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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D9 | E7 | F1 |
| Minimal | A· | B1 | C· |
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 | |
|---|---|---|---|---|---|---|
| Aug 6, 2026 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Jun 19, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jun 19, 2025 | Health | Health Standard | 4 | Potential harm | — | Open → |
| May 22, 2024 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| May 22, 2024 | Health | Health Standard | 1 | Minimal | 1 | Open → |
| Mar 23, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D9 | E7 | F1 |
| Minimal | A· | B1 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 6, 2026 | 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 Sep 16, 2026 | |
| Aug 6, 2026 | 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 Sep 16, 2026 | |
“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.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| University of North Carolina Health Care System | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 1, 2018 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| University of North Carolina Health Care System | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 1, 2018 |
| Terry Daniel | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2023 |
| Kevin Howard | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2023 |
| James Burnette | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 13, 2018 |
| Mary Bus | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2025 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Eden Rehabilitation and Healthcare Center 226 N Oakland Avenue, Eden, NC 27288 CCN 345241 | 4 km | 112 | Apr 13, 2026 | 231 IJ1 open | $17k | |
| Penn Nursing Center 618-a S Main Street, Reidsville, NC 27320 CCN 345530 | 16.8 km | 82 | Apr 2, 2026 | 10 | — | |
| Cypress Valley Center for Nursing and Rehabilitati 543 Maple Avenue, Reidsville, NC 27320 CCN 345227 | 16.9 km | 110 | Aug 20, 2026 | 311 open | — | |
| Jacob's Creek Nursing and Rehabilitation Center 1721 Bald Hill Loop, Madison, NC 27025 CCN 345050 | 20.9 km | 170 | Dec 18, 2025 | 181 IJ | $17k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 345249 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 345249 | 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
| K-0371 |
| Have properly sized and located compartments to protect residents from smoke. Smoke Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Sep 8, 2025 |
| Jun 19, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 8, 2025 |
| Jun 19, 2025 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 31, 2025 |
| Jun 19, 2025 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 31, 2025 |
| Jun 19, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 31, 2025 |
| Jun 19, 2025 | 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 Jul 31, 2025 |
| May 22, 2024 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 25, 2024 |
| May 22, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 25, 2024 |
| May 22, 2024 | K-0281 | Install proper backup exit lighting. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 25, 2024 |
| May 22, 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 | E · Potential harm Pattern | Corrected Aug 25, 2024 |
| May 22, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 25, 2024 |
| May 22, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 25, 2024 |
| May 22, 2024 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Plan of correction, not yet verified Jun 3, 2024 |
| Mar 23, 2023 | K-0352 | Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 9, 2023 |
| Mar 23, 2023 | K-0917 | Ensure electrical receptacles or cover plates have distinctive color or marking. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 9, 2023 |
| Mar 23, 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 May 9, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.52 (case-mix index 1.30).
| Reginald Cathey | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 1, 2021 |
| Joel Clark | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2025 |
| John Dabbs | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 13, 2018 |
| William Flynt | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 5, 2018 |
| Lupo Galvan | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2026 |
| Sara Hazlewood | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 1, 2022 |
| Trina Jones | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2026 |
| Jodi Lester | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2025 |
| William Mcleod | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 13, 2018 |
| Peggy Mcnaull | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2025 |
| Armor Pyrtle | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 5, 2018 |
| Tammy Scarborough | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 1, 2023 |
| Micky Silvers | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2019 |
| Phillip Stetler | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 1, 2024 |
| Casey Vincent | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2019 |
| Elizabeth Bowen | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 8, 2019 |
| Angela Edwards | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 1, 2025 |
| Kevin Kilday | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 3, 2026 |
| Jeffery Strickler | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 18, 2025 |
| Terry Daniel | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2018 |
| Sara Hazlewood | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 12, 2026 |
| Kevin Howard | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2024 |