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Sardis Oaks

5151 Sardis Road, Charlotte, NC 28270 · Non profit - Other · 124 certified beds · (704) 365-4202 Medicare & Medicaid certified

Call the home — (704) 365-4202 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 16 lower-level deficiencies on record (see below)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (16) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing rating is low (2/5)
  • about 18% of its spending goes to commonly-owned related companies

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

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

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★★★★ 5/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
Pharmacy
Rite Aid0.2 mi
4215 Providence Rd · (704) 366-3899 · Call to confirm hours
Grocery
4207 Providence Rd · (704) 365-6659 · Call to confirm hours
Park
5007 Providence Rd · Typically dawn to dusk
Place of worship
CSMU0.2 mi
5301 Sardis Rd

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 4 of 5
Long-stay residentspeople who live here 3 of 5
Short-stay residentsrehab / post-hospital 5 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 3 stars. From monthly CMS archive snapshots.

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

Overall rating3★
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 increased20.8%15.6%15.4%worse
Long-stay residents who lose too much weight5.4%7.2%5.4%typical
Long-stay residents with a catheter left in their bladder0.2%0.7%0.9%better
Long-stay residents with a urinary tract infection3.9%2.3%2.0%worse
Long-stay residents with depressive symptoms0.0%5.9%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury1.3%3.5%3.3%better
Long-stay residents whose ability to walk worsened20.2%18.3%16.1%worse
Long-stay residents on antianxiety or hypnotic medication10.1%21.3%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%94.1%95.3%typical
Long-stay residents with pressure ulcers10.6%5.5%4.7%worse
Long-stay residents with worsening bladder/bowel control30.8%20.7%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table10.4%14.0%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.4%1.4%better
Short-stay residents given the seasonal flu vaccine93.3%78.1%79.4%better
Short-stay residents rehospitalized after admission18.1%22.9%22.6%better
Short-stay residents with an outpatient ER visit9.6%12.9%12.0%better
Long-stay hospitalizations per 1,000 resident days3.551.781.67worse
Long-stay outpatient ER visits per 1,000 resident days0.561.801.80better

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

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

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

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

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

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

71.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 57 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

71.7%U.S. median 51.5%
Got home and stayed home
10.1%U.S. median 10.7%
Went back to hospital
45.9%U.S. median 56.6%
Met the expected recovery
0.29U.S. median 0.31
Therapy hours / resident / day
0.12hours / resident / day
Physical therapy
0.13hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 45.9% 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 61 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 0.29 therapist hours per resident per day in 2026Q1 — more than 45% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. 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 SNF71.7%CMS range 59.1–83.751.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.1%CMS range 7.3–14.110.7%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 discharge45.9%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 discharge37.7%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge52.5%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 identified90.1%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 setting22.7%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 discharge53.3%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 stay1.2%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 worsened2.5%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 hospitalization6.0%CMS range 3.2–10.77.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.831.02Oct 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

0.48
RN hours/ resident / day
0.69
LPN hours/ resident / day
2.04
Aide hours/ resident / day
3.21
Total nurse hours/ resident / day
0.23
RN hoursweekends
44.0%
Total nursing turnover
55.6%
RN turnover

How full it usually is: this home is certified for 124 beds and averages 88.7 residents a day — about 72% occupied, or roughly 35 beds typically open. It usually has some room. 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 3.21 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.48 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.04 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 2.45 hrs/resident/day on weekends vs 3.51 on weekdays — 30% thinner on weekends — a notable drop. RN hours go from 0.59 to 0.23 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% 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

4
deficiencies at the latest standard inspection (2025-12-18)
7
at the previous standard inspection (2024-09-27)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

  • Potential for harm · D2025-12-18 · 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 record review and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) assessment for 1 of 19 residents reviewed for accuracy of assessments (Resident #4).The findings included:Resident #4 was admitted to the facility on [DATE] with diagnoses which included history of a stroke and dysphagia (the inability to swallow). A physician progress note dated 1/23/2025 indicated Resident #4 underwent replacement of her percutaneous endoscopic gastrostomy tube (PEG, a flexible feeding tube inserted through the abdominal wall directly into the stomach) on that date.Resident #4 had a physician's order dated 8/1/2025 for a specialized nutritional supplement, 237 milliliters (ml), three time daily bolus via PEG if consumed 50% or less of meal. A review of the Medication Administration Record (MAR) indicated Resident #4 had received the specialized nutritional supplement, 237 ml bolus tube feeding via the PEG on 10/9/2025, 10/10/2025, 10/11/2025 and 10/12/2025.A review of a Registered…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-18 · tag F0644 — isolated
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to submit a request for a Level II Preadmission Screening Resident Review (PASRR) evaluation for a resident with a new diagnosis of a serious mental illness for 1 of 3 residents reviewed for PASRR (Resident #45).The findings included:Review of the medical record revealed a Level I PASRR was completed for Resident #45 on 9/02/22 prior to admission to the facility.Resident #45 was admitted to the facility on [DATE] with diagnoses including lymphedema and cellulitis and open wound of left lower extremity. A review of the electronic medical record (EMR) revealed there was no evidence that a Level II PASRR evaluation request was submitted for Resident #45.The quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #45 was cognitively intact, exhibited no behaviors during the assessment period and was coded for receiving antidepressant and anticonvulsant medications. Resident #45's list of active diagnoses included major depressive…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-12-18 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and staff interviews, the facility failed to separate the tube feeding syringe components prior to storing it for use, which created the potential for bacterial growth, for 1 of 3 residents reviewed for tube feeding (Resident #79).Findings included:Resident #79 was admitted to the facility on [DATE] and had a gastric tube (flexible tube inserted in through the abdominal wall directly to the stomach) for medication, food, and water administration.The Minimum Data Set quarterly assessment dated [DATE] indicated Resident #79 had a severe cognitive deficit. Resident #79 was coded as having a feeding tube, receiving 51% or more of his total calories via tube feeding and more than 501cc (cubic centimeters) of fluid via tube feeding.On 12/17/2025 at 8:03 AM an observation revealed Nurse #1 administering medication via gastric tube using a 60 cc syringe. After use, Nurse #1 disassembled the syringe, rinsed the parts with tap water at the bathroom sink, reassembled the syringe without…

    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 · D2025-12-18 · tag F0694 — isolated
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and staff interviews, the facility failed to clean normal saline solution bag connection port with alcohol prior to connecting antibiotic vial to the normal saline bag for mixing, which could introduce bacteria in the mixture. This was for 1 of 1 staff member observed for intravenous medication administration (Nurse #1).Findings included:On 12/17/2025 at 12:50 PM an observation revealed Nurse #1 preparing antibiotic intravenous bag for Resident #103. Nurse #1 gathered one (1) normal saline bag/100 ml (milliliters) and one (1) vial of Cefepime 2 grams powder antibiotic. Nurse #1 cleaned her hands and donned gloves. Next, Nurse #1 connected the antibiotic vial to the normal saline bag without cleaning the normal saline medication port with an alcohol swab. Nurse #1 then squeezed the normal saline in the antibiotic vial to mix with the antibiotic power. Nurse #1 mixed the antibiotic solution in the 100 ml normal saline bag to administer to Resident #103.An interview was conducted with Nurse #1 on 12/17/2025 at 1:20 PM. Nurse #1 stated the normal…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-09-27 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and staff interviews the facility failed to post cautionary and safety signage outside of resident rooms that indicated the use of oxygen for 4 of 4 residents (Residents #73, #52, #15, and #37) reviewed for respiratory care. The findings included: 1. Resident #73 was admitted to the facility on [DATE] with acute chronic respiratory failure with hypoxia. A review of the quarterly Minimum Data Set (MDS) dated [DATE] indicated Resident #73 was coded for receiving oxygen. A review of Resident #73's physician orders revealed an order dated 6/20/24 for oxygen to be administered continuously via nasal cannula at 5 liters per minute (l/min). An observation on 9/23/24 at 1:00 PM revealed Resident #73 was lying in bed wearing a nasal cannula with oxygen being administered at 5 l/min. There was no cautionary or safety signage posted at the entrance to Resident #73's room to indicate oxygen was in use. An observation of Resident #73 conducted on 9/25/24 at 9:56 AM revealed she was lying…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-09-27 · 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 interviews with the Corporate Support Dietary Manager, and staff, the facility failed to perform hand hygiene prior to plating food, wear a hair and beard restraint, maintain a working thermometer in the reach-in refrigerator, remove expired foods from frozen storage, and store potentially hazardous foods in sealed containers with a label that recorded the date of storage and the use by date in four of six cold storage units. This failure had the potential to affect food served to 85 of 92 residents. The findings included: 1. A continuous observation of the lunch meal tray line occurred on 9/26/24 from 12:00 PM until 12:10 PM. During the continuous observation, Dietary Aide (DA) #2 was observed to wear the same pair of gloves to place insulated dome lids on meal trays, place condiments and crackers on resident's meal trays, open/close the reach-in refrigerator to remove cold items, and placed meal trays on a metal cart. On 9/26/24 at 12:10 PM, DA #2 used the same gloves, without performing hand hygiene, to plate French Fries with her right…

    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 · D2024-09-27 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interviews with a resident and staff, the facility failed to replace a nonfunctioning air conditioner unit in room [ROOM NUMBER]. This failure occurred for on 1 of 4 halls reviewed for a safe, clean, comfortable and home like environment (200 hall). The findings included: An observation and interview with the Resident in room [ROOM NUMBER] occurred on 9/23/24 at 1:45 PM. During the interview, the Resident stated that her air conditioner in her room had not worked for the past three weeks. She said she was currently hot in her room, and she reported this concern to her nurse aide (NA) three weeks ago. The Resident stated that when she reported the concern, the NA checked her air conditioner and said it was not blowing cool air and that she would report it to the maintenance department. The Resident said her air conditioner worked off/on since her admission to the facility in July 2024, but that three weeks ago it stopped blowing cool air completely. The Resident stated 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 · Dcited before2024-09-27 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and staff interviews the facility failed to provide nail care for a dependent resident for 1 of 6 residents reviewed for activities of daily living (ADL) (Resident #12). The findings included: Resident #12 was admitted to the facility on [DATE] with diagnosis' which included hemiplegia (inability to move one side of the body). A review of a care plan dated 03/18/24 revealed Resident #12 had impaired mobility related to left-sided hemiplegia and blindness with interventions which included for staff to encourage Resident #12 to participate in activities of daily living (ADL) care as able and to assist her as needed. A review of a quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #12 was cognitively intact and was not coded for rejection of care. Resident #12 was coded for impairment on one side of her upper extremities and required moderate assistance with personal hygiene. An observation was conducted on 09/23/2024 at 3:46 PM. Resident #12 was observed to have…

    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 · D2024-09-27 · 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 staff interviews, the facility failed to provide an environment free from a potential hazard when an insulin syringe was observed lying on Resident #74's beside table with the safety cap off and the needle exposed. This deficient practice occurred for 1 of 4 residents reviewed for accidents (Resident #74). The findings included: Resident #74 was admitted to the facility on [DATE] with diagnoses that included type 2 diabetes. The quarterly Minimum Data Set (MDS) dated [DATE] indicated Resident #74 was severely cognitively impaired and received insulin 7 days during the assessment period. A review of Resident #74's physician orders revealed an order dated 9/12/24 for Insulin NPH (intermediate-acting insulin used to control blood sugar) 10 units injected subcutaneously (under the skin) twice a day. A review of Resident #74's medication administration record indicated 10 units of insulin NPH was administered by Unit Coordinator #1 on 9/23/24 at 8:57 AM. An observation…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-09-27 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    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 interviews, the facility failed to ensure an opened bottle of tube feeding formula was labeled with the date and time the formula was hung for 1 of 2 residents reviewed for tube feeding (Resident #74). The findings included: Resident #74 was admitted to the facility 6/07/24 with diagnoses that included dysphasia (difficulty swallowing) and gastrostomy (surgical procedure to insert a tube into the stomach to provide nutritional support). A review of the physician orders revealed an order dated 6/07/24 for Resident #74 to receive Glucerna 1.5 (nutritional formula used for tube feeding) at 55 milliliters per hour (ml/hour) and water at 50 ml/hour continuously. A review of the care plan dated 6/17/24 indicated Resident #74 required a permanent feeding tube due to a diagnosis of dysphagia and an inability to take any nutrition by mouth. The interventions included administering tube feedings and water flushes as ordered by the physician. The quarterly 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 6 citations
  • Potential for harm · D2024-09-27 · 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 observations, record reviews, and staff interviews, the facility failed to don required Personal Protective Equipment (PPE) before entering residents' room under transmission-based precautions for 1 of 3 residents reviewed for infection control (Resident #19). The findings included: 1. Review of the facility's policy for Enhanced Barrier Precautions (EBP) dated 09/01/2024 revealed the EBP will be implemented for the prevention of transmission of multidrug-resistant organisms. EBP employs gown and glove use during high resident care activities such as: Dressing Bathing/Showering, Transferring, Changing Linens, Providing Hygiene, Changing briefs or assisting with toileting, Device Care or use: central line, urinary catheter, feeding tube and tracheostomy, Wound Care: any skin opening requiring a dressing. On 09/25/24 at 9:42 AM an observation was made of Nurse Aide #3 entering Resident #19's room to provide a bed bath, change the residents brief and dress Resident #19 for the day. Resident #19 was under EBP for a feeding tube. The signage for EBP was posted on the door along…

    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 · Fcited before2023-04-14 · tag F0812 — failed to store, cook, and serve food safely — widespread
    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 vendor and staff interviews, the facility failed to sanitize dishware for meal service by failing to ensure the wash and final rinse cycles of the low temperature dish machine operated at accurate temperatures for 2 of 2 observations. This practice had the potential to affect food served to all residents. The findings included: Review of service reports from the external vendor for the dish machine revealed the following: • 01/13/23 revealed documented wash temperature of 113 degrees Fahrenheit • 02/06/23 revealed documented wash temperature of 115 degrees Fahrenheit • 04/07/23 revealed documented wash temperature of 116 degrees Fahrenheit These documented temperatures fell under the minimum requirement of 120 degrees Fahrenheit for the low temperature dish machine. The service reports contained no recommendations but had been signed by the Dietary Manager. A continuous observation of the dish machine area was conducted on 04/12/23 at 2:00 PM revealed the low temperature dish machine in use. During the observation, Dietary Aide #1 loaded…

    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 · F2023-04-14 · tag F0867 — failed to act on quality-improvement findings — widespread
    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, staff interviews and record review, the facility's Quality Assessment and Assurance Committee (QAA) failed to maintain implemented procedures and monitor interventions the committee put into place following the annual recertification survey completed on 7/09/2021 and the complaint survey conducted on 4/22/22. The failure was for two deficiencies that were originally cited in the areas of Dietary Services (F812) and Resident Rights/Exercise of Rights (F550) and were subsequently cited again during the current annual recertification survey on 4/14/2023. 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. The findings included: This tag is cross referenced to F812 - Based on observations, vendor interview, staff interviews, and record review, the facility failed to sanitize dishware for meal service by failing to ensure the wash and final rinse cycles of the low temperature dish machine operated at accurate temperatures for 2 of 2 observations. This…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-04-14 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident and staff interviews, and record review, the facility failed to provide hand hygiene for a resident who required extensive to total assistance for 1 of 1 resident reviewed for activities of daily living care (Resident #2). The findings included: Resident #2 was originally admitted to the facility 4/10/15, with diagnoses that included stroke, vascular dementia, hemiplegia, and left-hand contracture. Resident #2's care plan revised on 11/22/22 for Activities of Daily Living (ADL) self-care performance deficit due to multiple cerebral vascular accidents (CVAs) with left spastic hemiplegia. Interventions included: assist Resident with the level of support needed. Resident #2's annual Minimum Data Set (MDS) dated [DATE] revealed she was cognitively intact with no rejection/refusal of care documented. Resident #2 required total assistance with eating, toilet use, personal hygiene, and bathing. Resident #2 had range of motion (ROM) limitations of upper extremities. An observation made on…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-04-14 · 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 resident, staff, Nurse Practitioner and Hospice Nurse interviews, the facility failed to obtain orders for suprapubic catheter care for 1 of 1 resident reviewed for catheter use. (Resident #39) The findings included: Resident #39 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses that included traumatic spinal cord dysfunction and neurogenic bladder. Resident #39's care plan updated and reviewed on 11/14/22, revealed alteration of elimination related to spinal cord dysfunction that required suprapubic catheter. The interventions included provide routine care, change suprapubic catheter as ordered, and empty the catheter bag every shift and as needed. Resident #39's quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #39 was cognitively intact and had a catheter for urination. Review of Resident #39's electronic medical record dated 01/1/23 through 04/14/23 revealed no physician orders for suprapubic catheter or suprapubic catheter…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-04-14 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and resident and staff, interviews, the facility failed to obtain a physician order for the use of supplemental oxygen for 1 of 1 resident reviewed for oxygen use (Resident #39). The findings included: Resident #39 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses that included respiratory failure, pulmonary fibrosis, and dependence on supplemental O2. Resident #39's care plan updated on 11/14/22 revealed Resident #39 was at risk for respiratory distress related to diagnoses of pulmonary fibrosis, pulmonary hypertension, and congestive pulmonary obstructive disease. The interventions included: administer oxygen as ordered, evaluate the effectiveness of oxygen, and vital signs as ordered. Resident #39's quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #39 was cognitively intact. A review of Resident #39's electronic medical record (eMAR) revealed no active/current physician orders for supplemental oxygen use or monitoring of oxygen…

    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

“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

No federal fines in the current CMS record.

Part of a chain

This home belongs to ATRIUM HEALTH — 5 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 3 of 53.2-0.2 vs chain
Health inspection 3 of 53.4-0.4 vs chain
Staffing 2 of 52.0≈ chain avg
Quality measures 4 of 53.6+0.4 vs chain
The other 4 homes this chain runs (chain average 3.2★, 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
BALL, RODNEYIndividualMANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICER; TRUSTEE OF THE SNFsince 02/01/2023
HAYNES, KENNETHIndividualMANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICER; TRUSTEE OF THE SNFsince 06/21/2019
RISSMILLER, SCOTTIndividualMANAGING CONTROL - GOVERNING BODY; TRUSTEE OF THE SNFsince 06/21/2019
ADVOCATE HEALTH INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/14/2025
ATRIUM HEALTH INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/14/2025
BROAD RIVER REHABILITATIONOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/05/2025
PRO DIVERSITY PARTNERS, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/14/2025
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITYOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/01/2020
CLODE, COLINIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/01/2020
PATEL, DUPALIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/06/2024

CMS files one row per role, so the 22 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

5 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.

$8.6M
Net patient revenuemost recent cost report
-74.3%
Operating marginrevenue minus expenses
$2.7M
Related-party expense18% of expenses
Who pays — share of resident-days
Medicaid 71%Medicare 3%Other / private 26%

About 71% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $2.7M 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. 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

$467per resident / day
operating cost
$14,209per month
≈ monthly operating cost
$268per 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 345331. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-12-18, 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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