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Rock Rest Nursing and Rehabilitation

Nursing Home Facility

204 Old Highway 74 East, Monroe, NC 28112

Nursing Home Care Retirement Living Senior Living
Rock Rest Nursing and Rehabilitation

Rock Rest Nursing and Rehabilitation is a senior care community located in Monroe, NC. It provides nursing home care, retirement living, and senior living for older adults in the Monroe area. To learn more or schedule a tour, call (704) 800-0601.

Rock Rest Nursing and Rehabilitation is licensed for 60 beds, about typical for the area, where senior care communities in Monroe average about 59 beds.

Federal reporting puts occupancy at about 85% of its licensed beds.

Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 1 star for staffing against 4 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in April 2025 and recorded 4 deficiencies.

Residents receive about 2.9 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Communities in Monroe average about 3.5 hours. Nursing staff turnover over the past year was about 71%, which is high and can affect continuity of care.

The community is located in Union County, NC.

Medicare five-star ratings

  • Overall ★★★★★ 3/5
  • Health inspections ★★★★★ 4/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 3/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 20 problems at Rock Rest Nursing and Rehabilitation. 3 findings involved harm to a resident. 3 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

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

    Inspected April 2025. Corrected by April 25, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected April 2025. Corrected by April 25, 2025.

  • Minimal harm or the potential for it, a pattern Resident Rights

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

    Inspected April 2025. Corrected by April 25, 2025.

  • Minimal harm or the potential for it, a pattern Resident Rights

    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.

    Inspected April 2025. Corrected by April 25, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Rock Rest Nursing and Rehabilitation offers nursing home care, retirement living, and senior living.

Facility details

  • Organization type for-profit limited liability corporation
  • Beds / units 60
  • Occupancy 85%
  • Nursing hours per resident/day 2.9
  • Annual staff turnover 71%
  • Last health inspection April 2025

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