Vero Health & Rehab of Sylva

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.

42.4% 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 58 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 36.0% 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 25 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 0.55 therapist hours per resident per day in 2026Q1 — more than 85% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% 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 106 beds and averages 91.0 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 3.74 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.93 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.27 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 3.40 hrs/resident/day on weekends vs 3.88 on weekdays — 12% thinner on weekends. RN hours go from 1.06 to 0.59 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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.

53 citations, most serious first. The 23 most serious are shown; the remaining 30 are one tap away and print in full.

• Immediate jeopardy · K2024-07-30 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — pattern
  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 record review, observations, and interviews with staff, Nurse Practitioner, Medical Director, and urology office staff the facility failed to follow up with the Urologist for Resident #49 who was hospitalized for obstructing ureteral stones (kidney stones that get stuck in tubes composed of smooth muscle that transport the urine from the kidneys to the bladder) with hydronephrosis (swelling of one or both kidneys due to urine build up), urinary tract infection (UTI), pyelonephritis (an infection of the kidneys) and (a serious condition in which the body responds improperly to an infection). The Resident had a stent (a small tube placed in the ureter that allows the urine to drain) placed for renal stone obstruction on 4/23/24 and returned to the facility on 4/26/24 with a urinary catheter. The discharge summary specified further assessment by Urology next week and also included an order for antibiotics for a UTI. Resident #49 experienced and was treated for two UTIs, urinary pain and a yeast infection…

  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
• Immediate jeopardy · J2024-05-22 · 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 reviews, and interviews with resident, staff and the Medical Director, the facility failed to notify a medical provider of significant changes in a resident's condition (Resident #8) who was observed to be unresponsive to painful stimuli, having low oxygen saturation level and pupil constriction. Nurse #14 suspected drug overdose and administered one dose of Naloxone, also known as Narcan (a medication used to rapidly reverse opioid overdose in an emergency situation) on [DATE] at 9:34 AM and an additional dose at 9:54 AM without notifying a medical provider. Resident #8 responded temporarily to the Narcan doses but at 3:50 PM, he was observed with no heart rate or respiratory rate and was pronounced dead. In addition, the facility failed to notify the Guardian after a resident (Resident #6) tested positive for tetrahydrocannabinol (THC - a compound found in cannabis/marijuana plants). This deficient practice affected 2 of 3 residents reviewed for notification of changes (Resident #8). Immediate…

  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
• Immediate jeopardy · J2024-05-22 · 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 reviews, and interviews with staff and the Medical Director, the facility failed to protect a resident's right to be free from neglect when they failed to provide care and services to a resident experiencing a medical emergency. The facility failed to activate emergency response for Resident #8 who was observed to be unresponsive to painful stimuli, having low oxygen saturation level and pupil constriction. Nurse #14 administered two doses of Naloxone, also known as Narcan (a medication used to rapidly reverse opioid overdose in an emergency situation) on [DATE] at 9:34 AM and 9:54 AM, with positive response, for suspicion of drug overdose. At 3:50 PM, Resident #8 was observed with no heart rate or respiratory rate and was pronounced dead. In addtion, on [DATE] the facility neglected to provide incontinence care to Resident #8 who was cognitively intact but experienced mental status changes with new onset of hallucination and confusion and required increased assistance with toileting. Resident #8…

  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
• Immediate jeopardy · J2024-05-22 · 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 reviews, and interviews with staff and the Medical Director, the facility failed to initiate emergency medical services for symptoms of a drug overdose. Resident #8 was slumped over, non-responsive with constricted pupils and impaired respirations. Resident #8 was observed by a facility staff member with no heart rate or respiratory rate and was pronounced dead on [DATE] at 3:50 PM. This deficient practice affected 1 of 3 residents reviewed for quality of care (Resident #8). Immediate jeopardy began on [DATE] when the facility failed to initiate emergency medical services. Immediate jeopardy was removed on [DATE] when the facility implemented a credible allegation of immediate jeopardy removal. The facility remains out of compliance at a lower scope and severity level of D (no actual harm with potential for more than minimal harm that is not immediate jeopardy) to ensure education and monitoring systems put into place are effective. The findings included: Resident #8 was admitted to the facility…

  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
• Immediate jeopardy · Jcited before2024-05-22 · 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 2. Resident #1 was admitted to the facility on [DATE] with diagnoses that included dementia with agitation, bipolar disorder, anxiety disorder, insomnia, history of falling, difficulty walking, unsteadiness on feet, muscle weakness, panic disorder, schizoaffective disorder, and cognitive communication deficit. A review of the facility floor plan revealed Resident #1 resided on the 200 hall unit near the 100/200 hall nurses station and approximately 7 resident rooms from the 200 hall emergency exit door. An elopement risk assessment was completed on the following dates prior to her recent readmission: [DATE] and 11/26/23. Resident #1 was determined to be at risk for elopement on both assessments. A review of Resident #1's Admission/readmission Nursing assessment dated [DATE] revealed she had risk alerts for falls and may attempt to exit with wandering listed under mood and behaviors. A review of Resident #1's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #1 had moderate cognitive…

  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
• Immediate jeopardy · Jcited before2024-05-22 · tag F0726 — failed to have competent, trained nursing staff — isolated
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, and staff interviews, the facility failed to ensure nursing staff were trained and competent with responding to medical emergencies, activating emergency procedures with emergency medical services, and notifying medical providers for 1 of 4 residents (Resident #8) reviewed for neglect. Nursing staff failed to notify a medical provider of significant changes in a resident's condition who was observed to be unresponsive to painful stimuli, having low oxygen saturation level and pupil constriction, and failed to immediately initiate emergency procedures with 911. Resident #8 expired on [DATE]. This was for 2 of 2 staff members reviewed for competency (Nurse #20 and Nurse #14). Immediate jeopardy began on [DATE] when nursing staff did not demonstrate competency in responding to a medical emergency. The immediate jeopardy was removed on [DATE] when the facility implemented an acceptable credible allegation of immediate jeopardy removal. The facility remains out of compliance at a lower scope…

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

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2023-11-21 · 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 observations, record review, staff, friend, Physician Assistant (PA), and Medical Director (MD) interviews, the facility failed to prevent a resident with severe cognitive impairment and a history of wandering and exit seeking behaviors, from exiting the facility unsupervised and without staff knowledge for 1 of 3 sampled residents (Resident #2). During the evening hours on 08/11/23, the Business Office Manager observed Resident #2 approximately 150 yards from the facility walking in the direction of a two-lane main road approximately 100 yards away. The Business Office Manager was able to intercept and escort Resident #2 back to the facility before he reached the two-lane main road which was located on a blind curve and directly across the two-lane road was a wooded area. The posted speed limit sign on the main road was 35 miles per hour (mph) and in the blind curve the posted speed limit was 25 mph. Immediate jeopardy began on 08/11/23 when Resident #2 exited the facility unattended and wandered…

  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 before2024-07-30 · 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 reviews, observations, and interviews with residents and staff, the facility failed to treat residents in a dignified manner when staff did not allow Resident #51, Resident # 77 and Resident # 8 to leave their rooms due to the facility running out of oxygen tanks for 3 days. Resident # 51 stated she was very upset because she was unable to leave her room to go to church or do any of her daily routine and it made her feel very depressed. She stated that she felt like a caged animal having to stay in her room and felt anxiety over it. Resident #77 stated he had to stay in his room for all those days and was very bored and upset and did not feel it was right for the facility to not have portable tanks so he could do his daily business. Resident #8 stated he had to stay in his room for all those days and was very bored and upset and did not feel it was right for the facility to not have portable tanks so he could do his daily business. In addition, the facility failed to treat Resident #34 in a…

  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 · Gcited before2024-05-22 · 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 reviews, staff, family, Pharmacist and Medical Director interviews the facility failed to obtain an antianxiety medication from the pharmacy which caused a resident to miss 3 doses of antianxiety medication for 1 of 5 residents (Resident #7) reviewed for medication errors. This failure resulted in Resident #7 experiencing feelings of panic, sweatiness, crying, shaking and asking for assistance from family to calm down. The findings included: Resident #7 was admitted to the facility on [DATE] with diagnoses including anxiety disorder. Review of Resident #7's physician orders revealed an order dated 04/30/23 for lorazepam one milligram (mg) every twelve hours as needed for anxiety and an order dated 05/01/23 for lorazepam one mg by mouth three times a day for anxiety. The quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #7 was cognitively intact, had unclear speech, was usually able to make himself understood, and was able to understand others. The MDS also indicated…

  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 before2024-05-22 · 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, Medical Director, and family interviews the facility failed to ensure a resident was free of significant medication errors due to failing to administer three scheduled lorazepam (antianxiety medication) doses. The deficient practice was for 1 of 5 residents reviewed for medication errors (Resident #7). This failure resulted in Resident #7 experiencing feelings of panic, sweatiness, crying, shaking and asking for assistance from family to calm down. The findings included: Resident #7 was admitted to the facility on [DATE] with diagnoses including anxiety disorder. Review of Resident #7's physician orders revealed an order dated 04/30/23 for lorazepam one milligram (mg) every twelve hours as needed for anxiety and an order dated 05/01/23 for lorazepam one mg by mouth three times a day for anxiety. The quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #7 was cognitively intact, had unclear speech, was usually able to make himself understood, and was able 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2023-11-30 · 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, observation, and interviews with resident, staff, and the Medical Director, the facility failed to use a mechanical lift to transfer a non-ambulatory resident (Resident #1) for 1 of 3 residents reviewed for accidents. Resident #1 sustained a distal femoral periprosthetic (structure in close relation to an implant) fracture of the left knee after Nurse Aide #1 attempted to transfer her from bed to wheelchair by putting his hands on her and supporting her by holding the back of her pants after her knees buckled as soon as she stood up. The findings included: Resident #1 was admitted to the facility on [DATE] with diagnoses that included cerebral infarction (stroke), generalized muscle weakness, and cognitive communication deficit. Resident #1's care plan initiated on 7/18/23 indicated Resident #1 had an activities of daily living self-care performance deficit related to stroke. She did not stand or ambulate. She preferred to remain in bed much of the time. Resident #1 required mechanical…

  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 · G2023-11-21 · 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 observations, record review, and staff and Physician Assistant (PA) #1 interviews the facility failed to administer pain medication to Resident #1 after he yelled out loudly in pain and grabbed his right hip. A mobile x-ray completed at the facility noted a right hip fracture. No pain medication was administered to Resident #1 until he was evaluated at the hospital emergency department for treatment of the right hip fracture later that day. This deficient practice occurred for 1 of 4 residents reviewed for supervision to prevent accidents (Resident #1). The findings included: Resident #1 admitted to the facility on [DATE]. He had diagnosis that included history of pulmonary embolism, dementia, acute deep vein thrombosis, anxiety, restlessness, and agitation. Review of a physician order dated 07/30/23 read; Acetaminophen (Tylenol) 325 milligram (mg) give 650 mg by mouth every four hours as needed for pain. Review of the admission Minimum Data Set (MDS) assessment dated [DATE] revealed 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
• Actual harm · Gcited before2023-10-18 · 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 observation, record review, resident, and staff interviews, the facility failed to treat a resident in a respectful and dignified manner when the Social Worker completed a Brief Interview for Mental Status (BIMS) assessment on 1 of 3 residents (Resident #12) reviewed for dignity and respect. This occurred while he was in the therapy gym with other residents and therapists in the same area of the gym. Resident #12 stated it made him feel embarrassed, singled out, and targeted. The findings included: Resident #12 was admitted to the facility on [DATE] with diagnoses which included type II diabetes mellitus, chronic pain, low back pain, and cellulitis. A Minimum Data Set (MDS) assessment had not been completed; however, according to the initial nursing assessment completed on 10/06/23, Resident #12 was alert and oriented to person, place, time, and situation. The assessment also revealed the resident required extensive assistance with transfers and his mobility was in a wheelchair. An observation 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-08-14 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  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 submit accurate payroll data on the Payroll Based Journal (PBJ) report to the Centers for Medicare and Medicaid Services (CMS) related to Registered Nurse (RN) and licensed nursing coverage 24 hours per day for 1 of 1 Federal Fiscal Year quarter reviewed for sufficient nurse staffing (Quarter 2: January 1 - March 31, 2025).The findings included: The PBJ report for the Federal Fiscal Year Quarter 2 2025 (January 1 through March 31) revealed there were no Registered Nurse (RN) hours for 01/09/25, 02/21/25, 02/22/25, 02/23/25, 02/24/25, 02/25/25, 02/26/25, 02/27/25, 02/28/25, and the entire month of March 2025. The PBJ report also noted the facility failed to have licensed nursing coverage 24-hours a day for 02/21/25, 02/22/25, 02/23/25, 02/24/25, 02/25/25, 02/26/25, 02/27/25, 02/28/25, and the entire month of March 2025. Review of the daily staff schedule for 01/09/25 revealed there was no RN onsite. Review of the daily staff schedules and associated time clock detailed reports for 02/21/25, 02/22/25, 02/23/25,…

  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 · Dcited before2025-08-14 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each 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 observations, record review and interviews with staff and residents, the facility failed to keep a pull cord for the light above the bed within reach for 2 of 2 residents reviewed for accommodation of needs (Residents #92 and #41).a. Resident #92 was originally admitted to the facility on [DATE]. The quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #92 had moderate cognitive impairment and had no impairment of her upper extremities. On 8/11/25 at 10:10 AM an observation and interview were conducted with Resident #92. It was observed in her room that her bed was moved towards the center of the room with the headboard up against the wall and the pull cord for the light above her bed hung against the wall on her right side. The pull cord was approximately 15 inches long and was not within reach of Resident #92 when she was in the bed. Resident #92 was asked about the light and if she would like to be able to turn the light on and off herself, and she stated she wanted to but…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-14 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to ensure code status information was accurate throughout the medical record for 1 of 1 resident reviewed for advance directives (Resident #12).The findings included:Resident #12 was admitted to the facility on [DATE].Resident #12's advance directive care plan, initiated on [DATE], indicated she was a full code. Interventions included to perform cardiopulmonary resuscitation (CPR) if the resident's heart stopped beating and the medical record would indicate the resident's wishes.The admission Minimum Data Set (MDS) assessment dated [DATE] assessed Resident #12 with moderate impairment in cognition. Review of Resident #12's electronic health record (EHR) revealed a physician's order dated [DATE] for a code status of Do Not Resuscitate (DNR). The profile section of Resident #12's EHR also indicated a code status of DNR.Review of the Code Status binder kept at the nurses' station revealed Resident #12 had a DNR form signed by the physician with an…

  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 before2025-08-14 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  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 offer, administer, or document the Pneumococcal vaccine for 1 of 5 residents reviewed for immunizations (Resident #15).The facility policy for Pneumococcal Vaccine revised October 2019 read prior to upon admission, residents will be assessed for eligibility to receive the pneumococcal vaccine series, and when indicated, will be offered the vaccine series within 30 days of admission to the facility unless medically contraindicated or the resident has already been vaccinated. Resident #15 was admitted to the facility on [DATE]. The 5-day Minimum Data Set, dated [DATE] indicated he was cognitively intact. The pneumococcal vaccine section was coded as offered and declined. Review of Resident #15's electronic health record revealed no signed consent, administration, or refusal documentation for the Pneumococcal vaccine. An interview on 8/14/25 at 12:52 PM with Resident #15 revealed he usually kept his immunizations up to date and had 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-08-14 · tag F0887 — isolated
  Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
  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 determine the status of Resident #15's Covid-19 vaccination to determine if Resident #15 was eligible to receive a dose of the Covid-19 vaccine for 1 of 5 residents reviewed for immunizations (Resident #15).Resident #15 was admitted to the facility on [DATE]. The 5-day Minimum Data Set assessment dated [DATE] indicated Resident #15 was cognitively intact. The Covid-19 vaccine section was coded as the resident was not up to date. Review of Resident #15's electronic health record revealed no signed informed consent, record of administration, or documentation of refusal for the Covid-19 vaccine. The medical record also contained no evidence of past Covid-19 vaccinations that had been administered. An interview on 8/14/25 at 12:52 PM with Resident #15 revealed he usually kept his immunizations up to date and had received prior Covid-19 vaccines. He also revealed he had not been offered the Covid-19 vaccine since his admission to the facility.…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-07-30 · tag F0584 — failed to keep a safe, clean, comfortable home — widespread
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  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 interviews with resident and staff the facility failed to maintain the wall and ceiling in sanitary condition at 1 of 2 nursing stations (nursing station #1). The facility failed to manage outside water drainage to prevent outside storm water from flooding into 1 of 4 hallways (Hallway #2), 1 of 1 dining room, and 2 of 2 resident rooms (room [ROOM NUMBER] and room [ROOM NUMBER]). Furthermore, the facility failed to clean ceiling air vents located over the food prep and food service area that had a large amount of dark black substance visible on the outside of 3 of 6 vents. The facility also failed to maintain a footboard in good repair for 1 of 1 bed (Resident #37's bed) and failed to maintain a wheelchair in good repair for 1 of 1 resident (Resident #6) reviewed for a safe, clean, comfortable and homelike environment. These deficient practices had the potential to affect all residents residing in the facility. Findings included: 1. An observation on 7/7/24 at 2:40 PM 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-07-30 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and interviews with staff the facility failed to establish an infection control policy for or implement Enhanced Barrier Precaution (EBP) precautions when Nurse #4 was observed providing care to a resident with a feeding tube (Resident #43) and nursing assistant (NA) #1 failed to wear a gown while performing urinary catheter care and failed to change gloves or perform hand hygiene following catheter care and prior to replacing and touching clean bedding (Resident #80). The facility also failed to implement their hand hygiene policy when they did not provide hand hygiene for a resident who was dependent on staff for hand hygiene prior to eating (Resident #45). This deficient practice occurred for 3 of 3 residents reviewed for infection control. Findings included: 1. a. Review of the facility's infection control policy and procedures revealed no policy for enhanced barrier precautions (EBP). An interview on 7/08/24 at 1:45 PM with the Corporate Nurse revealed she was aware of the EBP requirement and that there was no facility EBP policy. She…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-07-30 · 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 ensure ready-for-use metal pans and cooking pots were clean and not stacked wet. This occurred for 1 of 2 kitchen observations. They failed to discard opened food items ready for use within 7 days of opening and failed to discard spoiled produce with white growth in 1 of 1 walk in refrigerators in the kitchen. They also failed to discard 2 loaves of bread with green growth in 1 of 1 dry storage rooms. These practices had the potential to affect food served to residents. The findings included: 1. An initial tour of the kitchen occurred on 7/7/24 at 10:30 AM with the Cook. The initial observation of the dishware storage area, cold food storage, and dry food storage revealed the following: a. Dishware that was ready for use was put away and stacked wet (wet-nested). - 4 out of 7 small square metal pans - 2 out of 5 large rectangle metal pans - 3 out of 3 deep small rectangle metal pans - 2 out of 3 deep small square metal pans b. Dishware that was ready for use was put away and/or stacked dirty. - 2 out of 3 large deep…

  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 · D2024-07-30 · tag F0553 — failed to let residents help plan their care — isolated
  Allow resident to participate in the development and implementation of his or her person-centered plan of care.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and interviews with resident and staff, the facility failed to invite residents and/or their resident representative to participate and provide input in care planning for 2 of 4 residents reviewed for care planning (Resident #27 and Resident #37). The findings included: 1. Resident #27 was admitted to the facility on [DATE]. A review of Resident #27's medical record revealed her last care plan meeting was held on 3/14/24. Resident #27's care plan was last revised on 5/16/24. The quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #27 was cognitively intact. An interview with Resident #27 on 7/7/24 at 10:38 AM revealed she had not been to a care plan meeting recently. An interview with the Social Worker (SW) on 7/9/24 at 8:21 AM revealed she was responsible for scheduling the care plan meetings. The SW stated that when she started working at the facility in June 2024, she was given a list of residents whose care plan meetings needed to be done because a staff member…

  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 before2024-07-30 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each 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 observation, record review, and interviews with resident and staff, the facility failed to ensure a dependent resident could access a light switch located behind her bed for 1 of 1 resident reviewed for accommodation of needs (Resident #60). Resident #60 was admitted to the facility on [DATE]. Review of Resident #60's medical records revealed she had moved to her current room on 08/07/23. The annual Minimum Data Set (MDS) dated [DATE] coded Resident #60 with intact cognition. The MDS indicated Resident #60 with impairment for both sides of her lower extremities and walking between locations inside the room for more than 10 feet did not occur during the assessment period. During an observation conducted on 07/07/24 at 10:50 AM, the switch for the light fixture behind Resident #60's bed on the wall approximately 5 feet from the floor and 6 feet from the bed was attached with a cord approximately 4 inches in length. Resident #60 was unable to reach the switch cord from the bed if needed. An interview 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

“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

$359,818 in federal fines across 4 penalties. 2 Medicare payment denials on record.

• $325,563 — penalty dated 2024-05-22
• $7,901 — penalty dated 2023-10-18
• $10,065 — penalty dated 2023-10-18
• $16,289 — penalty dated 2023-10-18
• Medicare payment denial — starting 2024-06-14 for 67 days
• Medicare payment denial — starting 2024-01-04 for 1 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 REGIONAL HEALTH PROPERTIES — 5 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 9 rows in the source record cover these 6 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 81% 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 $233K 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