Rock Rest Nursing and Rehabilitation
204 Old Highway 74 East · Monroe, NC · 28112 · 7048000601
60 certified beds For profit - Limited Liability company Chain: Simcha Hyman & Naftali Zanziper
Why this verdict
- 3 citations involved actual harm to residents.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
64% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.04 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.70 | 0.55–0.75 |
| Weekend hours / resident-day | 2.96 | ≈ weekday level |
| Nursing turnover / year | 64% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (20 in the current record)
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Potential for harm · D April 10, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 25, 2025 · Quality of Life and Care
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Potential for harm · D April 10, 2025
Provide and implement an infection prevention and control program.
Corrected April 25, 2025 · Infection Control
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No harm found · B April 10, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected April 25, 2025 · Resident Rights
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No harm found · B April 10, 2025
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.
Corrected April 25, 2025 · Resident Rights
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Potential for harm · D January 31, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected March 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 31, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 7, 2025 · Quality of Life and Care
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Potential for harm · E November 30, 2023
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected December 20, 2023 · Resident Rights
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Potential for harm · F November 30, 2023
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected December 20, 2023 · Administration
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Potential for harm · D November 30, 2023 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected September 7, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G June 17, 2022
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 1, 2022 · Resident Rights
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Actual harm · G June 17, 2022
Provide enough food/fluids to maintain a resident's health.
Corrected July 1, 2022 · Quality of Life and Care
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Actual harm · G June 17, 2022
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected July 1, 2022 · Quality of Life and Care
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Potential for harm · D June 17, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 1, 2022 · Quality of Life and Care
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Potential for harm · D June 17, 2022
Provide 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.
Corrected July 1, 2022 · Quality of Life and Care
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Potential for harm · F June 17, 2022
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected July 1, 2022 · Nursing and Physician Services
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Potential for harm · D June 17, 2022
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 July 1, 2022 · Pharmacy Service
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Potential for harm · E June 17, 2022
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 1, 2022 · Resident Assessment and Care Planning
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Potential for harm · D June 17, 2022
Provide and implement an infection prevention and control program.
Corrected July 1, 2022 · Infection Control
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Potential for harm · E June 17, 2022
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected July 1, 2022 · Environmental
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No harm found · B June 17, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 1, 2022 · Resident Assessment and Care Planning
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345345 · certified since January 30, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.