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Peak Resources - Pinelake

801 Pinehurst Avenue, Carthage, NC 28327 · For profit - Corporation · 108 certified beds · (910) 947-5155 Medicare & Medicaid certified

Call the home — (910) 947-5155 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Sep 2025Resident-funds citation (F0565)1 actual-harm citation CMS recorded as corrected before the inspection ended (past non-compliance)$7,901 in federal fines
Insights

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

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • 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 (F0600), cited Sep 2025
  • it has a citation for mishandling residents’ money or property (F0565)
  • inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • a high number of inspection citations overall (18) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $7,901 in federal fines (most recent 2023-11-30)
  • about 18% of its spending goes to commonly-owned related companies
  • its last standard health inspection was over 2 years ago — the star rating may not reflect current conditions

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.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 3 of 5

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
304 E Saunders St · (910) 947-3000 · Call to confirm hours
Pharmacy
Walgreens0.9 mi
1006 Monroe St · (910) 947-2690 · Call to confirm hours
Grocery
105 Monroe St
Park
202-312 Rockingham St · Typically dawn to dusk
Place of worship

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 3 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 1 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 improved from 3 to 4 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 rating4★
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 increased14.3%15.6%15.4%typical
Long-stay residents who lose too much weight11.9%7.2%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.7%0.9%better
Long-stay residents with a urinary tract infection2.6%2.3%2.0%worse
Long-stay residents with depressive symptoms10.6%5.9%6.5%worse
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 injury4.6%3.5%3.3%worse
Long-stay residents whose ability to walk worsened13.3%18.3%16.1%better
Long-stay residents on antianxiety or hypnotic medication15.5%21.3%18.9%better
Long-stay residents given the seasonal flu vaccine98.9%94.1%95.3%typical
Long-stay residents with pressure ulcers4.8%5.5%4.7%typical
Long-stay residents with worsening bladder/bowel control13.6%20.7%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table9.4%14.0%17.1%better
Short-stay residents who newly got an antipsychotic medication2.9%1.4%1.4%worse
Short-stay residents given the seasonal flu vaccine100.0%78.1%79.4%better
Short-stay residents rehospitalized after admission32.4%22.9%22.6%worse
Short-stay residents with an outpatient ER visit9.6%12.9%12.0%better
Long-stay hospitalizations per 1,000 resident days1.791.781.67typical
Long-stay outpatient ER visits per 1,000 resident days1.051.801.80better

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.

48.1% 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 135 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

48.1%U.S. median 51.5%
Got home and stayed home
9.7%U.S. median 10.7%
Went back to hospital
52.2%U.S. median 56.6%
Met the expected recovery
0.27U.S. median 0.31
Therapy hours / resident / day
0.13hours / resident / day
Physical therapy
0.10hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 52.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 67 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 0.27 therapist hours per resident per day in 2026Q1 — more than 41% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 41% 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 SNF48.1%CMS range 38.3–57.151.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.7%CMS range 7.1–14.010.7%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 discharge52.2%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 discharge55.2%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 discharge38.8%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 identified100.0%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 setting95.8%100.0%Oct 2024–Sep 2025CMS 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 discharge100.0%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 stay1.1%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 worsened5.4%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 hospitalization6.2%CMS range 3.6–9.57.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.971.02Oct 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

0.35
RN hours/ resident / day
0.80
LPN hours/ resident / day
2.11
Aide hours/ resident / day
3.26
Total nurse hours/ resident / day
0.24
RN hoursweekends
36.3%
Total nursing turnover
0.0%
RN turnover

How full it usually is: this home is certified for 108 beds and averages 101.5 residents a day — about 94% 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 3.26 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.35 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.11 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 3.05 hrs/resident/day on weekends vs 3.34 on weekdays — 9% thinner on weekends. RN hours go from 0.40 to 0.24 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% is about the same as the national median of 45%.

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

Inspection trend

2
deficiencies at the latest standard inspection (2024-08-21)
5
at the previous standard inspection (2023-11-30)

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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

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.

18 citations, most serious first. The 11 most serious are shown; the remaining 7 are one tap away and print in full.

  • Actual harm · G2023-11-30 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations and staff interviews, the facility failed to provide care in a safe manner during incontinence care that resulted in a fall with a right hip fracture (Resident #17). This was for 1 of 6 residents reviewed for accidents. The findings included: Resident #17 was admitted to the facility on [DATE] with diagnoses that included vascular dementia, seizure disorder and a history of a stroke resulting in left-sided weakness. The annual Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #17 had moderately impaired cognition and was dependent on one staff member for personal hygiene and toileting tasks. A quarterly MDS assessment dated [DATE] indicated Resident #17 was dependent on one staff member for toileting tasks. Resident #17 was care planned on 7/21/23 for an actual fall. The interventions included: - emergency room visit and staff education implemented on 7/21/23. - Concave mattress implemented on 7/26/23. A nursing note dated 7/20/23 at 7:22 PM read a Nurse Aide…

    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 · Past Non-Compliance
  • Potential for harm · D2025-09-25 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, and resident, Family Member, Nurse Practitioner (NP), Medical Director, local law enforcement officer, and staff interviews, the facility failed to protect a resident's right to be free from resident-to-resident abuse when a severely cognitively impaired male resident (Resident #86) grabbed a cognitively intact male resident's (Resident #19's) arm as he was coming out of the bathroom. This was for 1 of 3 residents reviewed for resident-to-resident abuse (Resident #19). The findings included: Resident #19 was admitted to the facility on [DATE] with diagnoses that included cerebral palsy, chronic fatigue, bipolar II disorder, and depression. A quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated that Resident #19's cognition was intact, he had no behaviors and was independent with using his wheelchair or walker. Resident #19's care plan dated 9/18/2025 indicated the resident had problem areas that included verbal behavioral symptoms directed toward others; and the 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Potential for harm · D2024-08-21 · tag F0637 — isolated
    Assess the resident when there is a significant change in condition
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews and record review, the facility failed to identify the need for a significant change Minimum Data Set (MDS) for a resident with declines in weight, skin condition and activities of daily living. This was for 1 (Resident #37) of 20 residents reviewed for comprehensive MDS completion. The findings included: Resident #37 was admitted on [DATE] with Dementia, Diabetes and Congestive Heart Failure. He was diagnosed with Osteomyelitis on 7/25/24. His previous quarterly MDS dated [DATE] indicated Resident #37 was not coded for any weight loss, a weight of 220 pounds, no skin conditions, requiring supervision for bed mobility, lying to sit to stand , stand to sit to lying, toileting transfers, ambulation and not coded for the use of a wheelchair. Review of a wound consult note dated 6/12/24 read Resident #37 developed a diabetic ulcer to his right first and second toes. Review of another wound consult note dated 7/24/24 read Resident #37 was diagnosed with Osteomyelitis of his right first and…

    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 · E2022-09-22 · 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, and staff interviews, the facility failed to communicate the facility's efforts to address group concerns verbalized during Resident Council meetings and to resolve repeat concerns for 4 of 4 consecutive months (May 2022, June 2022, July 2022, and August 2022). Findings included: Resident Council minutes dated 05/25/22 indicated residents had voiced concerns related to items listed on the meal ticket was not served, and condiments not provided on the meal trays. There was no evidence of the facility's response to the concerns voiced during the previous meeting had been reviewed or discussed. Resident Council minutes dated 06/23/22 indicated residents had voiced concerns related to Nursing Assistants (NAs) not returning to assist with requests and having more diabetic snacks available. There was no evidence of the facility's response to the concerns voiced during the previous meeting had been reviewed or discussed. Resident Council minutes dated 07/20/22 revealed a repeated concern of items listed on the meal ticket was not served. There was no…

    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 · E2022-09-22 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — pattern
    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, observations and interviews, the facility failed to ensure alternating pressure reducing mattresses were set according to the residents' weights for 3 of 10 residents (Residents #236, #78 and #68) reviewed for pressure injuries. The findings included: 1. Resident #236 was admitted on [DATE] with diagnoses that included stage 3 pressure injury to the sacrum, deep tissue injury (DTI) to the right great toe, and non-pressure related injury to the left great toe. The resident's Minimum Data Set (MDS) was not available. Resident #236's baseline care plan dated 9/12/2022 had a focus for pressure injury, stage 3, to the sacrum. The resident's medical record included a visit summary by the Wound Care Physician dated 9/14/2022. The summary indicated Resident #236 had a full thickness injury to the sacrum that measured .05 x .05 x 0.2 centimeters (cm). The etiology of the injury was pressure, and it was stage 3. During a wound care observation on 9/20/2021at 11:50 AM the resident was on an…

    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 · E2022-09-22 · 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 observation and staff interview, the facility failed to ensure the vent filters and sprinkler pipe under the kitchen exhaust hood were free of grease buildup. The failure had the potential to affect food served to the residents. The findings included: An initial kitchen tour was completed on 9/19/22 at 9:15 AM with Dietary Manager (DM) #1. She stated she was filling in for DM #3 who was out on medical leave. The exhaust hood over the cooking surfaces revealed amber to dark brown grease build up on the vent filters. Also observed on the sprinkler pipe located to the far right of the hood over the fryer was what appeared to be several suspended drops of dark brown grease suspended from the pipe. There was a label on this end of the exhaust hood. DM #1 stated the label indicated the hood was last professionally cleaned in May 2022 and due again November 2022. Another interview was completed on 9/19/22 at 12:15 PM with DM #1. She stated she took down the vent filters and cleaned them since our previous observation. She stated in her facility, she took the vent filters down…

    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 before2022-09-22 · 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 review, observation and Physician, resident and staff interviews, the facility's Quality Assurance and Performance Improvement (QAPI) committee failed to maintain implemented procedure and monitor interventions the committee put into place following the 4/8/21 recertification and complaint survey, 2/24/21 complaint survey and 8/22/19 recertification and complaint survey. This was for 5 deficiencies that were cited in the areas of Resident self-administration of medication, previously cited on 4/8/21 recertification and complaint survey, and recited on the current recertification and complaint survey of 9/22/22. In addition, Care Plan timing and revision, Respiratory/Tracheostomy care and Food Precurement, Store/Prepare/Serve-Sanitary were also cited during the recertification and complaint survey on 8/22/19 and Treatment/Services to Prevent/Heal pressure ulcers was cited on the complaint survey of 2/24/21 and recited on current recertification and complaint survey of 9/22/22. The duplicate citations during the 3 federal surveys of record showed a pattern of 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 · D2022-09-22 · 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, staff and resident interviews and record review, the facility failed to assess and obtain Physician orders for the self-administration of an as needed (prn) inhaler and a scheduled inhaler for 1 (Resident #23) of 1 residents reviewed for the self-administration. The findings included: Resident #23 was admitted on [DATE] with a diagnosis of Chronic Obstructive Pulmonary Disease (COPD). Her quarterly Minimum Data Set (MDS) dated [DATE] indicated she was cognitively intact. Review of Resident #23's care plan edited on 7/25/22 read she request to keep her prn inhaler at the bedside. Interventions included to evaluate for her continued ability to self-administer the inhaler at least quarterly. An observation was completed on 9/19/22 at 11:32 AM. Resident #23 was in bed and lying on her over the bed table were observed 2 inhalers ( Combivent and Ventolin). They were not in original box indicating the prescribers directions for use. Resident #23 stated she was allowed to keep both inhalers at her…

    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 · D2022-09-22 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    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, resident and staff interviews, the facility failed to provide treatments as ordered by the physician for a non-pressure related surgical wound on the left hip for 1 of 2 residents reviewed for wounds (Resident #236). The findings included: Resident #236 was admitted on [DATE] with diagnoses that included stage 3 pressure injury to the sacrum, deep tissue injury (DTI) to the right great toe, and non-pressure related surgical wound to the left hip. The resident's Minimum Data Set (MDS) was not available. Resident #236's baseline care plan dated 9/12/2022 had a focus for pressure injury, stage 3, to the sacrum, deep tissue injury to the right great toe, and non-pressure related surgical wound to the left hip. The resident's active physician's orders revealed an order dated 9/8/2022 to clean surgical wound to right hip with normal saline, pack with Dakins soaked gauze, and cover with dry dressing twice daily. Resident #236's September 2022 Medication Administration Record (MAR) was reviewed…

    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 · D2022-09-22 · 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 obtain a Physician's order for a resident's use of continuous oxygen (Residents #33 and #68). This was for 2 of 2 residents reviewed for respiratory care. The findings included: 1. Resident #33 was initially admitted to the facility on [DATE] with the most recent readmission date of 9/9/22. Her diagnoses included chronic obstructive pulmonary disease (COPD) and coronary artery disease. An admission Minimum Data Set (MDS) assessment, dated 7/7/22, indicated Resident #33 had severe cognitive impairment. Review of the nursing progress notes revealed on 8/21/22, Resident #33 had low oxygen saturations and was started on oxygen at 2 liters flow by nasal cannula. On 8/22/22 Resident #33 was sent to the emergency room (ER) for further evaluation of shortness of breath and increased fatigue and was admitted to the hospital and readmitted to the facility on [DATE]. Review of the August 2022 physician orders included an order for oxygen 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • No harm found · Bcited before2024-08-21 · tag F0732 — pattern
    Post nurse staffing information every day.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and staff interviews, the facility failed to display accurate Posted Nurse Staffing Information for 4 out of 30 days reviewed. The findings included: A review of the Staff Schedule/Assignment Sheet for 07/19/24 revealed 10 Nursing Assistants (NA)s worked from 7:00 AM until 7:00 PM. A review of the Posted Nurse Staffing for the 7:00 AM-7:00 PM shift on 7/19/24 revealed 11 NAs worked. On 07/21/24 during the 7:00 AM until 7:00 PM shift, the Staff Schedule/Assignment Sheet revealed 8 NAs worked and the Posted Nurse Staffing revealed 10 NAs worked. Additionally, the Staff Schedule/Assignment Sheet revealed 3 Licensed Practical Nurses (LPN)s worked and the Posted Nurse Staffing revealed 4 LPNs worked. The Staff Schedule/Assignment Sheet revealed 1 Registered Nurse (RN) worked and the Posted Nurse Staffing revealed 2 RNs worked. During the 7:00 PM until 7:00 AM shift, the Staff Schedule/Assignment Sheet revealed 5 NAs worked and the Posted Nurse Staffing revealed 7 NAs worked. The Staff Schedule/Assignment Sheet revealed 4 LPNs worked and the Posted Nurse Staffing…

    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 plan of correction
Show the remaining 7 citations
  • No harm found · B2023-11-30 · tag F0623 — pattern
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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, Responsible Party (RP) and staff interviews, the facility failed to notify the resident and/or RP in writing for a transfer to the hospital for 5 (Resident #90, #49, #39, #17, #87) of 6 residents reviewed for hospitalization. The findings included: 1. Resident #90 was admitted to the facility on [DATE]. Review of a quarterly Minimum Data Set, dated [DATE] indicated Resident #90 was coded for moderate cognitive impairment. Resident #90's medical record revealed she was transferred to the hospital on 9/30/22 and readmitted back to the facility on [DATE]. There was no documentation that a written notice of transfer was provided to the resident and/or RP. Resident #90's medical record revealed she was transferred to the hospital on 3/22/23 and she did not return to the facility. There was no documentation that a written notice of transfer was provided to the resident and/or RP. A telephone interview was completed on 11/27/23 at 2:46 PM with Resident #90's RP. She stated she did not recall…

    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 plan of correction
  • No harm found · B2023-11-30 · tag F0641 — pattern
    Ensure each resident receives an accurate assessment.
    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 staff interviews, the facility failed to code the Minimum Data Set (MDS) assessment accurately in the area of medications for 2 of 5 residents reviewed for unnecessary medications (Residents #22 and #73). The findings included: 1. Resident #22 was admitted to the facility on [DATE] with diagnoses that included type 2 diabetes. The admission MDS assessment dated [DATE] indicated Resident #22 had received 5 days of an insulin injection, however the assessment was not coded for hypoglycemic (medications to treat diabetes) medications or an indication present for its use. On 11/29/23 at 1:30 PM, an interview occurred with the MDS Nurse. She reviewed the MDS assessment dated [DATE] and confirmed she should have marked Resident #22 as receiving a hypoglycemic medication and that there was an indication for its use in his medical record. She felt it was an oversight. During an interview with the Administrator on 11/29/23 at 3:30 PM, he indicated he expected the MDS assessment to be coded…

    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
  • No harm found · B2023-11-30 · 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 review and staff interviews, the facility failed to revise the care plan in the area of planned disposition for 1 of 18 resident's (Resident #16) reviewed. The findings included: Resident # 16 was admitted to the facility on [DATE] with diagnoses that included atrial fibrillation (irregular heart rate) and history of intracerebral hemorrhage (stroke) with hemiparesis (paralysis of one side). The resident's medical record indicated the resident was transitioned to comfort care 11/2/2023. The resident's active physician orders included atropine for terminal secretions, Ativan for terminal agitation, and morphine for pain. Resident #16's care plan was last revised 11/27/2023. The care plan included a focus for comfort measures dated 10/11/2023. The care plan also included a focus for discharge planning dated 10/4/2023 which included the resident was to be discharged from the facility. Interventions included arrange for home modifications, follow up appointment with primary care provider, and make…

    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
  • No harm found · Bcited before2023-11-30 · 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 observations, record review, resident and staff interviews the facility's Quality Assurance and Performance Improvement (QAPI) committee failed to maintain implemented effective procedures and monitor the interventions that the committee put into place following recertification survey dated 4/8/21 for two deficiencies in the area of accurate Minimum Data Set (MDS) coding at F641 and in the supervision to prevent accidents at F689. Also, the recertification survey dated 9/22/22 for one deficiency in the area of care plan revision F657. The continued failure of the facility during three federal surveys of record showed a pattern of the facility's inability to sustain an effective QAPI program. Findings included. This tag is cross referenced to: F641- Based on record reviews and staff interviews, the facility failed to code the Minimum Data Set (MDS) assessment accurately in the area of medications for 2 of 5 residents reviewed for unnecessary medications (Residents #22 and #73). During a recertification survey dated 4/8/21, the facility failed to code the Minimum Data Set…

    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 plan of correction
  • No harm found · C2022-09-22 · tag F0585 — failed to handle grievances — widespread
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    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 resident, family and staff interviews, the facility failed to provide a written grievance response summary for 5 of 8 residents reviewed for grievances (Residents #33, #62, #23, #36 and #68). The findings included: A review of the facility grievance policy, dated 11/28/16, included, in part, the resident, or person filing the grievance and/or complaint on behalf of the resident, will be informed of the findings of the investigation and the actions that will be taken to correct any identified problems. Such report will be made orally by the administrator, or his or her designee. The resident will be offered a copy of the written grievance decision. 1. Resident #33 was originally admitted to the facility on [DATE]. An admission Minimum Data Set (MDS) assessment dated [DATE], indicated Resident #33 had severe cognitive impairment. Review of the facility grievance logs from November 2021 until September 2022 indicated one grievance was initiated on 7/18/22 for Resident #33, by 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 plan of correction
  • No harm found · Bcited before2022-09-22 · tag F0732 — pattern
    Post nurse staffing information every day.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and staff interview, the facility failed to ensure the nurse staffing data that were posted daily were accurate for 7 of 30 days reviewed. Findings included: The daily nurse staffing data, and the daily nursing assignments were reviewed from 8/20/22 through 9/20/22 with the Human Resources (HR) staff. The daily staffing data, and the daily nursing schedule did not match on 7 (8/27/22, 8/28/22, 9/3/22, 9/4/22, 9/6/22, 9/17/22 and 9/18/22) of 30 days reviewed. 8/27/22 -2 Registered Nurses (RNs) on nurse staffing data - 1 RN on schedule 8/28/22 - 2 RNs on nurse staffing data - 1 RN on schedule 9/3/22 - 2 RNs on nurse staffing data - 1 RN on schedule 9/4/22 - 2 RNs on nurse staffing data - 1 RN on schedule 9/6/22 - 2 RNs on nurse staffing data - 1 RN on schedule 9/17/22 - 2 RNs on nurse staffing data - 1 RN on schedule 9/18/22 - 2 RNs on nurse staffing data - 1 RN on schedule The HR staff member was interviewed on 9/22/22 at 8:40 AM. She stated that she was responsible for completing and posting the nurse staffing data daily except on Saturday and Sunday. She…

    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 plan of correction
  • No harm found · B2022-09-22 · 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, observations, and staff interviews, the facility failed to have accurate medical records for 3 of 10 residents reviewed for wound care (Resident #286, #236 and #68). The findings included: 1. Resident #286 was admitted to the facility on [DATE] with diagnoses that included type 2 diabetes and osteomyelitis (infection of the bone). The baseline care plan dated 9/9/22 included surgical wound to right groin. Resident #286's active physician orders revealed an order dated 9/9/22, to cleanse the right groin surgical wound with normal saline. Pack the wound with Dakin's (a solution with anti-infective properties) 0.5% soaked gauze and cover with a dry dressing twice a day. The September 2022 Medication Administration Record (MAR) was reviewed and revealed the right groin wound care had not been documented as completed or refused by the resident on the following days: - Day shift (7:00 AM to 7:00 PM) on 9/13/22, 9/15/22 and 9/16/22. - Evening shift (7:00 PM to 7:00 AM) on 9/9/22 and 9/11/22.…

    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

$7,901 in federal fines across 1 penalty.

  • $7,901 — penalty dated 2023-11-30

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 PEAK RESOURCES, INC. — 8 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 4 of 53.4+0.6 vs chain
Health inspection 4 of 53.4+0.6 vs chain
Staffing 3 of 52.0+1.0 vs chain
Quality measures 3 of 53.1-0.1 vs chain
The other 7 homes this chain runs (chain average 3.4★, per CMS)

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
PEAK RESOURCES INCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 08/05/2005
HILL, BRIANIndividualOPERATIONAL/MANAGERIAL CONTROLsince 11/01/2013

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

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

Follow the money — this home’s finances

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

$11.1M
Net patient revenuemost recent cost report
+6.6%
Operating marginrevenue minus expenses
$1.8M
Related-party expense18% of expenses
Who pays — share of resident-days
Medicaid 66%Medicare 9%Other / private 25%

This home reported $1.8M paid to related parties — landlords or management companies under common ownership — equal to about 18% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

$307per resident / day
operating cost
$9,321per month
≈ monthly operating cost
$328per 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 345429. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-08-21, 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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