Home / North Carolina / Jamestown
Adams Farm Living & Rehabilitation
5100 Mackay Road, Jamestown, NC 27282 · Guilford County · (336) 855-5596
120 certified beds, about 105 residents a day · For profit - Corporation · Medicare and Medicaid since 2005
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345535 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 5, 2025, inspectors cited 1 health deficiency (the North Carolina average is 4.7, the national average 9.2).
Of 8 health citations since October 2023, 3 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $24,252 in the last three years; the largest was $24,252, and the latest is dated May 1, 2025.
Nurses and nurse aides worked 3.48 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.36 of those hours.
56.8% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Century Care Management, an affiliated group of 7 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.
010/23
208/24
505/25
112/25
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 8 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
3D
2E
0F
Potential for minimal harm
0A
0B
0C
December 5, 2025Standard inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, record reviews and staff interviews, the facility failed to implement their policy for Enhanced Barrier Precautions (EBP) when Nurse Aide (NA) #3 failed to don a gown and gloves before providing oral care for Resident #2 who was under EBP for wounds and an indwelling catheter. The deficient practice occurred for 1 of 5 staff members observed for EBP (Nurse Aide #3).
May 1, 2025Complaint inspection · 5 citations
- G Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review and interviews with RP (Responsible Party), staff, Nurse Practitioner (NP), and Physician the facility failed to notify the RP when Resident # 1's seizure medication was discontinued. Interview with the RP revealed if she had been notified, she would have been an advocate for Resident # 1 and informed the facility that the resident's seizure medication was not to be discontinued prior to a neurologist evaluating the resident and making the decision. Resident # 1 seized following the seizure medication discontinuation and was hospitalized in the Intensive Care Unit. This was for one (Resident #1) of three sampled residents whose medications were reviewed.
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interviews with staff, Physicians, Nurse Practitioners (NPs), and Responsible Party (RP) the facility failed to ensure a resident (Resident #1) received follow-up for a newly diagnosed disorder per a plan of care set forth upon discharge from the hospital and received seizure medication. Resident # 1 was hospitalized from [DATE] to 11/15/24 with diffuse encephalopathy (disease of the brain that alters brain function and structure) and seizure like activity. Hospital discharge plans on 11/15/24 included orders for a seizure medication (Keppra) and directions that Resident # 1 should follow up with neurology. The facility never arranged a neurology follow-up visit as directed. [...]
- G Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Inspectors wroteBased on record review, and staff, Physician, and Nurse Practitioner (NP) interview the facility failed to ensure during visits the providers reviewed the total plan of care for Resident # 1's newly diagnosed neurological disorder when there was a change in primary providers and collaborative health care providers added to health care decision making for the resident. Multiple providers saw Resident # 1 and failed to recognize the hospital discharge plan was to have the neurologist see the resident and no appointment had been set up for her and completed prior to discontinuation of her seizure medication. On 2/12/25 Resident # 1's seizure medication was discontinued. Interviews with Resident # 1's NP and Physician revealed neither recalled giving the order. [...]
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record review and interviews with staff, Nurse Practitioner, Physician, Consultant Pharmacist, and Pharmacy Director of Clinical Services, the Consultant Pharmacist failed to report to the attending physician when Resident # 1's record showed the following: 1)a neurological consult never was obtained although recommended when Resident # 1 experienced a newly diagnosed neurological disorder while hospitalized in November 2024 and was placed on Keppra (a seizure medication) with instructions that neurology should be involved in the continued plan for the Keppra; 2) the Keppra was discontinued on 2/12/25 with no documented reason for the discontinuation and the neurological consult still had not been completed at its discontinuation; [...]
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interviews with staff and physician, the facility failed to ensure a record was complete regarding the rationale to discontinue a seizure medication and that a physician's progress note was accurate regarding a seizure medication being discontinued. This was for one (Resident # 1) of three sampled residents whose medications were reviewed.
August 21, 2024Standard inspection, Complaint inspection · 2 citations
- E 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 record review, observation and staff interviews the facility failed to label medications which were not stored in the pharmacy or manufacturer packaging (500 hall medication cart for medication storage review for 2 of 3 medication carts reviewed) . 1. An observation of the 400-hall medication cart was conducted on 08/21/24 at 10:49 AM in the presence of Nurse #3 and Nurse #4. The medication cart contained 4 loose pills of various shapes, colors, and sizes on the bottom of cart drawers. Nurse #4 indicated each nurse assigned to the medication cart was responsible for cleaning the medication cart they were assigned to, ensuring it was organized, and well stocked. An interview was conducted with the Director of Nursing on 08/21/24 at 11:15 AM. The DON indicated the medication carts were to be cleaned by the nurses on duty. [...]
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, record review, and interviews of staff, the facility failed to clean the top and bottom ovens as evidenced by brown and black soiling for 2 of 2 ovens, and the facility failed to label and date perishable food items when opened or date when to discard in the walk-in refrigerator. These practices had the potential to affect food served to residents.
October 13, 2023Standard inspection · 0 citations
Fire safety inspections
4 fire safety citations on file: 4 on October 13, 2023.
Every fire safety citation4 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Install an approved automatic sprinkler system.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| May 1, 2025 | Fine | $24,252 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.48 | 3.85 | 3.86 |
| Registered nurses | 0.36 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.02 | 3.42 | 3.42 |
| Nurse aides | 2.18 | ||
| Licensed practical nurses | 0.94 | ||
| Nursing staff turnover (share who left in a year) | 56.8% | 49.0% | 45.8% |
| Registered nurse turnover | 45.5% | 45.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.82 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 3.66 on weekdays and 3.02 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.60 in April to June 2025 to 3.48 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 | 3.48 | 0.36 | 3.66 | 3.02 | 3.0% | 0 of 90 | 105 |
| Oct to Dec 2025 | 3.59 | 0.39 | 3.76 | 3.16 | 2.9% | 0 of 92 | 101 |
| Jul to Sep 2025 | 3.58 | 0.40 | 3.75 | 3.16 | 3.9% | 0 of 92 | 103 |
| Apr to Jun 2025 | 3.60 | 0.37 | 3.78 | 3.15 | 8.8% | 0 of 91 | 100 |
| 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 | 10.8 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.9 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.5 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.3 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 31.5 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.4 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.0 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.8 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.4 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.0 | 1.8 | 1.8 |
Owners and operators
Legal business name: ADAMS FARM LIVING INC. CMS links this home to Century Care Management, a group of 7 nursing homes averaging 4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Adams Farm Living Inc | 5% or greater direct ownership interest | Organization | 04/01/2007 | |
| Noah K Duncan Mrtl Tr | 5% or greater direct ownership interest | Organization | 100% | 04/30/2013 |
| Gilliam, Robert | W-2 managing employee | Individual | 06/02/2008 | |
| Niles, Maria | W-2 managing employee | Individual | 05/08/2017 | |
| Boyette, Barbara | Corporate director | Individual | 04/01/2007 | |
| Gilliam, Robert | Corporate director | Individual | 06/02/2008 | |
| Gilliam, Robert | Corporate officer | Individual | 09/01/2021 | |
| Schmidlin, James | Corporate officer | Individual | 09/01/2021 | |
| Century Care Management, Inc. | Operational/managerial control | Organization | 04/01/2007 |
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 2 problems in this area, most recently on May 1, 2025: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on December 5, 2025: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on May 1, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on May 1, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.02 hours per resident per day, below the North Carolina average of 3.42.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Camden Health and Rehabilitation Greensboro, 2.6 mi · 4 of 5 stars · 5 citations
- The Shannon Gray Rehabilitation & Recovery Center Jamestown, 3.5 mi · 3 of 5 stars · 10 citations
- Maryfield Nursing Home High Point, 3.8 mi · 5 of 5 stars · 2 citations
- Whitestone a Masonic and Eastern Star Community Greensboro, 4.4 mi · 4 of 5 stars · 6 citations
- Greenhaven Health and Rehabilitation Center Greensboro, 4.7 mi · 3 of 5 stars · 34 citations
- Piedmont Hills Center for Nursing and Rehab Greensboro, 4.8 mi · 1 of 5 stars · 52 citations
- Friends Homes at Guilford Greensboro, 5.3 mi · 5 of 5 stars · 2 citations
- Maple Grove Health and Rehabilitation Center Greensboro, 5.9 mi · 5 of 5 stars · 23 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 Adams Farm Living & Rehabilitation's Medicare star rating?
- CMS rates Adams Farm Living & Rehabilitation 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Adams Farm Living & Rehabilitation get at its last inspection?
- 1 health deficiency at the standard inspection on December 5, 2025. The North Carolina average is 4.7.
- Has Adams Farm Living & Rehabilitation been fined?
- Yes. CMS lists 1 fine totaling $24,252 in the last three years.
- Does Adams Farm Living & Rehabilitation 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 Adams Farm Living & Rehabilitation?
- CMS lists 9 owners and managers, and links the home to Century Care Management. Legal business name: ADAMS FARM LIVING INC.
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.