The Laurels of Hendersonville

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.

47.2% 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 174 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 76.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 65 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 0.45 therapist hours per resident per day in 2026Q1 — more than 75% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 10% 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 100 beds and averages 91.9 residents a day — about 92% occupied, or roughly 8 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 3.60 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.75 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.28 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.83 hrs/resident/day on weekends vs 3.91 on weekdays — 28% thinner on weekends — a notable drop. RN hours go from 0.90 to 0.40 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% is about the same as the national median of 45%.

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

Inspection trend

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.

23 citations, most serious first. The 12 most serious are shown; the remaining 11 are one tap away and print in full.

• Immediate jeopardy · J2024-12-17 · 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, Medical Director, and Medical Examiner, the facility failed to ensure Resident #1 was supervised during a shower. On 11/18/24 Nurse Aide (NA) #1 had Resident #1, who had dementia and impulsiveness, in the shower room in his unlocked wheelchair. Resident #1 removed his shoes and was removing his shirt when NA #1 turned her back and stepped away from Resident #1 to go to a linen cabinet. When NA #1 turned around, Resident #1 stood up from his wheelchair, lost his balance and fell. Resident #1 immediately verbalized pain. He was transferred to the Emergency Department (ED) and was diagnosed with a right femoral neck (thigh bone) fracture that required surgical repair. Resident #1 experienced acute blood loss anemia after surgery that required a blood transfusion and developed swallowing difficulties. He returned to the facility on [DATE]. He was admitted to hospice and passed away on 12/3/24 at the facility. This deficient practice occurred for 1 of 3 residents…

  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
• Immediate jeopardy · J2023-11-20 · 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 resident, family, staff, Physician Assistant, Guardian, Pastor, Psychiatric Nurse Practitioner, Psychotherapist, Law Enforcement, and Health Care Personnel Investigator interviews, the facility failed to protect a vulnerable female resident (Resident #1) from inappropriate sexual advances from an employee (Med Aide #1) for 1 of 3 residents reviewed for abuse. On 10/19/23, Resident #1 alleged Med Aide #1 had kissed her, touched her legs and breasts and exposed his penis to her which also had the high likelihood of placing other vulnerable residents at risk of abuse. Immediate Jeopardy began on 10/17/23 when Resident #1, who had moderate impairment in cognition, disclosed to her Family Member and Pastor that she was in a relationship with an employee at the facility and he had kissed her, touched her legs and breasts and exposed his penis to her. Immediate Jeopardy was removed on 11/10/23 when the facility implemented a credible allegation of Immediate Jeopardy removal.…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-06-05 · tag F0761 — failed to label and store drugs safely — pattern
  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

  Based on observations and staff interviews, the facility failed to remove expired and discontinued medications from 3 of 5 medication carts reviewed for medication storage (100 hall cart, 200 hall upper medication cart, and 200 hall lower medication cart).a. An observation on 6/5/26 at 10:14 AM with the Director of Nursing (DON) of the 200-hall upper medication cart revealed a medication card of Pantoprazole 40 milligram (mg) tablets that had a total of 27 pills left marked with an expiration date of 5/31/26 from the pharmacy. Review of the physician's order for Pantoprazole revealed that it had been discontinued on 3/9/26. Pantoprazole is used to treat gastroesophageal reflux disease (a condition that causes excess stomach acid). The expired Pantoprazole card was left available for use in the 200-hall upper medication cart.An interview with Nurse #1 on 6/5/26 at 10:31 AM indicated that the nurses should check medication dates before administration. She stated that the resident was no longer taking the Pantoprazole because it had been discontinued, and that it was overlooked. Nurse…

  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 · D2026-06-05 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to submit a request for a Level II PASRR (Preadmission Screening and Resident Review) evaluation for a resident admitted with a serious mental health diagnosis for 1 of 2 residents reviewed for PASRR (Resident #90).Findings included:A PASRR Determination Notification letter dated 7/21/25 revealed Resident #90 had a Level I PASRR with no expiration date.Resident #90 was admitted to the facility on [DATE] with diagnoses that included post-traumatic stress disorder (PTSD).Review of a physician's progress note dated 9/3/25 included a review of Resident #90's health history and noted a diagnosis of PTSD.The admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #90 was not currently considered by the state Level II PASRR process to have serious mental illness and/or intellectual disability or a related condition. PTSD was listed as an active psychiatric/mood disorder diagnosis.During an interview on 06/03/26 at 9:18 AM and 06/05/26…

  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 · D2026-06-05 · tag F0646 — isolated
  Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to submit a request for a Level II Preadmission Screening and Resident Review (PASRR) reevaluation after a significant change in physical or mental status was identified for a resident previously determined to have a Level II PASRR. This deficient practice affected 1 of 2 sampled residents reviewed for PASRR (Resident #9).Findings included:Resident #9 was admitted to the facility on [DATE] with diagnoses that included schizoaffective disorder-bipolar type, dementia-moderate with psychotic disturbance, and unspecified psychosis.The North Carolina Medicaid Uniform Screening Tool (NC MUST, internet-based application utilized to communicate and manage PASRR requests) inquiry dated 07/13/21 revealed Resident #9 had a Level II PASRR with no expiration date. A significant change Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #9 was considered by the state Level II PASRR process to have a serious mental illness and/or intellectual…

  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 · D2025-09-11 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  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, interviews with the Pharmacist Consultant and staff, the facility failed to have effective systems in place for returning controlled narcotic medications (oxycodone-acetaminophen) to the pharmacy after a resident was discharged . The oxycodone-acetaminophen continued to be stored in the medication cart after the resident's discharge and during the monthly reconciliation of controlled substances misappropriation was identified. This occurred for 1 of 3 residents reviewed for pharmacy services (Resident #1). The findings included:Resident #1 was admitted to the facility on [DATE] with diagnosis including dementia and calculus of the kidney (kidney stone). The 5-day admission Minimum Data Set (MDS) dated [DATE] revealed Resident #1's cognition was moderately impaired, opioid medication was taken, and scheduled pain medication was received during the lookback period. Resident #1's physician orders included oxycodone-acetaminophen 5-325 milligram (mg) tablet give one tablet every…

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

  Pharmacy Service Deficiencies · Past Non-Compliance
• Potential for harm · D2025-03-20 · tag F0814 — failed to dispose of garbage properly — isolated
  Dispose of garbage and refuse properly.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and staff interviews, the facility failed to keep dumpster doors and lids closed for 2 of 3 dumpsters observed and have a lid on one plastic garbage can and maintain another plastic garbage can in good condition for 2 of 2 garbage cans observed. The findings included: A continuous observation of the dumpster area was conducted on 3/18/25 from 2:49 PM to 3:05 PM. On the right side of the dumpsters were two wheeled gray plastic garbage cans. One gray garbage can had no lid and was half full of loose refuse and the other gray garbage can holding rock salt was lidded with a grapefruit sized hole three-quarters of the way up the side of the can. One of the two large dumpsters had both lids open, and the small dumpster had one of two lids open and a side door open. The Dietary Manager, Maintenance Director and Maintenance Assistant were present during this observation. An interview with the Dietary Manager on 3/18/25 at 2:50 PM revealed she was not aware the dietary department was responsible for maintaining the dumpster area. She indicated the dumpster area should…

  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 · E2024-01-05 · tag F0565 — failed to support the resident council — pattern
  Honor the resident's right to organize and participate in resident/family groups in the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, resident and staff interviews, the facility failed to resolve and communicate the facility's efforts to address repeated concerns voiced by residents during Resident Council meetings for 6 of 7 months reviewed (June 2023, July 2023, August 2023, September 2023, October 2023, and November 2023). Findings included: The Resident Council minutes for the period June 2023 through December 2023 were reviewed and revealed the following: • Resident Council minutes dated 06/13/23 noted in part, old business was noted as read and approved and any issues not resolved were moved to new business. Under new business, residents voiced quiet hour needed to be enforced at night as TVs and staff at the nurses' station were too loud and there was too long a wait in the dining room for lunch. • Resident Council minutes dated 07/11/23 noted in part, old business was read and approved with concerns from previous meeting reviewed and accepted and any issues not resolved were moved to new business. Under new business, residents reported quiet hour was better but staff were still too…

  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 · E2024-01-05 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  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 observations and staff interviews the facility failed to maintain clean overbed tables (room [ROOM NUMBER]); maintain clean ceiling vents (bathroom of 104, 107, 112); maintain walls in good repair (rooms 104, 107, 205, and 207); maintain clean privacy curtains (rooms 106, 107, 112 and 205); maintain a clean bedside commode (shared bathroom of 107); and maintain a clean mechanical lift (lift for 100 and 200 halls) for 2 of 4 halls reviewed for environment (100 hall and 200 hall). Findings included: 1. An observation of the walls in rooms 205 on 01/02/2024 at 11:22 AM revealed a screw sticking out of the wall next to the window. The screw stuck out a half inch from the wall and was screwed into a concrete wall that was at face level for residents in a wheelchair. Additional observation of the wall in room [ROOM NUMBER] on 01/02/2024 at 11:22 AM also revealed linear scrapes to the wallpaper with exposed sheet rock. Additional observation of the wall in room [ROOM NUMBER] on 01/02/2024 at 10:51 AM revealed…

  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 · E2024-01-05 · tag F0658 — failed to meet professional standards of care — pattern
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, staff and Physician interviews the facility failed to follow a Physician's order for 1 of 1 resident (Resident #13). Findings included: Resident #13 was admitted to the facility on [DATE] with diagnoses including anxiety, and dementia without behavioral or psychotic disturbance. The quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #13 had moderate cognitive impairment with disorganized thinking and verbal/vocal symptoms of screaming and disruptive sounds. An observation of Resident #13 on 01/02/2024 at 4:32 PM revealed the resident was confused, and unable to answer some direct questions. While speaking to Resident #13, the resident could not answer about any feelings of increased anxiety symptoms. A review of Resident #13's Physician orders on 11/20/23 revealed a dose change for the antianxiety medication Clonazepam, generic for (Klonopin) from 0.5 milligrams (mg) 1 tablet by mouth three times a day to 1mg tab by mouth three times a day. A review of 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-01-05 · tag F0761 — failed to label and store drugs safely — pattern
  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 observations, record review, and interviews the facility failed to secure medications stored at the bedside for 3 of 3 residents (Resident #20, Resident #42, and Resident #8) reviewed for medication storage. Findings included: 1. Resident #20 was admitted to the facility on [DATE] with diagnoses including chronic obstructive pulmonary disease (abbreviated as COPD and meaning a group of lung diseases that block airflow and make breathing difficult) and pneumonia. Review of Resident #20's Physician orders revealed an order dated 11/25/23 for budesonide-formoterol fumarate (a long-acting medication that opens the airways) 2 puffs once a day for COPD. The quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #20 was cognitively intact and used oxygen. During an observation and interview with Resident #20 on 01/04/24 at 8:22 AM an inhaler containing budesonide-formoterol fumarate was sitting in clear view on the resident's overbed table. Resident #20 stated the inhaler on her overbed…

  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 before2024-01-05 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  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, resident and staff interviews, the facility failed to assess residents to determine if self-administration of medication was clinically appropriate for a resident who wanted to self-administer over-the-counter lubricating eye drops and had a physician order indicating the eye drops may be left at bedside and a resident observed with medicated cream left on a shelf in the resident's room for 2 of 3 sampled residents (Resident #66 and #55). Findings included: 1. Resident #66 was admitted to the facility on [DATE] with diagnoses that included dementia and diabetes. The quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #66 had intact cognition. Review of Resident #66's January 2024 Medication Administration Record (MAR) revealed an active physician's order dated 09/11/23 for artificial tears ophthalmic (relating to the eye) solution (type of over-the-counter lubricating eye drops): instill two drops in both eyes three times a day for dry eyes, may keep at bedside,…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$36,257 in federal fines across 4 penalties. 1 Medicare payment denial on record.

• $16,452 — penalty dated 2024-12-17
• $3,728 — penalty dated 2023-11-20
• $4,212 — penalty dated 2023-11-20
• $11,865 — penalty dated 2023-11-20
• Medicare payment denial — starting 2023-12-21 for 30 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 CIENA HEALTHCARE/LAUREL HEALTH CARE — 81 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 17 rows in the source record cover these 8 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.

3 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.

This home reported $732K paid to related parties (affiliated landlords or management companies) in its most recent 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