Lillington Health and Rehabilitation 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.

45.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 93 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 45.4% 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 119 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 0.47 therapist hours per resident per day in 2026Q1 — more than 78% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 11% 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 129 beds and averages 126.9 residents a day — about 98% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.38 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.29 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.35 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 2.88 hrs/resident/day on weekends vs 3.59 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.36 to 0.14 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%.

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.

35 citations, most serious first. The 13 most serious are shown; the remaining 22 are one tap away and print in full.

• Immediate jeopardy · Jcited before2023-04-11 · 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, staff, Nurse Practitioner, Medical Director, and Radiologist interviews, the facility failed to protect a severely cognitively impaired resident from injury of unknown origin. On 3/18/23 nurse aide #1 observed bruising on Resident #22's left thigh and right fourth toe. On 3/20/23 Resident #22 was assessed by a nurse and found to have a bruise to her left thigh described as the size of a salad plate saucer and swollen knee. X-ray results revealed Resident #22 had a grossly displaced complex fracture of the left distal femur with angulation at the fracture site (the femur was broken in more than one place and the bone fragments were at an angle to each other). This was for one of one resident reviewed for an injury of unknown origin. The findings included: Resident #22 was admitted to the facility on [DATE] with diagnoses that included Tourette's disease (a nervous system disorder involving repetitive movements or unwanted sounds) cognitive communication deficit, abnormal posture, vascular…

  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
• Immediate jeopardy · Jcited before2023-04-11 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interviews, nurse practitioner, and medical director interview, the facility failed to have a nurse assess a severely cognitively impaired resident (Resident #22) when an injury of unknown origin was discovered. On 3/18/23 nurse aide (NA) #1 did not report new bruising to Resident #22's left thigh and right fourth toe. On 3/20/23 Resident #22 was observed to have a bruise to her left thigh described as the size of a salad plate saucer and swollen knee. These findings were reported to Nurse #2 who assessed Resident #22. X-ray results revealed Resident #22 had a grossly displaced complex fracture of the left distal femur with angulation at the fracture site (the femur was broken in more than one place and the bone fragments were at an angle to each other). This was for 1 of 1 resident reviewed for an injury of unknown origin. The findings included: Resident #22 was admitted to the facility on [DATE] with diagnoses that included Tourette's disease (a nervous system disorder involving…

  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
• Actual harm · Gcited before2024-04-26 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observations, Responsible Party interview, staff interviews, and a Physician interview, the facility failed to provide wound management to a skin tear that was recorded occurring initially on 3/12/2024 and reoccurring on 3/30/2024 for a resident. The resident's skin tear was reported infected on 4/3/2024 and was treated with antibiotics. There were no treatments for wound care ordered until 4/9/2024, and there were no weekly wound assessments (appearance and measurements of the wound) documented on the skin tear as of 4/26/2024 in the resident's medical record. This deficient practice occurred for 1 of 3 residents reviewed for skin conditions (Resident #118). Findings included: Resident #118 was admitted to the facility on [DATE] with diagnoses including a stroke. The care plan dated 2/23/2024 for Resident #118 included a focus for the risk for skin alterations and recorded there were scabbed wounds to the left lower extremity. Interventions included to assess the skin daily with routine…

  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 · Fcited before2025-08-13 · tag F0812 — failed to store, cook, and serve food safely — widespread
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interviews with staff, an employee at the local public health department and a commercial equipment service provider, the facility failed to ensure their kitchen dishwashing machine had the cleaning and sanitation chemical agents connected correctly into the dishwashing machine and also failed to ensure water leaks from the dishwashing machine were repaired to prevent water leaking multiple feet throughout the kitchen floor on multiple days. During the time the dishwasher was not functioning correctly, the facility continued to use the machine to wash reusable meal trays. This was for one of one dishwashing machines utilized by the facility to provide clean dishes for all halls of the facility.The findings included:On 8/5/25 at 12:45 PM an initial observation of the kitchen was made. At that time there was water on the floor spanning approximately 15 feet from the dishwasher. The Certified Dietary Manager (CDM) was interviewed at this time and reported the following information. They…

  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 · D2025-08-13 · tag F0627 — isolated
  Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
  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, resident, family, and home health agency staff members, the facility failed to have an effective discharge planning process that ensured a referral with all required documentation was submitted to the home health agency Resident # 5 selected resulting in a delay of planned services when the resident was discharged . This was for one (Resident # 5) of one resident reviewed for discharge services.The findings included:Resident # 5's hospital Discharge summary, dated [DATE], revealed Resident # 5 had undergone a total left hip replacement surgery.Resident #5 was admitted to the facility on [DATE].Resident # 5's care plan, dated 7/28/25, noted Resident # 5 was expected to be at the facility for short term rehabilitation and return to the community setting. An intervention on the care plan noted upon discharge the resident was to be referred to community resources as indicated and per the resident or the resident's representative's preference.On 7/28/25 at 3:32 PM…

  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 · D2025-08-13 · 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 record review and interviews with resident and staff the facility failed to ensure an accurate accounting and administration of a controlled pain medication. This was for one (Resident # 5) of three residents whose controlled pain medication records were reviewed. The findings include:Record review revealed Resident # 5 was admitted to the facility on [DATE] after being hospitalized for hip replacement surgery.Review of Resident # 5's admission Minimum Data Set assessment, dated 7/31/25, revealed the resident was cognitively intact.Review of physician orders revealed an order, dated 7/30/25, for Tramadol 50 mg (milligrams) two times a day for pain for 14 days. (Tramadol is a controlled pain medication and must be signed out of storage when removed with a notation of when the medication was removed and by whom.)Review of Resident # 5's August MAR (Medication Administration Record) revealed the resident's Tramadol was scheduled for 8:00 AM and 8:00 PM. According to the MAR Nurse # 1 placed a check mark by…

  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 · D2025-08-13 · tag F0908 — failed to keep essential equipment working — isolated
  Keep all essential equipment working 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 and interviews with staff, an employee at the local public health department and a commercial equipment service provider, the facility failed to ensure a mechanical dishwashing machine was operating correctly to prevent water leaking multiple feet throughout the kitchen floor on multiple days. This was for one of one dishwashing machines utilized by the facility to service dishes and trays for the entire facility. The findings included:On 8/5/25 at 12:45 PM an initial observation of the kitchen was made. At that time there was water on the floor spanning approximately 15 feet from the dishwasher. The Certified Dietary Manager (CDM) was interviewed at this time and reported the following information. They were currently using the dishwasher only to wash reusable trays (used to hold the disposable plates and utensils they were currently using to serve residents' meals). The facility had experienced mechanical problems with the dishwasher for several weeks. The dishwasher had two motors that…

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

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-05-23 · tag F0802 — failed to prepare enough nourishing food — widespread
  Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and record review the facility failed to have sufficient dietary staff to serve the breakfast meal on time on 5/22/2025 for 7 of 7 halls. The findings included: Based on review of the meal serving times for the facility, breakfast was scheduled between 7:00 AM and 8:00 AM. On 05/22/2025 observations between 9:00 AM and 9:40 AM revealed breakfast carts arriving on the halls. On 5/23/2025 at 11:02 AM An interview was conducted with [NAME] #1. [NAME] #1's name was not on the schedule for 5/22/2025. [NAME] #1 (who prepared breakfast on 5/22/2025) revealed she usually did not work at the facility in the dietary department and only helped to fill the needs in the dietary department. She explained the facility called her on 5/22/2025 at 6:00 am to help because the facility did not have a cook on the morning of 5/22/2025. She explained she lived two hours away from the facility and arrived at 7:30 am on 5/22/2025 to help prepare the breakfast menu. On 5/22/2025 at 11:04 AM an…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-05-23 · tag F0809 — failed to serve meals on a reasonable schedule — widespread
  Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, observations, and resident interviews and staff interviews, the facility failed to provide the breakfast meal on 5/22/2025 at times comparable to normal, scheduled mealtimes at the facility. This affected all residents that received food by mouth on 7 of 7 halls (Halls, 100,200, 300, 400, 500, 600 and 700). The facility had a census of 141. The findings included: Based on review of the meal serving times for the facility, breakfast was scheduled as follows: -the 700-hall breakfast time was 07:20 AM -the 200-hall breakfast time was 07:40 AM -the 300-hall breakfast time was 07:50 AM - the 400-hall breakfast time was 08:00 AM - the 100-hall breakfast time was 07:35 AM -the 500-hall breakfast time was 07:00 AM On 05/22/2025 at 09:00 AM an observation was made that 100 hall breakfast trays had not arrived at the 100 hall. Further observation revealed that the only trays that had arrived on any halls were 500 hall trays. Nursing staff were observed offering cereal and milk to residents due to the delay in receiving breakfast meal trays and there were no issues…

  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 · F2025-05-23 · tag F0814 — failed to dispose of garbage properly — widespread
  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 close doors on the dumpsters to prevent possible pest and rodents entry for 4 of 4 dumpsters reviewed. The findings included: On 5/19/25 at 09:50 AM during an observation with the Dietary Manager of the dumpster area, all doors to the four dumpsters were open. Debris was observed on the ground to the left of dumpster #4 consisting of paper and blue plastic gloves. On 5/19/25 at 10:38 AM, an observation of the dumpster area revealed the doors were still open on 4 of the 4 dumpsters. On 5/20/25 at 8:51 AM, an observation from the facility breezeway revealed the doors of dumpster #4 were open. On 5/20/25 at 8:53 AM, an interview with the Dietary Manager revealed he had not had any issues with pests, rodents or roaches, but had seen cats in the area. He stated that dietary and housekeeping were responsible for cleanliness and door closure of the dumpster area. On 05/21/25 at 9:21 AM, an interview with the Housekeeping Manager revealed that dietary and housekeeping were responsible for cleanliness and door closure 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-23 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and staff interviews the facility failed to maintain a medication error rate of less than 5% as evidenced by 4 errors out of 33 opportunities observed. The medication error rate was 12.12%. Findings included: 1. Resident #101 had a doctor's order dated 4/18/25 for omeprazole oral suspension 10 milliliter via Gastrotomy (G) -tube two times a day for gastroesophageal reflux disease (GERD) and scheduled to be administered at 9:00 AM and 9:00 PM. On 5/20/25 at 9:33 AM, Resident #101 was observed during the medication administration. Nurse #4 was observed preparing and administering Resident #101's scheduled 9:00 AM medications. During this medication administration, Nurse #4 did not administer omeprazole oral suspension which was scheduled for 9:00 AM. On 5/20/25 at 10:01 AM, Nurse #4 was interviewed. He stated that he had not realized that Resident #101's omeprazole was out and needed to be refilled/reordered and he was going to call the provider about it after this interview. According to the manufacturers' instructions insulin lispro should be…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-23 · tag F0760 — failed to prevent significant medication errors — pattern
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and staff and Medical Director interviews, the facility failed to assure the facility was free of significant medication errors when fast acting insulin (insulin lispro and insulin aspart) that starts to work approximately 15 minutes after injection to lower blood sugar levels was administered to 3 residents more than 1 hour before their meal tray was delivered. The significant medication errors could have resulted in adverse side effects for 3 of 8 residents observed for medication administration (Resident #59, Resident #21 and Resident #76). Findings included: According to the manufacturers' instructions insulin lispro should be injected under the skin within 15 minutes before or right after a meal and a meal should be consumed within 10-20 minutes after insulin aspart is administered. 1a. Resident #59 had a doctor's order dated 2/28/25 for Humalog Kwik Pen subcutaneous solution pen injector 100 unit/milliliter (Insulin Lispro) inject as per sliding scale: 201 - 250 = 5 units; 251 - 300 = 8 units; 301 - 350 = 12 Units; 351 - 400 = 16 Units…

  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 before2025-05-23 · 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 remove leftover food stored past the use by date in 1 of 2 refrigerators observed (reach-in refrigerator). This practice had the potential to affect food served to residents. The findings included: On 5/19/25 at 09:50 AM during the observation of the kitchen area with the Dietary Manager (DM) revealed leftover prepared food in the reach in refrigerator. The Dietary Manager reported leftover food was good for 48 hours after being prepared. The following leftover items observed were: - chicken soup in a stainless-steel container covered with plastic wrap dated 5/10/25 - diced ham in a stainless-steel container covered with plastic wrap dated 5/13/25 - spinach in a stainless-steel container covered with plastic wrap dated 5/13/25 - cauliflower puree in a stainless-steel container covered with plastic wrap dated 5/15/25 - sliced turkey in a stainless-steel container covered with plastic wrap dated 5/15/25 On 05/20/25 08:53 AM an interview with the Dietary Manager (DM) revealed that if there were leftovers, the leftovers…

  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

“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

$14,945 in federal fines across 1 penalty.

• $14,945 — penalty dated 2024-04-26

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.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

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 $2.4M paid to related parties — landlords or management companies under common ownership — equal to about 18% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NC