Accordius Health at Monroe – Monroe, NC

CMS Verified | 2026-03-01

Accordius Health At Monroe

204 Old Highway 74 East, Monroe, NC 28112
(704) 800-0601
60 beds
All Monroe facilities
4.0*
Overall
4.0*
Health Inspection
3.0*
Quality Care
2.0*
Staffing
65.27
Score /100
#10249
National Rank

#10249
of 14703 facilities
National
30.3% position
#247
of 418 in NC
State Rank
#5
of 7 in Union
County Rank
#2
of 4 in Monroe
City Rank
#1
of 2 in ZIP 28112
ZIP Rank






About Accordius Health At MonroeAccordius Health At Monroe is located at 204 Old Highway 74 East, Monroe, NC, reachable at (704) 800-0601. This For profit – Limited Liability company facility operates 60.0 certified beds and serves an average of 53 residents per day. It is part of the Simcha Hyman & Naftali Zanziper network (94 facilities nationwide). Medicare and Medicaid services have been provided since 1991-01-30. The facility currently holds a above average (4-star) overall rating from the Centers for Medicare & Medicaid Services (CMS).
Facility

Accordius Health At Monroe

Address

204 Old Highway 74 East, Monroe, NC 28112

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 60 Certified Beds
  • Ownership: For profit – Limited Liability company
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: SIMCHA HYMAN & NAFTALI ZANZIPER

Quick Verdict

Overall Quality
✅ Above Average (4★) overall rating
Health Inspection
✅ Above Average (4★) health inspection
Staffing
⚠️ Below Average (2★) staffing rating
Quality of Care
⚠️ Average (3★) quality of care
Compliance
❌ 5 fine(s) over 5 years
5-Year Trend
Improving over 5 years
65.27
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#10249 of 14703 nationally – #247 of 418 in North Carolina

Who Is This Facility Best For?

Accordius Health At Monroe is a strong choice for families in the Monroe, NC area seeking a well-inspected, high-quality care environment. It is particularly well-suited for long-term residents based on its Quality Measure scores. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 2 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

4 / 5
Health Inspection

4 / 5
Staffing Rating

2 / 5
Quality Measures (QM)

3 / 5
Long-Stay QM Rating

4 / 5
Short-Stay QM Rating

1 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightAccordius Health At Monroe currently provides 3 hours 15 minutes of total nurse staffing per resident per day, including 41 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 67.3%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 15 minutes
Nurse Aide Hours1 hour 57 minutes
Licensed Practical Nurse (LPN) Hours37 minutes
Registered Nurse (RN) Hours41 minutes
Physical Therapist Hours1 minute

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours
Weekend Registered Nurse (RN) Hours36 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryThe facility has received 5 fine(s) over the 5-year period, totaling $73,331. 35 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record N
Total Weighted Health Survey Score 15.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#10,249
of 14,703
National
Bottom 30%
#247
of 418
NC State
Bottom 41% in NC
#5
of 7
️ Union County
#5 of 7
#2
of 4
️ Monroe
#2 of 4
#1
of 2
ZIP 28112
Best in ZIP

Nationally, Accordius Health At Monroe ranks 10249th out of 14,703 facilities (composite score: 65.3/100), placing it in the below average nationwide. Within NC, it ranks 247th out of 418 nursing homes. In Monroe, it ranks 2nd out of 4 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #11,442 nationally and RN hours rank #5,213 nationally (#99 in NC).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank NC State Rank Note
2022 3.01 #11,674 / 14,703 #308 / 418 ⚠️ Bottom 25%
2023 3.30 #9,548 / 14,703 #259 / 418 Below average
2024 3.39 #9,205 / 14,703 #249 / 418 Below average
2025 3.58 #8,000 / 14,703 #197 / 418 Below average
2026 3.26 #11,442 / 14,703 #317 / 418 ⚠️ Bottom 25%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank NC State Rank Note
2022 0.63 #6,287 / 14,703 #117 / 418 Above average
2023 0.57 #6,816 / 14,703 #154 / 418 Above average
2024 0.52 #7,836 / 14,703 #177 / 418 Below average
2025 0.58 #6,888 / 14,703 #149 / 418 Above average
2026 0.68 #5,213 / 14,703 #99 / 418 Above average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Accordius Health At Monroe is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1991-01-30. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (704) 800-0601 or your local Medicaid office to verify current eligibility.

Accordius Health At Monroe holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (2★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 65.3/100, placing it #10249 of 14703 facilities nationally and #247 of 418 in North Carolina. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Accordius Health At Monroe receives a reported average of 3 hours 15 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 41 minutes; Licensed Practical Nurse (LPN) — 37 minutes; Nurse Aide — 1 hour 57 minutes. On weekends, total nurse staffing is 3 hours per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 67.3%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 5 fine(s) over the 5-year period, totaling $73,331. 35 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 15.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Accordius Health At Monroe ranks 10249th out of 14,703 facilities (composite score: 65.3/100), placing it in the below average nationwide. Within NC, it ranks 247th out of 418 nursing homes. In Monroe, it ranks 2nd out of 4 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #11,442 nationally and RN hours rank #5,213 nationally (#99 in NC). Our composite quality score of 65.3/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Monroe, visit: https://nursinghomesnearme.org/north_carolina/monroe/

Contact and Location

ADR
Address

204 Old Highway 74 East, Monroe, NC 28112
Get directions on Google Maps

TEL
LLC
Legal Name

Legal Business Name Not Available

MAP
Browse by Location

All North Carolina ·
Union County ·
Monroe ·
ZIP 28112

Facility Details

Number of Certified Beds 60
Average Residents / Day 53 (89% occupancy)
Ownership Type For profit – Limited Liability company
Provider Type Medicare and Medicaid
County Union County, NC
City Monroe, NC
ZIP Code 28112
Approved Since January 30, 1991
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 345345
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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