Valley Hill Health & Rehab Center

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.

29.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 31 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.33 therapist hours per resident per day in 2026Q1 — more than 54% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 150 beds and averages 85.1 residents a day — about 57% occupied, or roughly 65 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.43 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.51 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.19 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.07 hrs/resident/day on weekends vs 3.57 on weekdays — 14% thinner on weekends. RN hours go from 0.61 to 0.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 54% is about the same as 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.

32 citations, most serious first. The 15 most serious are shown; the remaining 17 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-04-10 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and staff interviews, the facility failed to prevent a resident with a court-appointed guardian who required supervision with leave of absences, a previous elopement attempt, and wore an elopement alarm monitoring device (Resident #127) from exiting the facility unsupervised and without staff knowledge. The facility also failed to prevent a resident with impaired cognition who had a history of exit seeking behavior and wore an elopement alarm monitoring device (Resident #67) from exiting the facility unsupervised and without staff knowledge. The deficient practice was for 2 of 5 sampled residents reviewed for accidents. On 04/11/23, Resident #127 was last seen in the facility at approximately 10:30 AM walking toward the dining room. At 11:15 AM Nurse Aide (NA) #1 went to look for Resident #127 and when Resident #127 was unable to be located inside the building, a Code [NAME] (missing person) was called at 12:00 PM and a facility-wide search was conducted by staff which…

  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 · J2024-04-10 · tag F0726 — failed to have competent, trained nursing staff — isolated
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  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 train and verify competency for cleaning and disinfecting a glucometer according to manufacturers' recommendations using an Environmental Protection Agency (EPA) approved disinfectant cloth between residents. Agency Nurse #1 was observed not cleaning and disinfecting a shared glucometer between use of two residents (Resident #57 and Resident #62). Agency Nurse #1 was interviewed and reported she was unaware residents requiring blood sugar monitoring had assigned individual glucometers and was unfamiliar with the EPA approved disinfectant wipe's manufacturer's guidelines for contact time. This was for 1 of 1 nursing staff. The Immediate Jeopardy began on 04/03/24 when the failure to train and verify the competency of Agency Nurse #1 on the cleaning and disinfecting a glucometer resulted in the nurse's failure to clean and disinfect a glucometer between use of two residents. Immediate Jeopardy was removed on 04/05/24 when the facility implemented an acceptable credible allegation of Immediate Jeopardy…

  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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2024-04-10 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, staff interviews, and record review, the facility staff failed to disinfect a shared blood glucose meter (glucometer) between residents in accordance with manufacturer's recommended contact time for 2 of 3 residents whose blood glucose levels were checked (Resident #57 and Resident #62). This occurred while there was not a resident with known bloodborne pathogens in the facility. Shared glucometers can be contaminated with blood and must be cleaned and disinfected after each use with an approved product and procedure. Failure to use an Environmental Protection Agency (EPA)-approved disinfectant in accordance with the manufacturer's instruction for disinfection, including the correct contact time, of the glucometer has the high likelihood of exposing residents to the spread of bloodborne pathogens. Immediate Jeopardy began on 04/03/24 when Agency Nurse #1 cleaned the glucometer between the two residents with an approved EPA disinfecting wipe but did not follow the manufacturer's recommendation for contact time. Immediate Jeopardy was removed on 04/05/24 when…

  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
• Immediate jeopardy · Jcited before2024-01-17 · 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 observations, record review and interviews with the Emergency Medical Technician, the Medical Doctor, and staff the facility failed to safeguard a resident with severe cognitive impairment from an avoidable hazard when bilateral quarter bed rails were utilized in conjunction with an alternating air pressure mattress. Resident #1 was found with no signs of life on 11/19/23 after experiencing a fall from a bed with bed rails in the up position. The resident was observed with his buttocks on the ground and his head laying face up on the mattress with his chin and neck pressed against the bed rail. This occurred for 1 of 3 residents reviewed for accidents (Resident #1). Findings included: The hospital history and physical dated 09/03/23 revealed Resident #1's diagnoses included generalized weakness and severe dementia. The history and physical included assessment notes completed by the Physical Therapist (PT) and Occupational Therapist (OT). The PT notes provided a list of problems Resident #1 had including…

  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 · J2024-01-17 · 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 and interviews with the Emergency Medical Technician, the Medical Doctor, and staff the facility failed to comprehensively assess the risk of entrapment and the use of quarter length bilateral bed rails for a dependent resident with severe cognitive impairment who required extensive 2-person assistance with bed mobility after the placement of an alternating pressure air mattress. The resident experienced a fall from the bed equipped with the alternating pressure air mattress and quarter rails on both sides of the bed in an up position. The resident was found with no signs of life and observed to be partially on the floor and partially on the bed with his head pressed against the bed rail. This deficient practice occurred for 1 of 3 residents reviewed for bed rails (Resident #1). Findings included: The hospital history and physical dated [DATE] revealed Resident #1's diagnoses included generalized weakness and severe dementia. The Physical Therapist (PT) and Occupational…

  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 · Ecited before2025-06-27 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and staff interviews the facility failed to label, date, and store food items in accordance with professional standards for food service safety in 1 of 1 kitchen; discard food with signs of spoilage in 1 of 1 reach-in cooler; store food off the floor, label and date food items, and remove a dented can in 1 of 1 dry storage room; and remove an opened and undated beverage in 1 of 3 nourishment rooms (West Wing nourishment room). Findings included: 1. An initial observation of the kitchen on 06/23/25 at 9:12 AM revealed the following: (a). 3 unlabeled and undated bins containing white powder-like substances (b). an opened and undated 16-ounce box of baking soda stored on a shelf (c). an opened and undated 32-ounce bottle of lemon juice with a label stating refrigerate after opening stored on a shelf. The bottle of lemon juice was room temperature. (d). an opened and undated 16-ounce box of cornstarch stored on a shelf An interview with the Dietary Manager on 06/24/25 at 1:10 PM revealed the bins contained sugar, flour, and grits and should have been labeled and…

  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 · D2025-06-27 · 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 record review, and resident and staff interviews, the facility failed to protect a resident's right to be free from resident to resident physical abuse when a severely cognitively impaired resident (Resident #43) with a history of aggressive behaviors grabbed and pulled a moderately cognitive impaired resident (Resident #7) to the floor. Resident #43 was observed on top of Resident #7 with his hands around his neck in an attempt to choke him. Resident #43 and Resident #7 were alone in the main dining room at the time of the altercation until separated by dietary staff. Resident #7 and Resident #43 were not injured, and Resident #43 was sent to the hospital for a psychiatric evaluation and returned with no changes made to his current medications. The deficient practice occurred for 1 of 5 residents reviewed for abuse. Findings included: Resident #7 was admitted to the facility on [DATE] with diagnoses including traumatic brain injury (a brain injury caused by an outside force that may cause reasoning and…

  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
• Potential for harm · D2025-06-27 · tag F0602 — failed to protect residents from theft of their belongings — isolated
  Protect each resident from the wrongful use of the resident's belongings or money.
  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 and interviews with residents, staff, and the law enforcement agent, the facility failed to protect residents' rights to be free from misappropriation of controlled medications for 2 of 2 residents reviewed for misappropriation of residents' property (Resident #30 and #59).The findings included: The facility's Abuse, Neglect, Exploitation, and Misappropriation of Resident property policy, last revised on July 11, 2024, revealed in part the facility would ensure all residents to remain free from abuse or misappropriation of their property. Resident #30 was admitted to the facility on [DATE] with diagnoses including age-related osteoporosis and chronic back pain. The physician's order dated 12/04/22 revealed Resident #30 had an order to receive one tablet of oxycodone 10 mg by mouth 2 times daily for pain. The April 2024 Medication Administration Record (MAR) revealed Nurse #3 had administered one tablet of oxycodone 10 mg to Resident #30 on 04/15/24 at 6:00 PM. Further review of the MAR…

  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
• Potential for harm · D2025-06-27 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  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 and interviews with staff, the facility failed to ensure staff implemented their abuse policy and procedure for reporting when the facility failed to report abuse allegations to the State Survey Agency within the specified timeframes and failed to notify the county Adult Protective Services (APS). This affected 1 of 8 residents reviewed for abuse (Resident #1). The findings included:The facility's policy titled, North Carolina Resident Abuse Policy last revised 07/11/24 revealed in part; all allegations of abuse, neglect, involuntary seclusion, injuries of unknown source, and misappropriation of resident property must be reported immediately to the Administrator, Director of Nursing (DON), and the applicable State Agency. If the event that caused the allegation involved an allegation of abuse or serious bodily injury, it should be reported to the North Carolina Division of Health Service Regulation (DHSR) immediately, but not later than 2 hours after the allegation is made. 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · D2025-06-27 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  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 with Registered Dietitian (RD) #1 and staff, the facility failed to follow the physician's order to provide nutritional supplements for 1 of 5 residents reviewed for nutrition (Resident #36). Findings included: Resident #36 was admitted to the facility 01/06/20 with a diagnosis including non-Alzheimer's dementia. Review of Resident #36's physician orders revealed an order dated 05/23/24 for a 4-ounce nutritional shake three times a day with meals and an order dated 09/05/24 for a frozen nutritional treat twice a day. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #36 was severely cognitively impaired, had weight gain, and was on a physician prescribed weight-gain regimen. Resident #36's nutrition care plan last updated 05/06/25 revealed she had an increased nutrition/hydration risk related to receiving a mechanically altered diet. Interventions included providing her diet and supplements as ordered. A progress note…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-06-27 · tag F0805 — failed to prepare food in a form residents can eat — isolated
  Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
  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 Registered Dietitian #1, Speech Therapist, and staff, the facility failed to follow the physician's diet order to provide a mechanically altered diet (a texture-modified diet which restricts foods that are difficult to chew or swallow) for 1 of 5 residents reviewed for nutrition (Resident #36). Findings included: Resident #36 was admitted to the facility 01/06/20 with a diagnosis including non-Alzheimer's dementia. Review of Resident #36's physician orders revealed an order dated 04/26/24 for a mechanical soft diet. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #36 was severely cognitively impaired and received a mechanically altered diet. Resident #36's nutrition care plan last updated 05/06/25 revealed she had an increased nutrition/hydration risk related to receiving a mechanically altered diet. Interventions included providing her diet and supplements as ordered. An observation of Resident #36's lunch meal ticket…

  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 · Fcited before2024-04-10 · tag F0867 — failed to act on quality-improvement findings — widespread
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and interviews the facility's Quality Assessment and Assurance (QAA) committee failed to maintain implemented procedures and monitor interventions previously put in place following the infection control survey that occurred 01/04/21 in the area of Infection Prevention and Control (F-880), complaint and recertification survey that occurred 07/01/21 in the areas of Food Procurement, Store/Prepare/Serve/Sanitary (F-812) and Infection Prevention and Control (F-880), complaint and recertification survey that occurred 01/20/23 in the areas of Food Procurement, Store/Prepare/Serve/Sanitary (F-812) and Infection Prevention and Control (F-880), and a complaint investigation that occurred 01/17/24 in the area of Free of Accident Hazards/Supervision/Devices (F-689). This failure was for 3 deficiencies that were originally cited in the areas of Infection Prevention and Control (F-880), Free of Accident Hazards/Supervision/Devices (F-689), and Food Procurement, Store/Prepare/Serve/Sanitary (F-812) and were subsequently recited on the current recertification…

  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 · E2024-04-10 · 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 observation, staff interview, and record review the facility failed to ensure expired medications were removed from 2 of 4 locked medication carts (B hall and C hall). The findings included: 1. An observation of the locked B hall medication cart on 04/04/24 at 10:14 AM with the Director of Nursing (DON) revealed in the cart was 1 opened bottle with 27 white calcium carbide tablets (a medication given for heartburn) with no dosage strength noted, that had an expiration date of 2/28/2024. An interview with the Director of Nursing (DON) on 04/04/24 at 10:17 AM revealed her expectation was all expired medication to be removed from the medication B hall medication cart. She stated that the medication was probably overlooked because it was a home medication. She stated they are developing a more thorough system for medication date checks. She indicated that the staff assigned to the medication carts should check the dates before they administer medications and staff should be checking the expiration dates on all the medications in the medication carts periodically. An interview…

  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 · Ecited before2024-04-10 · 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 in 1 of 1 walk in coolers. These practices had the potential to affect food served to the residents. Findings included: An observation of the walk-in cooler on 04/01/24 at 09:43 AM revealed the following: A.) A container of shredded cheese with a preparation date of 2/11 and a use by date of 3/11. B.) A container of chili with a preparation date of 3/28 and use by date of 3/31. C.) A container of pureed fruit with a preparation date of 3/27 and a use by date of 3/30. An interview with the Cook/ Assistant on 04/01/24 at 09:44 AM revealed that their process was to check the walk-in cooler daily for expired food. She stated that her manager checked it last night and it must have just been overlooked. An interview with the Dietary Manager on 04/02/24 at 01:47 PM revealed that she and the Cook/ Assistant check the fridge every morning after breakfast for expired items. She revealed that she was unsure how the container of cheese was overlooked but her expectation was that all expired food be removed…

  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 · D2024-04-10 · 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 and resident and staff interviews, the facility failed to assess the ability of a resident to self-administer medications for 1 of 1 sampled residents observed with medications left at bedside (Resident #127). Findings included: Resident #127 was admitted to the facility on [DATE] with diagnoses that included heart failure, diabetes and chronic pain. A physician's order dated 03/20/24 for Resident #127 read, antacid oral tablet 500 milligrams (mg) - give two tablets by mouth at bedtime (8:00 PM) for supplement. The admission Minimum Data Set (MDS) dated [DATE] revealed Resident #127 had intact cognition. Review of Resident #127's medical record revealed no documentation he was assessed for self-administration of medications. Observations on 04/01/24 at 8:50 AM and 10:41 AM revealed Resident #127 lying in bed, sleeping soundly, with the overbed table pulled directly in front of him. Placed on top of the overbed table was a medicine cup containing one round white pill and one…

  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

$58,949 in federal fines across 3 penalties.

• $43,303 — penalty dated 2024-04-10
• $7,823 — penalty dated 2024-01-17
• $7,823 — penalty dated 2024-01-17

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 SABER HEALTHCARE GROUP — 126 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 9 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted.

2 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.

About 80% 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 $848K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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