ElderGrade
C

59/100

Average

Rock Rest Nursing And Rehabilitation

204 Old Highway 74 East, Monroe, NC 28112

CMS 3/5 stars #4 of 7 in Union County (704) 800-0601
Certified beds
60
Occupancy
85%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 3 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • Nursing staff turnover of 71%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 30/30 Staffing 8/30 Stability 2/15 Outcomes 9/15 Enforcement 10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.16 total nurse hours per resident per day (national median 3.77)
  • 0.56 RN hours per resident per day
  • Weekend staffing drops 9% against weekdays

Staff stability

2/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 71% of nursing staff left in the last year

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 2.89 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.56 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.62 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 71.00%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 20 citations

Last standard health inspection: April 10, 2025 (1 year ago).

D Apr 10, 2025 F0689

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

D Apr 10, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

B Apr 10, 2025 F0623

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

No actual harm, minimal potential

B Apr 10, 2025 F0625

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

No actual harm, minimal potential

D Jan 31, 2025 F0602 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

No actual harm, potential for more than minimal harm

D Jan 31, 2025 F0686 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

No actual harm, potential for more than minimal harm

F Nov 30, 2023 F0851

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

No actual harm, potential for more than minimal harm

E Nov 30, 2023 F0565

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of SIMCHA HYMAN & NAFTALI ZANZIPER, which operates 84 homes. Staffing budgets are usually set at chain level, not in the building.

What families say

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Common questions about Rock Rest Nursing And Rehabilitation

What is the ElderGrade for Rock Rest Nursing And Rehabilitation? +

Rock Rest Nursing And Rehabilitation holds an ElderGrade of C (59 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Rock Rest Nursing And Rehabilitation? +

Residents receive an average of 2.89 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Rock Rest Nursing And Rehabilitation been cited for harming residents? +

Yes. 3 of the 20 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Rock Rest Nursing And Rehabilitation accept Medicaid? +

Yes, Rock Rest Nursing And Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.