Walnut Cove Health and Rehabilitation

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.

46.6% 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 33 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.32 therapist hours per resident per day in 2026Q1 — more than 53% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% 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 90 beds and averages 87.8 residents a day — about 98% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 2.96 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.42 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.83 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 2.65 hrs/resident/day on weekends vs 3.08 on weekdays — 14% thinner on weekends. RN hours go from 0.47 to 0.29 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% is about the same as the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

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

Inspection deficiencies

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

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

23 citations, most serious first. The 13 most serious are shown; the remaining 10 are one tap away and print in full.

• Immediate jeopardy · Jcited before2024-12-18 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews with facility staff including Transport Aide/Driver #1, the facility failed to ensure the lift gate/platform was in the elevated position before unloading a resident from the back of the facility van for 1 of 3 residents sampled for accidents (Resident #1). On 10/24/24 Transport Aide Driver #1 pushed Resident #1 backwards out of the van and he fell approximately 17 and ½ inches out of the transport van to a lift platform that was located on the ground. Resident #1 fell out of his wheelchair and landed on his left side with half of his body on the lift platform and the other half of his body on the asphalt, and he struck his head on the asphalt. Resident #1 was prescribed and administered a blood thinner twice a day which increases the risk of bleeding. After being assessed by the nurse, the resident was transported to the hospital via Emergency Medical Services (EMS) transport and at the hospital. Resident #1 was found to have sustained a subarachnoid…

  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
• Immediate jeopardy · Jcited before2024-07-15 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, staff and resident interviews and a life safety surveyor interview the facility failed to ensure the safety of residents in the designated smoking area of the facility when a staff member supervising the residents who smoked lit Resident #78's cigarette and allowed the resident to smoke with a combustible tank of compressed oxygen attached to the back of her wheelchair while she sat in the wheelchair. Residents who were also smoking were seated near the oxygen tank. The oxygen tank was turned off while the residents smoked. Even if turned off, it is not safe to smoke around an oxygen tank, oxygen-enriched levels can remain on tubing, clothing, hair, and skin increasing the risk for fire and/or explosion. Supplemental oxygen can make fires burn faster and hotter. This practice was for 1 of 8 sampled residents but placed 7 additional residents at risk for the high likelihood of serious injury or harm. Immediate jeopardy began on 6/26/24 when a staff member lit Resident #78's…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2023-12-14 · 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, and resident, family, staff, Psychiatric Nurse Practitioner and Law Enforcement interviews the facility failed to protect a resident's right to be free from physical abuse when Nurse Aide (NA) #1 and NA #2 forcefully turned Resident #1 causing her forehead and left knee to hit the wall. The two NAs continued to provide incontinence care after the resident yelled and screamed for them to stop. Resident #1 reported she no longer felt safe when new staff came in to provide care to her. One of three sampled residents were affected by the deficient practice (Resident #1). The findings included: Resident #1 was admitted to the facility on [DATE]. The Resident was discharged to the hospital on [DATE] and readmitted to the facility on [DATE]. She was admitted with diagnoses that included acute cystitis, unspecified dementia without behavioral disturbances, fibromyalgia, lack of coordination, muscle weakness, chronic pain syndrome and osteoarthritis. Resident #1's care plan dated…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Potential for harm · D2025-08-21 · 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 reviews, and staff, resident and resident RP (Responsible Party) interviews, the facility failed to protect a resident's right to be free from misappropriation of property leading to a monetary loss of $1309.99 for 1 of 3 residents reviewed for misappropriation of resident property (Resident #23).The findings included:Resident #23 was admitted to the facility on [DATE] with diagnoses that included cerebral infarction.Resident #23's admission Minimum Data Set (MDS) assessment revealed she was cognitively intact.The facility 24 Hour Initial Allegation Report completed by the Administrator dated 6/25/25 revealed the Director of Nursing was notified of an allegation that Resident #23 reported a missing debit card on 6/25/25 at 5:56 PM. The Administrator was notified on 6/25/25 by the Director of Nursing about the allegation. The report noted Resident #23's RP (Responsible Party) informed her there were potentially unauthorized charges on her debit card. Resident #23's RP informed her she had called…

  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 · D2025-08-21 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  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 resident and staff interviews, the facility failed to develop a person-centered care plan in the areas of diabetes management (Resident #13) and smoking status (Resident #23). This deficient practice was for 2 of 29 residents whose care plans were reviewed. The findings included: 1. Resident #13 was admitted to the facility on [DATE] with diagnoses which included diabetes. An active physician order included insulin glargine (long-acting insulin) inject 15 units subcutaneously in the morning related to diabetes. An active physician order included insulin glargine inject 20 units subcutaneously at bedtime for diabetes. An active physician order included metformin (medication used to treat diabetes) 500 milligram tablet; give one tablet twice a day for diabetes. Resident #13’s care plan which was last reviewed on 7/08/25 revealed no care plan for the management of diabetes. The Minimum Data Set (MDS) quarterly assessment dated [DATE] revealed Resident #13 had moderate…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-21 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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, resident and staff interviews, the facility failed to revise the care plan in the areas of use of a wander/elopement alarm (Resident #13) and smoking status (Resident #39) for 2 of 29 residents whose care plans were reviewed. The findings included:1. Resident #13 was admitted to the facility on [DATE] with diagnoses which included Alzheimer's Disease. The Elopement Risk Evaluation assessment completed on 6/24/25 revealed Resident #13 was not determined to be at risk for elopement. The care plan which was last reviewed on 7/08/25 revealed Resident #13 had a care plan in place for elopement risk with an intervention for the use of a wander/elopement alarm. The Minimum Data Set (MDS) quarterly assessment dated [DATE] revealed Resident #13 had moderate cognitive impairment and was not coded for the use of the wander/elopement alarm. Review of Resident #13's active physician orders revealed no physician order for the use of a wander/elopement alarm.An observation on 8/18/25 at…

  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 · F2024-07-15 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 3. a) An observation of the long hall nourishment room on 6/24/24 at 10:37 am in the presence of Nurse Aide (NA) #2 revealed black dried powdery substance on a white blanket crammed behind the ice machine. The same black dried powdery substance was noted on the wall behind the pipes that were attached to the ice machine. The plastic baseboard under the pipes behind the ice machine was peeling off the wall. The black dried powdery substance was observed between the wall and the baseboard that was peeling off. The floor tiles in the nourishment room were dull and had debris. NA #2 stated she did not know what the black stuff was. b) An observation of the corner wall opposite the ice machine on 6/24/24 at 10:37 am in the presence of NA #2 revealed black dried powdery substance under the refrigerator and behind it. The plastic baseboard on the side of the refrigerator was peeling off and black dried powdery substance was noted in between the wall and the baseboard that was peeling off. Parts of the floor tiles under…

  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 · D2024-07-15 · tag F0561 — failed to honor residents' choices — isolated
  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  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 reviews, residents and staff interviews, the facility failed to honor 1 resident (Resident #30) of 2 residents reviewed for safe smoking the right to take smoking breaks at their preferred times. Findings included: Resident #30 was admitted to the facility on [DATE]. Review of the facility's Smoking Evaluation dated 5/22/24 indicated Resident #30 was alert, oriented and could consistently perform safe smoking techniques. The resident demonstrated fine motor skills needed to light a cigarette safely with a lighter, securely hold a cigarette, and was able to communicate the risks associated with smoking. The facility assessed Resident #30 as a safe smoker. The care plan dated 5/28/24 revealed Resident #30 was educated on the facility's smoking policies and was able to verbalize smoking safety. Interventions included: the resident will smoke during designated smoking times; and required constant supervision while smoking. The quarterly minimum data set (MDS) dated [DATE] 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-15 · tag F0585 — failed to handle grievances — isolated
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews and record reviews, the facility failed to document the steps taken to investigate a complaint/grievance expressed on behalf of a resident, the findings or conclusions reached based on the investigation, and whether the investigation results were reported to the complainant with a written grievance decision. This occurred for 1 of 1 resident reviewed for grievances (Resident #284). The findings included: A review of the facility's Complaint / Grievance Policy and Procedure (Document Name: N-1042; Revised on 10/24/22) was conducted. The Policy stated, The Center will support each resident's right to voice a complaint / grievance without fear of discrimination or reprisal. The center will make prompt efforts to resolve the complaint / grievance and informed [inform] the resident of progress towards resolution The resident should have reasonable expectations of care and services and the center should address those expectations in a timely, reasonable, and consistent manner The Procedures…

  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 · D2024-07-15 · tag F0606 — failed to not employ staff found guilty of abuse — isolated
  Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and staff interviews the employee file was missing evidence of pre-employment screening documents for history of abuse, neglect, exploitation, or misappropriation of residents on a staff reviewed for allegation of staff to resident abuse (Nurse Aide #1). The findings included: The facility's policy on abuse, neglect, exploitation and misappropriation dated 11/30/14 and revised on 11/16/22 was reviewed during the survey. The screening paragraph stated persons applying for employment will be screened for a history of neglect, exploitation, or misappropriation of resident property. This includes but not limited to employment history, criminal background checks, abuse check with appropriate licensing board and registries prior to hire, sworn disclosure statement prior to hire, licensure or registration verification prior to hire, documentation of status of any disciplinary actions form licensing or registration boards and other registries, information from former employees. Review of NA #1's employee file revealed he was hired by the facility on 9/4/19. 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-07-15 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  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 report an initial allegation of staff to resident abuse to Adult Protective Services (APS) for 1 of 5 residents reviewed for abuse (Resident #71). The findings included: A review of the facility's Abuse, Neglect, Exploitation and Misappropriation policy, last revised 11/16/22, revealed the Administrator ensured the reporting is completed timely and appropriately to appropriate officials in accordance with Federal and State regulations. Resident #71 was admitted on [DATE]. The facility's Executive Director completed an Initial Allegation Report to the State Agency on 6/16/24. The report designated the type of allegation as Resident Abuse and indicated the facility became aware of the allegation on 6/16/24 at 6:15 pm. Allegation details revealed Nurse Aide #1 (NA) was rough to Resident #71 when assisting him back to bed that morning on 6/16/24. The facsimile receipt provided by the facility was dated and timed as 6/16/24 at 8:11pm when the report…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-15 · tag F0636 — isolated
  Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews and record review, the facility failed to complete a comprehensive Minimum Data Set (MDS) assessment at least every 12 months for 1 of 34 residents (Residents #29) whose MDS assessments were reviewed. The findings included: Resident #29 was admitted to the facility on [DATE]. Her cumulative diagnoses included non-traumatic brain dysfunction, Alzheimer's dementia, and manic depression. A review of Resident #29's Minimum Data Set (MDS) assessments revealed her last comprehensive (annual) assessment was dated 5/4/23. The resident's electronic medical record (EMR) indicated on the date of the review (6/24/24), her next comprehensive MDS assessment dated [DATE] had not yet been completed. The EMR included a banner at the top of the listing of Resident #29's MDS assessments which read: Next Full: ARD (Assessment Reference Date): 5/4/2024 39 days overdue [calculated from 5/4/24 to 6/12/24]. An interview was conducted on 6/26/24 at 8:49 AM with the facility's MDS Coordinator. The MDS…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-07-15 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on staff interviews and record reviews, the facility failed to accurately complete a Minimum Data Set (MDS) assessment to reflect the use of an anticoagulant and antipsychotic medication for 1 of 5 residents (Resident #54) reviewed for unnecessary medications and failed to accurately complete a Minimum Data Set (MDS) assessment to reflect a resident's cognitive mental state for 1 of 23 residents (Resident #59) reviewed for MDS accuracy. The findings included: 1. Resident #54 was admitted to the facility on [DATE]. The resident's cumulative diagnoses included a history of transient ischemic attack (a temporary condition caused by a reduction in blood flow to a portion of the brain) and cerebral infarction (a stroke which may occur because of disrupted blood flow to the brain), atrial fibrillation (a type of heart arrhythmia), major depressive disorder, and psychotic disturbance. A review of Resident #54's electronic medical record (EMR) revealed the following physician orders were received as follows: --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.

  Resident Assessment and Care Planning 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

$40,149 in federal fines across 3 penalties.

• $16,801 — penalty dated 2024-12-18
• $8,827 — penalty dated 2024-07-15
• $14,521 — penalty dated 2023-12-14

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 AVARDIS HEALTH — 38 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 25 rows in the source record cover these 16 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.

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.

About 83% 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 $529K 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