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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J6 | K1 | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D25 | E5 | F· |
| Minimal | A· | B· | 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 | |
|---|---|---|---|---|---|---|
| Sep 17, 2026 | Health | Health Standard | 2 | Potential harm | 2 | Open → |
| Mar 27, 2026 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Mar 27, 2026 | Health | Health Complaint, Health Standard | 5 | Potential harm | — | Open → |
| Jan 7, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Nov 20, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Nov 20, 2025 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Sep 5, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Jul 25, 2025 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| May 23, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Nov 27, 2024 | Health | Health Complaint | 3 | Immediate jeopardy | — | Open → |
| Jun 21, 2024 | Health | Health Complaint | 8 | Potential harm | — | Open → |
| Apr 29, 2024 | Health | Health Complaint | 5 | Immediate jeopardy | 1 | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Mar 27, 2026 | Civil money penalty (fine) | $23,397 | — | 345489|Fine|138344 |
| Nov 20, 2025 | Civil money penalty (fine) | $12,935 | — | 345489|Fine|136599 |
| May 23, 2025 | Civil money penalty (fine) | $93,236 | — | 345489|Fine|134087 |
| Nov 27, 2024 | Civil money penalty (fine) | $113,051 | — | 345489|Fine|42634 |
| Jun 21, 2024 | Denial of payment for new admissions | — | Jul 23, 2024 · 2 days | 345489|Payment Denial|2024-07-23 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J6 | K1 | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D25 | E5 | F· |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Sep 17, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | No plan of correction | |
| Sep 17, 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 | E · Potential harm Pattern | No plan of correction |
“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: 3.77 (case-mix index 1.31).
CMS legal business name of the certified provider. Operates this facility only.
14 facilities in 3 states. CMS chain ID 640.
Chain average overall rating (CMS): 1.5
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Saturn Holdings I LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jun 1, 2024 |
| West Nc Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2024 |
| Tzvi Alter | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2024 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Saturn Holdings I LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jun 1, 2024 |
| West Nc Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2024 |
| Tzvi Alter | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2024 |
| John Nelson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Mountain Ridge Rehabilitation and Healthcare Cente 611 Old US Highway 70 East, Black Mountain, NC 28711 CCN 345048 | 97 | Jul 9, 2026 | 262 IJ1 harm | $32k | |
| Kenansville Rehabilitation and Healthcare Center 209 Beasley Street, Kenansville, NC 28349 CCN 345150 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Crown Haven Health and Rehabilitation 620 Tom Hunter Road, Charlotte, NC 28213 CCN 345388 | 2.3 km | 120 | Jul 3, 2025 | 614 IJ | $71k | |
| University Place Nursing and Rehabilitation Center 9200 Glenwater Drive, Charlotte, NC 28262 CCN 345142 | 5.2 km | 207 | Jul 24, 2025 | 492 harm1 open | $276k | |
| Pine Crest Health & Rehabilitation 2727 Shamrock Drive, Charlotte, NC 28205 CCN 345304 | 5.9 km | 100 | Aug 7, 2025 | 415 IJ2 harm | $144k | |
| Asbury Health and Rehabilitation Center 3211 Bishops Way Lane, Charlotte, NC 28215 CCN 345544 | 6.8 km | 120 | Sep 30, 2025 | 352 IJ1 harm | $48k | |
| Peak Resources - Charlotte 3223 Central Avenue, Charlotte, NC 28205 CCN 345013 | 8.1 km | 142 | Jun 26, 2025 | 231 IJ | $14k | |
| Novant Health Presbyterian Medical Center-Snu 200 Hawthorne Lane, Charlotte, NC 28207 CCN 345467 | 9 km | 12 | Aug 27, 2025 | 8 | — | |
| Plaza Health & Rehab 2616 East 5th Street, Charlotte, NC 28204 CCN 345201 | 9.4 km | 120 | Apr 29, 2026 | 605 IJ1 harm | $47k | |
| Wilora Lake Healthcare 6001 Wilora Lake Road, Charlotte, NC 28212 CCN 345473Abuse icon | 9.8 km | 70 | Apr 24, 2026 | 31 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 345489 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 345489 | 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
| Jun 21, 2024 | Civil money penalty (fine) | $78,793 | — | 345489|Fine|42530 |
| Apr 29, 2024 | Civil money penalty (fine) | $10,202 | — | 345489|Fine|42349 |
| Apr 29, 2024 | Civil money penalty (fine) | $6,899 | — | 345489|Fine|42410 |
| Mar 27, 2026 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 15, 2026 | Complaint |
| Mar 27, 2026 | 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 Apr 15, 2026 |
| Mar 27, 2026 | 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 | D · Potential harm Isolated | Past non-compliance Dec 19, 2025 | Complaint |
| Mar 27, 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 | D · Potential harm Isolated | Corrected Apr 15, 2026 |
| Mar 27, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 15, 2026 |
| Jan 7, 2026 | 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 | G · Actual harm Isolated | Past non-compliance | Complaint |
| Nov 20, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 11, 2026 |
| Nov 20, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 11, 2026 |
| Nov 20, 2025 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 11, 2026 |
| Nov 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 11, 2026 |
| Nov 20, 2025 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 13, 2025 |
| Nov 20, 2025 | 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 Dec 13, 2025 |
| Nov 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 Dec 13, 2025 |
| Nov 20, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 13, 2025 |
| Sep 5, 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 | Complaint |
| Jul 25, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Jul 26, 2025 | Complaint |
| May 23, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 7, 2025 |
| May 23, 2025 | K-0352 | Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 7, 2025 |
| May 23, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 7, 2025 |
| May 23, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 7, 2025 |
| May 23, 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 Jul 7, 2025 |
| Nov 27, 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 | J · Immediate jeopardy Isolated | Corrected Dec 20, 2024 | Complaint |
| Nov 27, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Dec 20, 2024 | Complaint |
| Nov 27, 2024 | 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 Dec 20, 2024 | Complaint |
| Jun 21, 2024 | 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 Jul 25, 2024 | Complaint |
| Jun 21, 2024 | 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 Jul 18, 2024 | Complaint |
| Jun 21, 2024 | F-0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 18, 2024 | Complaint |
| Jun 21, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 25, 2024 | Complaint |
| Jun 21, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 25, 2024 | Complaint |
| Jun 21, 2024 | 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 Jul 25, 2024 | Complaint |
| Jun 21, 2024 | 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 25, 2024 | Complaint |
| Jun 21, 2024 | 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 | E · Potential harm Pattern | Corrected Jul 25, 2024 | Complaint |
| Apr 29, 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 | K · Immediate jeopardy Pattern | Past non-compliance Mar 2, 2024 | Complaint |
| Apr 29, 2024 | 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 | J · Immediate jeopardy Isolated | Past non-compliance Dec 29, 2023 | Complaint |
| Apr 29, 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 May 9, 2024 | Complaint |
| Apr 29, 2024 | 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 | D · Potential harm Isolated | Corrected May 9, 2024 | Complaint |
| Apr 29, 2024 | F-0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Administration & records | C · Minimal Widespread | Plan of correction, not yet verified May 9, 2024 | Complaint |
| Kit Trowell | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| Tzvi Alter | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 1, 2024 |
| 1930 West Sugar Creek Road LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 1, 2024 |
| Timberly Booker | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| Mark Childs | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 1, 2025 |
| John Nelson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 5, 2025 |
| 92 |
| Aug 27, 2026 |
213 open |
| — |
| Laurel Park Rehabilitation and Healthcare Center 901 Halstead Boulevard, Elizabeth City, NC 27909 CCN 345184 | 108 | May 21, 2025 | 421 harm5 open | $11k |
| Warsaw Rehabilitation and Healthcare Center 214 Lanefield Road, Warsaw, NC 28398 CCN 345252 | 100 | Jun 22, 2026 | 302 IJ1 harm7 open | $44k |
| Asheboro Rehabilitation and Healthcare Center 400 Vision Drive, Asheboro, NC 27203 CCN 345277 | 100 | Aug 13, 2025 | 351 harm1 open | — |
| Fletcher Rehabilitation and Healthcare Center 86 Old Airport Road, Fletcher, NC 28732 CCN 345522 | 90 | Sep 3, 2026 | 392 harm3 open | $63k |
| Ramseur Rehabilitation and Healthcare Center 7166 Jordon Road, Ramseur, NC 27316 CCN 345523 | 90 | Aug 1, 2025 | 342 IJ2 harm7 open | $103k |
| Bolivia Rehabilitation and Healthcare Center 1070 Old Ocean Highway, Bolivia, NC 28422 CCN 345549 | 90 | May 5, 2026 | 472 IJ2 open | $94k |