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Complaint Investigation

Rockwell Park Rehabilitation And Healthcare Center

March 27, 2026 · Charlotte, NC · 1930 West Sugar Creek Road
Citations 5
Beds 120
Provider ID 345489
Healthcare Facility
Rockwell Park Rehabilitation And Healthcare Center
Charlotte, NC  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Rockwell Park Rehabilitation and Healthcare Center in Charlotte, NC — inspection on March 27, 2026.

Found 5 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0627
Resident Rights Deficiencies

found placement in a memory care facility.A telephone interview with the Regional Ombudsman

weekend.

The Regional Ombudsman stated she emailed the facility management staff to inform them

readmit him.

She stated she reminded the facility management staff that the Hospital Case Manager may file a complaint with the State Survey Agency for failure to readmit Resident #93.An interview with the SW on 3/26/26 at 10:21 AM revealed she started working at the facility at the tail end of Resident #93's stay at the facility.

She stated she sent the revised 30-day discharge notice to the Regional Ombudsman on 2/28/26 with a memory care facility location after a video assessment was completed with the memory care.

The SW stated that the Regional Ombudsman told the facility staff over email that they should take Resident #93 back from the hospital.A telephone interview with the Former DON occurred on 3/26/26 at 1:27 PM.

She stated Resident #93 had exhibited many behaviors to include wandering, agitation, and delusions and he would be better suited for a smaller environment like a memory care.

The Former DON stated discissions were held with Family Member #1 and Family Member #2 about Resident #93 moving to another facility and the family was not agreeable to a move and wanted him to stay at the facility.

The Former DON stated Resident #93 was sent to the emergency room on 2/28/26 for a change in condition regarding an unsteady gait and increased agitation and Resident #93 was given a 30-day discharge notice on 2/26/26 for 30 days or until another facility was found.

She stated the Regional Ombudsman agreed that he could go from the hospital to the new facility. A telephone interview with the Administrator on 3/27/26 at 10:03 AM revealed Resident #93 had increasing behaviors such as agitation, wandering and eventually hypersexual behaviors towards staff.

She stated Resident #93 was seen by psychiatric services and the Interdisciplinary Team (IDT) decided on a 30-day discharge notice to another facility such as a memory care.

The Administrator stated Resident #93's family disclosed to them that Resident #93 was in a memory care facility in the past.

She stated the facility located a memory care placement for Resident #93 and Family Member #1 and Family Member #2 were going to go look at it.

The Administrator noted she told Family Member #1 2/26/26 that the facility was going to send Resident #93 to her home and Family Member #1 wanted to look at other facility placements.

The Administrator stated Resident #93 was sent to the hospital for evaluation on 2/28/26 and she was told by the Regional Ombudsman by email that it was up to the facility to decide about readmitting Resident #93, but the facility may have to take Resident #93 back from the hospital.

345489 03/27/2026

Rockwell Park Rehabilitation and Healthcare Center 1930 West Sugar Creek Road Charlotte, NC 28262

Federal health inspectors cited Rockwell Park Rehabilitation and Healthcare Center in Charlotte, NC for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2026-03-27.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 5 deficiencies cited during this inspection of Rockwell Park Rehabilitation and Healthcare Center.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-04-10.

An interview conducted with the Maintenance Director indicated on 12/15/25 he inspected all the

mechanical lift policy and proper use of the mechanical lift during a resident transfer, and they were

mechanical lift.

Interviews conducted with Nurses and NAs revealed they received education on the facility's mechanical lift policy and proper use of the mechanical lift and performed return demonstration of a safe resident transfer using the mechanical lift. A review of the facility's audit records revealed observations of lift transfers were completed twice a week on all three shifts from 12/22/25 through 3/15/26 and no concerns were identified. An observation was conducted on 3/26/26 of two NAs transferring Resident #8 from the wheelchair into bed using the mechanical lift.

The NAs used the mechanical lift per the manufacturer's instructions and transferred Resident #8 safely into bed with no concerns identified.

The facility's compliance date of 12/19/25 was validated.

Federal health inspectors cited Rockwell Park Rehabilitation and Healthcare Center in Charlotte, NC for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2026-03-27.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: 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.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 5 deficiencies cited during this inspection of Rockwell Park Rehabilitation and Healthcare Center.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-04-15.

Federal health inspectors cited Rockwell Park Rehabilitation and Healthcare Center in Charlotte, NC for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2026-03-27.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 5 deficiencies cited during this inspection of Rockwell Park Rehabilitation and Healthcare Center.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-04-15.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Charlotte, NC, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Rockwell Park Rehabilitation and Healthcare Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.