Stokes County Nursing Home

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.

Therapy staffing: this home’s payroll records show 0.04 therapist hours per resident per day in 2026Q1 — more than 2% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% 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 40 beds and averages 36.8 residents a day — about 92% occupied, or roughly 3 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.54 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.71 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.19 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.03 hrs/resident/day on weekends vs 3.75 on weekdays — 19% thinner on weekends. RN hours go from 0.83 to 0.42 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 25% is below 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.

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

• Potential for harm · F2025-11-21 · tag F0838 — failed to assess facility resources and resident needs — widespread
  Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interview, the facility failed to ensure the facility assessment included a contingency plan that was informed by the facility assessment to address the availability of staff and other resources for events that did not require activation of the facility's emergency plan but had the potential to affect resident care. This had the potential to affect 38 of 38 facility residents. The findings included:The review of the facility assessment dated 2025 did not identify a written contingency plan that was informed by the facility assessment to address the availability of nursing staff and other resources for events that did not require activation of the facility's emergency plan but had the potential to affect resident care. An interview occurred with the Assistant Administrator on 11/20/2025 at 2:30 pm. She stated she was unaware that a contingency plan for staffing/resources for events that did not require activation of the facility's emergency plan needed to be addressed in the facility assessment. She was uncertain why this was not completed.An…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-21 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  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, Physician and Consultant Pharmacist interviews, the facility failed to provide ongoing Abnormal Involuntary Movement Scale (AIMS) assessments for potential adverse reactions to antipsychotic medications for 3 of 5 residents reviewed for unnecessary medications (Residents #30, #2, and #3). The findings included: a. Resident #30 was readmitted on [DATE] with diagnoses including dementia with behaviors and generalized anxiety disorder. Physician order dated 6/13/24 included Olanzapine (antipsychotic) oral tablet 2.5 milligrams (MG). Give one (1) tablet by mouth at bedtime related to unspecified dementia, unspecified severity with other behavioral disturbances. Resident #30's active care plan dated 6/2/25 indicated a risk for complications related to the use of psychotropic and antipsychotic medications. Interventions included AIMS testing per protocol. Resident #30's medical record documented one AIMS assessment on file dated 3/10/25. There were no other AIMS found in the medical…

  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 · D2025-11-21 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and resident and staff interviews, the facility failed to revise the comprehensive care plan to include antipsychotic medication use for 1 of 5 residents reviewed for care plans (Resident #3).The findings included:Resident #3 was readmitted to the facility on [DATE] with diagnoses including dementia with behavioral disturbance, anxiety disorder, anxiety with psychotic features and, recurrent unspecified major depressive disorder.A review of Resident #3's active comprehensive care plan dated 6/10/25 did not reveal a care plan had been initiated for antipsychotic medication use.Resident #3's physician's orders revealed an order dated 6/29/25 to give one tablet of Quetiapine Fumarate (an antipsychotic medication) 50 milligrams (MG) by mouth in the morning and give two tablets by mouth at bedtime related to unspecified anxiety disorder and unspecified recurrent major depressive disorder.Review of Resident #3's Medication Administration Record (MAR) from June 2025 through November 2025…

  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 · D2025-11-21 · 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 staff interviews, the facility failed to post cautionary and safety signage that indicated the use of oxygen for 3 of 4 residents reviewed for respiratory care (Residents #2, #5, and #37).The findings included: a. Resident #2 was admitted to the facility on [DATE] with the diagnosis of Streptococcus pyogenes (Contagious bacterial infection that causes swelling and sudden painful sore throat). Resident #2's physician orders dated 6/19/25 revealed an order for oxygen to be administered continuously via nasal cannula at 2 liters per minute (lpm) to keep oxygen level above 90% (normal range for oxygen level is 95-100%) as needed. Resident #2's annual Minimum Data Set (MDS) dated [DATE] indicated Resident #2 was coded for receiving oxygen. Observations on 11/18/25 at 12:11 PM, 11/19/25 at 9:06 AM, 11/19/25 2:37 PM and 11/20/25 at 9:17 AM revealed Resident #2 was lying in bed in his room wearing a nasal cannula with oxygen administered at 2 lpm. There was no cautionary or…

  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 · D2025-11-21 · tag F0756 — failed to review each resident's drug regimen — isolated
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  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, Pharmacy Consultant, Facility Physician, and the Medical Director, the Pharmacy Consultant failed to identify and report irregularities when conducting monthly drug regimen reviews for 2 of 5 residents reviewed for unnecessary medications (Resident #3, and Resident #30).The findings included:a. Resident #3 was readmitted to the facility on [DATE] with diagnoses including unspecified dementia with unspecified severity and other behavioral disturbance, anxiety disorder, anxiety with delusional thoughts and behaviors harmful to self and others with psychotic features and lying, recurrent unspecified major depressive disorder, multiple episodes of paranoia and restlessness, and cerebral infarction.Review of Resident #3's medical record revealed Resident #3 did not have an Abnormal Involuntary Movement Scale (AIMS) assessment on file. The AIMS is an assessment that determines the severity of uncontrollable and involuntary movements in people prescribed antipsychotic…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-11-21 · tag F0919 — failed to provide a working call system — isolated
  Make sure that a working call system is available in each resident's bathroom and bathing area.
  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 resident and staff interviews, the facility failed to ensure a resident call light system was accessible for 1 of 3 residents (Resident # 28) observed for call light system.The findings included: Resident # 28 was admitted to the facility on [DATE] with multiple diagnoses that included absence of left leg above the knee. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident # 28 was assessed as cognitively intact. Resident #28 was independent for transfers, bed mobility, and toileting.An observation of Resident # 28's bathroom was conducted on 11/18/2025 at 12:05 pm. The call light in the bathroom did not have an attached pull cord.Resident # 28 was interviewed on 11/18/2025 at 12:42 pm. The resident stated he was independent with Activities of Daily Living (ADL) which included getting out of bed, transferring, and using the toilet. Resident # 28 confirmed there was no pull cord for the call light in the bathroom and stated he could not…

  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 · F2024-08-12 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on staff interview and record review, the facility failed to electronically submit direct care staffing information based on payroll data to the Centers for Medicare and Medicaid Services (CMS) as required for quarter three of fiscal year (FY) 2023 (April 1- June 30, 2023). This failure occurred for 1 of 4 quarters reviewed. The findings included: A review of the Payroll Based Journal (PBJ) Staffing Data report from the Certification and Survey Provider Enhanced Reports (CASPER) database revealed the facility failed to submit the required PBJ Staffing Data for quarter three of FY 2023. According to CASPER the data was not submitted. On 8/12/24 at 11:03 AM an interview with the Administrator indicated she was responsible for submitting PBJ data to CMS and was aware the PBJ staffing submission was late for quarter three FY 2023. The Administrator further revealed the data was submitted one day late due to staff changes.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-08-12 · tag F0880 — failed to prevent and control infections — widespread
  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 review and staff interviews, the facility failed to have a documented water management program for Legionella. Failure to have a water management program had the potential to affect 34 of 34 residents in the facility. The findings included: Review of the facility's Emergency Preparedness Plan last reviewed by the facility on 2/17/2024 and Infection Control policies revealed no evidence of a water management program for Legionella. Interview with the Infection Preventionist (IP) on 8/12/24 at 1:13 PM revealed the IP was unsure about any written water management program for Legionella. Interview with the Administrator on 8/12/24 at 1:24 PM revealed it was the IP that oversaw water management. Further interview revealed the Maintenance Director did not have any knowledge in water management. She further revealed there was not a specific Legionella water management program to follow. The Administrator indicated it should have been her overseeing the IP and water management programs. The Administrator explained there should have been a written Legionella water management…

  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 · F2023-03-09 · 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 and staff interviews, the facility failed to dispose of expired nutritional supplements and failed to dispose of expired individually packaged cartons of juice from 1 of 1 nourishment room. The findings included: Observations of the nourishment room on 3/7/23 at 11:42 AM and on 3/8/23 at 10:40 AM revealed the following: a. Nine (2.5 ounce) bottles of a protein supplement on the dry storage rack with a use by date of 1/5/23. b. Six (2.5 ounce) bottles of a protein supplement in the refrigerator with a use by date of 1/5/23. c. Ten (4 ounce) containers of prune juice in the freezer with a best by date of 1/24/23. Dietary Aide #1 was interviewed on 3/8/23 at 10:43 AM, while she stocked the nourishment room. She explained the dietary department checked for expiration dates prior to stocking food and drink items in the nourishment room but had not checked dates for expiration after food and drink items were placed in the nourishment room. During an interview with the Unit Secretary on 3/8/23 at 10:46 AM, she stated dietary staff came to the unit daily and stocked…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-03-09 · tag F0638 — pattern
  Assure that each resident’s assessment is updated at least once every 3 months.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews and medical record review, the facility failed to complete a quarterly Minimum Data Set (MDS) assessment within 92 days of the Assessment Reference Date (ARD) of the previous MDS assessment for 4 of 10 residents (Residents #9, #37, #14 and #2) reviewed for timely completion of MDS assessments. Findings included: 1. Resident #9 was admitted to the facility on [DATE]. A review of the Minimum Data Set (MDS) assessments for Resident #9 revealed the last assessment completed was a quarterly assessment completed on 10/12/22. No other MDS assessments had been completed since 10/12/22. 2. Resident #37 was admitted to the facility on [DATE]. A review of the Minimum Data Set (MDS) assessments for Resident #37 revealed the last assessment completed was a quarterly assessment completed on 10/17/22. No other MDS assessments had been completed since 10/17/22. 3. Resident #14 was admitted to the facility on [DATE]. A review of the Minimum Data Set (MDS) assessments for Resident #14 revealed the last…

  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

“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

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 15 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted.

4 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.

What families pay in NC