Nursing homes across Union County, North Carolina, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Lake Park runs on 4.02 nurse hours per resident day, a bit above the national average, and its staff tends to stay, 34.5% turnover against a national rate near 46%. Weekends are thinner, though, running about 9% below weekdays. The tradeoff shows up in inspections: 22 deficiencies on record, four serious enough to involve harm or jeopardy, with $34,624 in fines across two penalties. No abuse citations, and the most recent inspection came in January 2026, so the picture is current. Corporate-owned, 120 beds, solid day-to-day care, but a citation history worth asking about directly.
White Oak Of Waxhaw runs about 4.10 nurse hours per resident each day, roughly 6% above the national average, though weekends dip about 10% below its own weekday level. Staff turnover sits at 41.9%, a bit better than the 45.8% national figure. The current inspection record is clean, zero deficiencies, none at the harm or jeopardy level, nothing abuse-related, and the most recent survey was September 2025. It's a for-profit limited liability company with 100 certified beds. The staffing numbers are solid but not exceptional, and the quality measure rating lands at 4 out of 5. What carries this home is the inspection record and steady retention, not deep staffing margins.
Jesse Helms Nursing Center runs about 3.95 nurse hours per resident each day, a bit above the national average, though weekends dip roughly 6% below its own weekday coverage. Staff turnover sits at 41%, which is lower than the 45.8% national figure, a meaningful sign that workers tend to stay. The five deficiencies on record include none at the harm or jeopardy level and none related to abuse. Its most recent inspection was in August 2025, and the 5-star health inspection rating reflects that clean survey history, even as the quality measure score lands at 3 stars.
Pruitthealth-Union Pointe runs 90 certified beds in Monroe under for-profit limited liability ownership, and its numbers pull in two directions. Nurse staffing sits at 3.97 hours per resident day, slightly above the national average, though weekends run about 15% thinner than weekdays and annual turnover of 47.2% means the faces change often. The trouble shows up on the inspection side: 31 deficiencies on the current record, five at harm or jeopardy level and two tied to abuse, with two fines totaling $197,532. The most recent inspection was in May 2025. Quality and staffing measures score reasonably; the health inspection record is where a family's questions should focus.
Autumn Care of Marshville runs on thin staffing. At 3.31 nurse hours per resident day, it sits about 14 percent under the national average, and weekends drop roughly another 11 percent below its own weekday coverage, so the shifts most likely to be short are the ones families visit. Staff turnover is 53.1 percent, well above the 45.8 percent national figure, which means aides and nurses cycle through quickly. Inspectors cited 15 deficiencies on the current record, six at harm or jeopardy level and one abuse-related, with four fines totaling $44,751 from a February 2026 inspection. The quality measure score looks strong, but that reflects charted care, not the hands available to deliver it.
Monroe Rehabilitation Center runs 147 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.59 hours per resident day, about 7% under the national average of 3.86. Weekends drop roughly 13% below the home's own weekday coverage, and annual turnover hits 52.9% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record is the heavier problem: 21 deficiencies, three at harm or jeopardy level and two tied to abuse, with four fines totaling $61,174. That combination of thin weekend staffing, high turnover, and harm-level findings explains why Monroe lands well below average.
Rock Rest runs lean on staff. At 2.89 nurse hours per resident day, it's about a quarter below the national average of 3.86, and weekends drop roughly 9% below its own weekday level. That thin coverage shows up in the numbers: 71% annual turnover, well above the 45.8% national figure, so the aides and nurses your family member sees are likely to keep changing. Inspections are the brighter spot, a 4-out-of-5 health inspection rating and a recent April 2025 visit. But 20 deficiencies sit on the current record, three at harm or jeopardy level and two tied to abuse, which is a lot for a 60-bed home.