Home / North Carolina / Biscoe
Autumn Care of Biscoe
401 Lambert Road, Biscoe, NC 27209 · Montgomery County · (910) 428-2117
141 certified beds, about 100 residents a day · For profit - Corporation · Medicare and Medicaid since 1980
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345000 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 24, 2026, inspectors cited 1 health deficiency (the North Carolina average is 4.7, the national average 9.2).
Of 14 health citations since March 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $15,350 in the last three years; the largest was $15,350, and the latest is dated March 20, 2024.
Nurses and nurse aides worked 3.16 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.38 of those hours.
23.9% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Saber Healthcare Group, an affiliated group of 126 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.
903/24
403/25
106/26
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 14 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
6D
6E
0F
Potential for minimal harm
0A
1B
0C
June 24, 2026Standard inspection · 1 citation
- B 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 ensure a resident room was in good repair for 4 of 6 residents (Resident #35, #30, #76, and #77) observed for a safe, clean and homelike environment.
March 13, 2025Standard inspection · 4 citations
- E Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record reviews and staff interviews, the facility failed to provide the resident and responsible party (RP), written notification of the reason for a hospital transfer for 4 of 4 residents reviewed for hospitalization (Residents #19, # 44, #61 and #4).
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review, and staff and resident interviews, the facility failed to report to the Administrator/Abuse Coordinator and Adult Protective Services the theft of residents' money and personal property for 3 of 4 residents reviewed for misappropriation of resident property (Resident #16, Resident #64 and Resident #60). The facility failed to submit a 5-day investigation report to the state survey agency for 1 of 4 residents (Resident #16).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on staff interviews, resident interview, and record reviews, the facility failed to code the Minimum Data Set (MDS) assessment accurately in the areas of medications and dental status for 2 of 22 (Residents #2 and # 29) residents reviewed for MDS accuracy.
- 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, observations and staff interviews, the facility failed to develop an individualized person-centered care plan in the area of nutrition for 1 of 2 residents reviewed for nutrition (Resident #2).
March 20, 2024Standard inspection, Complaint inspection · 9 citations
- G Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on record review, resident, Physician and staff interviews, the facility failed to act on a hospital discharge order for a nephrology follow up appointment for Resident #60 that resulted in her requiring antibiotics to treat UTIs on 5/26/23, 10/11/23, 10/28/23, 1/18/24 and 2/25/24. This was for 1 of 2 residents reviewed for urinary tract infections (UTIs).
- E 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, record review, and interviews of residents and staff, the facility failed to provide a clean, home-like environment in the main dining room as evidenced by a dirty, sticky floor and a dirty window and failed to repair a leaking roof.
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, record review and interviews of residents and staff, the facility failed to provide dependent residents with nail care for 6 of 6 residents reviewed for activities of daily living (ADL) [Resident #s 14, 20, 35, 61, 76, and 92].
- E Ensure that residents are free from significant medication errors.
Inspectors wroteBased on staff interviews, Medical Director interview, and record review, the facility failed to prevent a significant medication error for 1 of 2 residents reviewed for medication administration when Depakote (valproic acid) Delayed Release (DR) 125 milligrams (mg), (manages bipolar disorder) was not administered per orders for Resident #26.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, record review and interviews of staff, the facility failed to: 1) label, date and discard expired food items observed in the walk-in refrigerator for 1 of 1 refrigerator observed; 2) enforce hair restraint during meal preparation and food plating in the kitchen for 2 of 4 staff observed; 3) keep milk at 41 degrees Fahrenheit or below during meal service; and 4) repair the kitchen ceiling which was observed to have paint and drywall flaking and peeling above the cooking, serving, preparation and general areas of the kitchen.
- E Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on observations, record review, resident and staff interviews the facility's Quality Assurance and Performance Improvement (QAPI) committee failed to maintain implemented effective procedures and monitor the interventions that the committee put into place following recertification survey dated [DATE] for three deficiencies in the areas of safe/clean/comfortable/homelike environment (584), quality of care (690) and label/store drugs and biological's (761). The facility also failed to maintain implemented effective procedures and monitor the interventions that the committee put into place following recertification survey dated [DATE] for one deficiency in the area of quality of life (677). The continued failure of the facility during three federal surveys of record showed a pattern of the facility's inability to sustain an effective QAPI program.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on record review, resident and staff interviews, the facility failed to treat a resident with dignity and respect when Nurse Aide #2 spoke to a resident (Resident #2) in a disrespectful manner. This was for 1 of 2 residents reviewed for dignity.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on record reviews, observations, Responsible Party, Physician and staff interviews, the facility failed to provide dietary supplements as ordered (Residents #84 and #67) for 2 of 6 residents reviewed for nutrition.
- 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 record review, observations and interviews with resident and staff, the facility failed to assure that medications were secure and inaccessible to unauthorized staff and residents when the nurse left the medications at bedside for 1 of 2 residents (Resident #25). The facility also failed to date multi-use medications upon opening in 2 of 2 medication carts (400 hall and 500 hall medication carts) reviewed for medication storage.
Fire safety inspections
13 fire safety citations on file: 8 on March 13, 2025, 3 on March 20, 2024, 2 on October 31, 2022.
Every fire safety citation13 citations
- D Use approved construction type or materials.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 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.
- D Install proper backup exit lighting.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have properly installed electrical wiring and gas equipment.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- C Conduct testing and exercise requirements.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| March 20, 2024 | Fine | $15,350 |
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) | 3.16 | 3.85 | 3.86 |
| Registered nurses | 0.38 | 0.62 | 0.69 |
| All nursing staff on weekends | 2.88 | 3.42 | 3.42 |
| Nurse aides | 1.94 | ||
| Licensed practical nurses | 0.83 | ||
| Nursing staff turnover (share who left in a year) | 23.9% | 49.0% | 45.8% |
| Registered nurse turnover | 20.0% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.90 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 3.27 on weekdays and 2.88 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.56 in April to June 2025 to 3.16 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 | 3.16 | 0.38 | 3.27 | 2.88 | 0.3% | 0 of 90 | 100 |
| Oct to Dec 2025 | 3.08 | 0.35 | 3.23 | 2.71 | 0.3% | 0 of 92 | 96 |
| Jul to Sep 2025 | 3.28 | 0.38 | 3.40 | 2.97 | 0.3% | 0 of 92 | 100 |
| Apr to Jun 2025 | 3.56 | 0.41 | 3.68 | 3.27 | 0.3% | 0 of 91 | 96 |
| 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 | 11.4 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.8 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.4 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.6 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.8 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.0 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.9 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 13.1 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.3 | 12.9 | 12.0 |
Owners and operators
Legal business name: AUTUMN CARE OF BISCOE LLC. CMS links this home to Saber Healthcare Group, a group of 126 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Wwbv Holdings LLC | 5% or greater indirect ownership interest | Organization | 100% | 09/30/2019 |
| Ohl Asset (nc) Biscoe, LP | 5% or greater mortgage interest | Organization | 03/01/2016 | |
| Volpe, Benjamin | Corporate director | Individual | 03/01/2019 | |
| Weisberg, William | Corporate director | Individual | 03/01/2019 | |
| Nicoluzakis, Gregory | Corporate officer | Individual | 03/01/2019 | |
| Volpe, Benjamin | Corporate officer | Individual | 03/01/2019 | |
| Weisberg, William | Corporate officer | Individual | 03/01/2019 | |
| Shg Management LLC | Operational/managerial control | Organization | 09/01/2019 | |
| Billings, Christina | Operational/managerial control | Individual | 09/16/2019 | |
| Sullivan, Melissa | Operational/managerial control | Individual | 12/17/2023 | |
| Autumn Corporation | Adp of the SNF | Organization | 05/06/2026 | |
| Cibc Bank USA | Adp of the SNF | Organization | 03/31/2021 | |
| Citrin Cooperman Advisors LLC | Adp of the SNF | Organization | 04/01/2017 | |
| Ohl Asset (nc) Biscoe, LP | Adp of the SNF | Organization | 03/01/2016 | |
| Saber Governance LLC | Adp of the SNF | Organization | 09/01/2019 | |
| Saber Healthcare Group LLC | Adp of the SNF | Organization | 04/01/2017 | |
| Shg Autumn, LLC | Adp of the SNF | Organization | 05/06/2026 | |
| Shg Management LLC | Adp of the SNF | Organization | 09/01/2019 | |
| Shg Mt, LLC | Adp of the SNF | Organization | 05/06/2026 | |
| Walker & Associates PC | Adp of the SNF | Organization | 12/18/2023 | |
| Billings, Christina | Adp of the SNF | Individual | 09/16/2019 | |
| Dolack, Christina | Adp of the SNF | Individual | 01/22/2025 | |
| Nicoluzakis, Gregory | Adp of the SNF | Individual | 03/01/2019 | |
| Sullivan, Melissa | Adp of the SNF | Individual | 12/17/2023 | |
| Volpe, Benjamin | Adp of the SNF | Individual | 03/01/2019 |
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 do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on June 24, 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 3 problems in this area, most recently on March 20, 2024: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on March 13, 2025: "Ensure each resident receives an accurate assessment."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on March 20, 2024: "Ensure that residents are free from significant medication errors."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.88 hours per resident per day, below the North Carolina average of 3.42.
Other nursing homes nearby
- Forrest Oakes Healthcare Albemarle, 20.9 mi · 3 of 5 stars · 30 citations
- Peak Resources - Pinelake Carthage, 21.2 mi · 4 of 5 stars · 18 citations
- The Greens at Pinehurst Rehabilitation & Living Ce Pinehurst, 21.4 mi · 3 of 5 stars · 24 citations
- Saint Joseph of the Pines Health Center Pinehurst, 22 mi · 5 of 5 stars · 7 citations
- Trinity Place Albemarle, 22.2 mi · 5 of 5 stars · 3 citations
- Inn at Quail Haven Village Pinehurst, 22.7 mi · 4 of 5 stars · 20 citations
- Pinehurst Healthcare & Rehabilitation Center Pinehurst, 22.8 mi · 2 of 5 stars · 17 citations
- Clapp's Convalescent Nursing Home Inc Asheboro, 23.7 mi · 4 of 5 stars · 4 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 Autumn Care of Biscoe's Medicare star rating?
- CMS rates Autumn Care of Biscoe 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Autumn Care of Biscoe get at its last inspection?
- 1 health deficiency at the standard inspection on June 24, 2026. The North Carolina average is 4.7.
- Has Autumn Care of Biscoe been fined?
- Yes. CMS lists 1 fine totaling $15,350 in the last three years.
- Does Autumn Care of Biscoe 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 Autumn Care of Biscoe?
- CMS lists 25 owners and managers, and links the home to Saber Healthcare Group. Legal business name: AUTUMN CARE OF BISCOE 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.