Camellia Gardens Center for Nursing and Rehab

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.

53.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 29 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 45.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 31 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 0.38 therapist hours per resident per day in 2026Q1 — more than 65% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 66% of this home’s weekday level — it runs therapy at close to weekday levels right through 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.

Staffing

How full it usually is: this home is certified for 78 beds and averages 59.9 residents a day — about 77% occupied, or roughly 18 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 3.78 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.31 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.57 is at or above 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 3.40 hrs/resident/day on weekends vs 3.93 on weekdays — 14% thinner on weekends. RN hours go from 0.37 to 0.16 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 57% is well above the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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.

37 citations, most serious first. The 12 most serious are shown; the remaining 25 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-12-03 · 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 observation, record review, and interviews with resident, Medical Director, and staff, the facility failed to provide effective supervision to Resident #1, who was deemed unsafe to smoke without supervision and had known non-compliance with the smoking policy, to prevent the resident from smoking while utilizing his portable oxygen tank. On 10/20/25, 10/21/25, and 11/6/25 Resident #1 exited the facility independently and was seen by staff smoking in undesignated smoking areas with his portable oxygen tank present and in use via nasal cannula. The oxygen tank was removed by staff and no harm was caused to the resident on these dates. On 11/10/25 Resident #1 again exited the facility independently and was seen by staff smoking in an undesignated smoking area with his portable oxygen tank present and in use via nasal cannula while Resident #2 was present in the area. Resident #1 stated he lit his cigarette, it flamed up, and he dropped the cigarette and oxygen tubing with nasal cannula onto the ground to…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2025-02-19 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and resident and staff interviews, the facility failed to provide services with dignity and respect for 2 (Resident #1 and Resident #3) of 4 residents reviewed for dignity. A reasonable person would be traumatized by having a nurse aide expose herself, intentionally pass gas nearby, and laugh at their expense. Findings included: Resident #3 was admitted to the facility on [DATE] and had cumulative diagnoses some of which included schizophrenia, chronic pain syndrome, aphasia, major depressive disorder, and adjustment disorder with anxiety. Documentation on a quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #3 had severely impaired cognition with physical behaviors 1 to 3 days of the assessment period and with verbal behaviors 4 to 6 days of the assessment period. Resident #3 was assessed as rejecting of care 4 to 6 days of the assessment period. Resident #3 was evaluated as dependent on staff for personal hygiene and required substantial assistance from staff for…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2026-01-30 · 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 — an excerpt from the official record, may be distressing

  Based on record review and staff interviews, the facility failed to submit accurate payroll data on the Payroll Based Journal (PBJ) report to the Centers for Medicare and Medicaid Services (CMS) related to Registered Nurse (RN) hours for Federal Fiscal Year (FY) 2025 Quarter 2 (January through March 2025), Quarter 3 (April through June 2025), and Quarter 4 (July through September 2025). This was for 3 of 3 quarter's reviewed for sufficient nurse staffing. Findings included:a. The PBJ report for FY 2025 revealed for Quarter 2 (January 1 through March 31, 2025) there were no RN hours on the following dates: 2/16/25, 3/15/25, and 3/16/25The daily staff schedules conflicted with the PBJ information. The schedules indicated there was an RN scheduled for at least 8 hours per day on the following dates: 2/16/25, 3/15/25, and 3/16/25 b. The PBJ report for FY 2025 revealed for Quarter 3 (April 1 through June 30, 2025) there were no RN hours on the following dates: 4/5/25, 4/6/25, 4/12/25, 4/13/25, 4/19/25, 4/20/25, 4/26/25, 4/27/25, 5/3/25, 5/10/25, 5/11/25, 5/17/25, 5/23/25, 5/24/25,…

  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 · Fcited before2026-01-30 · tag F0887 — widespread
  Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
  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 assess residents for eligibility and ensure residents were offered the COVID-19 vaccination for 5 of 5 residents reviewed for immunizations (Resident #8, Resident #5, Resident #2, Resident #32, and Resident #44) and failed to maintain documentation related to staff COVID-19 vaccination status.The findings included:The facility's policy titled Infection Prevention and Control Program last reviewed 1/01/26 indicated that the facility had established and maintained an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. The policy further noted that the Infection Preventionist (IP) was responsible for the oversight of the program. The facility policy titled COVID-19 Vaccination implemented on 3/01/23 indicated that it was the policy of the facility to minimize the risk of acquiring,…

  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 · D2026-01-30 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  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, observation, and staff interviews, the facility failed to date a multi-dose vial of medication when opened in 1 of 2 medication storage refrigerators reviewed for medication storage (Nurse's Station #1 medication room). The findings included: On [DATE] at 2:57 p.m., an observation was completed of the medication storage room with the Director of Nursing (DON). The observation revealed one multi-dose vial of opened Tuberculin Purified Diluted solution (used in a skin test to help diagnose tuberculosis) without an opened date written on the vial, located in the medication refrigerator. A review of the manufacturer's instruction label on the bottle indicated the medication should be discarded 30 days from the date medication was opened. An interview was completed on [DATE] at 3:18 p.m. with the DON. She indicated it was the Unit Manager's responsibility to check the medication room for expired or undated opened medications. The DON stated the undated medication should have been discarded 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-12-03 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  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 a complete and accurate medical record by failing to document a resident's change in condition requiring Emergency Medical Services (EMS) interventions for 1 of 1 resident reviewed for hospitalization (Resident #1).The findings included:Resident #1 was admitted to the facility on [DATE] with diagnoses that included chronic respiratory failure with hypoxia and chronic obstructive pulmonary disease (COPD).Review of Resident #1's medical record revealed there was no documentation of a change in condition requiring a transfer to the hospital on [DATE].The Emergency Department Discharge summary dated [DATE] revealed Resident #1 was seen for flash burn. Resident #1 was on 3 liters of oxygen for end stage COPD. Resident #1 was smoking a cigarette while he had oxygen on and experienced a flash burn. Resident #1 was not in pain and did not have any trouble breathing. Resident #1 had singed nose hair in both nares (nostrils) and a burn to the…

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

  Resident Rights Deficiencies · Deficient, Provider has plan of correction
• Potential for harm · D2025-12-03 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  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 interview, the facility failed to develop a comprehensive person-centered care plan to address smoking for 1 of 5 sampled residents (Resident #4).Based on observation, record review and staff interview, the facility failed to develop a comprehensive person-centered care plan to address smoking for 1 of 5 sampled residents. (Resident #4)The findings included:Resident #4 was admitted to the facility on [DATE].The Safe Smoking screen dated 9/28/25 revealed Resident #4 was safe to smoke independently (unsupervised).The admission Minimum Data Set (MDS) dated [DATE] revealed Resident #4 was cognitively intact and used tobacco. Resident #4 transferred independently and ambulated independently. An observation was conducted of Resident #4 smoking a cigarette on 11/12/25 at 1:32 PM. Resident #4 was standing in the employee parking lot by the back of the facility. There were no other residents present. This area contained a fireproof smoking receptacle.As of 11/12/25, 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-02-19 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  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, and staff interviews, the facility failed to provide an environment free of hazards by putting a heater in the hallway and space heaters in 5 (Rooms 102, 103, 104, 105, and 106) of 6 resident rooms reviewed for tripping hazards. Findings included: Observations were made on an initial tour of the facility on 2/13/2025 beginning at 9:04 AM. The facility had an industrial-sized heater in the hallway outside the Admissions Office with a large cord running from the back of the unit. The cord to the industrial sized heater was not taped down but curved out the back of the unit into the admission's office. Residents in wheelchairs were observed to navigate in the hallway around the heater in the hallway. Resident # 9 was observed in his wheelchair attempting to navigate around the industrial heater in the hallway. Resident #9 stated, This is ridiculous with this thing in the hallway. Resident rooms 102, 103, 104, 105, and 106 were observed to have space heaters in the rooms. The…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-02-19 · tag F0759 — failed to keep medication error rate low — pattern
  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 observations, staff interviews, and record review, the facility failed to have a medication error rate of less than 5% as evidenced by 4 medication errors out of 25 opportunities resulting in a medication error rate of 16% for 2 (Residents #11 and #12) of 5 residents observed during medication administration observation. Findings included: 1-a. On 2/14/2025 at 7:51 AM, Medication Aide (Med Aide) #1 was observed and interviewed as she prepared and administered four medications to Resident #11. Med Aide #1 stated during the preparation of medications for Resident #11 that she did not have the eye drops in the medication cart she needed for Resident #11. Med Aide #1 did not administer eye drops to Resident #11 during the medication pass observation. A review of Resident #11's medication orders revealed the resident had a current order for Carboxymethylcellulose sodium PF (preservative-free) ophthalmic solution to be instilled as one drop in both eyes one time a day for the treatment of dry eyes (ordered on 1/28/2025). Med Aide #1 was interviewed at 1:35 PM. Med Aide #1…

  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 · E2025-02-19 · tag F0880 — failed to prevent and control infections — pattern
  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 review, and staff interviews, the facility failed to follow infection control policies and procedures by 1) donning a gown for enhanced barrier precautions during wound care for one (Nurse #1) of two staff members observed for enhanced barrier precautions, 2) performing hand sanitization in between residents during a medication pass observation for one (Medication Aide #1) of two staff members observed for hand hygiene, and 3) using gloves when handling medication during a medication pass observation for one (Nurse #3) of three staff members observed for glove use during care. Findings included: 1. Documentation on the facility's undated infection prevention and control program policy revealed under the heading standard precautions, All staff shall use personal protective equipment (PPE) according to established facility policy governing the use of PPE. An observation was conducted on 2/13/2025 beginning at 1:40 PM while Resident #9 received wound care. Resident #9 was observed to have a sign on his room door for contact precautions. The documentation…

  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 · Dcited before2025-02-19 · 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, staff interviews, and resident interviews, the facility failed to provide comfortable room temperatures for one (Resident #16) of three residents reviewed for comfortable room temperatures. Findings included: Documentation on a quarterly Minimum Data Set assessment dated [DATE] revealed Resident #16 was coded as cognitively intact. An interview was conducted with Resident #16 on 2/13/2025 at 12:56 PM. Resident #16 stated the facility had been without heat for the rooms in the front of the building for three weeks. Resident #16 explained a big heater was placed in the hallway and space heaters in each of the residents' rooms. Resident #16 further explained that when everybody turned on their space heaters to keep warm, the circuit breaker would trip, and a staff member had to go into the Director of Nursing's office and reset the circuit breaker. Resident #16 stated that at night the staff did not have access to the Director of Nursing's office and was often unable to reset the circuit…

  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 · D2025-02-19 · 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 observations, record review, and staff interviews, the facility failed to prevent physical and verbal abuse from staff for one (Resident #4) of three residents reviewed for physical and verbal abuse. Findings included: On 2/13/2025 at 10:55 AM the Director of Nursing (DON) provided a list of alert and oriented residents which included Resident #10 and did not include Resident #4 or Resident #3. Resident #4 was admitted to the facility on [DATE] with diagnoses of C5-C7 vertebrae incomplete quadriplegia, adjustment disorder with mixed disturbance of emotions and conduct, post-traumatic stress disorder, scoliosis, and major depressive disorder. (C5-C7 incomplete quadriplegia refers to a spinal cord injury at the C5 to C7 vertebrae in the neck, resulting in paralysis affecting all four limbs due to damage to the nerves controlling movement in that area.) Documentation on a quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #4 was cognitively intact with verbal behaviors one to 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.

  Freedom from Abuse, Neglect, and Exploitation 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

$92,104 in federal fines across 3 penalties. 2 Medicare payment denials on record.

• $51,168 — penalty dated 2025-12-03
• $36,855 — penalty dated 2025-02-19
• $4,081 — penalty dated 2024-02-02
• Medicare payment denial — starting 2025-12-26 for 62 days
• Medicare payment denial — starting 2025-03-14 for 7 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to ALLIANCE HEALTH GROUP — 12 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 7 rows in the source record cover these 4 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.

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

Follow the money — this home’s finances

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

About 85% 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 $1.4M paid to related parties — landlords or management companies under common ownership — equal to about 20% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

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