Rocky Mount Rehabilitation Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

50.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 171 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 48 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 0.48 therapist hours per resident per day in 2026Q1 — more than 79% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 14% 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 117 beds and averages 101.4 residents a day — about 87% occupied, or roughly 16 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 3.76 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.61 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.15 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 3.41 hrs/resident/day on weekends vs 3.91 on weekdays — 13% thinner on weekends. RN hours go from 0.74 to 0.31 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 47% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

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

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

27 citations, most serious first. The 12 most serious are shown; the remaining 15 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-01-09 · 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, and staff, Physician Assistant and Medical Director interviews, the facility failed to implement physician orders for diabetes care for Resident #22 who was diagnosed with diabetes prior to contacting emergency medical services (EMS) for a change in condition and ensuring immediate action was taken for a resident who required emergent medical care. Physician orders were available regarding checking blood sugar for hypoglycemia (a condition in which your blood sugar (glucose) level is lower than the standard range), acting on low blood sugar, administering medications to quickly treat hypoglycemia and notifying the physician. On 12/15/24 at approximately 8:00 AM/8:15 AM, Resident #22 had slurred speech and was unable to sit up on the side of the bed followed by a change in level of consciousness. Nurse #1 did not know Resident #22 had diabetes. Nurse #1 did not assess Resident #22 for signs and symptoms of hypoglycemia. Nurse #1 did not check Resident #22's blood sugar. Nurse #1 did not…

  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 before2024-11-19 · 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, resident, family, staff interview, Nurse Practitioner, and Medical Doctor interview the facility failed to 1)ensure effective communication amongst the nursing staff and with the provider in order that a resident, who was receiving anticoagulation medication, be sent to the hospital when she first experienced post-operative bleeding to the degree that the bleeding soaked her sheets 2) failed to recognize they should communicate with the physician about anticoagulant medication before continuing to give the anticoagulant medication after the resident was observed bleeding post-operatively 3) failed to identify a need for a higher level of care 4) failed to assess vital signs and 5) failed to perform treatments as ordered. Resident #1 was transported to the emergency room, required a blood transfusion for low hemoglobin, and was admitted to the hospital for two days. This was for one (Resident #1) of three residents reviewed for professional standards. Findings included: Resident #1 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 · D2026-03-05 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interviews with staff, the facility failed to implement their abuse policy when the facility failed 1) to report to the local law enforcement within 24 hours that Resident # 1 and Resident # 2 were involved in an altercation where staff members reportedly witnessed bodily hits of residents and 2) complete a thorough investigation by ensuring that all witnesses were interviewed. The facility also failed to ensure its Abuse and Neglect Prohibition policy, specified that the Administrator was to be notified immediately of allegations of abuse as required by federal regulations and failed to ensure that immediately following the altercation between Resident # 1 and Resident # 2 that it was clearly communicated to the Administrator that there had been witnessed bodily hits between the residents. This was for 1 of 2 alleged abuse cases reviewed involving Resident # 1 and Resident # 2.The findings included:Review of the facility's Abuse and Neglect Prohibition policy, dated 10/24/22 and revised on 8/2023, revealed the following policy 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-03-05 · 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 interviews with staff and Physician Assistant, the facility failed to ensure the medical record was complete regarding altercations that had occurred and a Physician Assistant's assessment following an altercation. This was for 2 of 2 sampled residents whose records were reviewed related to an altercation (Residents # 1 and # 2). The findings included:1a. Resident # 1's was admitted to the facility on [DATE] and Resident # 2 was admitted on [DATE].Review of a facility investigative file into alleged abuse which occurred during an altercation on 2/14/26 between Resident # 1 and Resident # 2 revealed written statements from witnesses regarding details of what transpired in the altercation. A review of Nurse Aide (NA #1's) statement revealed she witnessed Resident # 2 hit Resident # 1. A review of NA # 2's statement revealed Resident # 1 and Resident # 2 were both hitting each other.Nurse # 1 had been assigned to care for Resident # 1 and Resident # 2 on 2/14/26. During an interview with…

  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 · E2025-11-21 · 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 and Pharmacist interviews the facility failed to (1) remove expired medications from the medication refrigerator in 1 of 1 medication storage room observed (Nursing Station), and (2) remove expired medication and (3) refrigerate medications according to the manufacturer's recommendations for 2 of 3 medication carts reviewed (Hall 100 and Hall 200).The findings included:1. During an observation of the medication refrigerator in the medication storage room (Nursing Station) with the Director of Nursing (DON) on 9/24/25 at 8:32 am the following was observed. The DON confirmed all findings before the removal of the identified items.One box with 5 COVID-19 mRNA vaccine injections with an expiration date of 9/06/25.One open plastic bottle of cephalexin (antibiotic) 250 milligrams per 5 milliliters (mg/ml) oral suspension with an expiration date of 8/31/25.One open plastic bottle of vancomycin hydrochloride (antibiotic) 250 mg/5 ml oral solution with an expiration date of 8/17/25.An immediate interview was conducted with the DON on 9/24/25 at 8:56 am 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-11-21 · tag F0839 — pattern
  Employ staff that are licensed, certified, or registered in accordance with state laws.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, Maryland Board of Nursing (MBON) and North Carolina Board of Nursing (NCBON) verification registries and staff interviews, the facility failed to verify a staff member from another state working as a registered nurse (Staff #1) had an active professional nursing license for 1 of 14 nursing staff reviewed. Staff #1 did not have a professional nursing license and performed the job responsibilities of a nurse from 2/24/25 through 6/15/25. The findings included: A review of Staff #1's employment application with the facility indicated she was hired as a Registered Nurse (RN) on 2/14/25. Her date of birth and middle name were included on her Maryland driver's license. A MBON licensure verification dated 2/14/25 located in Staff #1 's employment folder indicated the same first and last name as Staff #1 was listed as an active RN with a compact state license that included North Carolina. The middle name was not included on the nursing license. Record review indicated Staff #1's nurse competencies were reviewed after hire during her training with another staff…

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

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-11-21 · tag F0842 — failed to keep accurate, complete medical records — pattern
  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 interviews, the facility failed to ensure a medical record was complete and accurate regarding tracheostomy care. This was for 1 of 5 sampled residents whose medical record was reviewed for documentation (Resident #1).Resident #9 was readmitted to the facility on [DATE]. Physician orders for Resident #9 revealed that tracheostomy care every shift and as needed was entered into the electronic medical record on 6/10/25 by the previous Infection Preventionist. During an interview with the Staff Development Coordinator/previous Director of Nursing (from 4/1/25 - 9/9/25) on 9/24/25 at 4:56 PM, she revealed that when the order for tracheostomy care every shift and as needed was entered by the previous Infection Preventionist, she chose the standard option instead of the option that populated onto the Treatment Administration Record (TAR) or Medication Administration Record (MAR). She explained that the standard option only showed in the orders section of the electronic medical record,…

  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 · D2025-11-21 · tag F0602 — failed to protect residents from theft of their belongings — isolated
  Protect each resident from the wrongful use of the resident's belongings or money.
  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 and Pharmacist interviews, the facility failed to protect the resident's right to be free from misappropriation of narcotic medication for 2 of 4 residents reviewed for misappropriation of property (Resident #38 and Resident #83).The findings included:The facility's Abuse and Neglect Prohibition policy last revised 8/2023 indicated that each resident had the right to be free from abuse which included misappropriation of property which was defined as deliberate misplacement, exploitation, or wrongful, temporary, or permanent use of a resident's belongings or money without the resident's consent.a. Resident #38 was admitted to the facility on [DATE] with diagnoses which included chronic kidney disease, gout, and long-term use of opiate analgesic (a type of opioid pain medication). Resident #38 had a physician order dated 8/21/25 for oxycodone (opioid pain medication) 5 milligrams (mg); one tablet by mouth three times a day for pain.A pharmacy proof of delivery shipment…

  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 · D2025-11-21 · 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 observation, record review, and resident and staff interviews, the facility failed to follow professional standards of care when the nurse did not remain at the bedside to ensure the resident had taken all the medications. The deficient practice was observed for 1 of 1 resident observed with medications at bedside (Resident #74).The findings included:Resident #74 was admitted to the facility on [DATE] with diagnoses that included dependence on renal dialysis.Review of the medical record revealed a physician order dated 2/21/25 for Lanthanum Carbonate 500 milligram (MG) Chewable Tablet (a medication used to decrease the amount of phosphate in the blood caused by kidney disease). Give 3 tablets by mouth before meals.Review of the comprehensive Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #74 was cognitively intact.Resident #74's care plan last reviewed 8/18/25 did not include self-administration of medication.There was not an assessment of Resident #74 in the medical record to…

  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 · D2025-11-21 · 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 observations, staff interviews, and record review, the facility failed to keep a urinary catheter bag from touching the floor to reduce the risk of infection for 1 of 4 residents reviewed with a urinary catheter (Resident #11).The findings included:Resident #11 was admitted to the facility on [DATE]. Her cumulative diagnoses included urostomy, spina bifida, seizures, and chronic kidney disease. Resident #11's care plan included an area of focus related to the resident having an indwelling urinary catheter in place (Initiated on 7/16/25). An admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #11 had severely impaired cognition. She experienced fluctuating disorganized thinking but no rejection of care behaviors. The assessment indicated Resident #11 required substantial/maximal assistance with all activities of daily living (ADL). The MDS reported Resident #11 had an indwelling urinary catheter.An observation was conducted on 9/21/25 at 12:35 PM as Resident #11 was lying in bed…

  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 · D2025-11-21 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and staff interviews, the facility failed to provide nutritional support through enteral feeding (a method of delivering nutrition directly into the gastrointestinal (GI) tract, typically through a feeding tube) as ordered by the physician for 1 of 2 residents reviewed for tube feedings (Resident #79).The findings included: Resident #79 was readmitted to the facility on [DATE]. His diagnoses included anoxic brain damage, and dysphagia. The care plan dated 3/13/24 revealed Resident #79 was at risk for malnutrition and dehydration related to a past medical history of aphasia, anoxic brain damage, gastrostomy tube (g-tube) feedings, heart failure, coronary artery disease, hypertension, gastroparesis, epilepsy, colostomy status, quadriplegia, and vitamin D deficiency. There was a need for enteral nutrition and on medications with signs and symptoms of appetite and weight changes. Interventions included: Administer g-tube feedings and water flushes as ordered. Observe for signs…

  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 before2025-11-21 · 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 observation, record review, and staff and Medical Director interviews, the facility failed to have effective systems in place for entering tracheostomy care orders, so they were placed on the Treatment Administration Record (TAR) for completion by nursing staff. Nurse #2 did not provide tracheostomy care consistent with professional standards of practice when she was observed picking up the oxygen tubing off the floor and attaching it to the corrugated tubing connected to the humidifier (adds moisture to the oxygen). In addition, the facility failed to have effective systems in place for identifying an avoidable open moisture-associated skin damage in Resident #9's skin fold on her neck. The deficient practice occurred for 1 of 2 residents reviewed for tracheostomy care (Resident #9). The findings included:Resident #9 was readmitted to the facility on [DATE] with diagnoses that included anoxic brain damage and tracheostomy status. Review of the quarterly minimum data set (MDS) assessment dated [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.

  Quality of Life and Care 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

$27,872 in federal fines across 2 penalties.

• $17,345 — penalty dated 2025-01-09
• $10,527 — penalty dated 2024-11-19

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 SOVEREIGN HEALTHCARE HOLDINGS — 43 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 17 rows in the source record cover these 11 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.

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.

About 72% 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 $674K 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