Charlotte, NC

Charlotte Health & Rehabilitation Center

1-star overall rating with 1-star inspections with $141,846 in total fines with 12 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

1735 Toddville Road, Charlotte, NC

(704) 394-4001

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Lifeworks Rehab

Operator or chain grouping

Approved since

1991-10-10

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

59 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.54

Registered nurse staffing · state 0.59 · national 0.68

LPN hours / resident day

1.07

Licensed practical nurse staffing · state 0.87 · national 0.87

Aide hours / resident day

1.93

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

3.54

All reported nurse hours · state 3.78 · national 3.89

Licensed hours

1.61

RN + LPN hours · state 1.45 · national 1.54

Weekend hours

3.12

Weekend nurse staffing · state 3.34 · national 3.43

Weekend RN hours

0.38

Weekend registered nurse coverage · state 0.38 · national 0.47

Physical therapist

0.19

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.52

CMS adjusted RN staffing hours

Adjusted total hours

3.38

CMS adjusted total nurse staffing hours

Case-mix index

1.43

Higher values indicate more complex resident acuity

RN turnover

89%

Annual RN turnover · state 48% · national 45%

Total nurse turnover

61%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,681

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

11.07

Composite VBP score used to determine payment impact.

Payment multiplier

0.9810

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.43

Baseline 23.58% · Performance 20.35% · Measure score 4.43 · Achievement 2.33 · Improvement 4.43

Healthcare-associated infections

Baseline 7.74% · Performance 7.95% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

Performance 65.62% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

Baseline 3.94 hours · Performance 3.08 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.73%	10.72% 1 pts better	No Different than the National Rate · Eligible stays 197 · Observed rate 9.64% · Lower 95% interval 7.56%
Discharge to community	50.44%	50.57% 0.1 pts worse	No Different than the National Rate · Eligible stays 188 · Observed rate 40.43% · Lower 95% interval 42.75%
Medicare spending per beneficiary	1	1.02 About the same
Drug regimen review with follow-up	98.9%	95.27% 3.6 pts better	Numerator 179 · Denominator 181
Falls with major injury	1.66%	0.77% 0.9 pts worse	Numerator 3 · Denominator 181
Discharge self-care score	31.07%	53.69% 22.6 pts worse	Numerator 32 · Denominator 103
Discharge mobility score	27.18%	50.94% 23.8 pts worse	Numerator 28 · Denominator 103
Pressure ulcers or injuries, new or worsened	1.66%	2.29% 0.6 pts better	Numerator 3 · Denominator 181 · Adjusted rate 1.51%
Healthcare-associated infections requiring hospitalization	7.95%	7.12% 0.8 pts worse	No Different than the National Rate · Eligible stays 121 · Observed rate 9.92% · Lower 95% interval 4.98%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 139
Staff flu vaccination coverage	1.96%	42% 40 pts worse	Numerator 4 · Denominator 204
Discharge function score	28.16%	56.45% 28.3 pts worse	Numerator 29 · Denominator 103
Transfer of health information to provider	91.86%	95.95% 4.1 pts worse	Numerator 79 · Denominator 86
Transfer of health information to patient	95.83%	96.28% 0.5 pts worse	Numerator 46 · Denominator 48
Resident COVID-19 vaccinations up to date	4.08%	25.2% 21.1 pts worse	Numerator 4 · Denominator 98

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.9	1.8 0.1 pts worse	1.9 About the same	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.7 · Expected 2.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.0	1.8 0.2 pts worse	1.8 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.5 · Expected 2.1 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.4%	91.5% 6.9 pts better	93.4% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 98.3% · Q3 100.0% · Q4 96.8% · 4Q avg 98.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	91.0%	94.1% 3.1 pts worse	95.5% 4.5 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 91.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.7%	3.6% 0.1 pts worse	3.3% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 3.3% · Q3 3.4% · Q4 3.2% · 4Q avg 3.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	5.1%	4.8% 0.3 pts worse	11.4% 6.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 4.0% · Q3 5.4% · Q4 6.8% · 4Q avg 5.1%
Percentage of long-stay residents who lose too much weight	2.8%	7.2% 4.4 pts better	5.4% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.0% · Q3 0.0% · Q4 6.6% · 4Q avg 2.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	16.4%	21.6% 5.2 pts better	19.6% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 17.0% · Q3 15.8% · Q4 14.8% · 4Q avg 16.4%
Percentage of long-stay residents who received an antipsychotic medication	18.7%	15.0% 3.7 pts worse	16.7% 2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 15.2% · Q3 24.0% · Q4 24.1% · 4Q avg 18.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	32.8%	21.5% 11.3 pts worse	16.3% 16.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 32.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	26.8%	16.8% 10 pts worse	14.9% 11.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.3% · Q2 31.2% · Q3 32.7% · Q4 16.4% · 4Q avg 26.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.9% 0.9 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.9%	2.6% 1.7 pts better	1.7% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 1.7% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.1%	21.2% 1.9 pts worse	19.8% 3.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.2% · Q2 29.5% · Q3 24.1% · Q4 14.7% · 4Q avg 23.1%
Percentage of long-stay residents with pressure ulcers	8.8%	6.0% 2.8 pts worse	5.1% 3.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 10.2% · Q3 7.3% · Q4 7.0% · 4Q avg 8.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	95.6%	79.9% 15.7 pts better	81.7% 13.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 94.5% · Q2 93.0% · Q3 96.3% · Q4 99.4% · 4Q avg 95.6%
Percentage of short-stay residents who had an outpatient emergency department visit	14.4%	13.2% 1.2 pts worse	12.0% 2.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.4% · Observed 17.4% · Expected 13.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.1%	1.5% 0.6 pts worse	1.6% 0.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 3.7% · Q3 0.0% · Q4 1.0% · 4Q avg 2.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	85.7%	78.1% 7.6 pts better	79.7% 6 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 85.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	22.9%	22.9% About the same	23.9% 1 pts better	Short Stay · 20240701-20250630 · Adjusted 22.9% · Observed 25.4% · Expected 26.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-28 · Fire 2024-10-23

12 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-10-23 · Fire 2023-08-10

16 health deficiencies

Top issue: Resident Rights (5 deficiencies)

10 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2023-08-10 · Fire 2022-04-14

8 health deficiencies

Top issue: Resident Rights (3 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-10-23

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-10-23

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-10-23

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-10-23

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-10-23

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2024-12-20

E · Potential for more than minimal harm 2023-08-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-09-10

D · Potential for more than minimal harm 2023-08-10

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-09-10

D · Potential for more than minimal harm 2023-08-10

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-09-10

D · Potential for more than minimal harm 2023-08-10

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-09-10

D · Potential for more than minimal harm 2023-08-10

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-09-10

D · Potential for more than minimal harm 2023-08-10

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-09-10

D · Potential for more than minimal harm 2023-08-10

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-09-10

D · Potential for more than minimal harm 2023-08-10

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-09-10

D · Potential for more than minimal harm 2023-08-10

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-09-10

C · Minimal harm 2023-08-10

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-09-10

F · Potential for more than minimal harm 2022-04-14

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-06-25

Inspection history

Recent health citations

G · Actual harm 2026-01-28

F689 · Quality of Life and Care Deficiencies

Health

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

Not marked corrected

E · Potential for more than minimal harm 2026-01-28

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Not marked corrected

E · Potential for more than minimal harm 2026-01-28

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Not marked corrected

D · Potential for more than minimal harm 2026-01-28

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Not marked corrected

D · Potential for more than minimal harm 2026-01-28

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Not marked corrected

D · Potential for more than minimal harm 2026-01-28

F627 · Resident Rights Deficiencies

Health

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Not marked corrected

D · Potential for more than minimal harm 2026-01-28

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Not marked corrected

D · Potential for more than minimal harm 2026-01-28

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Not marked corrected

D · Potential for more than minimal harm 2026-01-28

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Not marked corrected

D · Potential for more than minimal harm 2026-01-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Not marked corrected

B · Minimal harm 2026-01-28

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Not marked corrected

G · Actual harm 2025-03-20

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2025-04-04

G · Actual harm 2025-02-21

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-03-20

D · Potential for more than minimal harm 2025-02-21

F623 · Resident Rights Deficiencies

Health

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

Corrected 2025-03-20

D · Potential for more than minimal harm 2025-02-21

F626 · Resident Rights Deficiencies

Health

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2025-03-20

J · Immediate jeopardy 2024-12-23

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-12-07

J · Immediate jeopardy 2024-12-23

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-12-07

J · Immediate jeopardy 2024-12-23

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-12-07

J · Immediate jeopardy 2024-12-23

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-12-10

J · Immediate jeopardy 2024-12-23

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-12-07

D · Potential for more than minimal harm 2024-12-23

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-02-21

E · Potential for more than minimal harm 2024-10-23

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-11-15

E · Potential for more than minimal harm 2024-10-23

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-11-15

E · Potential for more than minimal harm 2024-10-23

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-23

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-23

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-23

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-23

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-11-15

E · Potential for more than minimal harm 2023-08-10

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-09-07

E · Potential for more than minimal harm 2023-08-10

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2023-09-07

D · Potential for more than minimal harm 2023-08-10

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-09-07

D · Potential for more than minimal harm 2023-08-10

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-09-07

D · Potential for more than minimal harm 2023-08-10

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-09-07

D · Potential for more than minimal harm 2023-08-10

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-09-07

D · Potential for more than minimal harm 2023-08-10

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-09-07

D · Potential for more than minimal harm 2023-08-10

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2023-09-07

Penalties and ownership

What sits behind the stars

$26,685 2026-01-28

Fine

Fine · fine $26,685

Fine

$7,823 2024-12-23

Fine

Fine · fine $7,823

Fine

$7,823 2024-12-23

Fine

Fine · fine $7,823

Fine

$99,515 2024-12-23

Fine

Fine · fine $99,515

Fine

$0 2024-12-23

Payment Denial

Payment Denial · denial start 2025-01-28 · 66 days

66 day denial

Ownership

Charlotte Holdings I LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2021-05-28

Altschul, John

Corporate Director · Individual

0% 1 facilities 2023-10-26

Altschul, John

W-2 Managing Employee · Individual

0% 1 facilities 2023-10-26

Charles 1994 Family Grantor Trust