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Guardian Care of Rocky Mount

Nursing Home Facility

160 Winstead Avenue, Rocky Mount, NC 27804

Nursing Home Care Senior Living
Guardian Care of Rocky Mount

Guardian Care of Rocky Mount is a senior care community located in Rocky Mount, NC. It provides nursing home care and senior living for older adults in the Rocky Mount area. To learn more or schedule a tour, call (252)443-7666.

Operated by Sovereign Healthcare Holdings, which runs 41 communities in our directory.

With 117 beds, Guardian Care of Rocky Mount is one of the larger communities in the area, senior care communities in Rocky Mount average about 63 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 87% of its licensed beds.

Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Rocky Mount average about 3.0 stars. Its most recent standard health inspection was in November 2025 and recorded 15 deficiencies.

Residents receive about 3.8 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Nursing staff turnover over the past year was about 47%.

The community is located in Nash County, NC.

Medicare five-star ratings

  • Overall ★★★★★ 2/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 3/5
  • Quality measures ★★★★★ 2/5

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 27 problems at Guardian Care of Rocky Mount. 2 findings involved harm to a resident, including 1 that put residents in immediate danger. 12 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $27,872.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

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

    Inspected March 2026, after a complaint. Corrected by March 31, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected March 2026, after a complaint. Corrected by March 30, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    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.

    Inspected November 2025. Corrected by December 8, 2025.

  • Could cause more than minimal harm, a pattern Administration

    Employ staff that are licensed, certified, or registered in accordance with state laws.

    Inspected November 2025, after a complaint. Corrected by December 8, 2025.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

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

    Inspected November 2025. Corrected by December 8, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from the wrongful use of the resident's belongings or money.

    Inspected November 2025, after a complaint. Corrected by December 8, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Inspected November 2025. Corrected by December 8, 2025.

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

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

    Inspected November 2025. Corrected by December 8, 2025.

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

    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.

    Inspected November 2025. Corrected by December 8, 2025.

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

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

    Inspected November 2025, after a complaint. Corrected by December 8, 2025.

  • Could cause more than minimal harm, one or a few residents Nursing and Physician Services

    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.

    Inspected November 2025. Corrected by December 8, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure medication error rates are not 5 percent or greater.

    Inspected November 2025. Corrected by December 8, 2025.

  • Minimal harm or the potential for it, widespread Nursing and Physician Services

    Post nurse staffing information every day.

    Inspected November 2025. Corrected by December 8, 2025.

  • Minimal harm or the potential for it, widespread Administration

    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.

    Inspected November 2025. Corrected by December 8, 2025.

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

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Inspected November 2025. Corrected by December 8, 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.

Guardian Care of Rocky Mount offers nursing home care and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 117
  • Occupancy 87%
  • Nursing hours per resident/day 3.8
  • Annual staff turnover 47%
  • Last health inspection November 2025

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