The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited June 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: G
Nursing home report
Accordius Health At Monroe
Registered name: Rock Rest Nursing and Rehabilitation
Monroe, NC · Medicare-certified · 60 beds
In good standing
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
3 out of 5 stars overall. Health inspections are relatively strong at 4 stars, but staffing is very low at 1 star with 2.89 nurse hours per resident per day versus the 4.1 federal benchmark; there were no fines in the last 24 months, and recent citations included resident rights, food/fluids, and feeding-tube care.
Facility ratings
Health inspections
Staffing
2.887 hrs/resident/day
Quality measures
Last inspection: April 10, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.887.
Staffing detail
- Registered nurses
- 0.56
- Licensed practical nurses
- 0.66
- Nurse aides
- 1.66
- Weekend nursing
- 2.62
Hours per resident per day.
Total staff turnover: 71%
Registered nurse turnover: 82%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
12.5%24.3%Worsening
Residents with a fall causing major injury
4.3%2.1%Improving
Residents with pressure ulcers (bedsores)
12.8%4.3%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4.3%4.5%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13.6%2.5%Improving
Residents whose ability to walk got worse
0%0%No change
Long-stay residents on antianxiety or sleep medication
19.1%18.2%Improving
Short-stay residents newly given an antipsychotic
11.5%4.8%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
9.8%5.8%Improving
Residents with depressive symptoms
0%2.2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—91.1%—
Short-stay residents given the pneumonia vaccine
97.7%97%Worsening
What the inspectors found
The home failed to provide enough food and fluids to keep residents healthy. Cited June 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The home failed to make sure feeding tubes were used only when medically needed and that residents with feeding tubes received proper care. Cited June 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 693 — 42 CFR §483.25 — S/S: G
The home failed to submit complete and accurate staffing information based on verifiable records. Cited November 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 851 — 42 CFR §483.70 — S/S: F
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited June 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Feb 1, 2019
Now operated by Accordius Health at Monroe LLC, previously Ssc Monroe Operating Company LLC.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of SIMCHA HYMAN & NAFTALI ZANZIPER · 84 homes · 2.5 stars avg
- Occupancy
- 50.7 residents on an average day (85% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.