Monroeville, AL

Monroe Manor Health & Rehabilitation Center

4-star overall rating with 4-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

236 West Claiborne Street, Monroeville, AL

(251) 575-2648

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

84

Certified beds

Average residents

71

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Ball Healthcare Services

Operator or chain grouping

Approved since

1988-01-07

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.68

Registered nurse staffing

LPN hours / resident day

1.09

Licensed practical nurse staffing

Aide hours / resident day

2.37

Nurse aide staffing

Weekend hours

3.41

Weekend nurse staffing

RN turnover

25%

Annual RN turnover

Total nurse turnover

26%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	2.0 0.2 pts better	1.9 0.1 pts better	Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days	2.0	1.8 0.2 pts worse	1.8 0.2 pts worse	Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	63.4%	91.3% 27.9 pts worse	93.4% 30 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	81.7%	94.8% 13.1 pts worse	95.5% 13.8 pts worse	Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury	1.8%	3.4% 1.6 pts better	3.3% 1.5 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	2.8%	1.3% 1.5 pts worse	11.4% 8.6 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	6.9%	5.3% 1.6 pts worse	5.4% 1.5 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	11.3%	24.9% 13.6 pts better	19.6% 8.3 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	27.6%	22.8% 4.8 pts worse	16.7% 10.9 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained	0.0%	0.6% 0.6 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened	17.2%	14.8% 2.4 pts worse	16.3% 0.9 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	16.8%	13.4% 3.4 pts worse	14.9% 1.9 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	3.3%	1.3% 2 pts worse	1.0% 2.3 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	1.9%	2.6% 0.7 pts better	1.7% 0.2 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	14.0%	13.5% 0.5 pts worse	19.8% 5.8 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	2.7%	5.7% 3 pts better	5.1% 2.4 pts better	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	21.8%	84.3% 62.5 pts worse	81.7% 59.9 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit	11.4%	11.5% 0.1 pts better	12.0% 0.6 pts better	Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication	1.7%	2.1% 0.4 pts better	1.6% 0.1 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	28.8%	80.3% 51.5 pts worse	79.7% 50.9 pts worse	Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.8%	24.5% 2.7 pts better	23.9% 2.1 pts better	Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2019-12-05 · Fire 2019-12-05

1 health deficiencies

Top issue: Infection Control (1 deficiency)

1 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 2 Health 2018-11-01 · Fire 2018-11-01

3 health deficiencies

Top issue: Infection Control (1 deficiency)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2017-10-05 · Fire 2017-10-05

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2019-12-05

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2019-12-17

D · Potential for more than minimal harm 2018-11-01

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2018-11-30

D · Potential for more than minimal harm 2018-11-01

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2018-11-30

D · Potential for more than minimal harm 2017-10-05

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2017-11-08

D · Potential for more than minimal harm 2017-10-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2017-11-08

D · Potential for more than minimal harm 2017-10-05

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2017-11-08

Inspection history

Recent health citations

D · Potential for more than minimal harm 2019-12-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2020-01-09

E · Potential for more than minimal harm 2018-11-01

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2018-11-30

E · Potential for more than minimal harm 2018-11-01

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2018-11-30

E · Potential for more than minimal harm 2018-11-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2018-11-30

D · Potential for more than minimal harm 2017-10-05

F281 · Quality of Life and Care Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2017-11-07

D · Potential for more than minimal harm 2017-10-05

F282 · Quality of Life and Care Deficiencies

Health

Provide care by qualified persons according to each resident's written plan of care.

Corrected 2017-11-07

D · Potential for more than minimal harm 2017-10-05

F329 · Pharmacy Service Deficiencies

Health

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

Corrected 2017-11-07

D · Potential for more than minimal harm 2017-10-05

F441 · Environmental Deficiencies

Health

Have a program that investigates, controls and keeps infection from spreading.

Corrected 2017-11-07

D · Potential for more than minimal harm 2017-10-05

F503 · Administration Deficiencies

Health

Ensure laboratory services, blood blanks and transfusion services provided on site meet requirements for certified laboratories; or have an agreement to obtain services from an offsite laboratory, that meets the same requirements.

Corrected 2017-11-07

Penalties and ownership