Monroe Health & Rehab: Missing Property Records - VA
Resident #3 arrived at the Northwest Drive facility with Ozempic, a costly diabetes medication, along with gift cards and other personal items. The facility never completed a personal property inventory despite having a policy requiring "reasonable care to prevent loss, or theft of, resident's personal property."
The resident, assessed as cognitively intact with a score of 15 on standardized testing, reported the missing gift cards on July 22, 2024. A unit manager began investigating the complaint, but inspectors found no documentation that staff had ever catalogued what the resident brought to the facility.
When federal inspectors interviewed a licensed practical nurse on August 19, 2025, the nurse explained that inventory forms are supposed to be filled out when residents are admitted. But no such form existed for Resident #3's stay.
The director of nursing told inspectors she would look for the missing inventory list. The next day, she admitted the document could not be found.
"She would not list medications on a personal property list but would put the medication in the refrigerator with the resident's name on it," according to the inspection report.
The Ozempic situation created additional confusion. The facility had been using the resident's personal supply of the medication, then switched to having their pharmacy fill prescriptions for the same drug. Pharmacy records eventually confirmed this arrangement, but only after inspectors pressed for documentation.
The missing gift cards were ultimately replaced by the facility, according to a concern form produced by the unit manager who investigated the complaint. But the replacement came only after the resident filed a grievance about the missing items.
Resident #3 had been admitted for treatment following left knee surgery, with additional diagnoses including leg contusion, obesity, depression, kidney disease, and deep vein thrombosis. The most recent assessment showed a discharge date of August 1, 2024.
The facility's own policy states it will take "reasonable care to prevent loss, or theft of, resident's personal property while residing at facility." Yet inspectors found the facility had no system in place to track what belongings residents brought with them.
Federal regulations require nursing homes to honor residents' rights to a safe, clean, comfortable environment, including protection of personal property. The violation affected one of eighteen residents reviewed during the complaint investigation.
The inspection concluded on August 21, 2025, with facility administrators unable to produce any additional documentation about their personal property tracking procedures.
Monroe Health & Rehab Center's failure to maintain basic inventory records left both the facility and the resident without clear documentation of what items had been entrusted to their care. The missing gift cards and medication confusion could have been prevented with proper admission procedures that the facility's own staff acknowledged should have been followed.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Monroe Health & Rehab Center from 2025-08-21 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 15, 2026 · Our methodology
MONROE HEALTH & REHAB CENTER in CHARLOTTESVILLE, VA was cited for violations during a health inspection on August 21, 2025.
Resident #3 arrived at the Northwest Drive facility with Ozempic, a costly diabetes medication, along with gift cards and other personal items.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.
Frequently Asked Questions
- What happened at MONROE HEALTH & REHAB CENTER?
- Resident #3 arrived at the Northwest Drive facility with Ozempic, a costly diabetes medication, along with gift cards and other personal items.
- How serious are these violations?
- Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
- What should families do?
- Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in CHARLOTTESVILLE, VA, (5) Report any new concerns directly to state authorities.
- Where can I see the full inspection report?
- The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from MONROE HEALTH & REHAB CENTER or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 495326.
- Has this facility had violations before?
- To check MONROE HEALTH & REHAB CENTER's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.