Carolina Rehab Center of Cumberland

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.

53.2% 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 385 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 61.7% 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 167 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 0.56 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 36% 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 136 beds and averages 131.0 residents a day — about 96% occupied, or roughly 5 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 3.78 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.550 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.14 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 3.32 hrs/resident/day on weekends vs 3.96 on weekdays — 16% thinner on weekends. RN hours go from 0.64 to 0.32 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%. 1 administrator has left in the past year.

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

Inspection trend

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

Inspection deficiencies

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

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

25 citations, most serious first. The 17 most serious are shown; the remaining 8 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-11-04 · 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 observation of a recorded video, record review and interviews with resident, staff, and a van transportation company, the facility failed to ensure a resident was safely transported to a physician's visit. The facility's contracted transportation company's Van Driver failed to ensure the lift platform was level with the van before rolling Resident # 7 out of the van. The resident fell backwards out of the transport van to a lift platform that was located on the ground approximately 3 feet below the level of the van. Review of the van company's recorded video of the incident revealed the resident could be heard crying and yelling loudly when she hit the ground. Failure to ensure safety when assisting residents onto mechanical van lifts has a high likelihood of resulting in serious resident harm. This was for one (Resident # 7) of three residents reviewed for accidents. The findings included: Resident # 7 was admitted to the facility on [DATE]. The resident's diagnoses in part included a history 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.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Immediate jeopardy · J2024-03-25 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews with staff, family, residents, the physician and the facility's psychiatric provider, the facility failed to protect a cognitively impaired and dependent resident (Resident # 3) from abuse by another cognitively impaired resident (Resident # 2). Resident # 2 was known by staff to display behaviors which included paranoia, delusions, aggression with staff, and exit seeking behaviors. Resident # 2 entered Resident # 3's room while staff were attending to other residents during an evening meal and assaulted Resident # 3 by pulling Resident # 3's wheelchair over on the floor resulting in Resident # 3 landing on the floor; hitting and kicking Resident # 3 in the head; beating Resident # 3 with a meal tray and; hitting Resident # 3 with the door by swinging a door back and forth onto Resident # 3's body while Resident # 3 was on the floor. Resident # 3 sustained a laceration near his eye, multiple areas of bruising, and fear that the incident would occur again. 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Actual harm · G2025-03-05 · 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 staff, Wound Care Nurse Practitioner and Podiatrist interviews, the facility failed to obtain orders to coordinate care with the resident's Podiatrist to ensure care needs were met when a resident was admitted with no orders regarding care to a surgical incision site of the right heel. The surgical dressing was not removed, and no treatment was provided. At the Podiatrist visit on 1/13/25 the wound was significantly macerated (skin had become soft and broken down due to prolonged moisture) that had extended laterally out of the incision. Podiatrist #1 saw Resident #4 on 1/13/25 and started oral antibiotics and treatment orders to the incision site. Podiatrist #2 saw Resident #4 on 1/15/25 and changed the treatment orders to the incision site. Podiatrist #1 saw Resident #4 again on 1/24/25 and started him on another antibiotic along with continuing the first antibiotic. On 1/27/25 Resident #4 was seen by Podiatrist #1 and sent him to the emergency room for admittance into the hospital…

  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 · Gcited before2024-05-03 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff and physician interviews, the facility failed to provide care safely to a dependent resident (Resident #216) when the resident sustained a facial fracture when her face hit the bed side rail during care for 1 of 5 residents reviewed for accidents. Findings included: Resident #216 was admitted to the facility on [DATE] with diagnoses which included cerebral infarct and vascular dementia. The quarterly Minimum Data Set, dated [DATE] indicated that she had severely impaired cognition and was dependent on staff for all activities of daily living (ADL). She was coded to have no behaviors or rejection of care. Resident #216's care plan last revised 3/11/24 had a focus on risk for falls with an intervention for assistance for turning and repositioning in bed. Her care plan also had a focus on ADL care with an intervention for assistance for bathing, hygiene, and dressing. Nursing progress note by Nurse #5 dated 4/08/24 at 11:20 PM revealed Nursing Assistant (NA) #3 called for help when she…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-05-03 · tag F0700 — isolated
  Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
  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, staff and Physician interviews, the facility failed to ensure a bedrail device assessment was completed prior to the use of bedrails for 2 of 3 residents (Resident #216 and Resident #66) and failed to ensure bedrails were maintained securely for 1 of 3 residents (Resident #66) reviewed for bedrail use. Resident #216 sustained a facial fracture when her face hit the bedrail during care. Findings included: 1a. Resident #216 was admitted to the facility on [DATE] with diagnoses which included cerebral infarct and vascular dementia. The discharge Minimum Data Set, dated [DATE] indicated that she had severely impaired cognition and was dependent on staff for all activities of daily living. A facility investigation report was completed by the Administrator on 4/17/24 indicated that on 4/9/24 Resident #216 was identified with bruising to the left side of her face after hitting her face on the bedrail during care on 4/08/24. The resident was hospitalized for shortness of breath 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
• Actual harm · Gcited before2024-05-03 · tag F0867 — failed to act on quality-improvement findings — isolated
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and interviews with the physician and staff, the facility's Quality Assessment and Assurance (QAA) committee failed to maintain implemented procedures and monitor interventions that the committee put into place in order to sustain compliance. This included a recited deficiency in the area of Supervision to Prevent Accidents (F689) as evidenced by repeat citations resulting in harm or immediate jeopardy for a high likelihood of harm to residents. During the 6/11/21 recertification and complaint investigation survey, deficient practice at F689 was identified as immediate jeopardy for a high likelihood of harm when a resident was found smoking in their room with oxygen in use on three occasions. During the 11/10/21 complaint investigation survey, deficient practice at F689 was cited for failing to prevent a resident from rolling off the bed during care resulting in right frontal hematoma (a pool of mostly clotted blood that forms in an organ, tissue, or body space), laceration, and right periorbital (around the eyes) swelling. During the 3/25/24…

  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
• Actual harm · Gcited before2024-03-25 · 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 observation, record review, resident interview, and staff interview the facility failed to ensure a resident was transferred safely. Resident # 1 sustained a fractured leg when two nursing staff members transferred Resident # 1 using a sliding board after therapy had determined Resident # 1 did not have the functional ability to use the sliding board safely. This was for one (Resident # 1) of three sampled residents reviewed for supervision to prevent accidents. The findings included: Resident # 1 was admitted to the facility on [DATE] and had a diagnosis of paraplegia and incomplete quadriplegia. Review of a physical therapy evaluation, which was completed on 2/2/24, revealed Resident # 1 was documented to have impaired strength in all her extremities. Resident # 1's mobility function score was documented as a 2 on a scale of 1 to 12, with the therapist noting that 12 indicated the highest level of mobility functioning. Resident # 1's quarterly Minimum Data Set assessment, dated 2/7/24, coded Resident…

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

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · D2026-01-21 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  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 ensure their medication error rate was less than 5%. Two (2) medication administration errors were detected out of 38 opportunities. The medication errors occurred for 2 of 3 residents observed during medication administration (Resident #8 and Resident #9). This resulted in a 5.26% medication error rate.The findings included:1a. On 1/21/26 at 9:12 AM Nurse #1 was observed as she prepared and administered morning medications to Resident #8. Nurse #1 was observed to remove two docusate sodium (stool softener) 100 mg (milligrams) capsules from a stock bottle and place them in a cup of medications she was preparing to administer for Resident #8. Nurse # 1 was observed to administer the two docusate sodium capsules to Resident #8. Nurse # 1 was not observed to administer any other type of stool softener to the resident.Resident #8's orders were reviewed following the medication administration observation for reconciliation purposes. Resident #8 did not have an order for docusate sodium 100 mg. Resident #8…

  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 · E2025-07-02 · 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 and staff interviews, the facility failed to discard expired food items stored in 3 of 4 nourishment room refrigerators (Unit 1, Unit 2 and Unit 3) . This practice had the potential to cause foodborne illnesses. Findings included: Observations of the nourishment room refrigerators with the facility's Dietary Manager (DM) on 6/25/25 revealed the following: a. An unopened pack of chicken breast strips and green beans with the use by date of 5/13/25 was observed in the freezer of Unit 1 nourishment refrigerator at 11:53 AM. The DM placed the food item in the trashcan. b. A 10-pack box of prepacked store-bought sandwiches with the best if used by date of 4/27/25 was observed in the freezer of Unit 3 nourishment refrigerator at 12:01 PM. The box was approximately half full. The DM placed the food items in the trashcan. c. Two bottles of nutritional shake with the expiration date of 5/6/25 were observed in Unit 2 nourishment refrigerator at 12:10 PM. The DM placed the food items in the trashcan. The Dietary Manager, who was present during the observations, stated…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-11-04 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  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 resident and staff the facility failed to afford privacy when a Nurse Aide used a cell phone by video chat in the vicinity of an unclothed resident receiving a shower. This was for one (Resident # 5) of four sampled residents who were interviewed about care. The findings included: Resident # 5 was admitted to the facility on [DATE]. The resident's diagnoses in part included depression and anxiety. Resident # 5's significant change Minimum Data Set assessment, dated 9/11/24, coded the resident as cognitively intact and totally dependent on staff for bathing and showering. Resident # 5's care plan, dated 9/20/24, included information that the resident exhibited manipulative behaviors and had been known to make false statements regarding staff. One of the care plan interventions was to ensure two staff members were in the resident's room when providing care services. This intervention had been added to the care plan on 6/25/24 and remained part of the active…

  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
• Potential for harm · Dcited before2024-11-04 · 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 resident, staff, physician, and pharmacist the facility failed to administer a daily intravenous antibiotic on two consecutive days. This was for one (Resident # 6) of one sampled resident whose medications were reviewed. The findings included: Resident # 6 was admitted to the facility on [DATE]. Review of a hospital Discharge summary, dated [DATE], revealed the following information. Resident # 6 had a stage 4 pressure sore and osteomyelitis. While hospitalized a culture of the sacral pressure sore grew bacteria. One of the bacteria was extended spectrum beta lactamase (ESBL) Escherichia Coli (A type of bacteria which is resistant to several antibiotics). She had also been diagnosed with a urinary tract infection due to (ESBL) Escherichia Coli. A PICC (peripherally inserted central catheterization) was placed for Intravenous antibiotics. According to the discharge summary the resident was scheduled to receive Ertapenem (an antibiotic) for a total of 6 weeks. The course…

  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 · E2024-10-11 · tag F0696 — pattern
  Provide appropriate care/assistance for a resident with a prosthesis.
  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 and a prosthetic company employee, the facility failed to facilitate replacement of a lost prosthetic liner so the resident could use his prosthesis and walk. This was for one (Resident # 4) of one sampled resident who had a prosthesis. The findings included: Resident # 4 was admitted to the facility on [DATE] with diagnoses which in part included diabetes, chronic kidney disease, and left below knee amputation. The resident's quarterly Minimum Data Set assessment, dated 7/27/24, coded the resident as cognitively intact and as not using a prosthesis during the assessment period. The resident was also coded to have moderate impairment of his vision. Review of physical therapy documentation from 7/21/24 through 8/5/24 revealed the following information. Resident # 4 was certified to receive therapy services during the dates of 7/21/24 to 7/31/24. One of his precautions was that he was blind. On 7/29/24 Physical Therapist # 1 documented unable to perform static…

  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 · D2024-10-11 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews the facility failed to maintain an accurate record regarding medical diagnoses. This was for one (Resident # 1) of one sampled resident reviewed for accurate diagnoses. The findings included: Resident # 1 resided at the facility from 7/15/24 until her discharge on [DATE]. The resident's diagnoses in part included respiratory failure with tracheostomy placement. The resident's hospital Discharge summary, dated [DATE], noted the resident had MRSA (methicillin resistant staphylococcus aureus) pneumonia while hospitalized and had received treatment. A review of the facility's record revealed a list of cumulative diagnoses. MRSA pneumonia was listed as one of the resident's diagnoses while she had been hospitalized . There was an accompanying ICD code (International Statistical Classification of Disease) by the diagnosis of MRSA. (This medical classification system assigns a code for different diagnoses.) A review of the resident's record revealed the resident had three…

  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 before2024-08-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and interviews with staff and physician, the facility failed to ensure a Nurse Aide followed a resident's plan of care while transferring the resident. This was for one (Resident # 2) of six sampled residents. The findings included: Record review revealed Resident # 2 was admitted to the facility on [DATE]. The resident's diagnoses in part included Alzheimer's disease, contractures, and failure to thrive. Resident # 2's quarterly Minimum Data Set assessment, dated 7/9/24, coded the resident as severely cognitively impaired and as being totally dependent on staff for transfers. Resident # 2's care plan, dated 7/7/24, directed staff to use two staff members and transfer the resident with a mechanical lift. This had been originally added to the care plan on 4/17/24 and remained part of the resident's active care plan. Resident # 2's weight records included documentation on 8/7/24 that the resident weighed 78 pounds. On 7/18/24 Nurse # 1 noted in a nursing entry that Resident # 2's foot 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.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · E2024-05-03 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — pattern
  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 and physician interviews the facility failed to ensure the urine collection bag remained below the level of the resident's bladder by removing a urinary leg bag and applying a urinary drainage bag while the resident remained in bed (Resident #267) and failed to ensure a urinary drainage bag did not come into contact with the floor (Resident #98) for 2 of 3 residents reviewed for indwelling urinary catheters. Findings included: 1. Resident #267 was admitted to the facility on [DATE] with a diagnosis of overactive bladder. A review of a physician's medical note for Resident #267 dated 4/26/24 at 10:21 AM revealed in part Resident #267 was having urinary retention. An indwelling urinary catheter was present. This would have to remain in place for at least 7 to 10 days and then a voiding (urination) trial would occur. A review of Resident #267's admission Minimum Data Set (MDS) assessment dated [DATE] revealed in part she was cognitively intact. She had an…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-05-03 · tag F0760 — failed to prevent significant medication errors — pattern
  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 staff and physician interviews and record review the facility failed to administer prednisone per the resident's hospital discharge summary for 23 days for 1 of 1 resident reviewed for medication reconciliation. (Resident #166) Findings included: Review of Resident #166's discharge medication list from the hospital dated 6/9/23 revealed he was ordered to continue taking prednisone 5 milligrams by mouth once daily. Resident #166 was admitted to the facility on [DATE]. His active diagnoses included encounter for orthopedic aftercare following surgical amputation, peripheral vascular disease or peripheral arterial disease, asthma (COPD) or chronic lung disease, pulmonary fibrosis, and interstitial pulmonary disease. Review of Resident #166's minimum data set assessment dated [DATE] revealed he was assessed as cognitively intact. Review of Resident #166's medication orders during his stay in the facility revealed he was not ordered prednisone 5 milligrams daily until 7/2/23. Review of a nursing note dated…

  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 · E2024-05-03 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  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 Physician, resident, and staff interviews the facility failed to document the Pneumococcal and Influenza vaccines were offered and declined, and the reason. The facility further failed to document that the resident or the resident's representative was provided education regarding the benefits and potential side effects of the vaccine for resident for 5 of 5 residents reviewed (Resident #14, Resident #55, Resident #59, Resident #92, and Resident #96). Findings included: a. Resident #14 was admitted to the facility on [DATE]. She was [AGE] years old. Her active diagnoses included hypertension (high blood pressure) and Parkinson's Disease. Resident #14's quarterly minimum data set assessment (MDS) dated [DATE] revealed she was assessed as not cognitively intact. The immunization record of Resident #14 revealed that the 2023 influenza vaccine was refused, and the pneumococcal 23 vaccine was marked as refused but there was no documented proof of the refusals, reasons refused, or that…

  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

“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

$97,936 in federal fines across 5 penalties.

• $15,015 — penalty dated 2025-03-05
• $16,801 — penalty dated 2024-10-11
• $49,319 — penalty dated 2024-05-03
• $5,850 — penalty dated 2024-03-25
• $10,951 — penalty dated 2024-03-25

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

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.

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