluate each facility individually using inspection data, staffing levels, and recent deficiency reports.
Nearby Alternatives Worth Considering
Families may also want to consider nearby North Carolina cities for additional options. The following North Carolina cities offer multiple nursing home options:
- Charlotte — 21 facilities
- Greensboro — 11 facilities
- Raleigh — 11 facilities
- Durham — 11 facilities
- Wilmington — 11 facilities
- Asheville — 10 facilities
Frequently Asked Questions
How many nursing homes are in Monroe, North Carolina?
Monroe has 4 Medicare-certified nursing homes with a total of 367 beds. The city average CMS rating is 2.5 stars, which is below North Carolina's state average of 2.8 stars.
What are the best nursing homes in Monroe?
Based on our Trust Score analysis of CMS inspection data, the top-rated nursing homes in Monroe include:
- • Jesse Helms Nursing Center — Grade B+, 80/100 Trust Score
- • Accordius Health At Monroe — Grade F, 20/100 Trust Score
- • Monroe Rehabilitation Center — Grade F, 0/100 Trust Score
These facilities have strong inspection records and staffing levels.
Which Monroe nursing homes should I avoid?
We flag 2 facilities in Monroe as high-risk based on patterns of serious deficiencies, substantial fines, or placement on CMS's Special Focus Facility list. These facilities are marked with warning indicators in our listings above.
We recommend avoiding facilities with: Grade D or F, recent "Immediate Jeopardy" citations (indicating serious harm or risk to residents), or those on CMS's Special Focus Facility list.
The Bottom Line on Monroe Nursing Homes
Monroe offers typical nursing home options for the state. Focus your search on the 1 facility graded A or B, particularly those with zero fines and strong staffing. Avoid the 2 high-risk facilities flagged in our analysis.