Home / North Carolina / Charlotte
1930 West Sugar Creek Road, Charlotte, NC 28262 · Mecklenburg County · (704) 598-4480
120 certified beds, about 83 residents a day · For profit - Corporation · Medicare and Medicaid since 1998
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345489 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 27, 2026, inspectors cited 5 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
Of 34 health citations since April 2024, 8 were rated as actual harm or immediate jeopardy to residents (7 immediate jeopardy).
CMS lists 7 fines totaling $338,513 in the last three years; the largest was $113,051, and the latest is dated March 27, 2026.
Nurses and nurse aides worked 3.49 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.
60.2% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Yad Healthcare, an affiliated group of 13 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 34 health citations on file.
Inspectors wroteBased on record review and staff, Family Member #1, Family Member #2, Hospital Case Manager, and Regional Ombudsman interviews, the facility failed to readmit Resident #93 after being transferred to the hospital for an evaluation for agitation, wandering and unsteady gait for 1 of 3 residents reviewed for inappropriate discharges (Resident #93).
Inspectors wroteBased on record review and staff interviews, the facility failed to develop an individualized comprehensive care plan to include immobilizer care for 1 of 1 resident reviewed for positioning and mobility (Resident #14).
Inspectors wroteBased on observations, record review and resident and staff interviews, the facility failed to provide a safe transfer using the mechanical lift for 1 of 4 residents reviewed for accidents (Resident #8).
Inspectors wroteBased on observations and staff interviews, the facility failed to remove expired medications stored in 2 of 3 medication rooms reviewed for medication storage (Medication Room for [NAME] Hall and Over the Counter (OTC) Medication Storage Room) and failed to date a vial Tuberculin Purified Protein Derivative (PPD) used for tuberculosis testing when opened in 1 of 2 medication refrigerators (West Hall Medication Room refrigerator).
Inspectors wroteBased on record review, observations and staff interviews, the facility failed to follow their infection control policy and procedures for Contact Precautions when Nurse Aide (NA) #3 did not wear all necessary Personal Protective Equipment (PPE) while providing incontinence care for Resident #53. The deficiency occurred for 1 of 4 staff members observed for infection control practices (NA #3).
Inspectors wroteBased on observations, record review, and staff and Medical Director interviews, the facility failed to provide safe transport for a resident in a wheelchair when Nurse #1 transported Resident #1 in a wheelchair to the medication cart while Resident #1 held her legs up because she was unable to bend them and place them on the wheelchair footrests. Resident #1's left leg dropped down between the wheelchair footrests and got caught underneath the wheelchair. Resident #1 was complaining of severe pain to her left leg with swelling noted to her left shin and was transferred to the emergency department (ED) for further evaluation. [...]
Inspectors wroteBased on observations, record review, and staff and resident interviews, the facility failed to honor a resident's choice to smoke a tobacco cigarette by making residents use vaping devices for 4 of 4 residents reviewed for choices (Resident #42, Resident #23, Resident #18 and Resident #78). This deficient practice had the potential to affect all residents that smoked cigarettes.
Inspectors wroteBased on record review, and Responsible Party and staff interviews, the facility failed to obtain consent and inform the resident or resident representative in advance of the risks and benefits of psychotropic medications prior to increasing the frequency for 1 of 5 residents reviewed for unnecessary medications (Resident #62).
Inspectors wroteBased on record review and staff interviews, the facility failed to revise a resident's care plan when her smoking status changed for 1 of 18 residents reviewed for comprehensive care plans (Resident #9).
Inspectors wroteBased on record review, observations and staff interviews, the facility failed to maintain a medication error rate of less than 5% as evidenced by the administration of medications to the wrong resident (2 medication errors out of 26 opportunities), resulting in a medication error rate of 7.69% for 1 of 5 residents (Resident #62) observed during medication pass.
Inspectors wroteBased on observations, record review, and staff, resident, and Medical Director interviews, the facility failed to ensure the necessary supervision was provided to prevent a cognitively impaired resident who was care planned as having a history of attempting to leave the facility, who wandered aimlessly and had impaired safety awareness from exiting the building at night without staff knowledge. On 07/17/25, the resident was last seen at 9:00 PM. At approximately 9:30 PM Nurse Aide (NA) #1 was unable to locate Resident #1. Staff members searched the building before checking the back doorway employee entrance, which required a keycode for exit. Resident #1 was found outside lying on his left side with his wheelchair on top of his lower back area. [...]
Inspectors wroteBased on record review, and staff, Family Member #1 and Medical Director interviews, the facility failed to recognize the current treatment plan was not effective and the seriousness of a resident with a diagnosis of hypothyroidism (when the thyroid gland doesn't make enough thyroid hormone) not responding to high doses of levothyroxine (medication used to treat hypothyroidism). As of [DATE] Resident #1 had an active order for an endocrinology consultation for hypothyroidism. On [DATE] lab work was obtained and resulted in a critically high TSH (Thyroid Stimulating Hormone) level of 50.3 (normal range 0.5 to 5.0). The endocrinology consultation order was not faxed by the facility to the consultation office until [DATE] and a referral to an endocrinologist for an evaluation was not scheduled. [...]
Inspectors wroteBased on record review and staff interviews the facility failed to accurately code the Minimum Data Set (MDS) assessment in the areas of discharge status (Resident #98), Preadmission Screening and Resident Review (PASRR) (Resident #76), falls (Resident #54), and physical restraints (Resident #73). This deficient practice occurred for 4 of 19 residents reviewed for accuracy of assessments.
Inspectors wroteBased on record review and staff interviews, the facility failed to develop a comprehensive care plan in the area of colostomy care for 1 of 1 resident reviewed for colostomy care (Resident #35).
Inspectors wroteBased on observation, record review, resident, and staff interviews, the facility failed to apply a right-hand splint for 1 of 3 sampled residents reviewed for limited range of motion (Resident #73).
Inspectors wrote2. Resident #69 was admitted to the facility on [DATE]. The quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #69 was cognitively intact. A review of current physician order for Resident #69 dated 6/28/2024 revealed to administer Polyethylene Glycol 3350 Oral Powder 17 GM/SCOOP. Give 17 grams orally as needed for constipation, mixed with 4 to 8 ounces liquid of choice. Daily as needed. Record review revealed progress note dated 5/2/2025 entered by Nurse #3. According to the note, Resident #69 had not had a bowel movement in 3 days and was given constipation medication on 5/2/25. A review of Resident #69's Medication Administration Record (MAR) for May 2025 revealed Nurse #3 did not document the administration of Polyethylene Glycol 3350 oral power in the month of May 2025. [...]
Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to follow their Hand Hygiene policy when the Unit Manager did not perform hand hygiene before each donning of clean gloves while providing wound care to Resident #7. This deficient practice occurred for 1 of 4 staff members observed for infection control practices (Unit Manager).
Inspectors wroteBased on record review and staff and Ombudsman interviews, the facility failed to notify the Ombudsman in writing of the resident's transfer and discharge to the hospital for 1of 2 residents reviewed for hospitalization (Resident #150).
Inspectors wroteBased on observations, record review, and resident, facility staff, Nurse Practitioner (NP), Medical Director (MD), and Physician Assistant (PA) interviews, the facility failed to protect a resident's right to be from physical abuse (Resident #49). On 09/14/24 at approximately 9:00 AM Nurse #3 heard a loud hit or thud coming from across the unit and then observed Resident #49 rolling out of his room in his wheelchair and witnessed Resident #79 swinging his arm with a fist and hit Resident #49 on the back of the head. Resident #49 was noted to slump over in his wheelchair and have a loss of consciousness for a few seconds before opening his eyes and requesting to go outside and smoke. [...]
Inspectors wrote2. Resident #55 was admitted to the facility on [DATE] with diagnoses that included end stage renal disease, right below the knee amputation, abnormalities of gait/mobility and muscle weakness. A review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #55 was cognitively intact, had lower extremity impairment on one side, utilized a manual wheelchair for mobility, required supervision to moderate assistance with transfers, and received dialysis treatments. The MDS further revealed Resident #55 was not coded for receiving an anticoagulant. A review of the Care Plan dated 11/13/24 indicated Resident #55 required minimal to extensive assistance with activities of daily living, was a right lower extremity amputee with a prosthesis, utilized a wheelchair to assist with mobility and received dialysis treatment 3 times a week. [...]
Inspectors wroteBased on observations, record review, resident, Medical Director and staff interviews, the facility failed to provide safe van transportation when Driver #1 failed to secure Resident #55's wheelchair in the facility van per the manufacturer's instructions. On 11/15/24, during transport from the dialysis center, Driver #1 did not secure Resident #55's wheelchair in the facility van per the manufacturer's instructions, and when he drove out of the parking lot and turned right onto the main road, Resident #55 fell backwards in his wheelchair and hit his head on the van floor. Resident #55 was assessed by Nurse #1 when he returned to the facility, was noted to have an abrasion and swelling to the back of his head and was complaining of severe head pain. [...]
Inspectors wroteBased on observations, record review, resident and staff interviews, the facility failed to provide Thrombo-Embolic Deterrent (TED) stockings as ordered by the physician on 11/07/23 and 01/09/24 for a resident with bilateral lower extremity edema (swelling and puffiness of bilateral lower legs, ankles, and feet) (Resident #65) for one of one resident reviewed for quality of care.
Inspectors wroteBased on a lunch meal test tray observation, record review and resident interviews (Resident #4, #70, #153 and #65), the facility failed to provide food per resident preference for taste and temperature for 4 of 4 sampled residents on the south unit reviewed for food palatability. This failure had the potential to affect a census of 93 residents who received food in the facility.
Inspectors wroteBased on observations, record review, resident and staff interviews, the facility failed to ensure a resident's medical record accurately reflected that Thrombo-Embolic Deterrent (TED) stockings were not being applied in the morning and removed at night as ordered by the physician for a resident with bilateral lower extremity edema (swelling and puffiness of bilateral lower legs, ankles, and feet). This was for one of one resident (Resident #65) reviewed for accuracy of medical records.
Inspectors wroteBased on observations, record review, and interviews with residents (Resident #88), family (Resident #74 and Resident #16), and staff, the facility failed to provide a dignified dining experience when three (3) residents who dined on the south unit did not receive assistance with their meal to allow them to eat with other residents who ate or were assisted to eat by staff. Resident #74 waited for staff to assist him with eating his meal, while his roommate, Resident #55 fed himself. Resident #88 and Resident #16 waited for staff to assist them with their meals while residents dining with them were assisted to eat by staff or fed themselves. This failure occurred for 3 of 3 residents sampled for dignity with dining (Residents #74, #88 and #16). The reasonable person concept was applied as individuals have the expectation of eating and to be served when dining at the same time as others.
Inspectors wroteBased on record review, resident and staff interviews the facility failed to implement their abuse policy and procedure in the areas of reporting immediately to administration and investigating when Resident #21 reported that a Nurse Aide (NA) intentionally hit her on the hand with a bed remote. This deficient practice occurred for 1 of 5 residents reviewed for abuse.
Inspectors wroteBased on record review, Hospital Case Manager, and staff interviews, the facility failed to allow a resident to return to the facility after being sent to the hospital for a medical evaluation using the residents' behaviors prior to discharge as a basis for their decision for 1 of 3 residents reviewed for transfer and discharge (Resident #303).
Inspectors wroteBased on observations, record review, and interviews with the wound physician and staff, the facility failed to maintain a dressing intact to a stage 3 sacral pressure ulcer for 1 of 2 sampled residents reviewed for pressure ulcers (Resident #35).
Inspectors wroteBased on record review and staff, physician, and resident responsible party (RP) interviews, the facility failed to discontinue a benzodiazepine medication (Ativan) used for anxiety as ordered by the physician for 1 of 5 residents reviewed for unnecessary medications (Resident #5).
Inspectors wroteBased on observations, record review, resident, physician, and staff interview the facility failed to protect a severely cognitively impaired resident from the right to be free from physical abuse (Resident #5). Resident #5 experienced physical abuse twice on 12/27/23 when before bingo Resident #4 placed her arm around the Resident #5's neck, and pulled her forward, and then on the same day, placed Resident #5 in a chokehold with her arm while she was seated in her wheelchair. Resident #5 was held in the chokehold position which caused the resident to gasp and her face to become red. In addition, the facility failed to protect a severely cognitively impaired resident from the right to be free from sexual abuse (Resident #3). Resident #3 experienced sexual abuse on 2/26/24 when Resident #2 touched and rubbed her pubic area. [...]
Inspectors wroteBased on a resident interview, staff interviews and record review, the facility failed to report an incidence of physical abuse to facility administration to protect a resident from further physical abuse. Resident #5 experienced physical abuse twice on 12/27/23. Both incidents occurred on 12/27/23 before 2:30 PM. Resident #4 first physically assaulted Resident #5 in the dining room. This occurrence of physical abuse was not reported to the facility administration. As a result, Resident #4 physically assaulted Resident #5 again in the hallway. The deficient practice occurred for 1 of 4 sampled residents reviewed for abuse (Resident #5).
Inspectors wroteBased on record review and staff interviews the facility failed to develop a comprehensive person-centered individualized care plan for a resident with behaviors for 1 of 3 sampled residents (Resident #4).
Inspectors wroteBased on observations, record review, and staff interviews, the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor the interventions that the committee put into place following the recertification and complaint investigation survey of 08/13/21, the complaint investigation survey of 09/29/22 and the current complaint investigation survey of 4/29/24. This failure occurred for three repeat deficiencies originally cited in the areas of freedom from abuse and neglect, develop and implement abuse and neglect policies, and comprehensive resident centered care plans that was subsequently recited on the current complaint investigation survey of 4/29/24. The continued failure of the facility during three federal surveys of record shows a pattern of the facility's inability to sustain an effective QAA Program.
Inspectors wroteBased on staff interviews and record review, the facility failed to have an accurate facility assessment that recorded the current Medical Director and changes to administrative personnel. This failure occurred for a facility census of 99 residents.
10 fire safety citations on file: 4 on November 20, 2025, 6 on May 23, 2025.
| Date | Penalty | Amount or length |
|---|---|---|
| March 27, 2026 | Fine | $23,397 |
| November 20, 2025 | Fine | $12,935 |
| May 23, 2025 | Fine | $93,236 |
| November 27, 2024 | Fine | $113,051 |
| June 21, 2024 | Fine | $78,793 |
| June 21, 2024 | Payment Denial | 2 days from July 23, 2024 |
| April 29, 2024 | Fine | $6,899 |
| April 29, 2024 | Fine | $10,202 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.49 | 3.85 | 3.86 |
| Registered nurses | 0.59 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.11 | 3.42 | 3.42 |
| Nurse aides | 1.97 | ||
| Licensed practical nurses | 0.93 | ||
| Nursing staff turnover (share who left in a year) | 60.2% | 49.0% | 45.8% |
| Registered nurse turnover | 50.0% | 45.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.68 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.64 on weekdays and 3.11 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.29 in April to June 2025 to 3.49 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.49 | 0.59 | 3.64 | 3.11 | 0.0% | 0 of 90 | 83 |
| Oct to Dec 2025 | 3.58 | 0.49 | 3.76 | 3.13 | 0.2% | 0 of 92 | 86 |
| Jul to Sep 2025 | 3.30 | 0.32 | 3.45 | 2.92 | 0.0% | 0 of 92 | 96 |
| Apr to Jun 2025 | 3.29 | 0.28 | 3.48 | 2.83 | 0.6% | 0 of 91 | 99 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| North Carolina, all employers | |||
| CNAs (nursing assistants) | $18.49 | $17.28 to $21.08 | 64,010 |
| LPNs and LVNs | $30.42 | $28.50 to $33.51 | 18,010 |
| Registered nurses | $40.56 | $37.87 to $49.06 | 111,120 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 16.7 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.9 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.7 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.3 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.5 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.2 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.6 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.3 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 26.6 | 12.9 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Rockwell Park Rehabilitation and Healthcare Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 51.5% · North Carolina: 93 better, 25 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 5 eligible stays.
10.5% this home
No different from the national rate
US median of homes 10.7% · North Carolina: 1 better, 4 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 28 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 7.1% · North Carolina: 1 better, 3 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 5 eligible stays.
37.9% this home
Median of homes: North Carolina54.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 29 residents counted.
1.9% this home
Median of homes: North Carolina0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 53 residents counted.
1.4% this home
Median of homes: North Carolina2.5% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 53 residents counted.
Not reported
CMS note: Newly certified nursing home with less than 12-15 months of data available or the nursing opened less than 6 months ago, and there were no data to submit or claims for this measure.
Median of homes: North Carolina97.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: SATURN OPERATOR LLC. CMS links this home to Yad Healthcare, a group of 13 nursing homes averaging 1.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Saturn Holdings I LLC | 5% or greater direct ownership interest | Organization | 100% | 06/01/2024 |
| West Nc Holdings LLC | 5% or greater indirect ownership interest | Organization | 06/01/2024 | |
| Alter, Tzvi | 5% or greater indirect ownership interest | Individual | 06/01/2024 | |
| Alter, Tzvi | Corporate officer | Individual | 06/01/2024 | |
| Nelson, John | Operational/managerial control | Individual | 01/01/2025 | |
| Trowell, Kit | Operational/managerial control | Individual | 01/01/2025 | |
| 1930 West Sugar Creek Road LLC | Adp of the SNF | Organization | 06/01/2024 | |
| Booker, Timberly | Adp of the SNF | Individual | 08/01/2025 | |
| Childs, Mark | Adp of the SNF | Individual | 08/01/2025 | |
| Nelson, John | Adp of the SNF | Individual | 08/05/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.