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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K2 | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D46 | E10 | F23 |
| Minimal | A· | B4 | C2 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Feb 27, 2026 | Fire safety | Fire Safety Standard | 12 | Potential harm | — | Open → |
| Feb 27, 2026 | Health | Health Standard | 0 | No citations | — | Open → |
| Oct 23, 2025 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Jun 11, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Feb 10, 2025 | Health | Health Complaint | 2 | Immediate jeopardy | — | Open → |
| Dec 5, 2024 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| Dec 5, 2024 | Health | Health Complaint, Health Standard | 11 | Potential harm | 2 | Open → |
| Jul 17, 2024 | Health | Health Complaint | 4 | Immediate jeopardy | — | Open → |
| Dec 4, 2023 | Fire safety | Fire Safety Standard | 18 | Potential harm | — | Open → |
| Dec 4, 2023 | Health | Health Complaint, Health Standard | 32 | Immediate jeopardy | 4 | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Oct 23, 2025 | Civil money penalty (fine) | $50,505 | — | 345116|Fine|136426 |
| Jun 11, 2025 | Civil money penalty (fine) | $17,345 | — | 345116|Fine|42770 |
| Dec 5, 2024 | Civil money penalty (fine) | $18,086 | — | 345116|Fine|42662 |
| Jul 17, 2024 | Civil money penalty (fine) | $35,105 | — | 345116|Fine|42507 |
| Dec 4, 2023 | Denial of payment for new admissions | — | Jan 2, 2024 · 2 days | 345116|Payment Denial|2024-01-02 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J3 | K2 | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D46 | E10 | F23 |
| Minimal | A· | B4 | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Feb 27, 2026 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 14, 2026 | |
| Feb 27, 2026 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 14, 2026 | |
| Feb 27, 2026 | K-0291 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
13 facilities in 1 states. CMS chain ID 714.
Chain average overall rating (CMS): 1.8
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Alliance Health Group LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 16, 2025 |
| Jennifer Reagan | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 1, 2024 |
| Yosef Emanuel | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 1, 2024 |
| Alliance Health Group LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 11, 2024 |
| Coalition Group LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2024 |
| Jennifer Reagan |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Pine Acres Center for Nursing and Rehabilitation 279 Brian Center Drive, Lexington, NC 27292 CCN 345011 | 106 | Jul 23, 2026 | 365 IJ5 harm5 open | $122k | |
| Linden Place Center for Nursing and Rehabilitation |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Whitestone a Masonic and Eastern Star Community 700 South Holden Road, Greensboro, NC 27407 CCN 345506 | 0.8 km | 60 | May 20, 2026 | 171 harm1 open | $25k | |
| Camden Health and Rehabilitation 1 Marithe Court, Greensboro, NC 27407 CCN 345547 | 3.9 km | 135 | Jun 25, 2026 | 13 | — | |
| Friends Homes at Guilford 925 New Garden Road, Greensboro, NC 27410 CCN 345148 | 4.5 km | 69 | Aug 25, 2026 | 17 | — | |
| Linden Place Center for Nursing and Rehabilitation 1201 Carolina Street, Greensboro, NC 27401 CCN 345014 | 5.6 km | 105 | Jan 10, 2026 | 531 harm4 open | — | |
| Blumenthal Health and Rehabilitation Center 3724 Wireless Drive, Greensboro, NC 27455 CCN 345006SFFAbuse icon | 5.8 km | 134 | Not rated | May 6, 2026 | 865 IJ2 harm2 open | $210k |
| Maple Grove Health and Rehabilitation Center 308 West Meadowview Road, Greensboro, NC 27406 CCN 345448 | 5.8 km | 210 | Aug 6, 2026 | 311 harm1 open | $50k | |
| Greenhaven Health and Rehabilitation Center 801 Greenhaven Drive, Greensboro, NC 27406 CCN 345132Abuse icon | 6.1 km | 120 | Sep 4, 2025 | 402 IJ3 harm1 open | $123k | |
| Heartland Living & Rehab at the Moses H Cone Memor 1131 North Church Street, Greensboro, NC 27401 CCN 345391 | 6.2 km | 107 | Apr 30, 2026 | 23 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 345116 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 345116 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Dec 4, 2023 | Civil money penalty (fine) | $96,786 | — | 345116|Fine|42142 |
| Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Aug 14, 2026 |
| Feb 27, 2026 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 14, 2026 |
| Feb 27, 2026 | K-0342 | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 14, 2026 |
| Feb 27, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 14, 2026 |
| Feb 27, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 14, 2026 |
| Feb 27, 2026 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 14, 2026 |
| Feb 27, 2026 | K-0531 | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 14, 2026 |
| Feb 27, 2026 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 14, 2026 |
| Feb 27, 2026 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 14, 2026 |
| Feb 27, 2026 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 14, 2026 |
| Oct 23, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Nov 24, 2025 | Complaint |
| Oct 23, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 24, 2025 | Complaint |
| Jun 11, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Past non-compliance Apr 26, 2025 | Complaint |
| Feb 10, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Feb 21, 2025 | Complaint |
| Feb 10, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 21, 2025 | Complaint |
| Dec 5, 2024 | K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 17, 2025 |
| Dec 5, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 17, 2025 |
| Dec 5, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 17, 2025 |
| Dec 5, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 17, 2025 |
| Dec 5, 2024 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 17, 2025 |
| Dec 5, 2024 | K-0531 | Have elevators that firefighters can control in the event of a fire. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 17, 2025 |
| Dec 5, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 17, 2025 |
| Dec 5, 2024 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 17, 2025 |
| Dec 5, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 17, 2025 |
| Dec 5, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 17, 2025 |
| Dec 5, 2024 | F-0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 10, 2025 | Complaint |
| Dec 5, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 10, 2025 | Complaint |
| Dec 5, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 10, 2025 | Complaint |
| Dec 5, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 10, 2025 | Complaint |
| Dec 5, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 21, 2025 | Complaint |
| Dec 5, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 10, 2025 | Complaint |
| Dec 5, 2024 | F-0687 | Provide appropriate foot care. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 10, 2025 | Complaint |
| Dec 5, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 10, 2025 | Complaint |
| Dec 5, 2024 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Feb 10, 2025 | Complaint |
| Dec 5, 2024 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | B · Minimal Pattern | Plan of correction, not yet verified Dec 30, 2024 | Complaint |
| Dec 5, 2024 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Plan of correction, not yet verified Dec 30, 2024 |
| Jul 17, 2024 | F-0726 | 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. Nursing and Physician Services Deficiencies · Staffing & supervision | K · Immediate jeopardy Pattern | Corrected Aug 1, 2024 | Complaint |
| Jul 17, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | K · Immediate jeopardy Pattern | Corrected Aug 1, 2024 | Complaint |
| Jul 17, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 1, 2024 | Complaint |
| Jul 17, 2024 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Aug 1, 2024 | Complaint |
| Dec 4, 2023 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Jan 1, 2024 |
| Dec 4, 2023 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jan 1, 2024 | Complaint |
| Dec 4, 2023 | K-0100 | Meet other general requirements. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 20, 2024 |
| Dec 4, 2023 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 20, 2024 |
| Dec 4, 2023 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 20, 2024 |
| Dec 4, 2023 | K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 20, 2024 |
| Dec 4, 2023 | K-0311 | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 20, 2024 |
| Dec 4, 2023 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 20, 2024 |
| Dec 4, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 20, 2024 |
| Dec 4, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 20, 2024 |
| Dec 4, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 20, 2024 |
| Dec 4, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 20, 2024 |
| Dec 4, 2023 | K-0364 | Install properly constructed windows in hallway walls or doors. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 20, 2024 |
| Dec 4, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 20, 2024 |
| Dec 4, 2023 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 20, 2024 |
| Dec 4, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 20, 2024 |
| Dec 4, 2023 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 20, 2024 |
| Dec 4, 2023 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 20, 2024 |
| Dec 4, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 20, 2024 |
| Dec 4, 2023 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 20, 2024 |
| Dec 4, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 4, 2024 | Complaint |
| Dec 4, 2023 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 1, 2024 | Complaint |
| Dec 4, 2023 | F-0578 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 1, 2024 |
| Dec 4, 2023 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 1, 2024 |
| Dec 4, 2023 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 1, 2024 |
| Dec 4, 2023 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 1, 2024 | Complaint |
| Dec 4, 2023 | F-0585 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 1, 2024 | Complaint |
| Dec 4, 2023 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 1, 2024 |
| Dec 4, 2023 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 1, 2024 | Complaint |
| Dec 4, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 1, 2024 |
| Dec 4, 2023 | F-0642 | Ensure a qualified health professional conducts resident assessments. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 1, 2024 |
| Dec 4, 2023 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 1, 2024 |
| Dec 4, 2023 | F-0660 | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 1, 2024 | Complaint |
| Dec 4, 2023 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 1, 2024 | Complaint |
| Dec 4, 2023 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jan 1, 2024 |
| Dec 4, 2023 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jan 1, 2024 |
| Dec 4, 2023 | F-0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 1, 2024 | Complaint |
| Dec 4, 2023 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jan 1, 2024 |
| Dec 4, 2023 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 1, 2024 | Complaint |
| Dec 4, 2023 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jan 1, 2024 |
| Dec 4, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jan 1, 2024 |
| Dec 4, 2023 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Jan 1, 2024 |
| Dec 4, 2023 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 1, 2024 |
| Dec 4, 2023 | F-0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 1, 2024 |
| Dec 4, 2023 | F-0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Jan 1, 2024 |
| Dec 4, 2023 | F-0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jan 1, 2024 |
| Dec 4, 2023 | F-0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Resident Rights Deficiencies · Resident rights & abuse/neglect | C · Minimal Widespread | Plan of correction, not yet verified Jan 1, 2024 |
| Dec 4, 2023 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Plan of correction, not yet verified Jan 1, 2024 |
| Dec 4, 2023 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Plan of correction, not yet verified Jan 1, 2024 |
| Dec 4, 2023 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Plan of correction, not yet verified Jan 1, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.10 (case-mix index 1.44).
| Additional disclosable party |
| ADP OF THE SNF |
| not provided |
| Jan 16, 2025 |
| Sheikh Tejan-Sie | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 16, 2025 |
| 105 |
| Jan 10, 2026 |
531 harm4 open |
| — |
| Willow Valley Center for Nursing and Rehabilitatio 1900 W 1st Street, Winston-Salem, NC 27104 CCN 345092Abuse icon | 230 | Feb 20, 2026 | 714 IJ3 harm3 open | $44k |
| Cedar Hills Center for Nursing and Rehabilitation 3905 Clemmons Road, Clemmons, NC 27012 CCN 345131SFF Candidate | 94 | Jun 26, 2026 | 891 harm2 open | $73k |
| Ridge Valley Center for Nursing and Rehabilitation 1000 College Street, Wilkesboro, NC 28697 CCN 345133 | 120 | Dec 4, 2025 | 342 IJ2 open | — |
| Mill Creek Center for Nursing and Rehabilitation 4911 Brian Center Lane, Winston-Salem, NC 27106 CCN 345149 | 66 | May 28, 2026 | 513 IJ5 open | $16k |
| Cypress Valley Center for Nursing and Rehabilitati 543 Maple Avenue, Reidsville, NC 27320 CCN 345227 | 110 | Aug 20, 2026 | 311 open | — |
| Juniper Gardens Center for Nursing and Rehabilitat 4414 Wilkinson Blvd, Gastonia, NC 28056 CCN 345307 | 50 | Nov 21, 2025 | 372 IJ1 harm1 open | $17k |