Elderberry Health Care

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.

55.3% 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 63 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 31.2% 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 77 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 28% 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 80 beds and averages 69.3 residents a day — about 87% occupied, or roughly 11 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 2.94 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.47 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.93 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 2.57 hrs/resident/day on weekends vs 3.10 on weekdays — 17% thinner on weekends. RN hours go from 0.55 to 0.27 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 39% 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 fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.

• Potential for harm · Ecited before2025-11-19 · 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 date and label food stored in the walk-in refrigerator. The facility also failed to dispose of a box of apples stored past their usable life. This was for 1 of 2 refrigerators (walk-in refrigerator) and 1 of 1 cart observed and had the potential to affect food served to residents in the facility.Findings included:On 11/16/25 at 8:45 AM an observation of the walk-in refrigerator was conducted. The observation found a slice of cake that was uncovered and not dated, a disposable container that was not dated and was labeled tomato containing 4 slices of tomatoes, and 2 opened resealable plastic bags that contained deli meat missing an opened date. The observation also found a tomato slice wrapped in plastic wrap that was missing a date, 2 blocks of opened sliced cheese that were undated and in an unsealed bag, and 1 opened bag of shredded cheese that did not include an open date.On 11/16/25 at 8:55 AM an observation in the kitchen found a box of apples stored on a cart. Approximately 7 apples were observed with signs of…

  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 · D2025-11-19 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  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, staff, Medical Records Clerk, Minimum Data Set (MDS) Assistant and the Physician, the facility failed to have effective systems in place for updating advance directive information throughout the medical record for 1 of 1 resident reviewed for advance directive (Resident #1).The findings included:The medical record for Resident #1 included an advance directive form dated [DATE] that indicated Resident #1 was a Do Not Resituate (DNR).Resident #1 was readmitted to the facility on [DATE].Review of a physician order dated [DATE] indicated Resident #1 was a DNR.The medical record had an advance directive with an effective date of [DATE]. The [DATE] advance directive stated that Resident #1 was a full code.The admission Minimum Data Set (MDS) assessment dated [DATE] revealed that Resident #1 was cognitively intact.An observation of Resident #1's electronic medical record on [DATE] revealed a banner for Resident #1 indicating he was a DNR.The [DATE] electronic…

  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 · D2025-11-19 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  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 interviews, the facility failed to obtain a physician order for the use of an indwelling urinary catheter and failed to use a securement device (anchor) to prevent pulling/tension or trauma from the catheter tubing for 1 of 1 resident reviewed for an indwelling urinary catheter (Resident #11).Findings included: Resident #11 was admitted to the facility on [DATE] with diagnoses which included chronic urinary retention. Resident #11's baseline care plan dated 11/03/25 revealed a bowel and bladder section marked for an indwelling catheter appliance. The 5-day Minimum Data Set, dated [DATE] revealed Resident #11 had severe cognitive impairment and was coded for an indwelling urinary catheter. Review of Resident #11's physician orders revealed no order for an indwelling urinary catheter. Further review of Resident #11's physician order revealed an order dated 11/03/25 that read; provide catheter care and document output every shift. An observation of urinary catheter…

  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 before2024-08-28 · 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

  Based on observations and staff interviews the facility failed to ensure ready to use dishware was clean and not stacked wet, label and date leftover perishable foods in the walk-in cooler. This occurred for 1 of 2 kitchen observations. The findings included: 1. The initial tour of the kitchen occurred on 8/25/24 at 11:55am with [NAME] #1. The initial observation of the serving line and dishware area revealed the following: a. Dishware that was ready for use was put away and stacked wet. -7 out of 10 divided plates -11 out of 20 domed lids and bottoms -6 out of 20 trays b. Dishware that was ready for use was put away and/or stacked with white and yellow debris on them. -7 out of 10 divided plates had white and yellow dried debris. -1 out of 2 red plates had black and yellow dried debris. -1 out of 20 trays had a clear sticky substance present, substance was shiny when observed and was sticky when touched. -6 out of 20 domed lids and bottoms had dry white and yellow debris c. 3 large plastic bags that were not dated contained opened and partially used packages of yellow sliced cheese…

  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 · E2024-08-28 · tag F0814 — failed to dispose of garbage properly — pattern
  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 contain trash when the dumpster doors were not closed and failed to keep the area around the dumpsters free of accumulated trash and debris for 2 of 2 dumpsters observed. The findings included: An observation was completed on 08/25/24 12:24 PM. The observation revealed two dumpsters, the 1st dumpster door was three quarters open, and the 2nd dumpster door was completely open with bags of trash that were viewable inside the dumpster. Trash and debris were noted around both dumpsters. The trash around both dumpsters included used plastic gloves, tissues, plastic cup, and a plastic food container with light brown food debris inside the lid of the container. The 2nd dumpster had sign reminding staff to close the dumpster doors due to bears in the area. Cook #1 was interviewed on 08/25/24 at12:27 PM because the Dietary Manager was not available. [NAME] #1 verified the dumpster doors were open, and there was trash/debris around the dumpsters. [NAME] #1 closed the dumpster doors. He stated that he checked the dumpsters and…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-28 · 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 staff interview and record review, the facility failed to protect a resident's right to be free from resident-to-resident abuse when Resident #74 struck Resident #73 on the left side of the head with a statue after Resident #74 believed Resident #73 was going to enter her room. Resident #73 sustained a laceration to the left side of his head requiring steri strips (an alternative to sutures). This affected 1 of 3 residents (Resident #73) reviewed for abuse. The findings included: Resident #74 was admitted to the facility on [DATE] with diagnosis that included Unspecified dementia, unspecified severity, without behavioral disturbance (milder or mixed dementia with milder or nonaggressive behaviors), psychotic disturbance, mood disturbance, and anxiety. A review of Resident #74's Minimum Data Set (MDS) dated [DATE] indicated her cognition was intact. She was not documented as having any behavioral issues. A review of Resident #74's care plan dated 6-3-24 did not indicate any goals set for behaviors or any…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-08-28 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews and record review, the facility failed to apply signage indicating the use of oxygen outside residents' rooms with supplemental oxygen for 2 of 2 residents reviewed for oxygen use (Resident # 69 and Resident # 273). The findings included: 1.Resident # 69 was admitted on [DATE] with diagnoses of Chronic Obstructive Pulmonary Disease and Emphysema. A physician's order for Resident # 69 dated 08/03/2024 read may use and titrate oxygen (O2) to maintain oxygen levels between 88-92% every shift. Review of the admission Minimum Data Set (MDS) dated [DATE] indicated Resident # 69 was cognitively intact and coded for the use of oxygen intermittently. During an observation on 08/25/24 at 1:11pm of Resident #69's room, there was no signage for oxygen use found anywhere near Resident # 69's room entrance. Resident # 69 was observed wearing oxygen via nasal cannula at 3.5 liters per minute (LPM). The oxygen concentrator was observed on the left side of the bed when facing the bed in…

  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 · D2024-08-28 · tag F0847 — isolated
  Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
  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 ensure their arbitration agreement explicitly stated: 1) the resident or legal representative has the right to rescind the arbitration agreement within a 30 day timeframe; and 2) that neither the resident nor his or her representative was required to sign an agreement as a condition of admission or as a requirement to continue to receive care in the facility. This deficient practice affected 1of 1 resident (Resident #60) reviewed for arbitration. The findings included: A review of the facility admission packet and arbitration agreement dated 06/21/23 titled Terms did not include statements of the following: 1) The resident or his or her representative has the right to rescind the agreement within 30 days after signing it. 2) The resident nor his or her representative was required to sign an agreement as a condition of admission or as a requirement to continue to receive care in the facility. Resident #60 was admitted to the facility on [DATE].…

  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 · Fcited before2023-06-22 · 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 observations, interviews and record review, the facility failed to wash dishes per manufacture recommendations, sanitize dishes in a chlorine solution of 50 - 100 parts per million (ppm), sanitize dishes in a quaternary solution of at least 150 ppm, perform hand hygiene between soiled and clean tasks, remove foods stored past manufacturer use-by-date, maintain cold foods in refrigeration at least 41 degrees Fahrenheit (F), restrain hair during meal prep/cleaning, store an ice scoop to drain, and cover foods during meal delivery. This failure had the potential to affect the food served to 74 of 74 residents. The findings included: a. On 6/19/23 at 11:01 AM, the Certified Dietary Manager (CDM) placed a rack of cups in the low temperature dish machine to wash. The wash cycle temperature gauge registered 100 degrees F; the rinse cycle temperature gauge registered 118 degrees F. The manufacturer instructions posted on the low temperature dish machine recorded the following: - Wash cycle temperature - minimum…

  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 · E2023-06-22 · tag F0565 — failed to support the resident council — pattern
  Honor the resident's right to organize and participate in resident/family groups in the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, resident interviews and staff interviews the facility failed to resolve group grievances that were brought to resident council meetings for 4 of 8 months (February, March, April, and May 2023). The findings included: A review of the Grievance Policy dated 9/22/20 (also known as the Suggestion/ Complaint System) revealed complaints were reviewed by the Department Manager, who provides a resolution to the complaint or develops a plan of action for resolution of the complaint within 3 business days from the date of the complaint. A review of Resident Council meeting minutes from August 2022 through November 2022 and February 2023 through May 2023 was completed. February 2023 through May 2023 meeting minutes had concerns related to the following: -(2/14/23 meeting minutes/new business) Residents not receiving showers 2 times per week. -(3/14/23 meeting minutes/ new business) Clothes and socks missing/ not being returned from laundry; (old business) Residents not receiving showers 2 times weekly was not resolved or addressed. -(4/11/23 meeting minutes/ old…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 19 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

This home reported $520K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

Cost & finances

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

What families pay in NC