Home / North Carolina / Lexington
Abbotts Creek Center
877 Hill Everhart Road, Lexington, NC 27295 · Davidson County · (336) 248-6644
64 certified beds, about 58 residents a day · For profit - Corporation · Medicare and Medicaid since 1990
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345333 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 7, 2026, inspectors cited 5 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
None of its 12 health citations since December 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.46 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.86 of those hours.
61.3% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Genesis Healthcare, an affiliated group of 184 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
512/23
209/24
501/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
0E
0F
Potential for minimal harm
0A
0B
1C
January 7, 2026Standard inspection, Complaint inspection · 5 citations
- D 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.
Inspectors wroteBased on observations and staff interviews, the facility failed to clean the Packaged Terminal Air Conditioner (PTAC) vents in 2 of 6 on the upper 100 hall. This deficient practice affected 2 of 6 residents reviewed for comfortable, clean, and homelike environment (Resident #46 and Resident #54).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on record review, observations, and interviews with staff, the Nurse Practitioner, and the Medical Director, the facility failed to obtain a physician's order for supplemental oxygen use for 1 of 1 resident reviewed for respiratory care (Resident #23).
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on record review, and interviews with the Medical Director and staff, the facility failed to hold blood pressure medication as ordered by the physician for 1 of 5 residents reviewed for unnecessary medications (Residents #2 and #3).
- D 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.
Inspectors wroteBased on observation and staff interviews, the facility failed to store and secure a controlled medication that required refrigeration within a separately locked, permanently affixed box within the medication room refrigerator. This deficient practice was for 1 of 2 medication storage rooms reviewed (103 Medication Storage Room).
- C Post nurse staffing information every day.
Inspectors wroteBased on record review, observations, and staff interviews, the facility failed to post accurate staffing information as compared to the daily staff scheduled for licensed and unlicensed nursing staff for 28 out of 30 days reviewed (12/6/25 to 1/2/26). The facility also failed to ensure the resident census was present on the daily nurse staffing sheets for 2 of 3 days reviewed (1/3/26 and 1/4/26).
September 27, 2024Standard inspection, Complaint inspection · 2 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review, observation, and staff interviews, the facility failed to develop a comprehensive person-centered plan to address anticoagulant, insulin, and antidepressant use for 1 of 15 residents reviewed for comprehensive care plans (Resident # 18).
- D Plan the resident's discharge to meet the resident's goals and needs.
Inspectors wroteBased on record reviews and staff interviews, the facility failed to arrange home health services upon discharge for 1 of 4 sampled residents (Resident #54) reviewed for discharge planning.
December 13, 2023Standard inspection · 5 citations
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observations, record reviews, resident and staff interviews, the facility failed to determine whether the self-administration of medications was clinically appropriate for 1 of 1 sampled residents (Resident #4) observed to have medications bedside.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on record review, observations and staff interviews, the facility failed to administer oxygen at the prescribed rate for 1 of 1 resident reviewed for respiratory care (Resident #25).
- D 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.
Inspectors wroteBased on record review and Medical Director, and staff interviews, the facility failed to ensure an as needed (PRN) psychotropic medication was time limited in duration for 1 of 5 residents reviewed for unnecessary medications (Resident #2).
- D 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.
Inspectors wroteBased on observations, record review and staff interviews, the facility failed to date multi-use medications per manufacturer's recommendations upon opening and failed to discard expired medications in 1 of 2 medication carts (100 Hall medication cart) reviewed for medication storage and labeling.
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on record reviews, observations, resident, and staff interviews, the facility's Quality Assurance and Performance Improvement (QAPI) committee failed to maintain implemented procedures and monitor interventions the committee put into place following the annual recertification survey conducted on 02/05/21 and annual recertification and complaint survey on 07/11/22. This was for 3 deficiencies that were cited in the areas of Respiratory/Tracheostomy care and Suctioning and Label/Store Drugs & Biologicals which were previously cited on 02/05/21 and Resident Self-Admin Meds-Clinically Appropriate which was previously cited on 07/11/22. The deficient practice area was recited on the current recertification and complaint survey of 12/13/23. The duplicate citations during three federal surveys of record show a pattern of the facility's inability to sustain an effective QAPI program.
Fire safety inspections
5 fire safety citations on file: 1 on September 27, 2024, 1 on December 13, 2023, 3 on July 11, 2022.
Every fire safety citation5 citations
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Meet other general requirements.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.46 | 3.85 | 3.86 |
| Registered nurses | 0.86 | 0.62 | 0.69 |
| All nursing staff on weekends | 2.95 | 3.42 | 3.42 |
| Nurse aides | 1.84 | ||
| Licensed practical nurses | 0.76 | ||
| Nursing staff turnover (share who left in a year) | 61.3% | 49.0% | 45.8% |
| Registered nurse turnover | 58.3% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.15 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.67 on weekdays and 2.95 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 7.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.23 in April to June 2025 to 3.46 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.46 | 0.86 | 3.67 | 2.95 | 7.6% | 0 of 90 | 58 |
| Oct to Dec 2025 | 3.58 | 0.91 | 3.81 | 2.98 | 18.0% | 0 of 92 | 59 |
| Jul to Sep 2025 | 3.28 | 0.72 | 3.52 | 2.70 | 7.8% | 0 of 92 | 60 |
| Apr to Jun 2025 | 3.23 | 0.63 | 3.39 | 2.81 | 19.8% | 0 of 91 | 62 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 28.0 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.3 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.2 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 36.1 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.4 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 1.5 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.7 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 0.0 | 12.9 | 12.0 |
Owners and operators
Legal business name: SUNBRIDGE REGENCY - NORTH CAROLINA, LLC. CMS links this home to Genesis Healthcare, a group of 184 nursing homes averaging 2.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Regency Health Services, LLC | 5% or greater direct ownership interest | Organization | 100% | 02/01/2009 |
| Fc Gen Operations Investment LLC | 5% or greater indirect ownership interest | Organization | 12/01/2012 | |
| Genesis Healthcare Inc | 5% or greater indirect ownership interest | Organization | 02/02/2015 | |
| Genesis Healthcare LLC | 5% or greater indirect ownership interest | Organization | 12/01/2012 | |
| Genesis Holdings LLC | 5% or greater indirect ownership interest | Organization | 02/02/2016 | |
| Sun Healthcare Group, Inc. | 5% or greater indirect ownership interest | Organization | 12/01/2021 | |
| Sunbridge Healthcare LLC | 5% or greater indirect ownership interest | Organization | 12/01/2012 | |
| Whitman, Arnold | 5% or greater indirect ownership interest | Individual | 12/01/2012 | |
| Compton, Angela | W-2 managing employee | Individual | 04/01/2023 | |
| Sukkasem, Yuthapong | W-2 managing employee | Individual | 03/01/2023 | |
| Berg, Michael | Corporate officer | Individual | 12/01/2012 | |
| Bridgeford, Laura | Corporate officer | Individual | 05/01/2024 | |
| Mendelson, Avi | Corporate officer | Individual | 05/01/2024 | |
| Morris, Diane | Operational/managerial control | Individual | 12/18/2024 | |
| Genesis Administrative Services LLC | Adp of the SNF | Organization | 01/01/2025 | |
| Welltower Op, LLC | Adp of the SNF | Organization | 01/01/2025 | |
| Compton, Angela | Adp of the SNF | Individual | 01/01/2025 | |
| Sukkasem, Yuthapong | Adp of the SNF | Individual | 01/01/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on January 7, 2026: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on January 7, 2026: "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."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on January 7, 2026: "Provide safe and appropriate respiratory care for a resident when needed."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on September 27, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.95 hours per resident per day, below the North Carolina average of 3.42.
Other nursing homes nearby
- Lexington Health Care Center Lexington, 2.5 mi · 1 of 5 stars · 34 citations
- Pine Acres Center for Nursing and Rehabilitation Lexington, 4.9 mi · 1 of 5 stars · 26 citations
- Piedmont Crossing Thomasville, 6.7 mi · 5 of 5 stars · 3 citations
- Davidson Health & Rehab Center Lexington, 7.1 mi · 1 of 5 stars · 43 citations
- Pine Ridge Health and Rehabilitation Center Thomasville, 7.6 mi · 3 of 5 stars · 17 citations
- Magnolia Gardens Center for Nursing and Rehabilita Thomasville, 9.6 mi · 3 of 5 stars · 19 citations
- Westchester Manor at Providence Place High Point, 12.5 mi · 3 of 5 stars · 7 citations
- Meridian Center High Point, 14.3 mi · 1 of 5 stars · 25 citations
North Carolina contacts for a concern about a nursing home
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: NC Division of Health Service Regulation, Nursing Home Licensure and Certification Section, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Carolina Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: NC DHSR Regulated Facilities search (Statements of Deficiencies), where North Carolina publishes its own records on licensed homes.
Common questions
- What is Abbotts Creek Center's Medicare star rating?
- CMS rates Abbotts Creek Center 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Abbotts Creek Center get at its last inspection?
- 5 health deficiencies at the standard inspection on January 7, 2026. The North Carolina average is 4.7.
- Has Abbotts Creek Center been fined?
- CMS lists no fines in the last three years.
- Does Abbotts Creek Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Abbotts Creek Center?
- CMS lists 18 owners and managers, and links the home to Genesis Healthcare. Legal business name: SUNBRIDGE REGENCY - NORTH CAROLINA, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.