Nursing homeActiveSpecial Focus Facility · what this means

Rockwell Park Rehabilitation and Healthcare Center

1930 West Sugar Creek Road, Charlotte, NC 282627045984480120 certified beds · 83 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
9
since 2024
Deficiencies
34
2248
Penalties · 3 yrs
$338,513
7 fines · 1 action
Last survey
2026-03-27
Standard
CMS overall
stars as published by CMS
CMS overall /5
Health
Staffing
Quality
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · North Carolina Division of Health Service Regulation · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-03-27Standard050CMS-2567 (Care Compare)
2026-01-07Complaint001CMS-2567 (Care Compare)
2025-11-20Standard040CMS-2567 (Care Compare)
2025-09-05Complaint001CMS-2567 (Care Compare)
2025-07-25Complaint001CMS-2567 (Care Compare)
2025-05-23Standard150CMS-2567 (Care Compare)
2024-11-27Complaint003CMS-2567 (Care Compare)
2024-06-21Complaint080CMS-2567 (Care Compare)
2024-04-29Complaint122CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · North Carolina Division of Health Service Regulation publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-03-27Standard survey · 5 deficienciesOfficial report
F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-15Record 345489-20260327-F627
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-15Record 345489-20260327-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-19Record 345489-20260327-F689
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-15Record 345489-20260327-F761
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-15Record 345489-20260327-F880
2026-01-07Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Correction not yet recordedRecord 345489-20260107-F689
2025-11-20Standard survey · 4 deficienciesOfficial report
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-13Record 345489-20251120-F552
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-12-13Record 345489-20251120-F561
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-13Record 345489-20251120-F657
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-13Record 345489-20251120-F759
2025-09-05Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Correction not yet recordedRecord 345489-20250905-F689
2025-07-25Complaint survey · 1 deficiencyOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-07-26Record 345489-20250725-F684
2025-05-23Standard survey · 6 deficienciesOfficial report
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-25Record 345489-20250523-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-25Record 345489-20250523-F656
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-25Record 345489-20250523-F688
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-25Record 345489-20250523-F842
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-25Record 345489-20250523-F880
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2025-07-25Record 345489-20250523-F628
2024-11-27Complaint survey · 3 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-12-20Record 345489-20241127-F600
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-12-20Record 345489-20241127-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-12-20Record 345489-20241127-F689
2024-06-21Complaint survey · 8 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-25Record 345489-20240621-F550
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-18Record 345489-20240621-F607
F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-18Record 345489-20240621-F626
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-25Record 345489-20240621-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-25Record 345489-20240621-F686
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-25Record 345489-20240621-F758
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-25Record 345489-20240621-F804
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-25Record 345489-20240621-F842
2024-04-29Complaint survey · 5 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity KHarm
Abuse & neglect
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-03-02Record 345489-20240429-F600
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-12-29Record 345489-20240429-F607
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-09Record 345489-20240429-F656
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-09Record 345489-20240429-F867
F838Conduct 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.Scope/severity CPaperwork
Records
Widespread; potential for minimal harm.Corrected 2024-05-09Record 345489-20240429-F838

Penalties & enforcement

DateActionAmountSource
2026-03-27Civil money penalty$23,397CMS · Penalties
2025-11-20Civil money penalty$12,935CMS · Penalties
2025-05-23Civil money penalty$93,236CMS · Penalties
2024-11-27Civil money penalty$113,051CMS · Penalties
2024-06-21Civil money penalty$78,793CMS · Penalties
2024-06-21Denial of payment for new admissions
Payment denial for 2 days, from 2024-07-23
CMS · Penalties
2024-04-29Civil money penalty$10,202CMS · Penalties
2024-04-29Civil money penalty$6,899CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.59
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day3.49
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours3.11
Facility
North Carolina
National
North Carolina 3.40 · National 3.42
Total nursing staff turnover60%
Facility
North Carolina
National
North Carolina 49% · National 46%
Registered nurse turnover50%
Facility
North Carolina
National
North Carolina 46% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityNorth CarolinaNational
Percentage of long-stay residents with pressure ulcers
lower is better
4.2%5.5%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.7%3.5%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
13.5%14.0%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%2.3%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
16.7%15.6%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
12.0%7.2%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
12.5%21.3%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Saturn Holdings I LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Alter, Tzvi
Individual
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
West Nc Holdings LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Nelson, John
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Trowell, Kit
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
1930 West Sugar Creek Road LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Alter, Tzvi
Individual
CORPORATE OFFICERNOT APPLICABLE
Booker, Timberly
Individual
ADP OF THE SNFNOT APPLICABLE
Childs, Mark
Individual
ADP OF THE SNFNOT APPLICABLE
Nelson, John
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Yad Healthcare13 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or North Carolina.

No county cost figures on file for Mecklenburg.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Crown Haven Health and Rehabilitation
Charlotte
1.4 mi2025-07-030335
University Place Nursing and Rehabilitation Center
Charlotte
3.2 mi2025-07-242252
Pine Crest Health & Rehabilitation
Charlotte
3.7 mi2025-08-070155
Asbury Health and Rehabilitation Center
Charlotte
4.2 mi2025-09-30093
Peak Resources - Charlotte
Charlotte
5.0 mi2025-06-260101
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01