Federal inspection record · CMS data as of October 1, 2026

Rockwell Park Rehabilitation and Healthcare Center

1930 West Sugar Creek Road, Charlotte, NC · (704) 598-4480

  • Special Focus Facility

CMS overall rating

Not rated
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Certified beds
120
Residents per day
82
Ownership
For-Profit
Chain
Yad Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
November 5, 1998

3

What inspectors found

30 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 6 50 pts
K 1 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 16 4 pts
E 5 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (8)

  1. G

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

    January 7, 2026 · Complaint inspection · Quality of Life and Care · F689 · Not yet marked corrected

  2. J

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

    September 5, 2025 · Complaint inspection · Quality of Life and Care · F689 · Not yet marked corrected

  3. J

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

    July 25, 2025 · Complaint inspection · Quality of Life and Care · F684 · Corrected July 26, 2025

  4. J

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

    November 27, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected December 20, 2024

  5. J

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

    November 27, 2024 · Complaint inspection · Quality of Life and Care · F684 · Corrected December 20, 2024

  6. J

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

    November 27, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected December 20, 2024

  7. K

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

    April 29, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected March 2, 2024

  8. J

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

    April 29, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F607 · Corrected December 29, 2023

Everything else, by area of care

Resident Assessment and Care Planning5E
  1. D

    Ensure each resident receives an accurate assessment.

    September 17, 2026 · Standard · F641 · Not yet marked corrected

  2. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    March 27, 2026 · Standard · F656 · Corrected April 15, 2026

  3. D

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

    November 20, 2025 · Standard · F657 · Corrected December 13, 2025

  4. E

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    June 21, 2024 · Complaint · F842 · Corrected July 25, 2024

  5. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    April 29, 2024 · Complaint · F656 · Corrected May 9, 2024

Resident Rights5E
  1. D

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

    March 27, 2026 · Complaint · F627 · Corrected April 15, 2026

  2. E

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    November 20, 2025 · Standard · F561 · Corrected December 13, 2025

  3. D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    November 20, 2025 · Standard · F552 · Corrected December 13, 2025

  4. D

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

    June 21, 2024 · Complaint · F550 · Corrected July 25, 2024

  5. D

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

    June 21, 2024 · Complaint · F626 · Corrected July 18, 2024

Quality of Life and Care3E
  1. D

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

    March 27, 2026 · Complaint · F689 · Corrected December 19, 2025

  2. E

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

    June 21, 2024 · Complaint · F684 · Corrected July 25, 2024

  3. D

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

    June 21, 2024 · Complaint · F686 · Corrected July 25, 2024

Pharmacy Service3D
  1. D

    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.

    March 27, 2026 · Standard · F761 · Corrected April 15, 2026

  2. D

    Ensure medication error rates are not 5 percent or greater.

    November 20, 2025 · Standard · F759 · Corrected December 13, 2025

  3. D

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    June 21, 2024 · Complaint · F758 · Corrected July 25, 2024

Nutrition and Dietary2E
  1. E

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

    September 17, 2026 · Standard · F812 · Not yet marked corrected

  2. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    June 21, 2024 · Complaint · F804 · Corrected July 25, 2024

Administration2D
  1. D

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

    April 29, 2024 · Complaint · F867 · Corrected May 9, 2024

  2. C

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    April 29, 2024 · Complaint · F838 · Corrected May 9, 2024

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    March 27, 2026 · Standard · F880 · Corrected April 15, 2026

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

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

    June 21, 2024 · Complaint · F607 · Corrected July 18, 2024

Inspection history

  1. 2026-09-17

    3 health deficiencies · 0 fire-safety deficiencies

    Top issue: Nutrition and Dietary (1 deficiency)

  2. 2026-03-27

    10 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (5 deficiencies)

  3. 2025-11-20

    17 health deficiencies · 5 fire-safety deficiencies

    Top issue: Resident Rights (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 32 min of nursing staff time a day, 29 min of it from a registered nurse.

This home

3 h 32 min

North Carolina average

3 h 52 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 59% of nursing staff and 56% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$338,513 in federal fines on record over the past three years.

DatePenaltyAmount
2026-03-27Fine$23,397
2025-11-20Fine$12,935
2025-05-23Fine$93,236
2024-11-27Fine$113,051
2024-06-21Fine$78,793
2024-06-21Payment Denial · 2 day denial$0
2024-04-29Fine$6,899
2024-04-29Fine$10,202

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine18.5 pts worse73.9%92.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.4 pts worse94.3%94.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.3 pts better1.1%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms0.2 pts better6.6%6.8%13.5%
Percentage of long-stay residents who lose too much weight3.1 pts worse10.2%7.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication7.6 pts better13.5%21.1%19.5%
Percentage of long-stay residents who received an antipsychotic medication0.5 pts worse14.4%13.9%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened3.2 pts worse19.8%16.6%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.7 pts better13.3%15.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts worse1.2%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection2.1 pts better0.0%2.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.1 pts worse29.0%19.9%18.3%
Percentage of long-stay residents with pressure ulcers1.6 pts better3.8%5.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine45.6 pts worse35.9%81.5%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit8.5 pts worse21.2%12.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts worse2.7%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine20 pts worse61.1%81.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4.6 pts worse26.8%22.2%23.4%

·

Who owns and runs it

10 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Saturn Holdings I LLC5% Or Greater Direct Ownership Interest · Organization100%1 facilities
1930 West Sugar Creek Road LLCAdp Of The SNF · Organization0%1 facilities
Alter, Tzvi5% Or Greater Indirect Ownership Interest · Individual0%23 facilities
Alter, TzviCorporate Officer · Individual0%23 facilities
Booker, TimberlyAdp Of The SNF · Individual0%1 facilities
Childs, MarkAdp Of The SNF · Individual0%1 facilities
Nelson, JohnOperational/Managerial Control · Individual0%5 facilities
Nelson, JohnAdp Of The SNF · Individual0%5 facilities
Trowell, KitOperational/Managerial Control · Individual0%1 facilities
West Nc Holdings LLC5% Or Greater Indirect Ownership Interest · Organization0%5 facilities

·

Fire safety

9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke3D
  1. D

    Inspect, test, and maintain automatic sprinkler systems.

    November 20, 2025 · K353 · Corrected April 11, 2026

  2. D

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    November 20, 2025 · K372 · Corrected April 11, 2026

  3. D

    Properly install and monitor supervisory attachments on automatic sprinkler systems.

    May 23, 2025 · K352 · Corrected July 7, 2025

Services2D
  1. D

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

    November 20, 2025 · K521 · Corrected April 11, 2026

  2. D

    Have properly installed electrical wiring and gas equipment.

    May 23, 2025 · K511 · Corrected July 7, 2025

Gas, Vacuum, and Electrical Systems2D
  1. D

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

    November 20, 2025 · K918 · Corrected April 11, 2026

  2. D

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

    May 23, 2025 · K918 · Corrected July 7, 2025

Egress1D
  1. D

    Have properly located and lighted "Exit" signs.

    May 23, 2025 · K293 · Corrected July 7, 2025

Miscellaneous1D
  1. D

    Have simulated fire drills held at unexpected times.

    May 23, 2025 · K712 · Corrected July 7, 2025

·

Other homes nearby

  1. Crown Haven Health and Rehabilitation

    Charlotte, NC · Avardis Health

    Worst citation, 3 yrs
    J
    Nursing / resident / day
    2 h 56 min
    Fines
    $71,235
  2. University Place Nursing and Rehabilitation Center

    Charlotte, NC · Principle Long Term Care

    Worst citation, 3 yrs
    H
    Nursing / resident / day
    3 h 37 min
    Fines
    $276,401
  3. Worst citation, 3 yrs
    K
    Nursing / resident / day
    3 h 7 min
    Fines
    $144,199