Autumn Care of Shallotte

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.

58.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 174 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 33.0% 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 94 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 0.35 therapist hours per resident per day in 2026Q1 — more than 59% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 18% 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 100 beds and averages 91.1 residents a day — about 91% occupied, or roughly 9 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 3.50 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.98 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.82 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 2.99 hrs/resident/day on weekends vs 3.71 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 1.07 to 0.76 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 55% 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.

25 citations, most serious first. The 12 most serious are shown; the remaining 13 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-01-05 · 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, observations, and staff and resident interviews, the facility failed to ensure a resident was safely transferred into the facility's transportation van, when the Transport Driver failed to utilize the safety strap while the lift platform was being raised on the facility van. This resulted in the resident (Resident #3) falling from the lift and sustaining injuries to the left side of his head, left wrist, and left elbow. This occurred when the facility Transport Driver was picking up Resident #3 from a doctor's office appointment on 11/29/2023. The office personnel called emergency medical services (EMS) and Resident #3 was transported to the emergency room (ER) at Hospital #1, where he was diagnosed with a traumatic subdural hematoma (pool of blood between the brain and the outermost layer that can put pressure on the brain) without loss of consciousness. Resident #3 requested to be transferred to the trauma service at Hospital #2, where he received treatment until he was discharged on…

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

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Actual harm · G2023-07-27 · 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 observations, record review, staff, Psychiatrist, Nurse Practitioner interviews and the Medical Directors interview the facility failed to protect a residents right to be free from abuse when a cognitively impaired resident (Resident # 46) had physical and verbal altercations against another cognitively impaired resident (Resident #53). During an initial altercation Resident #46 was observed grabbing Resident #53's arms and pulling them away from his face and yelling at him, there were no injuries reported. During a second altercation Resident #46 became agitated and attempted to lash out at Resident #53, there were no injuries reported. During the most recent altercation Resident #46 verbally and physically lashed out at Resident #53 by yelling at him and grabbing his left arm which resulted in large bruise on his left wrist and thumb region as documented by Nurse Practitioner #2. Due to the altercations initiated by Resident #46 toward Resident #53, a reasonable person would have experienced…

  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 · D2026-05-14 · 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 Physician interviews, the facility failed to notify the resident's Physician and Responsible Party when Resident #2 received subcutaneous (administered under the skin) fluids ordered for the roommate (Resident #4), resulting in an error. This error constituted a treatment error that required physician notification. This deficient practice affected 1 of 3 residents reviewed for notification of change (Resident #2). Findings included:Resident #2 was admitted on [DATE] with diagnosis which included end stage renal disease. Review of Resident #2's quarterly Minimum Data Set (MDS) dated [DATE] indicated the resident was cognitively intact and received dialysis.Review of Resident #4's electronic health record revealed a physician order dated 4/21/26 at 2:49 PM received by Nurse #1 for sodium chloride 0.9% solution (a mixture of salt and water utilized for hydration) administer one (1) liter of fluid subcutaneously at 70 milliliters per hour one time starting at 2:00 PM. A nursing…

  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 · D2026-05-14 · tag F0694 — isolated
  Provide for the safe, appropriate administration of IV fluids 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 record review and interviews with staff and the Physician, the facility failed to ensure that subcutaneous (administered under the skin) fluids were administered in accordance with the physician's order for one resident reviewed for parenteral fluid administration (the delivery of fluid through an intravenous, subcutaneous, intramuscular, or mucosal route) (Resident #2). Resident #2 received subcutaneous fluids that were ordered for her roommate, Resident #4. This deficient practice did not result in an adverse outcome.Findings included:Resident #2 was admitted on [DATE] with diagnosis which included end stage renal disease, hypertensive heart disease and diabetes.Review of Resident # 2's quarterly Minimum Data Set (MDS) dated [DATE] indicated the resident was cognitively intact and received dialysis.Review of Resident # 4's electronic health record revealed a physician order dated 4/21/26 at 2:49 PM received by Nurse #1 for sodium chloride 0.9% solution (a mixture of salt and water utilized 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-07-25 · tag F0756 — failed to review each resident's drug regimen — pattern
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff, Nurse Practitioner and Consultant Pharmacist interviews, the pharmacy failed to notify the facility of a clinical high priority recommendation that required a prompt response. This failure contributed to the facility not administering the antibiotics cefdinir and doxycycline prescribed to a resident (Resident # 4) for sepsis due to pneumonia from 7/17/25 through 7/20/25. This occurred for 1 of 5 residents reviewed for medication administration. Findings included:Resident # 4 was admitted on [DATE] with diagnosis of chronic respiratory failure with hypoxia, congestive heart failure, and chronic obstructive pulmonary disease. Resident #4's hospital Discharge summary dated [DATE] indicated the resident was discharged back to the facility in stable condition after treatment for acute hypoxic respiratory failure related to sepsis secondary to bilateral pneumonia. The hospital course further stated Resident # 4 was to continue antibiotics for the treatment of pneumonia upon discharge.…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-07-25 · tag F0760 — failed to prevent significant medication errors — pattern
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff, Nurse Practitioner and Consultant Pharmacist interviews, the facility failed to: a). administer the antibiotic medications doxycycline and cefdinir per the physician orders on the discharge summary from 7/18/25 through 7/20/25 resulting in 12 missed doses of the antibiotic treatment for pneumonia and b). failed to administer the ordered dose of roflumilast (a medication used to treat severe Chronic Obstructive Pulmonary Disease) for 2 consecutive days. There was no significant outcome due to either of the medication errors. This deficient practice occurred for 1 of 1 resident (Resident #4) reviewed for significant medication errors. Resident #4 was admitted originally on 11/27/24 with diagnosis of chronic respiratory failure, congestive heart failure, and chronic obstructive pulmonary disease (COPD). Review of Resident #4's quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated resident was cognitively intact with no behaviors. Resident #4 was transferred to 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-07-25 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and staff interviews the facility failed to a) label and date opened packages of food for 1 of 1 walk-in cooler in the kitchen; and b) to discard expired foods in a refrigerator in 1 of 3 nutrition rooms (100/200 hall nutrition room). This deficient practice had the potential to affect the food served to the residents.The findings included:An initial tour of the kitchen was conducted on 7/21/25 at 10:34 AM in the presence of the Dietary Manager.a) a) An opened package of French toast sticks and opened package of cauliflower were observed in the kitchen walk-in cooler without an opened date or expiration date. An interview was completed with the Dietary Manager on 7/21/25 at 11:05 AM. The Dietary Manager stated that all opened foods stored in the walk-in cooler should be labeled and dated with the date it was opened and the expiration date. b) b) An observation of the 100/200 hall nutrition room was conducted on 7/23/25 at 12:30 PM in the presence of the Dietary Manager. There were 4 cups of sugar-free orange gelatin with the expiration date 3/17/25 and 4 cups…

  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 · Ecited before2024-08-29 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and staff interviews the facility failed to maintain a medication rate greater than 5% when 4 medications were noted to be omitted. The result of the medication errors could have resulted in a negative effect for 1 of 3 residents (Resident #45) observed for medication administration. The medication error rate was 16%. Findings included: The Minimum Data Set admission assessment dated [DATE] revealed Resident #45 was cognitively aware. On 08/28/24 at 9:10 AM a medication administration pass was observed with Nurse #2 for Resident #45. Nurse #2 was observed preparing the following medications for administration: Amlodipine (medication to treat high blood pressure) 10 milligrams (mg) one tablet, Aripiprazole (medication to treat psychosis) 5 mg one tablet, Buspirone (medication to treat depression) 10 mg one tablet, Celebrex (medication to treat arthritis) 100 mg one tablet, Divalproex (medication to treat epilepsy) 250 mg one tablet, famotidine (medication to treat gastric…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-08-29 · tag F0760 — failed to prevent significant medication errors — pattern
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, staff, the Medical Director, and the Consultant Pharmacist interviews the facility failed to a.) implement an order for Metoprolol 12.5 milligrams twice a day (a beta blocker indicated for the treatment of hypertension and heart failure) that was prescribed for atrial fibrillation (irregular heart rhythm) and b.) implement an order for Magnesium Oxide 400 milligrams prescribed as a supplement for low magnesium levels. This occurred for 1 of 5 residents (Resident #21) reviewed for medication administration. Findings included. 1. Resident #21 was admitted to the facility on [DATE] with diagnoses including atrial fibrillation, long term use of anticoagulants, congestive heart failure, and hypomagnesemia. a.) A physician's order dated 05/04/24 for Resident #21 revealed Metoprolol 12.5 milligrams twice a day. Hold for systolic blood pressure less than 110 mm/hg (millimeters of mercury) or heart rate less than 55 beats per minute. A review of the Medication Administration 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-08-29 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and staff interviews the facility failed to maintain sanitizing solutions used in the kitchen at the strength recommended by the manufacturer and failed to ensure refrigerated food items stored for use in the walk-in refrigerator for residents' meals were dated. These practices had the potential to affect 90 of 91 residents' food quality and kitchen sanitation safety. Findings included: a) The initial tour of the kitchen conducted on 08/24/24 at 11:35 AM the Dietary [NAME] said the staff used the solution in the two red buckets to wipe down the main food preparation table area after food preparation and prior to manning the tray line. The [NAME] said their stainless-steel food preparation tables were wiped down before breakfast and again just before lunch tray line set-up using the sanitizing solution kept in the two red sanitizing buckets kept under the kitchen's food preparation tables. At 12:45 AM on 08/24/24 strips were used to check the sanitizing solution in the kitchen's two red sanitizing buckets. The solution in the bucket registered 0-parts per million…

  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 · D2024-08-29 · 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 record review and staff interviews the facility failed to implement their abuse policy for staff to immediately report an allegation of resident-to-resident abuse to the facility management as soon as the incident was observed. This occurred for 2 of 6 residents (Resident #57 and Resident #83) reviewed for abuse. Findings included. The facility policy titled; Abuse, Neglect, and Exploitation revised 08/30/23 indicated facility staff must immediately report allegations of abuse to the Administrator/Abuse Coordinator. The Administrator/Abuse Coordinator will immediately begin an investigation and notify the applicable local and state agencies in accordance with the procedures in this policy. A facility initial report dated 06/20/24 revealed the facility received an allegation on 06/13/24 at 8:00 AM by Nurse #9 was reviewing clinical record that revealed on 06/12/24 at 3:30 PM Resident #57 slapped Resident #83 on the face. Administrator sent initial incident report to the Department of Health and Human Services (DHHS) fax 06/13/24 at 8:43 AM., An interview was conducted on…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · D2024-08-29 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
  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, the Medical Director, and the Consultant Pharmacist, the facility failed to ensure an as needed (PRN) psychotropic medication Lorazepam prescribed for anxiety was limited to 14 days or document the continued use with a rationale and duration for 2 of 5 residents (Resident #45 and Resident #21 ) reviewed for medication administration. Findings included. 1.) Resident #45 was admitted to the facility on [DATE] with diagnoses to include age-related cognitive decline and dementia, moderate, with anxiety. The physician orders for Resident #45 revealed an order written on 7/15/2024 for lorazepam (an antianxiety medication) 0.5 milligrams (mg) tablet every 8 hours as needed (PRN). One tablet orally every 8 hours PRN for dementia, moderate, with anxiety. There was no end date or rational documented for the lorazepam 0.5 mg every 8 hours PRN. The Pharmacy Consultant's recommendations dated 7/30/2024 for Resident #45 revealed the following recommendation: PROMPT RESPONSE…

  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

$25,595 in federal fines across 2 penalties.

• $16,452 — penalty dated 2024-01-05
• $9,143 — penalty dated 2023-10-12

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 SABER HEALTHCARE GROUP — 126 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 26 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted.

10 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 $1.3M paid to related parties — landlords or management companies under common ownership — equal to about 12% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

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

What families pay in NC