Davis Health Care Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

68.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 340 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 32.1% 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 131 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 0.34 therapist hours per resident per day in 2026Q1 — more than 58% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 37% 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 115 beds and averages 108.0 residents a day — about 94% occupied, or roughly 7 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 3.64 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.61 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.07 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 3.35 hrs/resident/day on weekends vs 3.75 on weekdays — 11% thinner on weekends. RN hours go from 0.67 to 0.45 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 65% is well above 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 more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

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

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

22 citations, most serious first. The 14 most serious are shown; the remaining 8 are one tap away and print in full.

• Immediate jeopardy · J2026-06-23 · 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 interviews with staff, Nurse Practitioner and Responsible Party (RP), the facility failed to protect the residents' right to be free of resident-to-resident physical abuse for 2 of 2 residents (Resident #110 and Resident #14) reviewed for abuse. Resident #110 (a female resident with severe cognitive impairment) had a history of following Resident #14 (a male resident with cognitive impairment) around the facility, getting close to him, and entering his room at night. Staff reported Resident #14 would get irritated and try to get away from Resident #110. On 6/5/26 Resident #110 was observed poking Resident #14 in the face with her finger and yelling. Resident #14 grabbed Resident #110's wrist, followed by Resident #110 grabbing Resident #14's left arm digging in her nails, and Resident #14 hitting Resident #110 on her face. Resident #14 had scattered bruising and a small skin tear to the arm and Resident #110 had reddened areas to her face following the 6/5/26 altercation.…

  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 · Jcited before2025-10-20 · 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 staff, resident, Physician and Wound Care Specialist, the facility failed to identify an environmental hazard and supervise Resident #1. Resident #1 was newly admitted to the nursing home, severely cognitively impaired and blind. On 10/11/25, Nurse Aide (NA) #1 placed Resident #1, who was seated in his wheelchair, in front of the lit fireplace in the dining room after he expressed feeling cold. NA #1 then left to assist another nurse aide, leaving Resident #1 unsupervised. While unattended, Resident #1 tipped his wheelchair over backward, falling against the fireplace. His head, back, and shoulders came into contact with the hot mesh grate. Resident #1 yelled out. Resident #2 was on the other side of the fireplace and yelled for help from staff. NA#1 responded and alerted Nurse #1. Resident #1 told NA #1 his head was burning. Nurse #1 responded, and moved Resident #1 away from the fireplace. Emergency Medical Services (EMS) were contacted. Upon arrival,…

  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 · G2026-06-23 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  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 and Nurse Practitioner interviews, the facility failed to ensure two cognitively impaired residents were free from the use of physical restraints. A staff member applied gait belts around the residents' abdomen and secured the belts to the back frames of their wheelchairs, restricting their freedom of movement and preventing them from independently rising from the chairs. The residents were unable to remove the belts on their own. There was no physician's order, assessment, care plan or clinical justification for restraint use. This deficient practice occurred for 2 of 2 residents (Resident #3 and Resident #95) reviewed for restraint use. A reasonable person would have felt fear, loss of autonomy, helplessness, and a loss of dignity when physically restrained in a wheelchair without the ability to remove the device or move freely.Findings included:Resident #3 was admitted to the facility on [DATE] with diagnoses including dementia and generalized anxiety. Resident #3'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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2024-02-08 · 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 observations, record review and staff interviews the facility failed to treat a resident with dignity and respect when Nurse #3 spoke to a resident (Resident #41) in a demeaning way when she demanded the cognitively impaired resident to pick up food and dishes that the resident had thrown on the floor for 1 of 2 residents observed for dignity. This action would have caused a reasonable person psychosocial harm such as feelings of shame, humiliation, agitation, and degradation. Findings included: Resident #41 was admitted to the facility on [DATE]. Diagnoses included, in part, vascular dementia with behavioral disturbance, restlessness and agitation, Alzheimer's Disease, mild intellectual disabilities, and anxiety. A review of Resident #41's care plan written on 11/30/21 and last reviewed on 01/30/24 revealed a plan of care for the ability to self-propel in wheelchair with approaches to include that staff will allow resident to self-propel wheelchair as desired. Resident has episodes of verbal…

  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 · Ecited before2026-06-23 · tag F0565 — failed to support the resident council — pattern
  Honor the resident's right to organize and participate in resident/family groups in the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, and staff and resident interviews, the facility failed to communicate the efforts to address and resolve concerns that were reported during Resident Council Meetings for 6 of 8 months of Resident Council Meeting minutes reviewed (October 2025, November 2025, December 2025, January 2026, February 2026, March 2026, April 2026, May 2026).Finding included:a. The Resident Council Minutes dated 10/23/25 indicated in the notes section of the form that the following concerns were voiced: the laundry was not being put away after being washed and the food was cold. Staff in attendance at the meeting were the Activities Director, Activities Assistant, Administrator, Director of Nursing (DON), Dietitian, Environmental Services Supervisor (EVS), and Food Services Director. b The Resident Council Minutes dated 11/20/25 did not indicate that a response was provided to the council regarding the concerns that were voiced on 10/23/25 or any follow-up that the facility completed. Staff in attendance were the Activities Assistant, Administrator, Dietitian, EVS, and Food Services…

  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 · E2026-06-23 · tag F0602 — failed to protect residents from theft of their belongings — pattern
  Protect each resident from the wrongful use of the resident's belongings or money.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and resident, staff, the Pharmacy Quality Assurance Representative, Pharmacy Nurse Consultant and Nurse Practitioner interviews, the facility failed to protect resident's right to be free from misappropriation of narcotic pain medications (oxycodone). This deficient practice occurred for 2 of 2 residents reviewed for misappropriation of controlled medications (Resident #125 and Resident #87). Findings included: a.) Resident # 125 was admitted to the facility on [DATE] with diagnoses including lower lumbar radiculopathy (any pinched nerve root in the lower back). A physician's order for Resident #125 dated 3/3/26 revealed oxycodone 10 milligram (mg) tablets, to give one tablet by mouth three times a day for lumbago/sciatic pain, (a specific presentation of lower lumbar radiculopathy) with a start date of 3/3/26 and an end date of 4/1/26. A packing slip and delivery receipt from the dispensing pharmacy revealed on 3/3/26 that a total of 90 oxycodone 10 mg tablets (3 cards of 30 tablets…

  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 · E2026-06-23 · tag F0607 — failed to have anti-abuse policies — pattern
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and staff and Nurse Practitioner interviews the facility failed to implement its abuse policy and procedures in the areas of reporting to the Administrator, reporting to the regulatory agency, law enforcement and Department of Social Services Adult Protective Services and provide protection for: 1.) An injury of unknown origin in a cognitively impaired resident (Resident #14) who sustained fractures of the left radius and ulna without any documented or reported fall, and was not reported to the Administrator. 2.) Two (2) separate incidents of resident-to-resident abuse between Resident #14 and Resident #110 in a special care unit that resulted in injuries to both residents and a hospital evaluation for Resident #110. None of these 3 incidents were reported to the North Carolina Division of Health Service Regulation or Adult Protective Services (APS as required), and 3.) failed to thoroughly investigate a reported incident of resident abuse involving improper restraint use at the time 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-23 · tag F0627 — isolated
  Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
  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, Psychiatric Nurse Practitioner interview, and staff interviews, the facility failed to permit a resident to return to the facility after being transferred to the hospital for a psychiatric evaluation due to aggressive behaviors toward other residents for 1 of 2 residents reviewed for hospitalization (Resident #1).Findings included:Resident #1 was admitted to the facility on [DATE] with cumulative diagnoses that included generalized anxiety, Alzheimer's disease, dementia with behavioral disturbance, restlessness and agitation, recurrent moderate major depressive disorder, disorientation and insomnia.An admission Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #1 had severely impaired cognition. No mood issues were identified. Other behavioral symptoms not directed toward others and wandering occurred on 1 to 3 days and the resident was noted with no change in behavior or other symptoms compared to a prior assessment. The resident had functional impairment with range 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 · Dcited before2026-06-23 · 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, staff and Nurse Practitioner (NP) interviews, and record review, the facility failed to ensure a safe environment free of accident hazards for 1 of 5 residents reviewed for accidents (Resident #25), when a can of WD-40 (a penetrating oil used to lubricate metal surfaces and highly flammable) was observed in Resident #25's room in an area easily accessible to other cognitively impaired residents, creating the potential for accidental ingestion, misuse, or exposure. This deficient practice had the potential to affect all residents on the unit.Findings included:Resident #25 was admitted to the facility on [DATE] with bilateral below the knee (BKA) amputations.Resident #25's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed he was cognitively intact and used an electric wheelchair for mobility.The label on the can of WD-40 read in part to keep the product out of reach of children. The contents are, flammable and to keep it away from heat, sparks, flames, etc. It further read…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-23 · tag F0744 — failed to care for residents with dementia — isolated
  Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, and interviews with staff, Nurse Practitioner and Psychiatric Nurse Practitioner, the facility failed to address a psychiatric Nurse Practitioner recommendation to increase the medication trazadone (an antidepressant used to manage restlessness and anxiety and is used as a sleep aid) for a resident (Resident # 110) diagnosed with dementia who had a known pattern of wandering behaviors and nighttime sleep disturbance. This deficient practice was for 1 of 1 resident (Resident # 110) sampled for dementia care.Findings included:Resident #110 was admitted on [DATE] with diagnoses which included dementia, anxiety, restlessness, and agitation.A physician order in Resident #110's electronic health record dated 11/23/25 written by the Nurse Practitioner indicated trazadone 50 mg at bedtime daily. A pharmacy recommendation dated 2/6/26 indicated that Resident #110 received trazadone 50 milligrams (mg) at bedtime. The recommendation stated to consider dose reduction if appropriate. 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-23 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and staff interviews, the facility failed to record the opened date on an insulin pen and discard an expired bottle of an ophthalmic solution (eye drops), according to the manufacturer's guidelines, and discard an expired bottle of a proton pump inhibitor (a medication that decreases the amount of acid produced in the stomach). This was observed on 1 of 3 medication carts (200 hall medication cart) reviewed for medication storage. Findings Included: Review of the manufacturer's guidelines for Insulin Glargine (Lantus) pens instructed to discard 28 days after opening. Review of the manufacturer's guidelines for Polyvinyl 1.4 % ophthalmic solution instructed to discard 90 days after opening. An observation of the 200-hall medication cart on 6/17/26 at 10:30 AM along with Nurse #10 revealed the following: - One Insulin Glargine (Lantus) pen with no opened date and the insulin pen had been used, - One bottle of Polyvinyl 1.4 % ophthalmic solution with an open date of 3/4/26, - One bottle (house stock) of Omeprazole (proton pump inhibitor) opened and…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-23 · tag F0880 — failed to prevent and control infections — isolated
  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 staff interviews, the facility failed to implement the infection control policy and procedures for Enhanced Barrier Precautions (EBP) when two staff members (Nurse #9 and NA #7) were observed providing direct care activities to Resident #42 who had a Stage IV pressure ulcer on her sacrum and Nurse #9 was observed not changing her gloves and hand sanitizing prior to going from a dirty area to a clean area during wound care. This occurred for 2 of 3 staff members observed for infection control practices. Findings included: The Infection Control Policy dated 11/2/25 revealed Enhanced Barrier Precautions referred to an infection control intervention designed to reduce the transmission of multi-drug-resistant organisms by requiring the use of gown and gloves during high contact resident care activities. During an observation on 6/17/26 at 10:11 AM Resident #42 was observed lying in bed. There was no Enhanced Barrier Precaution sign observed on the door of Resident #42's room and there was no Personal Protective Equipment (PPE) on the door or 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-04-17 · tag F0809 — failed to serve meals on a reasonable schedule — widespread
  Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, and staff, Ombudsman, Director of Dining Services, Certified Dietary Manager, Club Cook, Compliance Coordinator, and Registered Dietitian (RD) interviews, and record review, the facility failed to have no greater than a 14-hour lapse between the provision of a substantial evening meal and breakfast the following day for residents served their meals on 5 of 8 meal carts (Club area Cart-1&2; Pavilion area Cart; Haven area Cart, and River Bend area Cart) utilized for meal service. This practice had the potential to affect all the residents (91 of 91) in the facility for meal delivery. The findings included: An interview with the Ombudsman on 04/11/25 at 9:43 AM indicated that there were problems with the meal service times. The Ombudsman stated lunch and dinner meals were served early and breakfast was late. A schedule of the Dining Service Times was provided by the facility on 04/15/25. A review of this schedule indicated the meal cart delivery times allowed as much as 15 - 16 hours to lapse between the last meal of the day and first meal of the following day.…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-04-17 · tag F0565 — failed to support the resident council — pattern
  Honor the resident's right to organize and participate in resident/family groups in the facility.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, and staff and resident interviews, the facility failed to provide a resolution and communicate the efforts to address grievances reported during Resident Council meetings for 10 of 12 months reviewed (June 2024, July 2024, August 2024, September 2024, October 2024, November 2024, December 2024, January 2025 February 2025, March 2025). Findings included. The Resident Council meeting minutes were reviewed for the period of April 2024 through March 2025. The meeting minutes did not include resolutions to the concerns expressed by the residents for the following months: 6/26/24: The Resident Council minutes noted concerns regarding not getting evening showers that were scheduled. Staff wearing headphones during their shift and having snacks available. 7/10/24: The Resident Council minutes did not include a discussion regarding resolution of old business including the concerns that were reported. Concerns were reported again regarding receiving scheduled showers and staff being on their phones and having ear buds in during resident care. 8/10/24: The Resident…

  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

$63,996 in federal fines across 2 penalties.

• $55,172 — penalty dated 2025-10-20
• $8,824 — penalty dated 2024-02-08

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.

Who owns this facility

CMS files one row per role, so the 13 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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