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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D22 | E1 | F3 |
| Minimal | A· | B1 | C1 |
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 | |
|---|---|---|---|---|---|---|
| Jun 11, 2026 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Jun 11, 2026 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Mar 20, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Mar 20, 2025 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Dec 15, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Dec 15, 2023 | Health | Health Complaint, Health Standard | 9 | Potential harm | 2 | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jan 22, 2024 | Civil money penalty (fine) | $7,976 | — | 345416|Fine|42141 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D22 | E1 | F3 |
| Minimal | A· | B1 | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 11, 2026 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 11, 2026 | |
| Jun 11, 2026 | K-0200 | Meet other general requirements. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 11, 2026 | |
| Jun 11, 2026 | K-0363 |
“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.
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: — (case-mix index —).
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 |
|---|---|---|---|---|---|
| Montage Living | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jul 1, 2019 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Montage Living | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jul 1, 2019 |
| David Little | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2019 |
| Ryan Lambert | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2019 |
| Don Angell | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jul 1, 2019 |
| Larry Haynes | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jul 1, 2019 |
| Emma Paugh |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Bermuda Commons Nursing and Rehabilitation Center 316 Nc Highway 801 South, Advance, NC 27006 CCN 345543 | 2.1 km | 117 | Apr 29, 2026 | 451 harm2 open | $13k | |
| Trinity Elms 7449 Fair Oaks Drive, Clemmons, NC 27012 CCN 345565 | 3.8 km | 100 | Aug 18, 2026 | 252 IJ2 harm1 open | $16k | |
| Cedar Hills Center for Nursing and Rehabilitation 3905 Clemmons Road, Clemmons, NC 27012 CCN 345131SFF Candidate | 4.3 km | 94 | Jun 26, 2026 | 891 harm2 open | $73k | |
| Homestead Hills 2101 Homestead Hills Drive, Winston-Salem, NC 27103 CCN 345559 | 13.3 km | 40 | Jul 1, 2026 | 171 IJ2 open | $27k | |
| Silas Creek Rehabilitation Center 3350 Silas Creek Parkway, Winston Salem, NC 27103 CCN 345003 | 14.7 km | 90 | Jun 12, 2026 | 14 | — | |
| The Oaks 901 Bethesda Road, Winston-Salem, NC 27103 CCN 345284 | 15.3 km | 131 | Aug 5, 2026 | 32 | — | |
| Davie Nursing and Rehabilitation Center 498 Madison Road, Mocksville, NC 27028 CCN 345129 | 17.1 km | 96 | Nov 14, 2025 | 12 | — | |
| Pine Acres Center for Nursing and Rehabilitation 279 Brian Center Drive, Lexington, NC 27292 CCN 345011 | 25.3 km | 106 | Jul 23, 2026 | 365 IJ5 harm5 open | $122k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 345416 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 345416 | 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
| Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Sep 11, 2026 |
| Jun 11, 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 Sep 11, 2026 |
| Jun 11, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 11, 2026 |
| Jun 11, 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 Sep 11, 2026 |
| Jun 11, 2026 | 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 Jul 15, 2026 |
| Jun 11, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 15, 2026 |
| Mar 20, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 25, 2025 |
| Mar 20, 2025 | 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 25, 2025 |
| Mar 20, 2025 | 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 Apr 22, 2025 |
| Mar 20, 2025 | 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 Apr 22, 2025 |
| Mar 20, 2025 | 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 | E · Potential harm Pattern | Corrected Apr 22, 2025 |
| Mar 20, 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 Apr 22, 2025 |
| Mar 20, 2025 | 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 | D · Potential harm Isolated | Corrected Apr 22, 2025 |
| Mar 20, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Apr 22, 2025 |
| Dec 15, 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 Feb 1, 2024 |
| Dec 15, 2023 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 1, 2024 |
| Dec 15, 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 | D · Potential harm Isolated | Corrected Feb 1, 2024 |
| Dec 15, 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 12, 2024 |
| Dec 15, 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 | D · Potential harm Isolated | Corrected Jan 12, 2024 |
| Dec 15, 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 | D · Potential harm Isolated | Corrected Jan 12, 2024 |
| Dec 15, 2023 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 12, 2024 |
| Dec 15, 2023 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 12, 2024 | Complaint |
| Dec 15, 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 12, 2024 |
| Dec 15, 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 12, 2024 |
| Dec 15, 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 12, 2024 |
| Dec 15, 2023 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Plan of correction, not yet verified Jan 12, 2024 |
| Managing employee |
| W-2 MANAGING EMPLOYEE |
| not provided |
| Jul 2, 2019 |