Just over half of the 23 extra step-down beds promised for Monaghan Hospital last year have been opened.
Management at the hospital say the remaining beds are introduced "incrementally" as more staff are recruited.
The beds were announced as part of the HSE's Winter Plan last year.
It was part of a wider national strategy to use smaller hospitals to increase capacity in the system and take pressure off larger sites.
The RCSI Hospitals Group said the new beds for Monaghan Hospital would be used for community care and allow the Lisdarn Unit in Cavan to be used for stepdown and acute care.
Monaghan Hospital lost its Accident and Emergency Department almost twelve years ago and led to a decade of calls for additional services to be brought to the former general hospital.
The first five beds were opened in December 2020, with an additional seven opening just over a month ago, on March 1st.
In a statement to Northern Sound News, the General Manager of Cavan and Monaghan Hospital David Lynch said the remaining 11 beds will be opened "incrementally".
He added that the hospital group is in the process of recruiting staff for this purpose.