As you note, monetary policy is largely a tool to "smooth out financial expansions and contractions"; that is, its a tool to tweak around the edges of fairly short-term normal cyclical fluctuations. It may be sufficient to adequately mitigate harmful disruptions from those kinds of normal cyclical fluctuations in the economy, but its not adequate for dealing with all economic issues.
The more powerful tool for dealing with economic issues is fiscal policy, which is the domain of Congress, not the Fed. But Congress has largely failed to act, or acted counterproductively, for many years, and left the Fed and monetary policy to handle things that need Congress and fiscal policy to address. So, yes, the Fed's pretty much exhausted its tools, because its been forced to deal with a problem exclusively through monetary policy that should have been addressed through fiscal policy.