Dahlia Gardens Center for Nursing and Rehabilitati

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

36.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 54 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 45.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 31 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.17 therapist hours per resident per day in 2026Q1 — more than 17% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 33% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 90 beds and averages 87.7 residents a day — about 97% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Weekend coverage: total nurse staffing is 2.98 hrs/resident/day on weekends vs 3.38 on weekdays — 12% thinner on weekends. RN hours go from 0.46 to 0.13 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 32% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

34 citations, most serious first. The 10 most serious are shown; the remaining 24 are one tap away and print in full.

• Potential for harm · Dcited before2025-12-04 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and staff interviews, the facility failed to dispose of a stained urine collection hat stored underneath a sink on the floor in a resident's bathroom. This deficient practice affected 1 of 7 residents on the 400 hall memory care unit who were reviewed for a safe, clean, comfortable, homelike environment (Resident #74).The findings included:An initial observation completed on 12/1/25 at 1:03 PM, and a follow-up observation on 12/2/25 at 11:28 AM, revealed a yellow stained white urine collection hat (a device placed inside the commode to collect urine for sampling) with a tissue inside lying on the floor underneath the sink in Resident #74's bathroom. The device was not labeled with a resident's name or stored in a bag. Resident #74 resided in the memory care unit and was in his room during both observations, and he was unable to state if the device belonged to him.On 12/2/25 at 11:32 AM an interview was conducted with Nurse Aide (NA) #3 who stated she was unaware there was a urine collection hat on the floor of Resident #74's bathroom and stated she would take…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-04 · tag F0602 — failed to protect residents from theft of their belongings — isolated
  Protect each resident from the wrongful use of the resident's belongings or money.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and Nurse Practitioner, Pharmacist, and staff interviews, the facility failed to protect the resident's right to be free from misappropriation of narcotic medication (methadone) prescribed to treat pain. This affected 1 of 3 residents reviewed for misappropriation (Resident #17).The findings included: A review of the facility's policy entitled Abuse, Neglect, and Exploitation implemented 12/1/22 and revised 1/1/25 read in part . It is the policy of this facility to provide protections for the health, welfare and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, exploitation, and misappropriation of resident property.Misappropriation of resident property means the deliberate misplacement, exploitation, or wrongful, temporary, or permanent, use of a resident's belongings or money without the resident's consent. Resident #17 was admitted to the facility on [DATE] with diagnoses of diabetes mellitus type II with…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-04 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to submit a request for an evaluation for a Level II Preadmission Screening Resident Review (PASRR) determination for a resident with a newly diagnosed serious mental illness for 1 of 2 residents reviewed for PASRR (Resident #4).The findings included:Resident #4 was admitted to the facility on [DATE] with diagnoses of generalized anxiety disorder and unspecified depression. A level I PASRR was completed on 5/8/24 prior to admission.A review of a psychiatric assessment note dated 3/20/25 indicated Resident #4 was seen by the psychiatrist and diagnosed with bipolar disorder. A review of a psychiatry note dated 6/3/25 indicated a new medication order for Risperidone 0.25 milligrams (mg) by mouth once daily for behaviors related to psychosis based off the resident's self-reported mood swings, confusion, and crying. Resident #4's Representative provided informed verbal consent by phone on 6/3/25 for the psychiatric provider to begin the medication. A…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-04 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations, and resident and staff interview, the facility failed to ensure a resident who was dependent on staff assistance for nail care received assistance when needed for 1 of 5 residents reviewed for activities of daily living (ADL) (Resident #14).The findings included:Resident #14 was admitted to the facility on [DATE] with diagnoses that included a permanent neurological disorder affecting movement, posture, and coordination, contracture of left arm, and vascular dementia.The quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #14's cognition was severely impaired. He exhibited behaviors that occurred for 1 to 3 days during the look-back period that included behavioral symptoms not directed towards others. He required moderate assistance with eating and was dependent on staff with personal hygiene, dressing, toilet hygiene, oral hygiene, shower/bath, bed mobility, and transfers. He was not coded for rejection of care. Resident #14 had range of motion…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-08-08 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, resident and staff interviews, the facility failed to place a resident's (Resident #83) call light within reach to allow for the resident to request staff assistance this was for 1 of 7 residents reviewed for accommodation of needs. The findings included: Resident #83 was admitted to the facility on [DATE] with diagnoses that included hemiplegia (paralysis of one side of the body) affecting left side, need for assistance with personal care, and type 2 diabetes mellitus. The admission Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #83 was cognitively intact. He was dependent on staff for toileting hygiene, transfers, and dressing. He required maximum assistance with shower/baths, bed mobility, and dressing and moderate assistance with personal hygiene. He was always incontinent of bowel and bladder. He had functional limitation with range of motion of one side of his upper extremities. Resident #83 ' s care plan, last reviewed on 07/18/24, indicated he had…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-08-08 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, resident and staff interviews, the facility failed to protect 1 of 4 residents (Resident #19), for his right to be free from physical abuse as evidence by another resident (Resident #9) slapping him with an open hand to the side of his head. The findings included: Resident #9 was admitted to the facility on [DATE] with diagnoses that included schizophrenia and hemiplegia and hemiparesis of the left non-dominant side. Resident #9 ' s quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated his cognition was intact. He exhibited no behavior during the look-back period. Resident #9 ' s care plan, last reviewed on 07/29/24 revealed a focus that read he was verbally aggressive related to poor impulse control. Resident was verbally aggressive and threatened bodily harm to staff and other residents. The interventions included when Resident #9 became agitated for staff to intervene before agitation escalated, guide him away from source of distress, and engage calmly in conversation.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-08 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, Nurse #2 failed to implement the reporting portion of the abuse policy after Nurse Aide #3 (NA #3) told her Resident #19 slapped Resident #9 on the right hand/forearm. The facility also failed to notify Adult Protective Services (APS) regarding an allegation of abuse. This was for 1 of 4 Residents (Resident #9) reviewed for abuse. The findings included: a. A review of the facility's Abuse policy, last revised 2023, revealed new employees will be educated on the reporting process for abuse during the initial orientation. The policy read in part: The facility will have written procedures that include: Reporting of all alleged violations to the Administrator, state agency, adult protective services and to all other required agencies (e.g., law enforcement when applicable) within specified timeframes. A phone interview was conducted on 08/08/24 at 4:20 PM with Nurse #2. She verified she was the nurse for Resident #19 and #9 on the night of 07/21/24. She stated at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-08 · tag F0637 — isolated
  Assess the resident when there is a significant change in condition
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff, Medical Director (MD) interviews and record review, the facility failed to complete a significant change Minimum Data Set (MDS) after 2 areas of significant decline. This was for 1 of 19 residents reviewed for MDS accuracy (Resident #24). The findings included: Resident #24 was admitted on [DATE] with cumulative diagnoses congestive heart failure, chronic obstructive pulmonary disease, and dementia. Review of his quarterly MDS dated [DATE] indicated Resident #24 had severe cognitive impairment and required substantial staff assistance with Activities of Daily Living (ADLs). He was coded as frequently incontinent of bladder and always incontinent of bowel, weight of 111 pounds with no known weight loss, and no pressure ulcers. A review of Resident #24's medical record revealed he developed a stage 3 ulcer described as pressure to his sacrum on 6/7/24. A review of Resident #24's weights for the last 3 months from 5/2/24 (113.2 pounds) to 7/25/24 (102.6 pounds) was a loss of 10.6 pounds or 9.36%…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-08 · tag F0943 — isolated
  Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to provide abuse training to Nurse #2 prior to her working at the facility. This was for 1 of 5 employees reviewed for abuse training. The findings included: An interview with the Director of Nursing (DON) was conducted on 08/06/24 at 1:15 PM. She stated there was an incident of resident to resident abuse on 07/21/24 at 2:45 AM. Nurse #2, agency nurse, was the nurse on duty when Resident #19 slapped Resident #9. The DON explained Nurse #2 did not notify the administration after the incident because she did not feel it was abuse. The DON further explained that orientation training, which included the abuse policy, was given to Nurse #2 on 07/21/24. Review of orientation training, dated 07/19/24 through 07/22/24, which included the abuse policy, was signed by Nurse #2 on 07/21/24 at 7:00 PM. A phone interview was conducted on 08/08/24 at 4:20 PM with Nurse #2. She verified 07/20/24 was the first time she worked at the facility and then returned on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-10-11 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, observations, resident, and staff interviews, the facility failed to protect a resident's right to be free from sexual abuse for 2 of 2 residents investigated for resident-to-resident sexual abuse (Resident #1, resident #2). The findings included: Resident #1 was admitted to the facility on [DATE] with diagnoses that included cerebral infarct, traumatic brain injury, and dementia. The resident's quarterly Minimum Data Set (MDS) dated [DATE] indicated Resident #1 was severely visually impaired and severely cognitively impaired with a Brief Interview for Mental Status (BIMS) score of 3 out of 15. The resident required extensive assistance of one person to complete bed mobility, transfers, dressing, toileting, and personal hygiene. The MDS reflected the resident did not have behavioral symptoms directed toward others, to include public sexual acts, during the assessment period. Resident #1's care plan last revised on 9/12/2023 contained a focus for impaired cognition related to history of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to ALLIANCE HEALTH GROUP — 12 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 6 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 70% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.9M paid to related parties — landlords or management companies under common ownership — equal to about 18% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NC