Standing Stone Care & Rehabilitation Center

    410 W Crawford Ave, Monterey, TN 38574
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Attentive staff and engaging activities

    I had a very positive experience at this clean, welcoming facility - staff were friendly, attentive, and treated residents like family. My loved one received excellent medical and therapy care, and the activity program (arts and crafts, music, hands-on projects) kept them engaged; family gatherings in the cafeteria were easy. I felt informed and at peace with the team's professionalism and teamwork, and I highly recommend this caring community.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.98·(44)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.8
    • Staff

      4.0
    • Meals

      1.7
    • Amenities

      4.0
    • Value

      1.0

    Pros

    • Compassionate nursing and CNA staff
    • Attentive clinical and therapy team
    • Effective wound-care and postoperative support
    • Robust physical and occupational therapy options
    • Engaging activity program (arts, music, crafts, hands-on)
    • Friendly, family-like staff–resident interactions
    • Clean and well-maintained interior areas
    • Welcoming environment for visitors
    • Family-accessible cafeteria for gatherings
    • Dedicated activity director and volunteer involvement
    • Personalized therapy sessions with measurable gains
    • Clear day and night clinical staffing coverage
    • Good communication and family updates (when present)

    Cons

    • Inconsistent staffing levels and responsiveness
    • Delays in attending to resident call lights and requests
    • Medication-administration and documentation errors
    • Gaps in pressure-ulcer prevention and wound surveillance
    • Inadequate feeding-assistance protocols raising aspiration risk
    • Infection-control and hygiene practice inconsistencies
    • Odor concerns and uneven sanitation in some areas
    • Variable therapy quality and discharge planning consistency
    • Limited effectiveness of social services and care coordination
    • Allegations of missing personal property and unclear billing practices
    • Unprofessional communication and family-interaction inconsistencies

    Summary of reviews

    Overall impression: Standing Stone Care & Rehabilitation Center elicits strongly mixed impressions. Many families and some residents describe the facility as warm, welcoming, and clinically capable — particularly praising individual clinicians, therapists, and activity staff — while other accounts identify operational weaknesses that have significant clinical and emotional consequences. The result is a polarized profile in which high-quality experiences and concerning lapses coexist.

    Care quality and clinical patterns: Positive accounts highlight skilled nursing, attentive CNAs, effective wound care, and rehabilitation that produced measurable functional gains. Several reviewers praised particular clinicians and the facility’s therapy program for improving mobility and reducing pain. Conversely, other reviews describe operational clinical failures: medication-administration and documentation errors, inconsistent infection-control practices, gaps in pressure-area prevention and wound surveillance, and feeding-assistance practices that increased aspiration risk. There are also reports of inaccurate or unclear medical notes and problematic care transitions; together these issues suggest variability in clinical reliability across shifts or units rather than a uniformly applied standard of care.

    Staff and culture: Staff are frequently described as compassionate, family-oriented, and engaging — with multiple mentions of employees who go “above and beyond.” At the same time, recurring themes of understaffing, delays in responding to call lights, and occasional staff apathy or unprofessional communication were noted. This indicates uneven staffing levels or training that produce strong individual caregivers but inconsistent overall service. Leadership and some clinical managers (including mentions of the Director of Nursing and specific therapy staff) receive favorable comments, suggesting pockets of strong leadership amid broader operational challenges.

    Activities, dining, and facilities: The activity program is a clear strength for many reviewers: arts and crafts, music time, hands-on activities, and volunteer involvement were appreciated and noted as contributing to resident engagement. The facility’s interior is often described as clean and pleasant, with a family-accessible cafeteria that supports visits and gatherings. However, other reviewers raised odor concerns and variable sanitation, and food quality was described as inconsistent by some families. These mixed reports point to generally serviceable common areas and programming but uneven implementation of housekeeping and dining standards.

    Management, communication, and family experience: Experiences with administration and social services are inconsistent. Some families report clear, collaborative communication and peace of mind; others report poor responsiveness from administration, problematic social-service interactions, opaque billing or room-holding policies, and allegations of missing personal items. There are also reports of difficult conversations around discharge planning and end-of-life decision-making, reflecting gaps in care coordination and family communication during complex clinical situations.

    What prospective families should consider: Reviews indicate that individual staff members and specific units can make a large difference in resident experience. When evaluating the facility, families may wish to observe mealtimes and therapy sessions, ask about staff-to-resident ratios for relevant shifts, review pressure-ulcer prevention protocols and recent audit results, inquire about medication-administration safeguards and documentation practices, ask how personal property is tracked and billing is explained, and request examples of how administration handles clinical incidents and family communication. Touring during different shifts and speaking directly with the therapy team and nursing leadership can help assess consistency.

    Bottom line: Standing Stone appears capable of delivering high-quality, compassionate care in many cases, with a notably active activities program and several clinicians and therapists receiving strong praise. At the same time, recurring operational concerns — staffing variability, medication and documentation errors, infection-control inconsistencies, and issues with property and billing transparency — warrant careful inquiry by prospective residents and families before placement.

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    Medicare Ratings

    4·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Standing Stone Care & Rehabilitation Center

    Standing Stone Care & Rehabilitation Center is located at 410 W Crawford Ave, Monterey, TN, 38574.

    About Standing Stone Care & Rehabilitation Center

    Standing Stone Care & Rehabilitation Center sits in Monterey, Tennessee, at 410 West Crawford Avenue, right off I-40, and you'll find it offers both skilled nursing care and rehabilitation services for seniors needing different levels of help, including memory care for Alzheimer's and dementia. The center has recently had some renovations, with fresh paint and updates to make living spaces safer and more welcoming, and there are both private and semi-private rooms, along with outdoor areas for fresh air. Standing Stone keeps a daily average of about 78 residents, has 115 certified beds, and reports a nurse staffing level of 3.50 hours per resident each day, though there's been a nurse turnover rate of about 41.5%, which is something the reports mention, along with a few common deficiencies like making sure assessments and care plans are really complete, following up with feeding tube care, and keeping infection control tight, but cleanliness and infection prevention are still written as priorities. The staff is described as caring, and they work on making care plans that fit each resident's needs, focusing on physical and emotional well-being, with therapy services like physical, occupational, respiratory, and speech therapies available, and programs for both short-term rehab and longer stays, including palliative and hospice support. There's a sense of community, with life enrichment programs, interfaith spiritual support, and quality of life activities, serving people from different cultures and backgrounds. The center is part of Signature HealthCARE and Kathryn Shaffer leads its administration, and they seem involved in education, leadership, and care navigation programs to help families understand long-term care and insurance, and to support recovery and comfort for residents. They have Certified Nursing Assistant training and take part in events with the Tennessee Health Care Association. The facility tries to create a warm setting where seniors can get help with daily activities, therapy, or just a little company if they're living at home, and while inspection summaries point out some areas that need work, many families have given 4.5-star feedback out of 21 reviews. Standing Stone aims to care for people with dignity, offering both medical help and life enrichment so residents can make the most of each day, whatever their physical needs may be.

    People often ask...

    Standing Stone Care & Rehabilitation Center offers assisted living, memory care, and skilled nursing.

    There are 10 photos of Standing Stone Care & Rehabilitation Center on Mirador.

    The full address for this community is 410 W Crawford Ave, Monterey, TN 38574.

    No, Standing Stone Care & Rehabilitation Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Standing Stone Care & Rehabilitation Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Standing Stone Care & Rehabilitation Center directly. There is no cost for this service. We are compensated by the community you select.

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