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Home / North Carolina / Henderson

Camellia Gardens Center for Nursing and Rehab

280 South Beckford Drive, Henderson, NC 27536 · Vance County · (252) 438-6141

78 certified beds, about 60 residents a day · For profit - Corporation · Medicare and Medicaid since 1991

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 345344 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 30, 2026, inspectors cited 4 health deficiencies (the North Carolina average is 4.7, the national average 9.2).

Of 37 health citations since June 2023, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 3 fines totaling $92,104 in the last three years; the largest was $51,168, and the latest is dated December 3, 2025.

Nurses and nurse aides worked 3.78 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.31 of those hours.

56.7% of nursing staff left within the year CMS measured (North Carolina average 49.0%).

CMS links it to Alliance Health Group, an affiliated group of 13 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.

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 37 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
19D
10E
3F
Potential for minimal harm
0A
1B
2C
January 30, 2026Standard inspection · 4 citations
  1. F
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    F851 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 26, 2026
    Inspectors wroteBased on record review and staff interviews, the facility failed to submit accurate payroll data on the Payroll Based Journal (PBJ) report to the Centers for Medicare and Medicaid Services (CMS) related to Registered Nurse (RN) hours for Federal Fiscal Year (FY) 2025 Quarter 2 (January through March 2025), Quarter 3 (April through June 2025), and Quarter 4 (July through September 2025). This was for 3 of 3 quarter's reviewed for sufficient nurse staffing.
  2. F
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 26, 2026
    Inspectors wroteBased on record review, and resident and staff interviews, the facility failed to assess residents for eligibility and ensure residents were offered the COVID-19 vaccination for 5 of 5 residents reviewed for immunizations (Resident #8, Resident #5, Resident #2, Resident #32, and Resident #44) and failed to maintain documentation related to staff COVID-19 vaccination status.
  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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 26, 2026
    Inspectors wroteBased on record review, observation, and staff interviews, the facility failed to date a multi-dose vial of medication when opened in 1 of 2 medication storage refrigerators reviewed for medication storage (Nurse's Station #1 medication room).
  4. B
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for minimal harm, pattern · no revisit needed February 26, 2026
    Inspectors wroteBased on record reviews, and staff, resident and Resident Representative (RR) interviews, the facility failed to notify the resident and Resident Representative in writing of the reason for the transfer/discharge to the hospital and/or failed to provide a copy of the bed hold policy to the resident or Resident Representative. This affected 3 of 3 residents reviewed for transfer to the hospital (Resident #1, Resident #60 and Resident #34).
December 3, 2025Complaint inspection · 3 citations
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteBased on observation, record review, and interviews with resident, Medical Director, and staff, the facility failed to provide effective supervision to Resident #1, who was deemed unsafe to smoke without supervision and had known non-compliance with the smoking policy, to prevent the resident from smoking while utilizing his portable oxygen tank. On 10/20/25, 10/21/25, and 11/6/25 Resident #1 exited the facility independently and was seen by staff smoking in undesignated smoking areas with his portable oxygen tank present and in use via nasal cannula. The oxygen tank was removed by staff and no harm was caused to the resident on these dates. On 11/10/25 Resident #1 again exited the facility independently and was seen by staff smoking in an undesignated smoking area with his portable oxygen tank present and in use via nasal cannula while Resident #2 was present in the area. [...]
  2. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · deficient, provider has December 21, 2025
    Inspectors wroteBased on record review and staff interviews, the facility failed to maintain a complete and accurate medical record by failing to document a resident's change in condition requiring Emergency Medical Services (EMS) interventions for 1 of 1 resident reviewed for hospitalization (Resident #1).
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 30, 2026
    Inspectors wroteBased on observation, record review and staff interview, the facility failed to develop a comprehensive person-centered care plan to address smoking for 1 of 5 sampled residents (Resident #4). Based on observation, record review and staff interview, the facility failed to develop a comprehensive person-centered care plan to address smoking for 1 of 5 sampled residents. (Resident #4)
February 19, 2025Complaint inspection · 10 citations
  1. G
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 20, 2025
    Inspectors wroteBased on record review, and resident and staff interviews, the facility failed to provide services with dignity and respect for 2 (Resident #1 and Resident #3) of 4 residents reviewed for dignity. A reasonable person would be traumatized by having a nurse aide expose herself, intentionally pass gas nearby, and laugh at their expense.
  2. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 21, 2025
    Inspectors wroteBased on observation, record review, and staff interviews, the facility failed to provide an environment free of hazards by putting a heater in the hallway and space heaters in 5 (Rooms 102, 103, 104, 105, and 106) of 6 resident rooms reviewed for tripping hazards.
  3. E
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 20, 2025
    Inspectors wroteBased on observations, staff interviews, and record review, the facility failed to have a medication error rate of less than 5% as evidenced by 4 medication errors out of 25 opportunities resulting in a medication error rate of 16% for 2 (Residents #11 and #12) of 5 residents observed during medication administration observation.
  4. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 20, 2025
    Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to follow infection control policies and procedures by 1) donning a gown for enhanced barrier precautions during wound care for one (Nurse #1) of two staff members observed for enhanced barrier precautions, 2) performing hand sanitization in between residents during a medication pass observation for one (Medication Aide #1) of two staff members observed for hand hygiene, and 3) using gloves when handling medication during a medication pass observation for one (Nurse #3) of three staff members observed for glove use during care.
  5. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 20, 2025
    Inspectors wroteBased on observation, staff interviews, and resident interviews, the facility failed to provide comfortable room temperatures for one (Resident #16) of three residents reviewed for comfortable room temperatures.
  6. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 20, 2025
    Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to prevent physical and verbal abuse from staff for one (Resident #4) of three residents reviewed for physical and verbal abuse.
  7. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 20, 2025
    Inspectors wroteBased on record review and staff interview, the facility failed to implement policies and procedures that promote a culture of safety and open communication in the workplace and prohibit potential retaliation for staff who report abuse allegations. Confidential Source #1, Confidential Source #2, and Confidential Source #3 all stated they did not come forward with information related to an abuse allegation due to a fear of retaliation. This was for 1 (Resident #4) of 3 residents reviewed for investigation of abuse allegations. Findings Included: Documentation on the facility's abuse, neglect, and exploitation policy, dated as last reviewed on 4/1/2024 revealed, The Company will implement policies and procedures to prevent and prohibit all types of abuse, neglect, misappropriation of resident property, and exploitation that achieves: F. [...]
  8. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 20, 2025
    Inspectors wroteBased on record review, resident interview, and staff interviews, the facility failed to complete a thorough investigation following an abuse allegation by not assessing the alleged victim for injury for one (Resident #4) of three resident abuse investigations reviewed.
  9. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 20, 2025
    Inspectors wroteBased on record review, and staff and pharmacy interviews, the facility failed to have an effective system in place for putting new admission orders into the electronic record to ensure pharmacy delivery, resulting in four missed doses of antibiotics for one (Resident #7) of two residents reviewed for pharmacy services.
  10. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 20, 2025
    Inspectors wroteBased on record review, and staff, Pharmacist and Medical Doctor interviews, the facility failed to administer four doses of antibiotics and one dose of insulin upon admission for one (Resident #7) of two residents reviewed for significant medication errors.
August 29, 2024Standard inspection, Complaint inspection · 14 citations
  1. F
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 25, 2024
    Inspectors wroteBased on staff interviews and record review, the facility failed to have a Registered Nurse (RN) for at least eight consecutive hours a day, 7 days a week for 48 of 180 days reviewed.
  2. E
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 25, 2024
    Inspectors wroteBased on record review, Resident Council group interview and staff interviews, the facility failed to resolve and communicate the facility's efforts to address resident concerns voiced during 3 of 10 Resident Council meetings in October 2023, January 2024, and June 2024.
  3. E
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 25, 2024
    Inspectors wroteBased on record review, resident and staff interviews the facility failed to provide written advance directive information and/or an opportunity to formulate an advance directive for 5 of 65 residents reviewed for advance directives. (Residents #1, #5, #28, #29, and #47).
  4. E
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 25, 2024
    Inspectors wroteBased on record review, staff interviews, and Ombudsman interview the facility failed to notify the resident's responsible party in writing of the reason for transfer to the hospital for 1 of 2 residents (Resident #221) reviewed for hospitalization. The facility also failed to notify the Ombudsman in writing of the reason for the residents' transfer from the facility for 2 of 2 residents reviewed for hospitalization (Resident #119, Resident #221).
  5. E
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 25, 2024
    Inspectors wroteBased on observation, record review, staff interviews, resident interview, Pharmacy Manager interview, Nurse Practitioner interview, and Medical Director interview, the facility failed to administer significant medications as ordered for 2 of 5 residents reviewed for unnecessary medications (Resident #24 and Resident #269).
  6. E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 25, 2024
    Inspectors wroteBased on record review and staff interviews, the facility failed to maintain vaccination consents or declination forms and failed to maintain a record of education provided for the influenza and pneumococcal immunizations for 4 of 5 residents reviewed for immunizations (Resident #28, Resident #16, Resident #29, and Resident #10).
  7. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 25, 2024
    Inspectors wroteBased on record review, staff interviews, Nurse Practitioner interview, and Medical Director interview, the facility failed to notify the physician that prescribed medications were not administered as ordered for 2 of 5 residents reviewed for unnecessary medications (Resident #24 and Resident #269).
  8. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 25, 2024
    Inspectors wroteBased on record review and staff interview the facility failed to maintain documented evidence that an allegation of staff to resident abuse was thoroughly investigated for 1 of 3 residents (Resident #29) reviewed for abuse.
  9. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 25, 2024
    Inspectors wroteBased on observation, record review, and staff interviews, and resident interview, the facility failed to obtain a physician order for the management of a peripherally inserted central catheter (PICC) for 1 of 2 residents reviewed for intravenous antibiotic use (Resident #269).
  10. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 25, 2024
    Inspectors wroteBased on observation, record review and staff interview the facility failed to provide supervision and provide a smoking apron for a resident that required supervision smoking for 1 of 2 residents sampled for smoking. (Resident #9)
  11. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 25, 2024
    Inspectors wroteBased on record review, staff interviews, and Consultant Pharmacist interview, the facility failed to ensure intravenous (a soft, flexible tube placed inside a vein used to give medicine or fluids) antibiotic medication was available as ordered for a newly admitted resident for 1 of 2 residents reviewed for intravenous (IV) antibiotic therapy (Resident #269).
  12. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 25, 2024
    Inspectors wroteBased on record review, staff interviews, and Consultant Pharmacist interview, the facility failed to address recommendations made by the Consultant Pharmacist based on the monthly Medication Regimen Review (MRR) for 1 of 5 residents reviewed for unnecessary medications (Resident #24).
  13. D
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 25, 2024
    Inspectors wroteBased on record review and staff interviews, the facility failed to maintain vaccination consents or declination forms and failed to maintain a record of education provided for COVID-19 (Coronavirus) immunizations for 2 of 5 residents reviewed for immunizations (Resident #16 and Resident #29).
  14. C
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    F576 · Resident Rights · No actual harm, potential for minimal harm, widespread · deficient, provider has September 25, 2024
    Inspectors wroteBased on resident and staff interviews, the facility failed to provide mail delivery to the residents on Saturdays. This had the potential to affect 65 of 65 residents residing in the facility.
June 29, 2023Standard inspection · 6 citations
  1. E
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 25, 2023
    Inspectors wrote2. Resident #45 was admitted to the facility on [DATE]. Resident #45's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed he was not assessed for cognition and mood. The assessment indicated an interview for assessment should have been attempted. An assessment was conducted based on staff observations which assessed him as cognitively intact with no mood symptoms. An interview was conducted with MDS Nurse #1 on 6/29/23 at 3:00 PM who stated she completed an interview with residents during their assessment period but was unable to input it into the computerized tool. She stated it was her understanding that if the interview was not placed in the tool before the Assessment Reference Date (ARD) it could not be utilized as part of the assessment. [...]
  2. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 25, 2023
    Inspectors wroteBased on observations, record reviews and staff interviews, the facility failed to place signage indicating the use of oxygen and failed to administer supplemental oxygen as prescribed for 4 of 4 residents reviewed for oxygen (Resident #19, #53, #214 and #25.)
  3. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 25, 2023
    Inspectors wroteBased on record review, observations, resident interview and staff interviews, the facility failed to assess the capability of a resident to self-administer medications kept at the bedside for 1 of 1 resident reviewed for self-administration of medications (Resident # 29).
  4. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 25, 2023
    Inspectors wroteBased on record review, observations, resident interviews, and staff interviews, the facility failed to keep the room temperature at a comfortable level for 1 of 2 residents sampled (Resident #43).
  5. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 8, 2023
    Inspectors wroteBased on staff interview and record review the facility failed to refer a resident with a newly evidence diagnosis of serious mental illness for a level II Pre-admission Screening Resident Review (PASRR) for 1 of 3 residents reviewed for PASSR (Resident #47).
  6. C
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    F577 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) July 25, 2023
    Inspectors wroteBased on observations, resident interviews and staff interviews, the facility failed to inform residents (Resident #2, #7, #43 and #50) the location of the state inspection results, and failed to provide advocate agency information and failed to display state inspection results accessible to a wheelchair bound resident (Resident #2) for 4 of 4 residents in attendance of the Resident Council meeting.

Fire safety inspections

26 fire safety citations on file: 6 on January 30, 2026, 5 on August 29, 2024, 2 on February 2, 2024, 13 on June 29, 2023.

Every fire safety citation26 citations
  1. E
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · January 30, 2026 · Corrected (the home has a date of correction)
  2. E
    Install corridor and hallway doors that block smoke.
    K 363 · January 30, 2026 · Corrected (the home has a date of correction)
  3. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 30, 2026 · Corrected (the home has a date of correction)
  4. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · January 30, 2026 · Corrected (the home has a date of correction)
  5. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · January 30, 2026 · Corrected (the home has a date of correction)
  6. D
    Have simulated fire drills held at unexpected times.
    K 712 · January 30, 2026 · Corrected (the home has a date of correction)
  7. E
    Use approved construction type or materials.
    K 161 · August 29, 2024 · Corrected (the home has a date of correction)
  8. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · August 29, 2024 · Corrected (the home has a date of correction)
  9. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · August 29, 2024 · Corrected (the home has a date of correction)
  10. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 29, 2024 · Corrected (the home has a date of correction)
  11. D
    Have proper medical gas storage and administration areas.
    K 923 · August 29, 2024 · Corrected (the home has a date of correction)
  12. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · February 2, 2024 · Corrected (the home has a date of correction)
  13. D
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · February 2, 2024 · Corrected (the home has a date of correction)
  14. F
    Establish an Emergency Preparedness Program (EP).
    E 1 · June 29, 2023 · Corrected (the home has a date of correction)
  15. E
    Install an approved automatic sprinkler system.
    K 351 · June 29, 2023 · Corrected (the home has a date of correction)
  16. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 29, 2023 · Corrected (the home has a date of correction)
  17. E
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · June 29, 2023 · Corrected (the home has a date of correction)
  18. D
    Use approved construction type or materials.
    K 161 · June 29, 2023 · Corrected (the home has a date of correction)
  19. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · June 29, 2023 · Corrected (the home has a date of correction)
  20. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · June 29, 2023 · Corrected (the home has a date of correction)
  21. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · June 29, 2023 · Corrected (the home has a date of correction)
  22. D
    Install corridor and hallway doors that block smoke.
    K 363 · June 29, 2023 · Corrected (the home has a date of correction)
  23. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · June 29, 2023 · Corrected (the home has a date of correction)
  24. D
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · June 29, 2023 · Corrected (the home has a date of correction)
  25. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 29, 2023 · Corrected (the home has a date of correction)
  26. D
    Have proper medical gas storage and administration areas.
    K 923 · June 29, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
December 3, 2025Fine $51,168
December 3, 2025Payment Denial 62 days from December 26, 2025
February 19, 2025Fine $36,855
February 19, 2025Payment Denial 7 days from March 14, 2025
February 2, 2024Fine $4,081

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.

MeasureThis homeNorth CarolinaUnited States
All nursing staff (RN, LPN and aides)3.783.853.86
Registered nurses0.310.620.69
All nursing staff on weekends3.403.423.42
Nurse aides2.57
Licensed practical nurses0.89
Nursing staff turnover (share who left in a year)56.7%49.0%45.8%
Registered nurse turnover83.3%45.6%42.9%
Administrators who left2

CMS expects 3.56 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 3.93 on weekdays and 3.40 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.11 in April to June 2025 to 3.78 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.780.313.933.40 0.0%0 of 9060
Oct to Dec 20253.290.223.393.03 0.5%1 of 9263
Jul to Sep 20253.140.123.262.84 0.2%19 of 9262
Apr to Jun 20253.110.123.262.75 0.0%25 of 9171
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
North Carolina, Jan to Mar 20263.650.533.823.258.0%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.

MeasureThis homeNorth CarolinaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
22.715.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.70.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.92.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.03.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
11.71.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
23.618.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.75.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
30.214.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.122.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
15.512.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.41.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.11.81.8

Owners and operators

Legal business name: BECKFORD DRIVE OPERATING COMPANY LLC. CMS links this home to Alliance Health Group, a group of 13 nursing homes averaging 1.5 stars overall.

NameRoleTypeShareSince
Emanuel, YosefCorporate officerIndividual08/01/2024
Alliance Health Group LLCOperational/managerial controlOrganization08/01/2024
Desty, NatalieOperational/managerial controlIndividual08/01/2024
Prather, TrinaOperational/managerial controlIndividual08/01/2024
Alliance Health Group LLCAdp of the SNFOrganization08/01/2024
Desty, NatalieAdp of the SNFIndividual02/26/2025
Prather, TrinaAdp of the SNFIndividual02/26/2025

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.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 12 problems in this area, most recently on January 30, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on January 30, 2026: "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."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on January 30, 2026: "Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status."
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on December 3, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.40 hours per resident per day, below the North Carolina average of 3.42.
  6. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

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Common questions

What is Camellia Gardens Center for Nursing and Rehab's Medicare star rating?
CMS rates Camellia Gardens Center for Nursing and Rehab 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Camellia Gardens Center for Nursing and Rehab get at its last inspection?
4 health deficiencies at the standard inspection on January 30, 2026. The North Carolina average is 4.7.
Has Camellia Gardens Center for Nursing and Rehab been fined?
Yes. CMS lists 3 fines totaling $92,104 in the last three years.
Does Camellia Gardens Center for Nursing and Rehab 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 Camellia Gardens Center for Nursing and Rehab?
CMS lists 7 owners and managers, and links the home to Alliance Health Group. Legal business name: BECKFORD DRIVE OPERATING COMPANY LLC.

Sources

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