The Laurels of Summit Ridge
100 Riceville Road, Asheville, NC 28805 · For profit - Corporation · 68 certified beds · (828) 299-1110 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- a high payroll-based staffing rating (4/5)
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has 1 actual-harm citation
- a high number of inspection citations overall (17) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure score sits well above its independent inspection score
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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 2 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
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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
| 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 held steady at 3 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 4.2% | 15.6% | 15.4% | better |
| Long-stay residents who lose too much weight | 3.4% | 7.2% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.7% | 0.9% | better |
| Long-stay residents with a urinary tract infection | 1.9% | 2.3% | 2.0% | typical |
| Long-stay residents with depressive symptoms | 0.7% | 5.9% | 6.5% | better |
| Long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with falls causing major injury | 1.3% | 3.5% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 8.0% | 18.3% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 23.3% | 21.3% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 94.1% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 1.2% | 5.5% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 27.2% | 20.7% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 4.5% | 14.0% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.4% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 87.7% | 78.1% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 19.3% | 22.9% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 10.7% | 12.9% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.65 | 1.78 | 1.67 | typical |
| Long-stay outpatient ER visits per 1,000 resident days | 0.77 | 1.80 | 1.80 | better |
‡ 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.
50.7% 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 139 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 76.3% 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 38 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 0.53 therapist hours per resident per day in 2026Q1 — more than 83% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 10% 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
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 50.7%CMS range 42.7–57.9 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 11.5%CMS range 8.8–15.2 | 10.7% | Oct 2022–Sep 2024 | no 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 discharge | 76.3% | 56.6% | Oct 2024–Sep 2025 | CMS 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 discharge | 76.3% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 79.0% | 50.0% | Oct 2024–Sep 2025 | CMS 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 identified | 99.1% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this 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 discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.9% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 2.7% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.3%CMS range 4.8–11.5 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.01 | 1.02 | Oct 2022–Sep 2024 | CMS 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
How full it usually is: this home is certified for 68 beds and averages 61.7 residents a day — about 91% occupied, or roughly 6 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 4.17 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.14 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.34 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 3.41 hrs/resident/day on weekends vs 4.48 on weekdays — 24% thinner on weekends — a notable drop. RN hours go from 1.28 to 0.79 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 38% is about the same as the national median of 45%. 1 administrator has left in the past year.
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.
17 citations, most serious first. The 11 most serious are shown; the remaining 6 are one tap away and print in full.
- Actual harm · G2025-07-02 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff, family, and Nurse Practitioner (NP) interviews, the facility failed to implement effective interventions to prevent a resident (Resident #1) with right side hemiplegia (paralysis on the right side of the body) who took Plavix (antiplatelet medication) and aspirin (antiplatelet medication) from repeatedly falling from an air mattress and sustaining head injuries. Resident #1 sustained falls from her air mattress on 5/29/25, 6/10/25, and 6/13/25. After her fall on 5/29/25 Resident #1 had a raised lump and bruising to her head requiring her to be transferred to the emergency room (ER) for evaluation. After her third fall from the air mattress on 6/13/25, Resident #1 sustained another head injury which included a 3 centimeter (cm) laceration and hematoma. Resident #1 required ER evaluation and staples to treat the laceration to her head. This deficient practice occurred for 1 of 3 residents reviewed for supervision to prevent accidents.Findings included:Resident #1 was admitted to 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.
- Potential for harm · Ecited before2026-07-02 · tag F0812 — failed to store, cook, and serve food safely — patternProcure 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 observation and staff interviews, the facility failed to remove expired leftover food and label and date leftover opened foods stored for use in 1 of 1 walk-in refrigerator. The facility failed to discard expired food items stored in 1 of 1 nourishment refrigerator (200 hall). These practices had the potential to affect food served to residents. Findings included: a. During an observation and interview on 6/29/26 at 9:08 AM with the [NAME] in the walk-in refrigerator, there was a 1/2 of an approximately 3 pound (lb) fully cooked turkey breast dated 6/04/26. The [NAME] was unable to state if this was the date the turkey breast had been opened or date expired but stated it was expired either way. The observation and interview continued in the walk-in refrigerator with 2 packs of opened undated American cheese with about 4 slices each remaining and an opened undated package of 2 lbs of bologna. b. An observation on 7/01/26 at 8:30 AM with the Corporate Interim Dietary Manager of the nourishment refrigerator on the 200 hall revealed an 8-ounce container of cole slaw with a use…
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.
- Potential for harm · D2026-07-02 · tag F0561 — failed to honor residents' choices — isolatedHonor 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 record review, observations, and interviews with resident and staff the facility failed to honor a residents choice to receive a shower instead of a bed bath for 1 of 3 residents reviewed for choices (Resident #28).The findings included:Resident #28 was admitted to the facility on [DATE] with a diagnosis of wedge compression (fracture in front of spinal vertebra) fracture of the T19-T10 vertebrae (T is the thoracic or middle of spinal column). The admission Minimum Data Set (MDS) assessment dated [DATE] revealed that Resident #28 was cognitively intact. For bathing and showers, she needed substantial/maximal assistance.The 6/25/26 care plan had a focus area that stated Resident #28 had a functional ability deficit and required assistance with self-care and mobility related to muscle wasting, atrophy and lack of coordination. The approaches were to transfer with a mechanical lift, substantial to maximal assistance with shower and encourage to participate in selfcare as much as possible, provide positive…
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.
- Potential for harm · Ecited before2025-05-15 · tag F0558 — failed to accommodate residents' needs and preferences — patternReasonably 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 record review, observations, and resident and staff interviews, the facility failed to maximize residents' independence with transfers and bed mobility by not providing assist bars or side rails for 2 of 4 residents reviewed for accommodation of needs (Resident #43 and Resident #28). The findings included: 1. Resident #43 was admitted to the facility on [DATE] with diagnoses that included chronic obstructive pulmonary disease, cervical and vertebral disc degeneration, spinal fusion, and generalized muscle weakness. The quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #43 was cognitively intact, did not have range of motion impairment to either upper or lower extremities, and required supervision or touching assistance with rolling left and right, sitting to lying, lying to sitting on side of bed, sitting to standing position, and chair/bed-to-chair transferring. A physical device evaluation dated 2/6/25 indicated Resident #43 had assist bars that were both up in his bed. 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.
- Potential for harm · Ecited before2025-05-15 · tag F0812 — failed to store, cook, and serve food safely — patternProcure 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 interviews with staff, the facility failed to date leftover food stored for use in the walk-in refrigerator. The facility also failed to maintain the walk-in refrigerator cooling unit pipe from dripping water onto the wall and floor and maintain the cooling unit pipe and walls of the walk-in refrigerator free from substance build-up. This was for 1 of 2 walk-in refrigerators observed (walk-in refrigerator #2). Findings included An observation made in the kitchen's walk-in refrigerator #2 on 5/12/25 at 10:37 AM with the [NAME] revealed 2 opened and undated bags of shredded cheese located on the second shelf of the food storage rack. A pipe located behind the cooling unit was slowly dripping water onto the floor of the refrigerator. The pipe went from the back of the cooling unit and into the wall and contained a white and fuzzy in appearance substance spread across the duration of the pipe. Each wall of the walk-in refrigerator contained areas of the white fuzzy substance. The [NAME] was interviewed on 5/12/25 at 10:37 AM during the observation and stated…
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.
- Potential for harm · D2025-05-15 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor 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 observation and staff interviews the facility failed to maintain the shower room tile floor in good repair when missing and broken tiles were observed for 1 of 1 shower rooms reviewed for a safe, clean, comfortable and homelike environment. The findings included: An observation of the shower room conducted on 05/14/25 at 3:06 PM with the Unit Manager revealed missing and broken floor tiles at the front of the shower area. The damaged space on the floor comprised of 22 missing square tiles with tiles in the space loose and not attached to the floor. Each tile was approximately 2 inches by 2 inches. Two tiles were loose from the floor in the damaged space, four attached tiles were loose in the damaged space and one loose tile was broken into two pieces and loose in the damaged space. The entire damaged area was approximately one foot by one foot in an irregular shape and could be a tripping hazard based on the loose, irregular shaped tiles. While in a shower chair a resident's feet could come in contact with the damaged area and broken tiles. During an interview with the Unit…
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.
- Potential for harm · D2025-05-15 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide 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 observations, record review, resident and staff interviews, the facility failed to perform fingernail care for 1 of 2 residents reviewed for (ADL) care (Resident #8). The findings included Resident #8 was admitted to the facility on [DATE] with diagnoses that included dementia, Parkinson's Disease, type 2 diabetes, and osteoarthritis. Resident #8 was care planned for functional ability deficit and required assistance with self-care and mobility and frequently refusing showers revised on 1/30/25. Interventions included to document and report to a nurse as needed for any changes in functional ability, potential for improvement, and reasons for inability to perform activities of daily living. An additional intervention included to reapproach the resident later with another staff if he refuses care. A review of Resident #8's quarterly Minimum Data Set (MDS) assessment dated [DATE] coded him as cognitively intact. He required maximum assistance with toileting and setup or clean up assistance with personal…
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.
- Potential for harm · D2025-05-15 · tag F0759 — failed to keep medication error rate low — isolatedEnsure medication error rates are not 5 percent or greater.
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 maintain a medication error rate of less than 5% as evidenced by a medication omission and administration of wrong dosage (2 medication errors out of 31 opportunities), resulting in a medication error rate of 6.45% for 1 of 3 residents (Resident #28) observed during medication pass. The findings included: Resident #28 was admitted to the facility on [DATE] with diagnoses that included chronic obstructive pulmonary disease (COPD), and anemia. a. The Physician's Orders in Resident #28's electronic medical record indicated an active order dated 11/26/24 for Cyanocobalamin (Vitamin B12) tablet 1000 micrograms (mcg) - give 1 tablet by mouth one time a day. On 5/14/25 at 8:48 AM, Nurse #1 was observed as she prepared and administered Resident #28's medications. Nurse #1 did not administer a Cyanocobalamin tablet to Resident #28. An interview with Nurse #1 on 5/14/25 at 10:42 AM revealed she missed giving the Cyanocobalamin tablet 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.
- Potential for harm · Dcited before2025-05-15 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
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 follow their infection control policy when the Floor Technician entered a resident's room (Resident #46) on Enhanced Droplet Precautions without donning an N95 mask, gown, or eye protection. This was for 1 of 6 staff members observed for infection control practices (Floor Technician). Findings included The facility's policy titled Multi Route Transmission Based Precautions was last updated on 11/22/22. The droplet precautions policy stated that staff should wear an N 95 mask, gown, gloves, and eye protection. Resident #46 was diagnosed with COVID on 5/5/25. A physician order dated 5/5/25 for Contact and Droplet Isolation (Transmission Based Precautions) related to COVID-19 every shift and all care to be provided in room. On 5/12/25, at 1:41 PM Floor Technician was observed entering Resident #46's room. Adjacent to Resident #46's door was observed to have an Enhanced Droplet precaution sign that stated staff were to wear gown, an N95 mask, gloves and either face shield or goggles. Outside of Resident…
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.
- Potential for harm · E2024-03-21 · tag F0758 — failed to limit and justify psychotropic drugs — patternImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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, staff and Medical Director (MD) interviews the facility failed to follow a physician's order to discontinue a psychotropic medication that resulted in the resident continuing to receive the medication for 1 of 5 residents (Resident #39) reviewed for unnecessary medications. Findings include Resident #39 was admitted to the facility on [DATE] with diagnoses including insomnia and anxiety. A review of the Resident #39's physician orders found trazadone 25 milligrams (mg) once daily dated ordered on 5/11/23. The annual Minimum Data Set (MDS) dated [DATE] revealed Resident #39 was cognitively intact and was coded for receiving psychotropic medication all 7 days during the lookback period. A review of Resident #39's care plan for pain dated 3/18/24 revealed she had an alteration in sleeping pattern related to diagnoses of insomnia with an intervention that included administering trazadone off label as a sleep aide. A review of monthly pharmacy recommendation dated 12/23/23 for Resident #39 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.
- Potential for harm · Ecited before2024-03-21 · tag F0812 — failed to store, cook, and serve food safely — patternProcure 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interview with the Dietary Manager (DM) the facility failed to remove expired thickened liquids from 2 of 3 nourishment room refrigerators (the 100 Unit and 300 Unit nourishment rooms). The practice had the potential to affect all residents receiving thickened liquids. The Findings Included: a. An observation of the 100-unit nourishment room refrigerator with the DM on [DATE] at 10:28 AM found 3 unopened 4 oz thickened liquid containers with an expiration date of [DATE]. The DM immediately disposed of the thickened liquids. b. An observation of the 300-unit nourishment room refrigerator on [DATE] at 10:38 AM with the DM found 3 unopened 4 oz thickened liquid containers with expiration date of [DATE] and one unopened 4 oz thickened liquid container with expiration date of [DATE]. The DM stated during the observation he was responsible for checking each nourishment room refrigerator daily for expired items and to replenish the nourishment rooms when needed. He stated he had overlooked 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.
Show the remaining 6 citations
- Potential for harm · E2024-03-21 · tag F0814 — failed to dispose of garbage properly — patternDispose of garbage and refuse properly.
What the surveyor found here — the official record, unedited, may be distressing
Based on an observation and staff interviews the facility failed to ensure all trash was disposed of inside the dumpster for 1 of 1 dumpster. This practice had the potential to attract pests and mice. The findings included: An observation of the outside dumpster area on 3/20/24 at 10:41 AM with the Dietary Manager (DM) revealed two full and tied trash bags laying on the ground beside a dumpster. The DM stated during the observation he did not know how long the trash bags had been there. He stated the kitchen, housekeeping and nursing staff dispose of trash into the dumpsters and were responsible for putting their trash into the dumpster. The DM said the dumpsters were emptied on Monday and Friday and that the dumpsters were not full. The Administrator stated on 3/21/24 at 12:46 PM that trash should be disposed of in the dumpsters and not left lying on the ground in the dumpster area. He stated it was the responsibility of everyone to dispose trash into the dumpster and not leave it on the ground.
- Potential for harm · E2024-03-21 · tag F0867 — failed to act on quality-improvement findings — patternSet 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 observations, record review and staff interview, the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor interventions the committee put into place following the complaint survey conducted on 10/1/21. This was for a repeat deficiency that was originally cited during the complaint survey on 10/1/21 for infection control and recited during the recertification and complaint investigation survey completed on 3/21/24. The continued failure of the facility during a two federal survey of record shows a pattern of the facility's inability to sustain an effective QAA program. The findings included: This tag is cross referenced to: F880 - Based on record reviews, observations and staff interviews, the facility failed to implement their infection control policies for laundry services when 1 of 1 staff member (Laundry Staff) failed to follow standard precautions during the infection control observation. During the complaint survey on 10/1/21, the facility failed to implement their infection control policies and procedures…
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.
- Potential for harm · Ecited before2024-03-21 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record reviews, observations and staff interviews, the facility failed to implement their infection control policies for laundry services when 1 of 1 staff member (Laundry Staff) failed to follow standard precautions during the infection control observation. The findings included: The facility's policy on Laundry Services dated October 17, 2023, stated All staff will use standard precautions in handling linen; therefore, all linen is handled in the same manner. Dirty linen should be moved from the dirtiest to the cleanest areas as it is being processed. Dirty linen should be clearly separated from areas where clean linen is handled. Laundry personnel should remove protective barriers and wash their hands before going into the clean linen area. On 3/19/24 at 10:04 am, the Laundry Staff was observed transporting a yellow soiled linen bin into the laundry room. She was wearing short white rubber gloves while pushing the soiled linen bin. Three clean resident shirts on clothes hangers were observed hanging at waist level on a white cart handle partially blocking the passageway.…
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.
- Potential for harm · Dcited before2024-03-21 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably 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, and interviews with residents and staff, the facility failed to maintain call bell within reach for 1 out 2 residents reviewed for accommodations of needs. (Resident #1) The findings included: Resident #1 was admitted to the facility on [DATE]. The quarterly Minimum Data Set (MDS) dated [DATE] assessed Resident #1 with minimal impairment in cognition. The MDS indicated walking between locations at any time did not occur for Resident #1 during the assessment period. The care plan dated 3/7/24 revealed that the that the call bell was to be placed within reach and Resident #1 encouraged to use it for assistance. During an observation conducted on 3/19/24 at 10:20 AM the call bell was hanging off the right side of the bed. The call bell was hanging down approximately 10 inches. Resident #1 has a contracted neck which leans to his left side. Resident #1 leans to the left when laying in his bed. Resident #1 was able to use his right hand. Resident #1 was not able to reach the call…
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.
- Potential for harm · D2024-03-21 · tag F0578 — failed to honor advance directives / code status — isolatedHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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 resident, staff, and the Nurse Practitioner, the facility failed to have accurate advanced directive information documented throughout the medical record for 1 of 3 residents reviewed for code status (Resident #18). The findings included: Resident #18 was admitted to the facility on [DATE]. Review of Resident #18's annual Minimum Data Set on 11/3/23 revealed he was cognitively intact. A review of Nurse Practitioner (NP) #1's order dated 11/14/23 stated Full code, full scope of treatment, antibiotics if indicated, intravenous (IV) fluids if indicated, and feeding tube for a defined trial period per Medical Orders for Scope of Treatment (MOST) form reviewed on 11/14/23. Review of Resident #18's code status on top of his electronic health record (EHR) stated, Full code, full scope of treatment, antibiotics if indicated, IV fluids if indicated, and feeding tube for a defined trial period per MOST form reviewed on 11/14/23. A review of documents in Resident #18's EHR…
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.
- Potential for harm · D2024-03-21 · tag F0644 — isolatedCoordinate 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 ensure a Level II Preadmission Screening and Resident Review (PASRR) was completed for a resident with a new mental health diagnosis for 1 of 3 residents reviewed for PASRR (Resident #36). The findings include: Resident #36 was admitted to the facility on [DATE]. Diagnoses included adjustment disorder, unspecified mood disorder, generalized anxiety and major depressive disorder. Review of Resident #36's records revealed she had a halted Level II PASRR dated [DATE]. The notification letter stated the resident did not meet criteria for a mental illness. Review of Resident #36's diagnoses revealed a primary diagnosis of bipolar disorder was listed on [DATE]. Review of Resident #36's medical records revealed no new PASRR Level II had been completed. Review of physician's order revealed Resident #36 was started on Valproic Acid Sprinkles Extended Release 125 milligrams three times a day for mood disorder on [DATE]. Review of Resident #36's annual…
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.
“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.
- 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.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| Ownership Data Not Available |
The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.
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.
This home reported $438K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
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
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.
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 345438. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-07-02, 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.