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Forrest Oakes Healthcare

620 Heathwood Drive, Albemarle, NC 28001 · For profit - Corporation · 60 certified beds · (704) 983-2686 Medicare & Medicaid certified

Call the home — (704) 983-2686 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0602) — cited May 2026Resident-funds citation (F0565)$5,242 in federal fines
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0602), cited May 2026
  • it has a citation for mishandling residents’ money or property (F0565)
  • a high number of inspection citations overall (30) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $5,242 in federal fines (most recent 2025-02-06)
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its independent health-inspection rating is low (2/5)
  • its payroll-based staffing rating is low (2/5)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's quality-measure rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1908 Hilco St · (704) 983-5350 · Call to confirm hours
Pharmacy
Walgreens0.5 mi
840 NC 24 27 Byp E · (704) 982-2301 · Call to confirm hours
Grocery
1947 E Main St · (704) 550-9220 · Call to confirm hours
Park
1816a E Main St · (704) 984-9560 · Typically dawn to dusk
Place of worship
1260 Unity Drive

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

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 5 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 2 to 1 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating1★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased11.5%15.6%15.4%better
Long-stay residents who lose too much weight0.0%7.2%5.4%check this — see note marked star below the table
Long-stay residents with a catheter left in their bladder0.0%0.7%0.9%better
Long-stay residents with a urinary tract infection1.7%2.3%2.0%better
Long-stay residents with depressive symptoms1.3%5.9%6.5%better
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury1.1%3.5%3.3%better
Long-stay residents whose ability to walk worsened21.1%18.3%16.1%worse
Long-stay residents on antianxiety or hypnotic medication23.6%21.3%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%94.1%95.3%typical
Long-stay residents with pressure ulcers5.6%5.5%4.7%worse
Long-stay residents with worsening bladder/bowel control30.2%20.7%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table17.5%14.0%17.1%typical
Short-stay residents who newly got an antipsychotic medication0.6%1.4%1.4%better
Short-stay residents given the seasonal flu vaccine81.2%78.1%79.4%typical
Short-stay residents rehospitalized after admission14.5%22.9%22.6%better
Short-stay residents with an outpatient ER visit5.3%12.9%12.0%better
Long-stay hospitalizations per 1,000 resident days0.641.781.67better
Long-stay outpatient ER visits per 1,000 resident days0.961.801.80better

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

46.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 69 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

46.9%U.S. median 51.5%
Got home and stayed home
9.8%U.S. median 10.7%
Went back to hospital
62.5%U.S. median 56.6%
Met the expected recovery
0.47U.S. median 0.31
Therapy hours / resident / day
0.13hours / resident / day
Physical therapy
0.24hours / resident / day
Occupational therapy
0.10hours / resident / day
Speech therapy

Met the expected recovery: 62.5% 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 24 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 0.47 therapist hours per resident per day in 2026Q1 — more than 78% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 14% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF46.9%CMS range 37.3–55.951.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.8%CMS range 6.6–14.510.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge62.5%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge66.7%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge45.8%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified93.2%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge95.7%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened11.4%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization11.4%CMS range 7.5–16.77.1%Oct 2023–Sep 2024worse than U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.111.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.46
RN hours/ resident / day
0.54
LPN hours/ resident / day
2.27
Aide hours/ resident / day
3.27
Total nurse hours/ resident / day
0.21
RN hoursweekends
55.2%
Total nursing turnover
42.9%
RN turnover

How full it usually is: this home is certified for 60 beds and averages 52.5 residents a day — about 88% occupied, or roughly 8 beds typically open. It runs fairly full. 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.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.27 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.46 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.27 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.96 hrs/resident/day on weekends vs 3.40 on weekdays — 13% thinner on weekends. RN hours go from 0.56 to 0.21 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 55% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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

5
deficiencies at the latest standard inspection (2026-05-29)
11
at the previous standard inspection (2025-02-06)

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.

ABCDEFGHIJKL

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.

30 citations, most serious first. The 10 most serious are shown; the remaining 20 are one tap away and print in full.

  • Potential for harm · D2026-05-29 · 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 staff interviews, the facility failed to protect the resident's right to be free from misappropriation of personal funds when the Medical Records Manager accepted money from the resident for cleaning his personal apartment. The Medical Records Manager was alleged to have accepted $280.00 from Resident #60 on 4/17/26. This deficient practice occurred for 1 of 1 resident reviewed for misappropriation of resident property (Resident #60).The findings included:A review of the facility's policy entitled Abuse, Neglect and Exploitation revised on 10/14/25 read in part: 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.A review of the facility's undated code of ethics read in part: Accepting any gift or gratuity from a patient or family member is strictly prohibited. Resident #60 was admitted to the facility on [DATE] with diagnoses that included…

    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 · D2026-05-29 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    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 ensure a Level I Preadmission Screening and Resident Review (PASRR) was completed prior to admission for 1 of 2 residents reviewed for PASRR (Resident #7).The findings included:The North Carolina Department of Health and Human Services (NCDHHS) PASRR determination letter dated 5/11/2023 for Resident #7 indicated a Level I screen and provided a PASRR number that remained valid for the duration of the individual's stay (this Level I screen was not requested by or for the current facility). The letter stated that no additional PASRR screening was required unless a significant change in the individual's condition occurred, which could suggest a diagnosis related to mental illness.Resident #7 was admitted from home to the facility on 3/30/2026 with a diagnosis of post traumatic stress disorder.The admission Minimum Data Set (MDS) dated [DATE] indicated that Resident #7 was cognitively intact and was not currently considered by the state Level II…

    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 before2026-05-29 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    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 interviews with the Nurse Practitioner and staff, the facility failed to accurately transcribe and carry out physician orders for protective skin care for 1 of 3 residents reviewed with pressure ulcers (Resident #48).The findings included: Resident #48 was originally admitted to the facility on [DATE]. Her diagnoses included contractures of both knees and protein calorie malnutrition. A quarterly Minimum Data Set (MDS) assessment dated [DATE], indicated Resident #48 had severely impaired cognition and limited range of motion to both lower extremities. She was coded with one unstageable pressure ulcer. A review of Resident #48's care plan, last reviewed 6/23/25, included a focus area for impaired mobility, thin/fragile skin, poor oral intake. She is under hospice care due to terminal prognosis of vascular dementia. She has actual impairment to skin integrity related to deep tissue injury wound of the right hip and blisters to right inner ankle and left posterior thigh. The interventions…

    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 before2026-05-29 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when 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 observations, record reviews, staff, and Nurse Practitioner interviews, the facility failed to ensure oxygen was delivered at the prescribed rate for 1 of 1 resident reviewed for respiratory care (Resident #46).The findings included:Resident #46 was admitted to the facility on [DATE] with diagnoses of acute and chronic respiratory failure with hypoxia (when tissues and cells do not receive enough oxygen to function properly), asthma, alveolar hypoventilation (breathing is too shallow or slow to meet the body's metabolic needs), and acute and chronic respiratory failure with hypercapnia (an abnormally elevated level of carbon dioxide).A review of Resident #46's care plan revealed a focus area revised on 11/29/23 that read Resident #46 had potential for altered respiratory status/difficulty breathing. An intervention initiated on 1/21/26 indicated the resident would receive oxygen at 3 liters per minute (lpm) continuously via nasal cannula.A review of Resident #46's active orders included an order dated…

    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 · D2026-05-29 · tag F0761 — failed to label and store drugs safely — isolated
    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.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on manufacturer recommendations, observations, record reviews, and staff interviews, the facility failed to date multi use medications upon opening and failed to refrigerate unopened medication per manufacturer instructions on 1 of 3 medication carts reviewed (D Hall Cart).The findings included: Review of the manufacturer's guidelines for Rhopressa eye drops instructed to refrigerate unopened bottles.Review of the manufacturer's guidelines for Brimonidine Tartrate required discarding the medication 28 to 30 days after opening.Review of the manufacturer's guidelines for Erythromycin ophthalmic ointment read to discard the ointment within 28 days of opening.Review of the manufacturer's guidelines for Latanoprost eye drops read it must be discarded four to six weeks after opening.An observation was conducted on 5/28/26 at 10:00 AM of the D Hall medication cart in the presence of Medication Aide (MA) #1. The observation revealed the following medications stored in the medication cart:One (1) bottle of Rhopressa eye drops (a prescription eye drop used to lower high pressure inside…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-03-13 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    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 staff and Nurse Practitioner interviews, the facility failed to keep a urinary catheter bag and its tubing from touching the floor to reduce the risk of infection for 1 of 3 residents (Resident #33) reviewed. Findings included: Resident #33 was admitted to the facility on [DATE]. A Physician's Order dated 10/11/2024 indicated Resident #33 required an indwelling urinary catheter. A quarterly Minimum Data Set assessment dated [DATE] indicated he was cognitively intact and had an indwelling urinary catheter. Resident #33's Care Plan dated 3/8/2025 indicated he had an indwelling suprapubic urinary catheter. During an observation of Resident #33 on 3/12/2025 at 9:45 am he was found to be in bed and his urinary catheter drainage bag was lying on the floor beside his bed. There was no hook on the urinary catheter bag to attach it to the bed frame. Nurse Aide #1 came to the room and emptied Resident #33's urinary catheter bag and stated she would get the Unit Manager to replace…

    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 · Ecited before2025-02-06 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record reviews, and staff interviews, the facility failed to ensure a safe environment as evidenced by exposed wires to the bed control cord (room [ROOM NUMBER]) and to clean the vents of the Packaged Terminal Air Conditioner (PTAC-room [ROOM NUMBER]). The facility also failed to ensure resident rooms were clean and in good repair (Rooms #112, 128, 144, 120, 122, 126, and 129). This was for 8 of 18 resident rooms reviewed for comfortable, clean and homelike environment. The findings included: 1a. On 2/3/25 at 11:33 AM, room [ROOM NUMBER]'s bed control was observed lying on the mattress to the right of the resident's pillow. The bed control cord was noted with approximately 1 inch of yellow electrical tape below the control box. Beyond the yellow electrical tape was approximately ¼ inch of exposed wires showing. On 2/5/25 at 9:00 AM, the Maintenance Director observed the bed control unit for room [ROOM NUMBER]. He explained that the outer casing protecting the wires tore very easily. He…

    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 · E2025-02-06 · tag F0657 — failed to keep the care plan current — pattern
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    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, and staff interviews, the facility failed to review and revise a care plan following the most recent Minimum Data Set (MDS) assessment in the area of falls (Resident #6) and failed to revise the care plan in the area of side rails (Resident #31). In addition, the facility failed to develop an individualized and comprehensive care plan in the area of Activities of Daily Living (Residents #51 and #205) This was for 4 of 18 resident records reviewed. The findings included: 1. Resident #6 was admitted to the facility on [DATE] with diagnoses that included history of a stroke and chronic obstructive pulmonary disease (COPD). The active care plan was last reviewed and revised on 10/3/24. There was a focus area for risk for falls related to history of falls, impaired gait/balance problems related to stroke with weakness, potential side effects related to use of psychoactive medications, poor safety awareness and impulsive behaviors. One of the interventions included a fall mat to…

    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 · E2025-02-06 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    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 reviews, observations, and family, resident, and staff interviews, the facility failed to provide nail care and/or incontinence care for 8 of 13 residents dependent on staff for activities of daily living (ADL) (Residents #9, #32, #35, #51, #205, #1, #206, and #33). The findings included: 1a. Resident #9 was admitted to the facility on [DATE] with diagnoses that included a history of a fractured right femur, history of a stroke, Alzheimer's disease, and diabetes. The care plan updated 7/18/24 indicated Resident #9 required one person staff assist for bathing and personal hygiene. The quarterly Minimum Data Set assessment dated [DATE] indicated Resident #9 was cognitively intact. There were no mood concerns, but it was noted that the resident was coded for rejection of care. Resident #9 was dependent on staff for toileting, bathing, and personal care and was incontinent of bowel and bladder. A review of the shower sheets for Resident #9 indicated that on 2/3/25 the resident was given a shower, but…

    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 · E2025-02-06 · tag F0725 — failed to have enough nursing staff — pattern
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record reviews, staff interviews, resident interviews, and resident family interviews, the facility failed to provide sufficient nursing staff to provide incontinence care in a manner to maintain the residents' dignity (Resident #1, #206, and #9) and failed to provide assistance with Activities of Daily Living (ADL) to residents who required extensive to total care with nail care and incontinence care (Residents #9, #32, #35, #51, #205, #1, #206, and #33). This affected 8 of 18 sampled residents reviewed for sufficient staffing. The findings included: This tag is cross-referred to: 1. F550: Based on record review, observations, resident, resident family, and staff interviews, the facility failed to provide incontinence care in a manner to maintain the residents' dignity for 3 of 5 residents reviewed for dignity (Residents #1, #206 ,and #9). 2. F677: Based on record reviews, observations, and family, resident, and staff interviews, the facility failed to provide nail care and/or incontinence care for 8 of 13 residents dependent on staff for activities of daily…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
Show the remaining 20 citations
  • Potential for harm · Ecited before2025-02-06 · tag F0809 — failed to serve meals on a reasonable schedule — pattern
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    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, and staff, and family interviews and record review, the facility failed to serve the lunch meal at the posted time on 2/2/25 as well as failed to serve the breakfast meal at the posted time on 2/3/25 for 2 of 5 meal observations. This practice had the potential to affect other residents for meal delivery. The findings included: An observation was completed on 2/2/25 at 11:30 AM of the area outside of the main dining room. A meal schedule was posted as follows: -Breakfast 7:15 AM to 8:10 AM -Lunch 12:00 PM to 12:45 PM -Dinner 5:15 PM to 6:10 PM 1. On 2/2/25 at 12:30 PM four residents were observed waiting in the dining room for their lunch to be served. The Administrator was noted to be walking around the area assuring the residents their meals were due out soon. Lunch trays were served to the residents in the dining room beginning at 1:28 PM. On 2/2/25 at 12:45 PM the Regional Dietary Manager provided a copy of the facility's meal delivery log. The meal delivery log indicated that lunch was…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-02-06 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and staff interviews, the facility failed to label, date and remove expired food items stored for use and remove food with signs of spoilage from 1 of 1 walk-in refrigerator and failed to ensure frozen food items were dated and not stored open to air with signs of freezer burn in 1 of 1 walk-in freezer. These practices had the potential to affect food served to residents. The findings included: Accompanied by Dietary Aide #1, an observation was made of the walk-in refrigerator on 2/2/25 at 10:46 AM. The following items were stored in the refrigerator: -One undated box of butter that was open and partially used -One undated bag of mozzarella cheese that was open and partially used -One undated box of mozzarella cheese that was open and partially used -One open and partially used container of sour cream dated 12/31/24 -One box of parmesan cheese opened and dated 12/31/24 -One undated metal baking pan of gelatin dessert covered with aluminum foil with a frozen white substance on top of the foil -One box of 12 cucumbers with white fuzzy spots -One plastic container…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-02-06 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    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, resident, resident family, and staff interviews, the facility failed to provide incontinence care in a manner to maintain the residents' dignity for 3 of 5 residents reviewed for dignity (Residents #1, #206 ,and #9). Findings included: 1. Resident #1 was admitted to the facility on [DATE]. Resident #1's quarterly Minimum Data Set (MDS) dated [DATE] indicated her cognition was moderately impaired. She required moderate assistance with toileting hygiene, shower/bath, and dressing. She was occasionally incontinent with bowel and bladder. An observation was conducted on 02/02/25 at 10:54 AM of Resident #1 sitting on the side of her bed with the bedside table in front of her. The surveyor observed her sheet with a very large wet area with a brown ring around it in the center. Resident #1 stated the staff did not put a pull-up on her or check on her last night and she saturated her clothes and bed. She explained that she wore pull-ups at night time and she needed assistance 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-06 · 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 observations, record reviews, resident and staff interviews, the facility failed to place a resident's call light within reach for 2 of 2 residents reviewed for accommodation of needs (Residents #6 and #14). The findings included: 1. Resident #6 was admitted to the facility on [DATE] with diagnoses that included history of stroke, chronic pain, and chronic obstructive pulmonary disease (COPD). Resident #6's active care plan, last reviewed 10/3/24, included the following focus areas: - Activities of Daily Living (ADL) self-care performance deficit related to COPD, chronic pain syndrome and left-sided weakness. One of the interventions was to encourage the resident to use the call light for assistance. - Risk for falls related to history of falls, impaired gait/balance problems related to history of a stroke with weakness, potential side effects related to use of psychoactive drug use, poor safety awareness and impulsive behaviors. One of the interventions included to encourage the resident to use the…

    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 · D2025-02-06 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    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 develop an individualized and comprehensive care plan in the areas of pain and opioid medications (Resident #21), and the facility failed to implement a care plan area for safety (Resident #25). This was for 2 of 18 residents whose care plans were reviewed. 1. Resident #21 was admitted to the facility on [DATE] with diagnoses that included unspecified abnormalities of gait, osteoarthritis, and chronic pain syndrome. A review of the medication orders for Resident #21 for December 2024 revealed an order for oxycodone 5 milligrams, give 2 capsules by mouth every 4 hours as needed for pain that was active from 11/7/24 until 12/16/24. The order was changed to oxycodone 5 milligrams, give 1 capsule by mouth every 4 hours as needed for pain with a start date of 12/19/24 and end date of 12/31/24. The order was renewed 12/31/24 with a discontinued date of 1/2/25. A review of the December MAR revealed Resident #21 reported pain levels to nursing that…

    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 · D2025-02-06 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, record review and staff interviews, the facility failed to maintain a safe environment as evidenced by a housekeeping staff member mopping the entire width of the F hallway (Rooms 135-146) which would have required residents, staff, and visitors to walk on the wet floor. This was for 1 out of 5 resident hallways. Findings included: A continuous observation was conducted on 02/03/25 from 10:30 AM until 10:35 AM of the Housekeeping Manager mopping the floor at the top of the F Hall and the hall area in front of the nurse's station. The Housekeeper Manager was actively mopping the area to the left then middle of hall. When asked if the floor was wet all the way across the hall, she stopped to let the surveyor walk through to the right side of the hall where there was a 2 foot area of dry floor. As soon as the surveyor walked through the area the Housekeeper Manager mopped the only dry area left. The total area was 4 foot (ft) x 10 ft. The floor was wet completely across the hall with the wet sign located in middle of walkway. An interview was conducted with the…

    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 before2025-02-06 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when 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, observations and staff interviews, the facility failed to administer oxygen at the prescribed rate for 1 of 2 residents reviewed for respiratory care (Resident #33). The findings included: Resident #33 was admitted to the facility on [DATE] with diagnoses that included chronic respiratory failure, chronic obstructive pulmonary disease (COPD), and congestive heart failure. Resident #33's active care plan, last reviewed 9/6/24, included a focus area for potential for altered respiratory status/difficulty breathing related to acute on chronic respiratory failure, COPD, history of bronchopneumonia and pleural effusion. One of the interventions included oxygen continuous at 4 liters per minute via nasal cannula. Resident #33 was hospitalized from [DATE] to 10/11/24 for pneumonia. A review of the physician orders included an order dated 10/11/24 for oxygen continuously at 4 liters per minute for COPD. A quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #33 was…

    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 · E2023-11-02 · tag F0565 — failed to support the resident council — pattern
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, resident council members and staff interviews, the facility failed to resolve repeated grievances regarding cold food for 2 of the last 4 months, not answering call bells timely for 3 of the last 4 months and late medications for 4 of the last 4 resident council meetings. The findings included: Review of the resident council meeting minutes for 7/26/23 read new business was call bells not being answered, cold food and late medications. Grievances were completed regarding late medications and cold food. There were no grievances regarding the call bells. Review of the resident council meeting minutes dated 8/22/23 read old and new business reviewed was late medications, aides answering call bells timely and cold food and remained unresolved. A grievance was completed regarding late medications but not for cold food or answering call bells timely. Review of the resident council meeting minutes dated 9/20/23 read old and new business of late medications and aides not answering call bells timely. A grievance was completed regarding late medications and call bells.…

    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 · Ecited before2023-11-02 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    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, resident and staff interviews, the facility failed to ensure residents over the bed lights were in working order. This was for 2 (Resident #30 and Resident #40) of 5 residents reviewed for pressure ulcers. The facility also failed to ensure the walls in resident rooms were in good repair. This was for 4 (room #'s 117, #118, #123 and #127) of 19 rooms reviewed for homelike environment. The findings included: a) During a wound care observation of Resident #30 on 10/31/23 at 11:00 AM, the Wound Nurse attempted to turn the over the bed light on, but it did not come on. The Wound Nurse stated it was difficult to see what she was doing because there were no ceiling lights in any of the resident rooms. Resident #30 stated the Maintenance Director came in and stated he would replace the bulb in his over the bed light. b) During an observation of wound care on 10/30/2023 at 10:19AM, the Wound Nurse could not get Resident #40's overhead light to function. The wound bed could not be visualized. After completing wound care, the Wound Nurse used her cell phone light to…

    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 · Ecited before2023-11-02 · tag F0809 — failed to serve meals on a reasonable schedule — pattern
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    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, resident, and staff interviews the facility failed to provide the residents with meals served at regularly scheduled times for 1 of 1 meal observation of the F-Hall. This practice had the potential to affect meals served to other residents. The findings included: A meal schedule was provided on 10/30/23. Meal delivery times were recorded as follows: · Breakfast - 7:30 AM - 8:15 AM · Lunch - 12:00 AM - 12:45 PM · Dinner - 5:30 PM - 6:15 PM On 10/30/23 at 09:05 AM, staff were observed removing the last 2 breakfast trays from the tray cart and taking them into rooms at the end of F-Hall. a. The admission Minimum Data Set (MDS) dated [DATE] had Resident #262 coded as cognitively intact and was independent with eating after set-up. During an interview with Resident #262 on 10/30/23 at 9:22 AM, Resident #262 stated the breakfast trays had just got served and that meal trays were often late and cold. He further stated he has only been at the facility for 6 days. He indicated he looked at his clock…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-11-02 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, and staff interviews the facility failed to discard opened food items ready for use by the labeled discard date and failed to label, and date opened foods in 1 of 1 reach-in refrigerator and failed to label, and date opened foods in 1 of 1 reach-in freezer. This practice had the potential to affect food served to residents. The findings included: 1. During the initial tour of the main kitchen with the Dietary Manager (DM) on 10/30/23 at 10:30 AM, revealed the following items were observed in the reach-in refrigerator and reach-in freezer available for use. -A 4 quart plastic container with a label on top of the container that read grape jelly opened on 10/13/23. -Bag of opened cool whip wrapped in plastic wrap with an open date of 10/22/23. -1 opened ham wrapped in plastic wrap with an open date of 10/19/23. -A 4 quart plastic container of cooked white rice with a label on top of the container that read opened on 10/22/23. -1 quart carton of nectar thickened cranberry cocktail flavored liquid on top of the container that read opened on 10/10/23. -A 4 quart…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-11-02 · tag F0842 — failed to keep accurate, complete medical records — pattern
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    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 maintain accurate medical records in the areas of medication and PICC (a peripherally inserted central catheter inserted into the vein of the arm) line dressing change (Resident #62) for 1 of 7 residents whose medications were reviewed. The findings included: Resident #62 was admitted to the facility on [DATE] with diagnoses that included a spinal abscess requiring intravenous (IV) antibiotics. a) Review of Resident #62's physician orders included an order dated 9/22/23 for Cefazolin (an antibiotic) 2 grams given by IV every eight hours until 10/23/23. The admission Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #62 was alert and oriented, and received IV medications. The September 2023 Medication Administration Record (MAR) was reviewed and revealed there was no documentation that the Cefazolin was administered as ordered or refused by Resident #62 on the following days: -9/24/23 at 10:00 PM - 9/25/23 at 6:00 AM - 9/25/23 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-11-02 · tag F0867 — failed to act on quality-improvement findings — pattern
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record reviews, observations, Hospice, Physician, resident and staff interviews the facility's Quality Assurance and Performance Improvement (QAPI) committee failed to maintain implemented procedures and monitor interventions the committee put into place following an annual recertification and complaint survey completed 5/20/21. This was for two deficiencies that were cited in the areas of Activities of Daily Living Care Provided for Dependent Residents, and Resident Records-Identifiable Information. In addition, six additional deficiencies were cited during the annual recertification and complaint survey on 11/10/22 in the areas of Resident Rights/Exercise of Rights, Resident/Family Group and Response, Safe/Clean/Comfortable/Homelike Environment, Services Provided Meet Professional Standards, Activities of Daily Living Care Provided for Dependent Residents, Food Procurement, Store/Prepare/Serve Sanitary. The duplicate citations during three federal surveys of record show a pattern of the facility's inability to sustain an effective QAPI program. The findings included: The…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-11-02 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    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 observations, resident and staff interviews, the facility failed to promote dignity by the resident having no control of her over the bed light resulting in being awakened and disturbed when her over the bed light was turned at the light switch by the room door to assist her roommate. This resulted in the resident feeling angry and frustrated. This was for 1 (Resident #29) of 3 residents reviewed for dignity. The findings included: Resident #29 was admitted on [DATE] with diagnoses of Osteoarthritis and Diabetes. Her quarterly Minimum Data Set, dated [DATE] indicated she was cognitively intact. An interview and observation was completed with Resident #29 in her room on 11/1/23 at 10:20 AM. She stated her over bed light would not turn off using the attached string. This surveyor pulled the string to turn off her light but the light remained on. She stated her light was controlled at the switch by the door so anytime staff entered the room to assist her roommate, her light would light up causing her to…

    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 · D2023-11-02 · tag F0554 — isolated
    Allow residents to self-administer drugs if determined clinically appropriate.
    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 observations, record review, and resident and staff interviews, the facility failed to complete a self-administration of medication assessment, obtain a physician's order, and care plan self- administration of medication before leaving medication at the resident's bedside. This was for 1 of 7 residents (Resident #27) reviewed for unnecessary medication. Findings included: Resident #27 was admitted to the facility on [DATE] with diagnoses including chronic obstructive pulmonary disease (COPD). A review of Resident #27's quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated the resident was cognitively intact with adequate vision. A review of Resident #27's current comprehensive care plan last revised 9/11/2023 did not contain a focus for self-administration of medication. On 11/2/2023 a review of Resident #27's medical record revealed there were no assessments indicating Resident #27 was safe to self-administer medication and there was no physician's order for Resident #27 to self-administer…

    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 · D2023-11-02 · tag F0561 — failed to honor residents' choices — isolated
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    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 observations, resident and staff interviews and record review, the facility failed to provide showers as scheduled or as needed for 1 (Resident #29) 3 residents reviewed for choices. The findings included: Resident #29 was admitted on [DATE] with diagnoses of Osteoarthritis and Diabetes. A grievance dated 7/9/23 read she had not received a shower in a month. The investigation found documentation that she received a shower on 6/20/23, 6/26/23, 7/2/23 and 7/4/23. Resident #29 refused the shower bed and staff were to notify the nurse for any refused showers. Her quarterly Minimum Data Set, dated [DATE] indicated she was cognitively intact and required staff assistance with showering. Resident #29 was care planned for staff assistance with her showers. There was no care plan indicating she refused showers. An interview and observation was completed with Resident #29 in her room on 11/1/23 at 10:20 AM. She stated she did not receive her showers as scheduled. Resident #29 stated she had tried the shower chair…

    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 · D2023-11-02 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    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 and interviews with staff, the facility failed to document correct route of medication administration for 1 of 5 resident's (Resident #40) reviewed for unnecessary medication. The findings included: Resident #40 was admitted to the facility on [DATE] with diagnoses that included cerebral vascular accident (stroke) and anoxic brain injury. The resident's annual Minimum Data Set (MDS) dated [DATE] indicated the resident was severely cognitively impaired. She was totally dependent with activities of daily living, personal hygiene, toileting, and eating. The resident was provided enteral nutrition during the assessment period. Resident #40's care plan was last revised 10/5/2023 included a focus for therapeutic tube feeding to meet nutritional needs. The resident's medical record included physician's orders as follows: Administer Glucerna 1.5 via feeding tube at 270 milliliters (ml) every 8 hours for nutrition with a start date of 9/13/2023. Flush feeding with 200ml before and after each bolus…

    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 before2023-11-02 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    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, and interviews with staff, the facility failed to set an alternating pressure mattress according to a resident's weight in 1 of 5 (Resident #40) residents reviewed for pressure injuries. The findings included: Resident #40 was admitted to the facility on [DATE] with diagnoses that included cerebral vascular accident (stroke) and anoxic brain injury. The resident's annual Minimum Data Set (MDS) dated [DATE] indicated the resident was severely cognitively impaired, rarely understood by others and rarely understood others. She was total dependent with activities of daily living, personal hygiene, and toileting. The MDS also indicated the resident had one stage 3 pressure injury and two stage 4 pressure injuries during the assessment period. Resident #40's care plan was last revised 10/5/2023 included a focus for risk of impaired skin integrity related to immobility and incontinence. Intervention for this focus included providing resident with alternating air mattress set to…

    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 · D2023-11-02 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    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, staff and Physician interviews, the facility failed to obtain blood glucose checks as ordered for an insulin dependent resident. This was for 1 (Resident #25) of 7 residents reviewed for unnecessary medications. The findings included: Resident #25 was admitted on [DATE] with a diagnosis of Diabetes. The quarterly Minimum Data Set, dated [DATE] indicated Resident #25 was cognitively intact and coded for 7 days of taking insulin. Resident #35 was care planned for Diabetes with the intervention of obtaining fast blood sugars as ordered by the Physician. Review of Resident #25's October 2023 Physician orders included an order dated 4/27/22 read blood sugar checks before meals (ac) and at bedtime (hs). Notify the provider of blood glucose <70 or >350. Insulin orders read she was prescribed Novolog 70/30 insulin 8 units in the morning and 6 units in the evening. Review of September and October 2023 medication administration records (MARs) did not include the order for her blood sugar…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2023-11-02 · tag F0661 — pattern
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    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 facility staff interviews, the facility failed to complete a comprehensive discharge summary for 1 of 1 resident reviewed for discharge. (Resident #63). The Findings included: Resident #63 was initially admitted to the facility on [DATE]. Review of Resident #63's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #63 ' s cognition was moderately impaired. A review of the discharge MDS assessment dated [DATE] revealed it was a planned discharge. Review of Resident #63's electronic medical record revealed he was discharged from the facility on 06/27/23 to another skilled facility. Further review of the record revealed no discharge summary documentation for Resident #63's stay in the facility. During an interview with the Minimum Data Set (MDS) Nurse on 11/01/23 at 9:48 AM revealed she was working on 06/27/23 assisting the Assistant Director of Nursing (ADON) with the discharge of Resident #63. She stated she completed the discharge skin assessment but not the…

    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 plan 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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$5,242 in federal fines across 1 penalty.

  • $5,242 — penalty dated 2025-02-06

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to AVARDIS HEALTH — 38 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 →

RatingThis homeChain avg
Overall 3 of 52.0+1.0 vs chain
Health inspection 2 of 51.9+0.1 vs chain
Staffing 2 of 52.3-0.3 vs chain
Quality measures 5 of 53.2+1.8 vs chain
The other 37 homes this chain runs (chain average 2.0★, per CMS)
1 of 5Ashland Nursing And RehabilitationAshland, VA 1 of 5Augusta Nursing and RehabilitationFishersville, VA 1 of 5Biltmore Haven Nursing and RehabilitationArden, NC 1 of 5Courtyard Health And RehabilitationMcComb, MS 1 of 5Emerald Ridge Health and RehabilitationAsheville, NC 1 of 5Ghent Health and RehabilitationNorfolk, VA 1 of 5Grand Trace Health And RehabilitationNatchez, MS 1 of 5Hibriten Mountain Nursing and RehabilitationLenoir, NC 1 of 5Highfield Nursing and RehabilitationCary, NC 1 of 5Kings Daughters Community Health & RehabStaunton, VA 1 of 5Middleton Oaks Health And RehabilitationWinona, MS 1 of 5Newport News Nursing & RehabNewport News, VA 1 of 5Pennknoll VillageEverett, PA 1 of 5The Oaks Rehabilitation And Healthcare CenterMeridian, MS 1 of 5Wellington Rehabilitation and HealthcareKnightdale, NC 1 of 5Westwood Health and RehabilitationArchdale, NC 1 of 5Woodstock Valley Health and RehabilitationWoodstock, VA 2 of 5Clay County Health and RehabilitationHayesville, NC 2 of 5Crown Haven Health and RehabilitationCharlotte, NC 2 of 5Kannapolis Health and RehabilitationKannapolis, NC 2 of 5Manor At Penn Village, TheSelinsgrove, PA 2 of 5Manor At St Luke Village,theHazleton, PA 2 of 5Pavilion At St Luke Village, TheHazleton, PA 2 of 5Pheasant Ridge Nursing and RehabilitationRoanoke, VA 2 of 5Valley View Care and RehabilitationAndrews, NC 2 of 5Walnut Cove Health and RehabilitationWalnut Cove, NC 2 of 5Wilora Lake HealthcareCharlotte, NC 2 of 5Windsor Grove Health and RehabilitationWindsor, VA 3 of 5Hilltop Manor Health And Rehabilitation CenterUnion, MS 3 of 5Locust Grove Retirement VillageMifflin, PA 3 of 5Skyline Nursing & RehabilitationFloyd, VA 4 of 5Jamestown Health and RehabilitationWilliamsburg, VA 4 of 5Oak Grove HealthcareRutherfordton, NC 4 of 5Willowbrook Rehabilitation and CareYadkinville, NC 5 of 5Cardinal Healthcare and RehabilitationLincolnton, NC 5 of 5Grayson Health and RehabilitationIndependence, VANot rated (Special Focus)Starkville Manor Health Care And Rehabilitation CeStarkville, MS

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

Owner / managerTypeRoleSince
ALBEMARLE PARENTCO LLCOrganizationDIRECT OWNERSHIP INTERESTsince 06/01/2025
NCOP HOLDCO LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 06/01/2025
NU C II IRREVOCABLE TRUSTOrganizationINDIRECT OWNERSHIP INTERESTsince 06/01/2025
NU C IRREVOCABLE TRUSTOrganizationINDIRECT OWNERSHIP INTERESTsince 06/01/2025
SNF CARE CENTERS LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 06/01/2025
STANLY HOLDCO LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 06/01/2025
ZENITH HOLDCO II LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 06/01/2025
ZENITH HOLDCO LLCOrganizationINDIRECT OWNERSHIP INTERESTsince 06/01/2025
FC ENCORE ALBEMARLE LLCOrganization5% OR GREATER SECURITY INTEREST; ADP OF THE SNFsince 05/01/2025
HOBACK, TIFFANYIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/01/2025
MORGAN, DANIELIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2025
SNF MGR LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/16/2025
JONES, TEQUILLAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/01/2025
LANCASTER, PATRICKIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/01/2025
PATEL, SANDEEPIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/01/2025
RIDENHOUR, ANGELAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/01/2025

CMS files one row per role, so the 26 rows in the source record cover these 16 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.

10 organizational owners 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.

$7.3M
Net patient revenuemost recent cost report
+16.7%
Operating marginrevenue minus expenses
$366K
Related-party expense6% of expenses
Who pays — share of resident-days
Medicaid 69%Medicare 11%Other / private 21%

This home reported $366K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

$293per resident / day
operating cost
$8,894per month
≈ monthly operating cost
$351per day
avg. revenue, all payers

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

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the North Carolina Medicaid page.

Typical monthly cost in North Carolina
$9,733/mo
Nursing home (semi-private)
$10,798/mo
Nursing home (private)
$6,496/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 345442. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-05-29, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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