PruittHealth-Neuse

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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.

52.5% 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 205 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 42.5% 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 87 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 0.29 therapist hours per resident per day in 2026Q1 — more than 45% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% 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 110 beds and averages 94.8 residents a day — about 86% occupied, or roughly 15 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 2.80 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.59 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.64 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 2.14 hrs/resident/day on weekends vs 3.07 on weekdays — 30% thinner on weekends — a notable drop. RN hours go from 0.69 to 0.34 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 38% is about the same as the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

Deficiencies are 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.

40 citations, most serious first. The 17 most serious are shown; the remaining 23 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-03-19 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record reviews and family, staff, Medical Director (MD), and Nurse Practitioner (NP) interviews the facility failed to provide care in a safe manner for 1 of 5 residents (Resident #1) reviewed for supervision to prevent accidents. Resident #1 was diagnosed with cerebellar ataxia (a condition that causes poor muscle control that causes clumsy movements), and functional quadriplegia (complete immobility due to severe disability or frailty from another medical condition without injury to the brain or spinal cord) and was dependent on staff for assistance with care. On 1/18/24 Nursing Assistant (NA) #1 was providing Resident #1 with care when the resident experienced spastic/uncontrolled movements and the resident fell off the side of the bed striking his head on a bedside table causing a laceration on his forehead above his left eye before he fell onto the fall mat on the floor. Resident #1 was transferred to the Emergency Department and was treated for a left frontal scalp hematoma (a pool 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2024-09-11 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and staff, resident, family member, Pharmacist, Psychiatric Nurse Practitioner (NP), and Nurse Practitioner (NP) interviews the facility failed to administer prescribed medications for 1 of 1 resident (Resident # 45) reviewed for significant medication errors. Resident #45 was not administered 10 consecutive doses of lorazepam (anti-anxiety medication) during the time period of 7/29/24 through 8/01/24 when the order was erroneously discontinued on the Medication Administration Record (MAR) by the Director of Nursing (DON) which caused Resident #45 to experience increased anxiety. Resident #45 was assessed by the NP on 8/01/24 due to severe anxiety and noted the resident was crying and asking for his medication. Findings included: Resident #45 was admitted to the facility on [DATE] with a diagnosis that hypertension (high blood pressure), anxiety disorder, and asthma. Review of Physician orders dated 6/1/24 indicated Resident #45 had been prescribed lorazepam, 1 mg (milligram) tablet, take…

  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
• Actual harm · G2024-03-19 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and staff, resident, Medical Director (MD), and Nurse Practitioner (NP) interviews the facility failed to administer prescribed narcotic pain medication for 1 of 2 residents (Resident # 3) reviewed for pain management. Resident #3 was admitted on [DATE] and did not receive his prescribed pain medication for 5 days after he was admitted to the facility resulting in the resident experiencing increased pain rated as a 7 on a 0-10 pain scale (on a numeric pain scale designed to evaluate pain in individuals using a number value with 0 being no pain and 10 being the worst pain possible). Findings included: Resident #3 was admitted to the facility on [DATE] with a diagnosis that included chronic osteomyelitis (serious infection of the bone). Review of Physician orders dated 12/1/23 indicated that Resident #3 was prescribed oxycodone 10 milligram (mg) tablet, take one tablet every four hours PRN (as needed) for chronic pain. Review of the December 2023 Medication Administration Record (MAR)…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-03-19 · 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, resident, Pharmacist, Medical Director (MD), and Nurse Practitioner (NP) interviews the facility failed to obtain narcotic medications from the pharmacy for 1 of 10 resident (Resident # 3) reviewed for pharmacy services. This caused Resident #3 to miss 5 days of pain medication, 4 days of anti-anxiety medication and 3 days of sedative/hypnotic medication that resulted in increased pain, anxiety, and inability to sleep for Resident #3. Findings included: Resident #3 was admitted to the facility on [DATE] with a diagnosis that included atrial fibrillation (an irregular rapid heart rate), anxiety disorder, chronic osteomyelitis (serious infection of the bone), and insomnia. Review of the admission Minimum Data Set (MDS) dated [DATE] revealed Resident #3 was cognitively intact and was coded to receive an opioid, anxiolytic, and hypnotic. Review of Physician orders dated 12/1/23 indicated that Resident #3 was prescribed lorazepam 1 mg tablet, take one tablet 3 times a day for…

  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
• Actual harm · Gcited before2024-03-19 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and staff, resident, famiy, Pharmacist, Medical Director (MD), and Nurse Practitioner (NP) interviews the facility failed to administer prescribed medications for 1 of 10 resident (Resident # 3) reviewed to ensure residents are free from significant medication errors. Resident #3 was admitted on [DATE] and did not receive his prescribed pain medication for 5 days, his anti-anxiety medication for 4 days, and did not receive his prescribed sedative/hypnotic medication for 3 days after he was admitted to the facility which caused Resident #3 to experience pain, anxiety, and inability to sleep. Findings included: Resident #3 was admitted to the facility on [DATE] with a diagnosis that included atrial fibrillation (an irregular rapid heart rate), anxiety disorder, chronic osteomyelitis (serious infection of the bone), and insomnia. Review of the admission Minimum Data Set (MDS) dated [DATE] revealed Resident #3 was cognitively intact and was coded to receive an opioid, anxiolytic, 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2023-07-13 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  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, and staff interviews, the facility failed to maintain a resident's dignity by not answering a call light and allowing the resident to sit on the floor for an extended period causing Resident #31 to feel afraid, neglected, shaky, and upset. This occurred for 1 of 8 residents reviewed for dignity (Resident #31). Findings included: Resident #31 was admitted to the facility on [DATE]. The quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #31 was moderately cognitively impaired. Transfers did not occur. Resident #31 was interviewed on 7-10-23 at 12:08pm. The resident discussed having a fall in May 2023 or June 2023 in the middle of the night. The resident discussed how she had put her call light on to be assisted into bed, but she stated after waiting 30 minutes, she decided to try and transfer herself. She stated she forgot to lock her wheelchair and as it started rolling, she tried to sit back down but sat on the edge of the wheelchair. Resident #31 explained she was…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2023-07-13 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and resident, staff, and resident representative interviews the facility failed to protect Resident #8's right to be free from abuse for 1 of 3 sampled residents reviewed for abuse (Resident #8). On an unknown date in October 2022, Nursing Assistant (NA) #7 was witnessed by NA #8 to have grabbed hair on the top of Resident #8's head and pulled the resident's hair after Resident #8 had allegedly made derogatory statements to NA #7. A reasonable person would have experienced feelings such as intimidation, fear, humiliation, embarrassment, and/or dehumanization (deprivation of human qualities such as compassion). Findings included: Resident #8 was admitted to the facility on [DATE] with multiple diagnoses that included vascular dementia. The quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #8 was severely cognitively impaired. The facility's 24-hour initial report dated 10-24-22 written by the Administrator documented approximately two weeks ago NA #7 was observed pulling…

  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 · D2025-12-18 · 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 observation, record review, and staff and resident interviews, the facility failed to provide a prescribed assistive device, a spouted cup with handle, for 1 of 1 resident reviewed for assistive devices (Resident #65). Findings included: Resident #65 was admitted to the facility on [DATE] with diagnoses that included hemiplegia (paralysis on one side) and hemiparesis (weakness on one side) following a nontraumatic intracranial (brain) hemorrhage affecting arm and leg of left side. A review of Resident #65's physician orders revealed an order dated 7/31/25 for the Resident to have a spouted cup with handle with all meals.Review of Resident #65's care plan last reviewed 9/25/25 revealed a problem of the Resident being at nutrition/hydration risk. The goal was for Resident #65 to remain adequately hydrated through the next review. Approaches included providing adaptive equipment with meal trays as ordered: spouted cup with handle. Review of Resident #65's quarterly Minimum Data Set (MDS) assessment dated…

  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 · D2025-12-18 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  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 reviews, and interviews with the resident, staff, Medical Director and North Carolina Poison Control, the facility failed to ensure the environment was free of hazards when Resident #85 was observed with multipurpose cleaner on her bedside table. This occurred for 1 of 2 residents reviewed for supervision to prevent accidents (Resident #85).The findings included:Resident #85 was admitted to the facility on [DATE]. Her diagnoses included diabetes, depression, and chronic kidney disease.Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #85 was moderately cognitively impaired. She used a wheelchair for mobility and needed assistance with all Activities of Daily Living (ADL). An observation on 12/15/25 at 12:10 PM revealed a 40-ounce bottle of multipurpose cleaner, approximately half full, on Resident #85's bedside table.The warning label on the bottle of multipurpose cleaner stated that it could cause moderate to serious eye irritation, skin…

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

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-05 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) assessment in the areas of smoking for 1 of 3 residents reviewed for MDS accuracy. Findings included: Resident #1 was admitted to the facility on [DATE] with diagnoses including bipolar with manic delusions. The annual Minimum Data Set (MDS) dated [DATE] had Resident #1 coded as cognitively intact and did not use tobacco. The care plan dated 01/21/2025 had focus of Resident #1 not needing supervision with smoking and will propel self out of facility to smoking area. A review of the observation detail list dated 01/21/2025 revealed Resident #1 was observed to be a safe individual smoker that reviewed and understood the smoking policy. An interview with the Case Mix Coordinator was conducted on 04/25/2025 at 9:40 AM. She stated another nurse from the corporate office completed the MDS assessment for Resident #1 when she was out of work. Resident #1 does smoke, and it should have been coded yes for tobacco…

  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 · Dcited before2025-05-05 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to ensure Resident #1 did not smoke inside of the facility in accordance with their smoking policy for 1 of 3 residents sampled for accidents. On 4/13/2025 the resident was observed by staff in the lobby area of the facility lighting and beginning to smoke a cigarette. There were no residents with oxygen in the lobby area and Resident #1 was escorted outside by Nurse #2. The findings included: Resident #1 was admitted to the facility on [DATE] with diagnosis including bipolar with manic delusions. A review of the smoking policy revised 12/12/2024 indicated that no one should be allowed to smoke inside any area of the healthcare center at any time. The care plan dated 1/21/2025 included a focus of Resident #1 not needing supervision with smoking and indicated she could self-propel out of facility to the smoking area. The interventions included that Resident #1 was able to keep her smoking materials in her room in a lock box. The annual Minimum Data…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-11-19 · 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 Responsible Party (RP) interviews, the facility failed to notify the RP of a change in condition when the fingerstick blood sugar (FSBS) levels exceeded 500 milligrams per deciliter (a normal blood glucose level is 80-130 milligrams per deciliter) for 1 of 3 residents reviewed for notification of change (Resident #1). The findings included: Resident #1 was admitted to the facility on [DATE] with diagnoses which included diabetes, dementia, and femur fracture. The admission nursing note dated 9/27/24 at 5:52 pm revealed Resident #1 was alert with noted confusion. Resident #1 had a physician order dated 9/27/24 for insulin lispro (fast-acting insulin) per sliding scale with the following instructions: If Blood Sugar is less than 70, call MD. If Blood Sugar is 141 to 180, give 2 Units. If Blood Sugar is 181 to 220, give 2 Units. If Blood Sugar is 221 to 260, give 2 Units. If Blood Sugar is 261 to 300, give 4 Units. If Blood Sugar is 301 to 350, give 4 Units. If Blood Sugar is…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-11-19 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interviews, Pharmacist, Nurse Practitioner, and Medical Director telephone interviews, the facility failed to administer scheduled antibiotic medication which resulted in 3 doses of the antibiotic being missed for 1 of 3 residents reviewed for medication administration (Resident #1). The findings included: Review of the hospital visit summary dated 9/22/24 through 9/27/24 revealed Resident #1 was noted to have had a urine culture completed on 9/23/24 with a positive culture result of Escherichia Coli (E. coli, a common bacteria that causes urinary tract infections). Resident #1 had a discharge diagnosis which included urinary tract infection and was not prescribed antibiotic medication upon discharge. Resident #1 was admitted to the facility on [DATE] with diagnoses which included femur fracture, urinary tract infection, and diabetes. Resident #1 was transferred to the hospital on [DATE] for further evaluation of altered level of consciousness. The Nurse Practitioner (NP) visit note…

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

  Pharmacy Service Deficiencies · Past Non-Compliance
• Potential for harm · D2024-09-11 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  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 provide a complete Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage (SNF/ABN) by omitting the estimated cost of services for 2 of 2 residents reviewed for beneficiary notices (Resident #286 and Resident #287). Findings included: a. Resident # 286 was admitted to the facility on [DATE]. Medicare part A services began on 12/27/23. The medical record revealed a CMS-10123 Notice of Medicare Non-Coverage letter (NOMNC) was signed by Nurse #2 as issued to Resident # 286's representative via phone on 3/11/24. The notice indicated that Medicare coverage for skilled services was to end 3/13/24. Resident #286 remained in the facility when Medicare coverage ended. Review of Resident #286 's record indicated the SNF/ABN form dated 3/11/24 had no estimated cost of services documented on the form. b. Resident #287 was admitted to the facility on [DATE]. Medicare part A services began on 6/14/24. The medical record revealed a CMS-10123…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-09-11 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to accurately code a significant change in status Minimum Data Set (MDS) assessment following hospice election for 1 of 1 resident (Resident #56) reviewed for hospice. The findings included: Resident #56 was readmitted to the facility on [DATE] with diagnoses that included acute respiratory failure, acute pneumonitis (pneumonia) and Alzheimer's dementia. A review of Resident #56's hospice election form revealed she was admitted to hospice on 8/19/24. A review of Resident #56's electronic health record revealed a significant change Minimum Data Set (MDS) was completed on 8/19/24. The MDS did not indicate the resident had been admitted to hospice. In an interview with the MDS nurse on 9/11/24 at 8:17 AM She further stated she learned about significant changes in morning meeting every day and she was aware Resident #56 had been admitted to hospice. The MDS nurse revealed the significant change MDS that was completed on 8/19/24 should have indicated the…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-09-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and resident and staff interviews, the facility failed to provide a safe transfer for 1 of 1 resident (Resident #285) reviewed for supervision to prevent accidents. On 8/26/24 Resident #285 was assessed by Physical Therapist #1 to have required a mechanical lift transfer. The mode of transfer had not changed and on 9/5/24 Nursing Assistant (NA) #1 and NA #2 transferred Resident #285 from the bed to a chair without the use of a mechanical lift. Findings included: Resident #285 was admitted to the facility on [DATE] with diagnoses that included acute and chronic respiratory failure with hypoxia (low oxygen levels in the body), anxiety, muscle weakness, unsteady on feet, shortness of breath, and pneumonia. The admission Minimum Data Set (MDS) assessment dated [DATE] revealed that Resident #285 was moderately cognitively impaired. She was dependent on staff for transfers from bed to chair. She required the use of supplemental oxygen. Review of a care plan for Resident #285 dated…

  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 · D2024-09-11 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, staff and Physician interview the facility failed to have a medication error rate of less than 5% as evidenced by 2 medication errors out of 27 opportunities, resulting in a medication error rate of 7.41%, for Medication Administration. Both errors were for medications received by Resident #77. Findings included: a. A review of Resident #77's medication orders dated 7/29/24 revealed he was prescribe one 325 mg (milligram) aspirin by mouth once daily. Further review of the resident's orders revealed he was to be given medications whole in puree (meaning not to crush the medications and to place the medication in a food to help with administration such as applesauce). On 9/10/24 at 8:35 AM Nurse #1 was observed as she prepared and administered four medications to Resident #77. The medications administrated included one enteric coated aspirin 325 mg. All of the resident's medications were crushed and administered to the resident in applesauce. In an interview with Nurse #1 on 9/10/24 at 9:28 AM she stated she had been crushing Resident #77's…

  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

“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

$88,115 in federal fines across 4 penalties. 2 Medicare payment denials on record.

• $3,468 — penalty dated 2024-10-08
• $3,468 — penalty dated 2024-10-08
• $36,969 — penalty dated 2024-09-11
• $44,210 — penalty dated 2024-02-21
• Medicare payment denial — starting 2025-01-08 for 1 days
• Medicare payment denial — starting 2024-04-17 for 30 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to PRUITTHEALTH — 95 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 5 rows in the source record cover these 3 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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.

About 71% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $2.4M paid to related parties — landlords or management companies under common ownership — equal to about 22% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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, FY2024). 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