Kannapolis Health and Rehabilitation

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.

45.9% 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 84 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 41.2% 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 34 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 0.18 therapist hours per resident per day in 2026Q1 — more than 17% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% 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 107 beds and averages 84.5 residents a day — about 79% occupied, or roughly 22 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 3.30 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.44 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.16 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 2.72 hrs/resident/day on weekends vs 3.54 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 0.53 to 0.23 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 53% is about the same as the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

Deficiencies are 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.

42 citations, most serious first. The 14 most serious are shown; the remaining 28 are one tap away and print in full.

• Immediate jeopardy · Jcited before2026-03-18 · 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, observations, and interviews with family, staff, Nurse Practitioner, and Physician, the facility failed to provide the necessary supervision for a resident who was severely cognitively impaired, had difficulty swallowing, and was on a mechanical soft diet (foods that are naturally soft or altered [chopped, ground, mashed, or pureed] to require minimal chewing, making them safer and easier to swallow) with nectar thickened liquids (thickened consistency to slow the flow of the liquid to prevent choking and aspiration by allowing more time for the airway to close). Resident #103's family member, Family Member #1, was repeatedly observed by staff bringing the resident food items that were not consistent with his ordered diet and the facility failed to implement effective interventions to protect the resident from an avoidable accident. On 5/6/2025 Nurse #1 observed Family Member #1 bring the resident a burger, chicken nuggets, french fries, and sweet tea. Nurse #1 explained to Family Member…

  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 · Jcited before2025-01-16 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, and Nurse Practitioner (NP), Physician, Pharmacist, Endocrinologist, and staff interviews, the facility failed to prevent a significant medication error related to hydrocortisone prescribed for Resident #137 (hydrocortisone tablets are a steroid medication that works by decreasing inflammation, slowing down an overactive immune system or replacing the cortisol hormone that helps the body respond to stress) when Resident #137 missed a dose of hydrocortisone on (8/29/24), received the wrong dose of hydrocortisone for two days (8/30/24 and 8/31/24) and then the medication was abruptly stopped. Abrupt cessation of hydrocortisone for adrenal insufficiency can cause an adrenal crisis, where the body experiences a sudden drop in cortisol levels and can lead to life-threatening complications such as low blood pressure. Resident #137 went 18 days without receiving hydrocortisone. Resident #137 was scheduled to be seen by the Endocrinologist on 9/19/24 for the missed doses of hydrocortisone but…

  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
• Immediate jeopardy · K2023-08-10 · tag F0697 — failed to manage pain — pattern
  Provide safe, appropriate pain management for a resident who requires such services.
  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 resident observation, record review, and interviews with the nursing staff, Nurse Practitioner (NP), and Medical Director, the facility failed to administer pain medication prior to completing 50 wound dressing changes during the previous 34 days for a resident with a Stage 4 pressure ulcer and severe cognitive impairment. This occurred for 1 of 2 residents (Resident #16) reviewed for pressure ulcers. Resident #16's Stage 4 pressure ulcer on her left heel required scheduled wound dressing changes; the frequency of these dressing changes increased from once daily to twice a day on 6/22/23. At that time, Resident #16 had an order for an opioid pain medication to be administered twice daily. However, the frequency of this pain medication (med) was reduced with instructions to administer only one dose of the opioid pain medication every 24 hours as needed for heel/leg pain (Start Date 6/23/23). The order also included a notation to give the pain medication 60 minutes prior to dressing changes. Staff…

  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 · G2023-08-10 · tag F0561 — failed to honor residents' choices — isolated
  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  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, resident and staff interviews, and record reviews, the facility failed to allow residents who were assessed to be safe smokers the ability to smoke independently per their individual preference for 2 of 4 residents (Resident #46 and #31) reviewed for smoking. Resident #46 verbalized this practice resulted in his feelings of being treated like a child and a prisoner. The findings included: 1. Resident #46 was admitted to the facility on [DATE]. A review of Resident #46's electronic medical record included a Smoking Evaluation dated 2/22/23. The smoking evaluation indicated Resident #46 smoked. The last section on the Smoking Evaluation indicated the resident was determined to be a Safe Smoker. Upon request, a copy of Resident #46's Smoking Evaluation was provided by the facility. The printed Smoking Evaluation had an Effective Date of 5/26/23 (Signed on 8/1/23). The Summary of Evaluation concluded the resident was determined to be a Safe Smoker. The supervision needed while smoking was…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-03-18 · 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 staff interviews, the facility failed to discard expired multi-use medications on 1 of 2 medication carts reviewed (Medication Cart [DATE]) and failed to date multi-use medications upon opening, as required by manufacturer recommendations, on both medication carts reviewed (Medication Cart [DATE] and Medication Cart [DATE]). These failures have the potential to result in the administration of expired or improperly labeled medications.Findings included: 1) An inspection was conducted on [DATE] at 11:10 AM of Medication cart [DATE] in the presence of Med Aide #1. The observation revealed no opened date on the following multi-dose medications:-Two multi-dose bottles of neo-polymyxin B eye drop with no opened date (according to the manufacturer's directions, this medication must be discarded 28 days after opening).-One multi-dose bottle of tobramycin 0.03 % eye drops with no opened date (according to the manufacturer's directions, this medication must be discarded 28 days…

  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 · D2026-03-18 · 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, record review, and interviews with residents and staff, the facility did not maintain a resident bed in safe working condition for 1 of 1 resident room reviewed for a safe and homelike environment on 1 of 4 halls (Resident #58).An initial observation of Resident #58's room on 03/01/2026 at 1:58PM, revealed Resident #58 was in a semi-private room and positioned in the bed near the door. Observation revealed the head of the bed was elevated in an upright position and the bed was positioned above its lowest setting. At the time of observation, the bed was unplugged. Electrical wiring was observed hanging beneath the bed. Multiple internal wires (white, blue, red, and yellow) were visible along with a gold-colored exposed wire. The exposed wiring appeared damaged and was not properly secured to the bed frame. A review of the facility maintenance work order logbook dated 09/15/2025 through 03/01/2026 revealed no documentation of a work order submitted regarding Resident #58's bed.The quarterly…

  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 · Dcited before2026-03-18 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  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 interviews with resident and staff, the facility failed to ensure a resident who was dependent on staff assistance for incontinence care (Resident #18) and for changing soiled clothing (Resident #87) received assistance when needed for 2 of 11 residents reviewed for activities of daily living (Residents #18 and #87). The findings included:1. Resident #18 was admitted to the facility on [DATE] with diagnoses that included dementia. The resident's active care plan, last updated on 10/03/25, identified incontinence as a focus area. Interventions included cleansing the perineal area with each incontinence episode, monitoring and documenting intake and output per facility policy, and monitoring/documenting for signs and symptoms of urinary tract infection. Resident #18's quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated his cognition was severely impaired and he did not refuse any care. Resident #18 was independent with bed mobility, he required supervision or…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-18 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  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 store a plastic syringe used for enteral water flushes (water flushes are essential to maintain gastrostomy/feeding tube patency, prevent clogging and support hydration), dry and with the plunger separated from the syringe and free from moisture for 1 of 2 residents reviewed for enteral feeding management (Resident #27). This practice had the potential for bacterial growth and contamination.Findings included: Resident #27 was admitted to the facility on [DATE] with diagnoses of muscle weakness, malnutrition, adult failure to thrive, gastrostomy status (indicates the presence of a gastrostomy tube/feeding tube, which is surgically placed to provide direct access to the stomach for nutrition and hydration when oral intake is insufficient or unsafe), and dysphagia.Review of admission Minimum Data Set (MDS) dated [DATE] revealed Resident #12 was cognitively intact and was coded for tube feeding. The MDS confirmed Resident…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-18 · tag F0694 — isolated
  Provide for the safe, appropriate administration of IV fluids for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and staff and Medical Director interviews, the facility did not administer intravenous (IV) fluids (give fluids through a vein) according to physician orders for 1 of 2 residents reviewed for intravenous therapy (Resident #6).The findings included:Resident #6 was admitted to the facility on [DATE] with a diagnosis of chronic pain.The annual Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #6 was cognitively intact.Resident #6 had a verbal order from the Medical Director that was received and transcribed by Unit Manager #2 on 2/27/26 at 8:52 AM and stated 0.9% sodium chloride intravenous solution was to be administered at 80 milliliters/hour (mL/hr.) for a total of 2 liters for dehydration. Review of Resident #6's medication administration record (MAR) for February 2026 included an order dated 2/27/26 for the administration of sodium chloride intravenous fluids to be infused at 80 mL/hr. for a total of 2 liters. The MAR included a confirmation space for each 8…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-18 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations, and Nurse Practitioner (NP), resident, and staff interviews, the facility failed to obtain a physician's order for the use of continuous oxygen for 1 of 6 residents reviewed for respiratory care (Resident #16). The findings included: Resident #16 was admitted to the facility on [DATE] with diagnoses that included chronic obstructive pulmonary disease (COPD) and chronic respiratory failure. A physician's progress note dated 10/24/25 read that Resident #16 had chronic respiratory failure on 3 liters of oxygen via nasal cannula. A quarterly Minimum Data Set assessment dated [DATE] indicated Resident #16 was cognitively intact and was coded with the use of oxygen. Resident #16's active care plan, last reviewed 12/31/25 included a focus area for COPD, at risk for respiratory distress. The interventions included oxygen via nasal cannula as ordered. An NP progress note dated 1/17/26 read that Resident #16 utilized 3 liters of oxygen continuously. A review of Resident #16's nursing…

  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 before2026-03-18 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and physician, resident and staff interviews, the facility failed to administer insulin in accordance with the physician's orders for 13 out of 30 days in June 2025 for 1 of 3 residents reviewed for significant medication error (Resident #33). The findings included: Resident #33 was originally admitted to the facility on [DATE] with diagnoses that included diabetes type 2. An annual Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #33 was cognitively intact and received seven days of insulin injections during the seven-day look back period. Resident #33's care plan, last reviewed on 6/10/25 included a focus area for diabetes. The interventions included providing diabetic medication as ordered by the physician. A review of Resident #33's physician orders included the following: An order dated 5/27/25 for Humalog insulin. Inject 12 units subcutaneously (SQ) three times a day. An order dated 6/3/25 for Humalog Kwikpen. Inject per sliding scale before meals and at bedtime. 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-16 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and physician and staff interviews, the facility failed to notify the Physician when a prescribed dose of hydrocortisone was not administered for 1 of 1 resident reviewed for notification (Resident #137). The findings included: Resident #137 was admitted to the facility on [DATE] with diagnoses including adrenocortical (adrenal) insufficiency. Adrenal insufficiency is a disorder in which the adrenal glands produce insufficient amounts of cortisol. A deficiency of cortisol can result in a life-threatening crisis characterized by low blood pressure. A physician's order transcribed from the hospital discharge summary by Unit Manager #1 dated 8/29/24 specified hydrocortisone 10mg give 1.5 tablets by mouth in the afternoon for inflammation for 3 days. Review of Resident #137's medication administration record (MAR) documented by Nurse #1 that on 8/29/24 Resident #137 did not receive the hydrocortisone due to the medication not being available. There were no nursing notes indicating 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 date of correction
• Potential for harm · D2025-01-16 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and Responsible Party and staff interviews the facility failed to protect the private health information of 1 of 1 resident (Resident #189) when her discharge summary and medication list was sent home with another resident. A reasonable person would not want their private medical information shared with another resident. Findings included: Resident #189 was admitted to the facility on [DATE]. Resident #189's admission Minimum Data Set assessment dated [DATE] indicated she was moderately cognitively impaired. Resident #189 discharged from the facility to home on 7/26/2024. A Complaint/Grievance Report form dated 7/31/2024 by Resident #188 indicated she received Resident #189's discharge summary and medication list when she discharged from the facility. During an interview with Nurse #1 on 1/8/2025 at 12:26 pm she stated there were two residents (Resident #189 and Resident #188) that were scheduled to discharge from the facility on 7/26/2024. She stated Resident #189's records were sent…

  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 · Dcited before2025-01-16 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews and record review, the facility failed to code the Minimum Data Set (MDS) assessment accurately in the area of swallowing for 1 of 4 residents (Resident #75) reviewed for MDS accuracy. The findings included: Resident #75 was admitted to the facility on [DATE] with diagnoses that included cerebral infarction and oropharyngeal dysphagia. Review of Resident #75's care plan, last revised on 12/06/24, included a focus area that read Resident #75 had a nutritional problem or potential problem due to mechanically altered diet related to obesity, cerebral infarction and dysphagia. The interventions included for staff to monitor/record/report to physician, as needed, signs and symptoms of malnutrition, emaciation, muscle wasting, significant weight loss. Registered Dietician to evaluate and make diet change recommendations as needed. Resident #75's quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated her cognition was moderately impaired. She had no range of motion limitations 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$34,690 in federal fines across 2 penalties.

• $17,345 — penalty dated 2026-03-18
• $17,345 — penalty dated 2025-01-16

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 AVARDIS HEALTH — 38 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 26 rows in the source record cover these 16 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.

10 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 74% 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 $520K 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