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Harborview Lumberton

1555 Willis Avenue, Lumberton, NC 28358 · For profit - Limited Liability company · 122 certified beds · (910) 739-6048 Medicare & Medicaid certified

Call the home — (910) 739-6048 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 19 lower-level deficiencies on record (see below)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure rating is low (2/5)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
309 N Roberts Ave · (910) 739-0272 · Call to confirm hours
Pharmacy
Walgreens0.9 mi
3003 Fayetteville Rd · (910) 739-7072 · Call to confirm hours
Grocery
1733 N Roberts Ave · (910) 370-0260 · Call to confirm hours
Park
1100 N Cedar St · (910) 739-5135 · Typically dawn to dusk
Place of worship

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

Overall quality measures 2 of 5
Long-stay residentspeople who live here 2 of 5
Short-stay residentsrehab / post-hospital 2 of 5

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.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 3 to 2 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased10.1%15.6%15.4%better
Long-stay residents who lose too much weight10.2%7.2%5.4%worse
Long-stay residents with a catheter left in their bladder0.8%0.7%0.9%better
Long-stay residents with a urinary tract infection3.5%2.3%2.0%worse
Long-stay residents with depressive symptoms6.2%5.9%6.5%typical
Long-stay residents who were physically restrained0.0%0.0%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury2.8%3.5%3.3%better
Long-stay residents whose ability to walk worsened9.7%18.3%16.1%better
Long-stay residents on antianxiety or hypnotic medication18.2%21.3%18.9%typical
Long-stay residents given the seasonal flu vaccine95.9%94.1%95.3%typical
Long-stay residents with pressure ulcers6.7%5.5%4.7%worse
Long-stay residents with worsening bladder/bowel control17.9%20.7%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table14.0%14.0%17.1%better
Short-stay residents who newly got an antipsychotic medication1.1%1.4%1.4%better
Short-stay residents given the seasonal flu vaccine25.8%78.1%79.4%worse
Short-stay residents rehospitalized after admission29.5%22.9%22.6%worse
Short-stay residents with an outpatient ER visit13.9%12.9%12.0%worse
Long-stay hospitalizations per 1,000 resident days2.941.781.67worse
Long-stay outpatient ER visits per 1,000 resident days2.661.801.80worse

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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.

57.3% 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 47 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

57.3%U.S. median 51.5%
Got home and stayed home
10.8%U.S. median 10.7%
Went back to hospital
51.2%U.S. median 56.6%
Met the expected recovery
0.21U.S. median 0.31
Therapy hours / resident / day
0.10hours / resident / day
Physical therapy
0.09hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Met the expected recovery: 51.2% 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 41 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 0.21 therapist hours per resident per day in 2026Q1 — more than 24% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 19% 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.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF57.3%CMS range 43.8–72.951.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.8%CMS range 7.2–14.610.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge51.2%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge51.2%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge36.6%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified95.7%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting96.3%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge95.8%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay2.9%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened4.3%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.8%CMS range 3.6–10.77.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.111.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.44
RN hours/ resident / day
0.77
LPN hours/ resident / day
2.26
Aide hours/ resident / day
3.48
Total nurse hours/ resident / day
0.41
RN hoursweekends
40.2%
Total nursing turnover
20.0%
RN turnover

How full it usually is: this home is certified for 122 beds and averages 109.9 residents a day — about 90% occupied, or roughly 12 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.479 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 2.26 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 3.01 hrs/resident/day on weekends vs 3.67 on weekdays — 18% thinner on weekends. RN hours go from 0.46 to 0.41 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 40% 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

1
deficiencies at the latest standard inspection (2026-06-04)
10
at the previous standard inspection (2025-04-10)

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.

ABCDEFGHIJKL

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.

19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.

  • Potential for harm · Dcited before2026-06-04 · 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, and Physician interviews, the facility failed to ensure that a resident received wound care and treatment to a new surgical site following admission for a left below knee amputation. This occurred for 1 of 1 resident reviewed for non-pressure related wound care (Resident #112).Findings included: Resident #112 was admitted to the facility on [DATE] with diagnoses including orthopedic aftercare following left below knee amputation. Review of Resident #112's hospital Discharge summary dated [DATE] revealed to apply xeroform (a petroleum gauze used for wound healing, that keeps the wound moist and halts bacteria growth), 4 x 4 gauze, ABD pad (an absorbent dressing that pulls exudate (wound fluid) away from the wound bed) and wrap with Kerlix (type of gauze that absorbs fluid and provides cushion) and apply ace wrap (provides compression) daily. The discharge summary was signed as reviewed by Unit Manager #1. The baseline care plan dated 5/13/26 signed by Nurse #1 revealed Resident #112…

    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 · Ecited before2025-04-10 · tag F0684 — failed to provide proper treatment and quality of care — pattern
    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, and staff, Registered Dietitian, Wound Care Physician, and the Medical Director's interviews the facility failed to 1a.) implement treatment orders on admission and provide daily wound treatments as ordered for a resident (Resident#17) with a chronic venous wound on the left lower extremity. b.) obtain daily weights as ordered for Resident #17 who had a diagnosis of congestive heart failure and on fluid restrictions. 2a.) provide treatments as ordered for a resident with arterial ulcers (Resident #24). b.) obtain weekly weights as ordered for Resident #24 with edema, fluid retention and an elevated Brain Natriuretic Peptide (BNP) level ( a blood test used to monitor fluid volume status that when elevated is a strong indicator of heart or kidney failure or infection) and required close monitoring and treatment with a diuretic, a medication used to remove excess fluid. 3.) provide daily wound treatments to non pressure related wounds (Resident #93). This occurred for 3 of 7 residents who…

    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 · Ecited before2025-04-10 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and staff, Physician, and the Consultant Pharmacist interviews, the facility failed to hold the medication Midodrine when Resident #95 's systolic blood pressure was above 120 mm Hg (millimeters of mercury) or give the medication when the systolic blood pressure was less than 120 mm Hg. Resident #95 experienced no significant outcome. This occurred for 1 of 1 resident reviewed for medication administration. Findings included: Resident #95 was admitted to the facility on [DATE] with diagnoses that included hypotension. Record review revealed the following active orders: Midodrine 10 MG (milligrams) give 1 tablet by mouth one time a day every Monday, Wednesday, Friday for hypotension hold if sys (systolic) > (greater than) 120 or dys (diastolic) > 80; Start date 01/08/25. Midodrine 10 MG (milligrams) give 1 tablet by mouth three times a day every Tuesday, Thursday, Saturday, and Sunday for hypotension hold if sys > 120 or dys > 80; Start date 01/08/25. Review of the Medication…

    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 before2025-04-10 · 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 observations and staff interviews the facility failed to discard expired medications, record an opened date on a multi-dose oral inhaler that had a shortened expiration date, and refrigerate unopened ophthalmic drops according to the manufacturer's guidelines on 2 of 5 medication carts (400 hall, 800 hall) and in 2 of 2 medication storage rooms (300 hall, 400 hall) that were reviewed for medication storage. Findings included. 1.) An observation of the 400-hall medication cart on 04/02/25 at 11:19 AM revealed the following medications: One bottle of Latanoprost .005% ophthalmic drops that was unopened and not refrigerated. Review of the manufacturers guidelines for Latanoprost ophthalmic solution instructed to store unopened bottles under refrigeration at 2° to 8°C (36° to 46°F). Once a bottle was opened for use, it may be stored at room temperature up to 25°C (77°F) for 6 weeks. Fluticasone propionate salmeterol (Advair diskus)100 micrograms (mcg)/50mcg that was in use with no opened date labeled on the inhaler. Fluticasone propionate salmeterol inhaler (Advair diskus)100…

    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 before2025-04-10 · 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 label and date an opened food item in 1 of 1 walk-in refrigerator and failed to remove expired containers of milk from 2 of 3 nourishment rooms (Secured Unit and East Wing). These practices had the potential to affect food service for the residents. The findings included: a. The initial tour of the kitchen with the Dietary Manager on 3/31/2025 at 10:50 AM revealed an open package of sliced turkey in the walk-in refrigerator that was not labeled and dated. An interview with the Dietary Manager was conducted on 3/31/2025 at 11:00 AM. The Dietary Manager stated that all open food in the kitchen was supposed to be labeled with an opened date and an expiration date. She further stated she was going to discard the package of turkey because it was not labeled and dated. b. A tour of the East Wing nourishment room with the Dietary Manager on 3/31/2025 at 11:05 AM revealed a container of 2% milk with the expiration date of 3/29/2025. c. A tour of the Secured Unit nourishment room with the Dietary Manager on 3/31/2025 at 11:08…

    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 · D2025-04-10 · 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 staff and the Wound Care Physicians interviews, the facility failed to notify the Wound Care Physician for evaluation and treatment of a Stage IV (full thickness skin and tissue loss with exposed muscle, tendon, ligament or bone)pressure wound on the left trochanter (boney protrusion on the femur bone) that was present on admission. This occurred for 1 of 1 resident reviewed for wound care (Resident #1). Findings included. Resident #1 was admitted to the facility on [DATE] with diagnoses including a Stage IV pressure wound to the left trochanter, protein calorie malnutrition, and anemia. An admission note dated 3/8/25 at 3:01 PM documented by Nurse #11 revealed in part; Resident #1 admitted to the facility from the hospital on 3/8/25 at 12:18 AM. Resident #1 was non-verbal and required total care. Contractures noted of all extremities. Wounds to the left hip and sacrum were noted, with dressings clean, dry and intact. A physicians order dated 3/8/25 for Resident #1 revealed calcium…

    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 · D2025-04-10 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and staff, Wound Care Physician, and the Medical Director's interviews the facility failed to 1.) conduct an initial wound assessment on admission for a Stage IV (fullthickness skin and tissue loss with exposed muscle, tendon, ligament or bone) left trochanter (bony protrusion on the femur bone) wound to include the wound description with measurements and perform daily wound care treatments according to the physicians orders for a resident (Resident #1) admitted with a stage IV pressure wound and who developed a stage II (partial thickness skin loss involving the dermis) pressure wound on the sacrum and lower back following admission. 2.) provide daily wound care to a stage IV pressure wound (Resident #71). This occurred for 2 of 2 residents (Resident #1, Resident #71) reviewed for pressure wound care. Findings included. 1.) Resident #1 was admitted to the facility on [DATE] with diagnoses including a Stage IV pressure wound to the left trochanter, protein calorie…

    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 · D2025-04-10 · 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 staff and the Physician's interviews, the facility failed to obtain weekly weights as ordered for a resident (Resident #1) who was a new admission and receiving enteral feedings (tube feeding). This occurred for 1 of 5 residents reviewed for nutrition. Findings included. Resident #1 was admitted to the facility on [DATE] with diagnoses including Stage IV pressure wound to the left hip, protein calorie malnutrition, and anemia. The Minimum Data Set (MDS) admission assessment dated [DATE] revealed Resident #1 was severely cognitively impaired. She had no rejection of care. The care plan dated 3/18/25 revealed Resident #1 received enteral tube feedings and was at risk for dehydration. Interventions included in part to observe, document, and report signs or symptoms of dehydration or sudden weight loss. An order dated 3/21/25 for Resident #1 revealed weights per policy. Review of Resident #1's electronic medical record revealed the following: 3/08/25 no admission weight 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-04-10 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and staff, Physician and Consultant Pharmacist's interviews, the Pharmacist failed to identify and address during the monthly medication regimen reviews that a resident's Midodrine 10 mg (milligrams) prescribed for hypotension was administered outside of the set parameters 38 times during January 2025, 44 times in February 2025 and 15 times in March 2025 when the Consultant Pharmacist completed her monthly March review on 03/14/25. This occurred for 1 of 1 resident (Resident #95) reviewed for medication administration. Resident #95 experienced no significant outcome. Finding included: Resident #95 was admitted to the facility on [DATE] with diagnoses that included hypotension. Record review revealed the following active orders: Midodrine 10 mg give 1 tablet by mouth one time a day every Monday, Wednesday, Friday for hypotension hold if sys (systolic) > (greater than) 120 or dys (diastolic) > 80; Start date 01/08/25. Midodrine 10 mg give 1 tablet by mouth three times a day every Tuesday,…

    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 · D2025-04-10 · tag F0825 — isolated
    Provide or get specialized rehabilitative services as required for a 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, resident, staff and Nurse Practitioner interviews, the facility failed to provide rehabilitation services per the resident's plan of care. This was for 1 of 2 residents (Resident # 93) reviewed for rehabilitation services. Findings included Review of Resident #93's hospital Discharge summary dated [DATE] indicated the resident was hospitalized from [DATE] through 3/17/25. The discharge summary indicated Resident #93 remained functionally dependent and required skilled nursing facility placement upon discharge from the hospital due to mobility and activity of daily living (bathing, dressing, and toileting) limitations. Physical and occupational therapy was recommended to continue at the skilled nursing facility with possible transition to long-term care. The discharge summary indicated it was important that Resident #93 continued with range of motion exercises. Resident #93 was admitted to the facility on [DATE] with diagnoses of sacral pressure ulcer and stroke. Resident #93's physician…

    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
Show the remaining 9 citations
  • Potential for harm · D2025-04-10 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted 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 record review, and staff and Physician interviews, the facility failed to maintain a complete medical record by 1.) not documenting a pulse (heart rate) prior to the administration of the medication for a resident with an order for hydralazine, a medication to treat high blood pressure, with a parameter to hold the medication for a heart rate less than 60 beats per minute (Resident #24). 2.) maintain an accurate medical record for weight monitoring (Resident #17). This was observed for 2 of 6 residents whose medical record was reviewed. Findings included: 1.) Resident #24 was admitted to the facility on [DATE] with diagnoses which included stroke and hypertension. Resident #24's physician orders revealed an order entered by the Director of Nursing (DON) dated 3/4/25 for hydralazine 25 milligrams (mg) every 8 hours for hypertension. Hold the medication for systolic blood pressure (the top number in the blood pressure) less than 100 or diastolic blood pressure (the bottom number) less than 50 or heart…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-01-25 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff and Nurse Practitioner interviews, the facility failed to follow the parameter ordered for administration of a medication used to treat diabetes resulting in 7 doses of insulin Glargine 25 units administered in error for 1 of 1 resident (Resident #47) reviewed for medication error. Findings included: Resident #47 was admitted to the facility on [DATE] with diagnosis which included in part diabetes and Alzheimer's Dementia. Resident #47's 11/1/23 quarterly Minimum Data Set (MDS) assessment indicated resident had severe cognitive impairment with no behaviors noted. The MDS further indicated Resident #47 received Insulin injections daily during the 7 day look back period and had no changes to the insulin orders. Review of Resident #47's electronic medical record revealed a 5/23/23 physician order for insulin Glargine Solution Pen injector 100 units per milliliter. Inject 25 units subcutaneously one time a day related to diabetes. Hold the Insulin if blood sugar reading less than 175.…

    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 before2024-01-25 · 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 observation and staff interviews the facility failed to: a) ensure leftover food items were labeled and dated when stored in the walk-in refrigerator, b) discard an opened, partially used dairy product that had exceeded the shelf life, and c) ensure the temperature of a cold salad on the tray line was 41 degrees Fahrenheit or below. These practices had the potential to affect food served to residents in the facility. Findings included: During the initial tour of the kitchen on 01/22/24 at 11:15 AM the following was observed in the presence of the Dietary Manager: a. The walk-in refrigerator was observed with the following: a plastic bag of tater tots opened and partially used with no opened date and a partially used bag of shredded lettuce with no opened date. b. The walk-in refrigerator was observed with the following: a plastic bag of opened and partially used shredded cheese dated 01/04/24 (the shelf life was 14 days). c. During an inspection of food temperatures on the tray line on 01/24/24 at 12:20 PM the cold chicken salad temperature taken by the Dietary Manager 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-01-25 · tag F0867 — failed to act on quality-improvement findings — pattern
    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 record review, observations, Nurse Practitioner interview, and staff interviews, the facility's Quality Assessment and Assurance (QAA) program failed to maintain implemented procedures and monitor interventions the committee put in place following the recertification and complaint investigation survey completed on 07/19/21, an on-site revisit survey completed on 09/08/21 and a recertification and complaint investigation survey completed on 0929/22. This was for four repeat deficiencies originally cited in the areas of Pharmacy Srvcs/Procedures/Pharmacist/Records (F755), Residents Are Free of Significant Med Errors (F760), Label/Store Drugs and Biologicals (F761), and Food Procurement, Store/Prepare/Serve-Sanitary (F812). The continued failure during two or more federal surveys of record shows a pattern of the facility's inability to sustain an effective QA program. Findings included: This tag is cross-referenced to: F755: Based on record review and staff interviews, the facility failed to secure unused narcotic medications for disposition (the process of returning unused…

    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 · D2024-01-25 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff and Nurse Practitioner (NP) interviews, the facility failed to provide a physician order for the care of and daily flush of a cholecystostomy (gallbladder) drainage tube for 1 of 1 resident (Resident #36) reviewed for a drainage tube. Findings included: Resident #36 was readmitted to the facility on [DATE] with a diagnosis of acute cholecystitis (gallbladder inflammation caused by gallstones). Review of Resident #36's electronic health record revealed an After Visit Discharge summary dated [DATE] which indicated a discharge diagnosis of acute cholecystitis and stated she had a cholecystostomy tube (a drainage tube placed into the gallbladder) for symptomatic improvement of acute cholecystitis. The discharge instructions indicated to flush the cholecystostomy tube one time per day, keep the tube in place and keep the area clean and dry. Review of Resident #36's physician orders revealed no order dated 11/27/23 to flush the cholecystostomy tube or any instructions regarding the care…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-25 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff and Nurse Practitioner (NP) interviews, the facility failed to provide education to the nursing staff to deliver care for a cholecystostomy (gallbladder)drainage tube for 1 of 1 resident (Resident #36) reviewed for a drainage tube. Findings included: Resident #36 was readmitted to the facility on [DATE] with a diagnosis of acute cholecystitis (gallbladder inflammation caused by gallstones). Review of Resident #36's electronic health record revealed an After Visit Discharge summary dated [DATE] which indicated a discharge diagnosis of acute cholecystitis and stated she had a cholecystostomy tube (a drainage tube placed into the gallbladder) for symptomatic improvement of acute cholecystitis. The discharge instructions indicated to flush the cholecystostomy tube one time per day, keep the tube in place and keep the area clean and dry. Review of Resident #36's 12/31/23 quarterly Minimum Data Set (MDS) assessment indicated resident was cognitively intact, had an indwelling catheter 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-01-25 · 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 staff interviews, the facility failed to secure unused narcotic medications for disposition (the process of returning unused medications to the pharmacy) resulting in possible diversion (the transfer of a controlled substance from a lawful to an unlawful channel of distribution or use). This was for 1 of 1 discharged resident (Resident #256) reviewed for pharmacy services. Findings included: Resident #256 was admitted to the facility on [DATE] and she discharged home with her husband on 8/8/2023. The physician's orders for Resident #256 dated 8/7/2023 revealed she was ordered hydrocodone/acetaminophen 7.5-325 mg, give 1 tablet by mouth every 4 hours as needed for pain for 14 days and hydromorphone hydrochloride oral tablet, give 1 mg by mouth every 4 hours as needed for unspecified abdominal pain for 20 days. She was also prescribed fentanyl patch every 72 hours 25 micrograms (mcg)/hour, apply 1 patch transdermal (on the skin) every 72 hours for pain for 30 days and removed per…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-01-25 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observations and staff interviews, the facility failed to date opened multi-dose inhalers and an insulin pen and failed to discard loose pills in the medication cart drawers for 2 of 6 medication carts (300 Hall and 800 Hall carts). Findings included: 1. An observation of the 300 hall medication cart was conducted with Nurse #6 on 1/24/2024 at 9:51 AM. During the observation revealed the following medications were stored on the medication cart: a. An opened box containing an Incruse multidose Ellipta inhaler 62.5 micrograms (mcg) was observed on the cart without an opened date. Incruse Ellipta inhaler is an inhaled medication used to treat chronic obstructive pulmonary disease (COPD). The label on the box revealed it was dispensed from the pharmacy on 9/14/2023 (19 weeks ago) and should be discarded 6 weeks after opening the tray. b. An opened box containing a Serevent inhaler 50 mcg was observed on the cart without an opened date. Serevent inhaler is an inhaled medication used to treat asthma. The label on the box revealed it was dispensed from the pharmacy…

    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 · D2024-01-25 · tag F0810 — isolated
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, resident and staff interviews the facility failed to provide adaptive equipment for 1 of 1 resident reviewed for adaptive devices (Resident #29). Findings included: Resident #29 was admitted to the facility on [DATE] with diagnosis that included poly-osteoarthritis. A review of Resident #29's current physician orders for regular mechanical soft texture diet regular/thin consistency, house nutritional shake, and special instructions food to be put in a scoop dish for all meals, an adaptive two handled cup with straw and lid at all meals dated 04/13/23. Resident #29 was care-planned for potential dehydration and nutritional problems related to arthritis, adult failure to thrive, weakness, a mechanically altered diet, and Alzheimer's. A listed approach for the care area was to provide adaptive equipment, scoop dish and a two handled cup) as ordered. The care plan was last revised on 07/05/23. A review of Resident #29's Annual Minimum Data Set (MDS) dated [DATE] revealed severe…

    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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to HARBORVIEW HEALTH SYSTEMS — 22 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 →

RatingThis homeChain avg
Overall 3 of 51.9+1.1 vs chain
Health inspection 3 of 52.1+0.9 vs chain
Staffing 3 of 52.4+0.6 vs chain
Quality measures 2 of 52.3-0.3 vs chain
The other 21 homes this chain runs (chain average 1.9★, per CMS)

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

Owner / managerTypeRoleShareSince
GA NC 14, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 03/01/2022
WILLIAMSON, ANNAIndividualW-2 MANAGING EMPLOYEEsince 03/01/2022
ENGLANDER, DAVIDIndividualCORPORATE OFFICERsince 03/01/2022
LEIBOWITZ, CHAIMIndividualCORPORATE OFFICERsince 03/01/2022

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

Follow the money — this home’s finances

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

$12.1M
Net patient revenuemost recent cost report
-2.9%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 82%Medicare 6%Other / private 12%

About 82% 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.

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

$356per resident / day
operating cost
$10,813per month
≈ monthly operating cost
$346per day
avg. revenue, all payers

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

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the North Carolina Medicaid page.

Typical monthly cost in North Carolina
$9,733/mo
Nursing home (semi-private)
$10,798/mo
Nursing home (private)
$6,496/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 345234. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-06-04, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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