Charlotte Health & Rehabilitation Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

50.4% 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 188 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 39.4% 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 99 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 0.57 therapist hours per resident per day in 2026Q1 — more than 86% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 34% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 90 beds and averages 86.8 residents a day — about 96% occupied, or roughly 3 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

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 3.58 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.65 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.02 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.98 hrs/resident/day on weekends vs 3.82 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 0.75 to 0.39 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 52% 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

Deficiencies are more than at the previous inspection — worsening. 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.

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

• Immediate jeopardy · J2024-12-23 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the 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 and interviews with staff, Nurse Practitioner and Medical Director, the facility failed to immediately consult with the on-call Nurse Practitioner on [DATE] when Resident #1 had a significant change in condition. Resident #1 showed signs of restlessness, agitation, crawling onto the floor and verbally expressed to staff that she had experienced difficulty breathing. The facility also failed to notify the provider that Resident #1 had received a medication for anxiety for which she had a documented allergy on [DATE] at 7:44 AM. On [DATE] at 8:13 AM Resident #1 was found in her room unresponsive with seriously abnormal vital signs. Resident #1 was pronounced deceased by Emergency Medical Services (EMS) staff at 8:30 AM on [DATE]. The deficient practice affected 1 of 3 residents reviewed for physician notification (Resident #1). The findings included: Resident #1 was readmitted to the facility on [DATE] with diagnoses of chronic obstructive pulmonary disease (COPD) and respiratory failure. A…

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

  Resident Rights Deficiencies · Past Non-Compliance
• Immediate jeopardy · Jcited before2024-12-23 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and facility staff, Nurse Practitioner (NP), and Medical Director (MD) interviews, the facility failed to protect Resident #1's right to be free of neglect when the facility failed to: 1) immediately consult with the on-call Nurse Practitioner on [DATE] when a resident had a significant change in condition during the 3:00 PM to 11:00 PM shift that included signs of restlessness, agitation, crawling onto the floor and verbally expressing to staff that she had difficulty breathing; 2) complete ongoing thorough assessments for the change in condition that continued through the 11:00 PM to 7:00 AM shift; 3) prevent a significant medication error when staff deliberately disregarded an electronic medical record (EMR) system alert when Ativan (a benzodiazepine, used as a sedative medication) was entered into the EMR and administered to a resident who had a documented allergy to the medication; 4) notify the physician that Ativan was administered to a resident with a documented allergy; and 5)…

  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
• Immediate jeopardy · Jcited before2024-12-23 · 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 observations, record review, and resident, staff, Nurse Practitioner (NP), and Medical Director (MD) interviews, the facility failed to identify the seriousness of a significant change in condition, complete ongoing thorough assessments and identify the urgent need for medical attention for a resident with a history of chronic obstructive pulmonary disease who reported she could not breathe. On [DATE] during the 3:00 PM to 11:00 PM shift, Resident #1 was restless, agitated, crawling onto the floor and verbally expressed to staff she could not breathe. During the night shift (11:00 PM to 7:00 AM) the difficulty breathing, anxiety and agitation continued and Resident #1 asked staff repeatedly to help her. On [DATE] at 8:13 AM Resident #1 was noted in her room unresponsive with a blood pressure of 94/60 (normal blood pressure reading 120/80), pulse 111(normal pulse range 60-100), respiratory rate 4 (normal respiratory rate 12-20) and oxygen saturation level 54% (normal oxygen saturation level greater than…

  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
• Immediate jeopardy · J2024-12-23 · tag F0726 — failed to have competent, trained nursing staff — isolated
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and interviews with staff, Medical Director and Pharmacist, the facility failed to provide effective training and orientation for new hires including preceptorship, skills validations and specific training related to pharmacy services and resident allergies in the electronic medical record (EMR) system alerts. On [DATE] Unit Manager #1, who had not received a complete orientation, was scheduled to precept Nurse #2. Under Unit Manager #1's direction Nurse #2 administered Ativan to Resident #1 who had a documented allergy to Ativan. At 8:13 AM Resident #1 was noted in her room unresponsive and vital signs were blood pressure 94/60 (normal blood pressure reading 120/80), pulse 111(normal pulse range 60-100), respiratory rate 4 (normal respiratory rate 12-20) and oxygen saturation level 54% (normal oxygen saturation level greater than 92%). Resident #1 was pronounced deceased by Emergency Medical Services (EMS) staff at 8:30 AM. The incomplete orientation and training for Unit Manager #1 put…

  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 · Past Non-Compliance
• Immediate jeopardy · J2024-12-23 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and interviews with staff, Medical Director and Pharmacist, the facility failed to prevent a significant medication error when Resident #1 received a dose of Ativan (a benzodiazepine, used as a sedative medication) as a one-time dose. Resident #1 had an allergy to Ativan documented on the Allergy List in the electronic medical record (EMR) on [DATE]. The medication order was entered into the electronic health record by Nurse #3. She stated the electronic medical record flagged the order due to the allergy, but she bypassed the alert and entered the order in the EMR, which was then pulled from the automated system for medication management. Nurse #2, a nurse who was orienting under the supervision of the Unit Manager, administered the medication on [DATE] at 7:44 AM. On [DATE] at 8:13 AM Resident #1 became unresponsive with seriously abnormal vital signs. Resident #1 was pronounced deceased by Emergency Medical Services (EMS) staff at 8:30 AM. This deficient practice occurred for 1 of 3…

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

  Pharmacy Service Deficiencies · Past Non-Compliance
• Actual harm · G2026-01-28 · 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 observations, record review, and resident, staff and Nurse Practitioner interviews, the facility failed to provide a safe transfer for a dependent resident that required the use of a mechanical lift. After the fall, Resident #56 was complaining of unbearable left hip pain and was transferred to the emergency department (ED) by emergency medical services (EMS) for further evaluation. A computed tomography (CT) scan obtained in the ED revealed Resident #56 had a nondisplaced greater trochanteric fracture of the left femur (the hard boney protrusion on the upper outer side of the thigh bone). An orthopedic evaluation completed in the ED determined non-operative management of the fracture was appropriate due to Resident #56's non-weightbearing status prior to the injury. Resident #56 was discharged back to the facility with orders for oxycodone/acetaminophen 5-325 milligrams (mg) one tablet administered every 12 hours for pain. This deficient practice was identified for 1 of 5 residents reviewed for…

  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
• Actual harm · G2025-03-20 · tag F0660 — isolated
  Plan the resident's discharge to meet the resident's goals and needs.
  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, resident and family member interviews, the facility failed to develop and implement effective discharge planning that ensured a resident would have the necessary durable medical equipment when she was discharged home to include a hospital bed, gel bed overlay with mattress, half side rails, a trapeze bar, and oxygen supplies for 1 of 4 residents reviewed for discharge (Resident #1). Resident #1 stated she was not provided with equipment for oxygen therapy and would get short of breath, and it would wake her up. Resident #1 reported she would cough, and it made her throw up at night. In addition, Resident #1 indicated that the hospital bed was not delivered, and she was sleeping in a recliner due to the shortness of breath which resulted in edema in her ankles and worsening of gastroesophageal reflux disease (GERD) symptoms. The findings included: Resident #1 was admitted to the facility on [DATE] with diagnoses including GERD, sleep apnea, and rhabdomyolysis (a serious…

  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
• Actual harm · Gcited before2025-02-21 · 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 Psychiatric Mental Health Nurse Practitioner, Resident Representative (RR) and staff interviews, the facility failed to protect a resident's right to be free from resident-to-resident abuse. In January 2025, Resident # 2 was observed touching Resident # 1's breasts. On Saturday, 2/1/25 Resident #1 was positioned in a reclining wheelchair in the dayroom when Resident #2 was observed sitting next to Resident #1 with his right arm on her reclining wheelchair in the day room. Nurse Aide (NA) #1 intervened asking Resident #2 to give Resident #1 space and observed the blanket used to cover Resident #1 had been removed, Resident #1's pants and brief were pulled down, the brief was torn on the right-side exposing Resident #1's private area. Resident #1 was severely cognitively impaired and her ability to speak was rare according to the most recent Minimum Data Set (MDS). Resident #1's Representative stated Resident #1 would feel completely violated. A reasonable person would expect to be…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-01-28 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and staff interviews, the facility failed to label and date leftover food items stored for use, keep a food preparation area clean and orderly, store a scoop without the potential for cross-contamination, discard dented canned goods stored for use and maintain a pipe of a steamer appliance and floor tiles in good repair. These practices occurred in 2 of 3 reach-in coolers, 1 of 1 dry goods storage area, and 1 of 1 food preparation areas.The findings included:1. An initial tour of the main kitchen occurred 1/12/26 at 10:00 AM. The presence of the Dietary Manager (DM) was requested, but no kitchen staff were available for the initial tour. The following concerns were identified:a. Visible dirt and grime build up present on a knife holder on the wall next to the handwash sink. Seven knives were in the holder.b. Visible black buildup and food particles were present on the cooking range. A large white stain was observed on the left side of the gas stove approximately two feet in width. The white stain continued onto the floor next to the gas stove.c.…

  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 · E2026-01-28 · tag F0925 — failed to control pests — pattern
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and staff and Pest Control Technician interviews, the facility failed to maintain a pest free environment in 1 of 1 kitchen and 1 of 2 nourishment rooms observed for maintaining an effective pest control program.The findings included: A review of the facility's electronic maintenance request system since 2/6/25 was conducted. There were no work orders for broken or missing tiles or pest control treatment requests documented for the kitchen area or nourishment rooms.A review of the monthly pest control service report dated 3/7/25 and signed by the Maintenance Director read in part: kitchen area floor drains in need of cleaning. The floor drains in both kitchen and in the preparation area needed to be cleaned and replaced. Please clean around drain frequently to help prevent pest breeding sites. A review of the monthly pest control service report dated 4/8/25 and signed by the Maintenance Director read, in part: kitchen area floor tiles and baseboards were loose or missing. Floor tiles near dishwasher needed to be repaired to eliminate potential…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-28 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, and resident and staff interviews, the facility failed to treat a resident in a respectful and dignified manner when 1 of 2 staff (Nurse Aide (NA) #1) failed to provide incontinent rounding resulting in urine saturated pants, mechanical lift pad and wheelchair seat for 1 of 3 reviewed for dignity and respect (Resident #56). Resident #1 indicated it made him feel bad to have to sit in urine-soaked pants. Findings included:Resident #56 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses that included hemiplegia (complete paralysis on one side of the body) and hemiparesis (neurological condition characterized by weakness on one side of the body) following cerebral infarction affecting the left non-dominant side and acute kidney failure.The resident's Care Plan dated 02/11/25 identified incontinence care as a focus area. The resident was assessed as incontinent of bowel and bladder with severe physical impairment. Interventions included assistance from two staff…

  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 · D2026-01-28 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interviews, the facility failed to submit the results of an investigation of an allegation of alleged employee to resident abuse that included the date/time of the alleged incident, the patients full name/room number, details of the allegation, names of the accused and any witnesses, name of facility staff who investigated the allegation, results of the investigation, and any corrective action that was taken by the facility to the Division of Health Service Regulation (DHSR) within 5 working days of the allegation for 1 of 3 sampled residents reviewed for abuse (Resident #113).The findings included:A review of the facility's policy titled Abuse/Neglect/Misappropriation/Crime, Patient Protection effective date 10/17/2023 read, in part a zero tolerance for mistreatment, abuse, neglect, misappropriation of property, or any crime against a patient of the facility. The policy also indicated all suspected or witnessed incidents of abuse, neglect, theft, and/or exploitation or any reasonable suspicion of a crime against a patient brought to the attention of…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-28 · tag F0627 — isolated
  Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff, Adult Protective Services (APS) Intake Social Worker, Medical Director and Resident Representative interviews, the facility failed to implement an effective discharge planning process for Resident #95 in order to sufficiently prepare the resident for a safe and orderly discharge that ensured his needs were met, home health services were coordinated, a safe discharge location was identified, and necessary medical supplies were provided. This deficient practice was identified for 1 of 3 residents reviewed for discharge (Resident #95).The findings included:The hospital Discharge summary dated [DATE] indicated Resident #95 was admitted to the hospital and treated for a urinary tract infection related to a diagnosis of benign prostatic hyperplasia (enlarged prostate) with urinary obstruction requiring self-catheterization and a history of reusing catheters. Resident #95 was also assisted with finding nursing home placement due to recent eviction from his home. Resident #95 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-28 · tag F0641 — isolated
  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 observations, staff interviews, and record reviews, the facility failed to code the Minimum Data Set (MDS) assessment accurately in the areas of wounds (Resident #40), and medications. This deficient practice was identified for 2 of 19 sampled residents (Resident #75).The findings included:1. Resident #40 was admitted to the facility on [DATE] with diagnoses including pressure ulcer of the sacral region, stage 4 (full-thickness tissue loss with exposed bone, tendon or muscle).A care plan was initiated 01/18/24 and revised 07/21/25 with a focused area of chronic wound stage 4 to sacrum. The stated goal was sacrum wound would show signs of healing through the review period. Interventions included alternating air mattress, regular assessment of skin, staff to turn and reposition resident regularly, and enhanced barrier precautions for wound care.A review of the Wound Care Provider note dated 12/29/25 revealed Resident #40 had been evaluated and noted Resident #40 had a Stage 4 Pressure Ulcer.Resident #40's…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-28 · 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 review and interviews with staff, the Operations Manager for the transportation provider, and Medical Director, Nurse Aide (NA) #8 failed to report Resident #114's pain to Nurse #11 prior to transferring the resident to another Skilled Nursing Facility (SNF) and as a result no assessment was completed. The deficient practice occurred for 1 of 3 residents reviewed for quality of care (Resident #14). The findings included: Resident #114 was admitted to the facility on [DATE] with diagnoses including chronic pain, bed confinement, morbid obesity, muscle weakness, abnormalities of gait and mobility. A review of the facility's fall and injury reports from 6/17/2025 through 7/31/2025 revealed no falls documented for Resident #114. A review of the admission Minimum Data Set (MDS) dated [DATE] revealed that Resident #114 was cognitively intact. Resident #114 was coded for bilateral lower extremity range of motion impairment, and a manual wheelchair and walker for mobility. Resident #114 reported no pain…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-28 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and staff, Resident Representative and Medical Director interviews, the facility failed to follow hospital discharge orders for a resident to perform urinary self-catheterization (Resident #95) and failed to keep a urinary catheter drainage bag from touching the floor to reduce the risk of infection (Resident #9) for 2 of 3 residents reviewed for urinary catheters. The findings included: 1. The hospital Discharge summary dated [DATE] indicated Resident #95 had a urinary obstruction which required self-catheterization. Resident #95 was discharged from the hospital to the facility on [DATE] and the hospital discharge orders indicated Resident #95 was to continue self-catheterization. There were no further details regarding self-catheterization in the discharge summary. Resident #95 was admitted to the facility on [DATE] with diagnoses including benign prostatic hyperplasia (enlarged prostate) with urinary obstruction. A nurse's note dated 11/05/25 written by Nurse #6 indicated…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-28 · tag F0880 — failed to prevent and control infections — isolated
  Provide 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 follow their infection control policies and procedures for Enhanced Barrier Precautions (EBP) when Nurse #4 did not wear Personal Protective Equipment (PPE) while providing gastric tube care for Resident #89. In addition, Nurse Aide (NA) #5 failed to wear PPE while providing tracheostomy (trach) care for Resident #5. This deficiency occurred for 2 of 10 staff members observed for infection control practices (Nurse #4 and NA #5).The findings included:A review of the facility's policy titled Enhanced Barrier Precautions, revised on 3/26/2024, indicated: Enhanced Barrier Precautions (EBP) referred to an infection control intervention designed to reduce transmission of multidrug-resistant organisms (MDRO) by using gowns and gloves during high-contact resident care activities. High-contact activities included dressing, bathing, transferring, providing hygiene, changing linens or briefs, assisting with toileting, device care or use (central lines, urinary catheters, feeding tubes, tracheostomy/ventilator…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-21 · tag F0623 — isolated
  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, and staff, Adult Care Home admission Director, and Ombudsman interviews, the facility failed to provide a complete written notice of transfer/discharge including a statement of the resident's appeal rights for 1 of 3 residents (Resident #2) reviewed for discharge. The findings included: Resident #2 was admitted to the facility on [DATE]. The admission Minimum Data Set, dated [DATE] indicated Resident #2 was cognitively intact. A nursing progress note dated 2/3/25 revealed Resident #2 was discharged to the hospital on 2/3/25. Resident #2 did not return to the facility. A review of Resident #2's medical record revealed a notice of transfer/discharge form was completed by the Administrator on 2/3/25 with the discharge location of a local adult care home, not the hospital. The form was issued without the second page entitled Nursing Home Hearing Request form which included instructions for Resident #2 to request an administrative hearing to appeal the discharge. A review of an email from the…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$132,506 in federal fines across 4 penalties. 1 Medicare payment denial on record.

• $17,345 — penalty dated 2026-01-28
• $7,823 — penalty dated 2024-12-23
• $7,823 — penalty dated 2024-12-23
• $99,515 — penalty dated 2024-12-23
• Medicare payment denial — starting 2025-01-28 for 66 days

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 LIFEWORKS REHAB — 64 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 20 rows in the source record cover these 19 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

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