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Cardinal Healthcare and Rehabilitation

931 N Aspen Street, Lincolnton, NC 28092 · Lincoln County · (704) 732-7055

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

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 345385 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 1, 2026, inspectors cited 1 health deficiency (the North Carolina average is 4.7, the national average 9.2).

None of its 8 health citations since March 2024 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 3.12 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.74 of those hours.

40.0% of nursing staff left within the year CMS measured (North Carolina average 49.0%).

CMS links it to Avardis Health, an affiliated group of 38 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 8 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
2E
0F
Potential for minimal harm
0A
0B
0C
June 1, 2026Standard inspection · 1 citation
  1. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 28, 2026
    Inspectors wroteBased on record reviews and staff interviews, the facility failed to complete a significant change in status Minimum Data Set (MDS) assessment following hospice election for 1 of 1 resident reviewed for hospice (Resident #11).
May 8, 2025Standard inspection · 3 citations
  1. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 3, 2025
    Inspectors wroteBased on record review and staff interviews, the facility failed to accurately code a significant change Minimum Data Set (MDS) assessment in the area of special treatments, procedures, and programs for 1 of 3 residents reviewed for Dialysis treatments and Hospice care (Resident #13).
  2. 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 · Corrected (the home has a date of correction) June 3, 2025
    Inspectors wroteBased on record review and staff interviews, the facility failed to develop an individualized comprehensive care plan in the area of anticoagulant (blood thinner) medication use for 1 of 2 residents whose comprehensive care plans were reviewed (Resident #8).
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 3, 2025
    Inspectors wroteBased on observation, record review, and staff interviews, the facility failed to follow their Handwashing/Hand Hygiene policy when Nurse #1 did not doff her gloves, perform hand hygiene and don clean gloves prior to applying wound treatment and a clean dressing during wound care to Resident #2. The deficient practice occurred for 1 of 9 staff members observed for infection control practices (Nurse #1).
March 14, 2024Standard inspection · 4 citations
  1. E
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 10, 2024
    Inspectors wroteBased on record review, resident and staff interview the facility failed to honor resident preference and requests to eat dinner in the dining room (Resident #46, Resident #47, and Resident #39) for 3 of 3 residents reviewed for choices.
  2. E
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 10, 2024
    Inspectors wroteBased on observations, record reviews, and staff interviews, the facility's Quality Assurrance and Performance Improvement (QAPI) committee failed to maintain implemented procedures and monitor interventions the committee put into place following the recertification and complaint investigation surveys that occurred on 10/28/21. This was for one deficiency in the area of Self Determination that was originally cited on 10/28/21 recertification and complaint investigation survey and cited again during the recertification and complaint investigation survey completed on 3/14/24. The continued failure of the facility during two federal surveys showed a pattern of the facility's inability to sustain an effective QAPI program.
  3. D
    Allow resident to participate in the development and implementation of his or her person-centered plan of care.
    F553 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2024
    Inspectors wroteBased on record review and resident, resident representative and staff interviews the facility failed to afford the resident and/or resident representative the right to participate in the care plan process for 2 of 3 (Resident #7 and Resident #22) residents reviewed for care plans.
  4. 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) April 10, 2024
    Inspectors wroteBased on record review and staff interviews the facility failed to ensure a Preadmission Screening and Resident Review (PASRR) was completed for resident with mental health diagnosis upon admission and resident with new mental health diagnoses for 2 of 3 residents (Resident #9 and Resident #15) reviewed for PASRR.

Fire safety inspections

12 fire safety citations on file: 5 on May 8, 2025, 3 on March 14, 2024, 4 on August 31, 2022.

Every fire safety citation12 citations
  1. D
    Use approved construction type or materials.
    K 161 · May 8, 2025 · Corrected (the home has a date of correction)
  2. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 8, 2025 · Corrected (the home has a date of correction)
  3. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · May 8, 2025 · Corrected (the home has a date of correction)
  4. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · May 8, 2025 · Corrected (the home has a date of correction)
  5. D
    Have proper medical gas storage and administration areas.
    K 923 · May 8, 2025 · Corrected (the home has a date of correction)
  6. D
    Have exits that are accessible at all times.
    K 271 · March 14, 2024 · Corrected (the home has a date of correction)
  7. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · March 14, 2024 · Corrected (the home has a date of correction)
  8. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 14, 2024 · Corrected (the home has a date of correction)
  9. E
    Properly install and monitor supervisory attachments on automatic sprinkler systems.
    K 352 · August 31, 2022 · Corrected (the home has a date of correction)
  10. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 31, 2022 · Corrected (the home has a date of correction)
  11. D
    Have exits that are accessible at all times.
    K 271 · August 31, 2022 · Corrected (the home has a date of correction)
  12. D
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · August 31, 2022 · Corrected (the home has a date of correction)

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.

MeasureThis homeNorth CarolinaUnited States
All nursing staff (RN, LPN and aides)3.123.853.86
Registered nurses0.740.620.69
All nursing staff on weekends2.843.423.42
Nurse aides1.73
Licensed practical nurses0.65
Nursing staff turnover (share who left in a year)40.0%49.0%45.8%
Registered nurse turnover33.3%45.6%42.9%
Administrators who left0

CMS expects 3.85 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 3.23 on weekdays and 2.84 on weekends, 12% 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 3.25 in April to June 2025 to 3.12 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.120.743.232.84 0.0%0 of 9060
Oct to Dec 20253.200.723.332.89 0.0%0 of 9260
Jul to Sep 20253.240.603.362.94 0.0%0 of 9259
Apr to Jun 20253.250.593.412.87 0.0%0 of 9159
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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for North Carolina

JobMedianMiddle halfEmployed
North Carolina, all employers
CNAs (nursing assistants)$18.49$17.28 to $21.0864,010
LPNs and LVNs$30.42$28.50 to $33.5118,010
Registered nurses$40.56$37.87 to $49.06111,120
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

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
14.415.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.62.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.83.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
3.71.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
31.118.314.1
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
5.214.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
15.922.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.212.912.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Cardinal Healthcare and Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (57.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

57.4% this home

No different from the national rate

US median of homes 51.5% · North Carolina: 93 better, 25 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 83 eligible stays.

Potentially preventable readmissions

10.6% this home

No different from the national rate

US median of homes 10.7% · North Carolina: 1 better, 4 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 81 eligible stays.

Infections that led to a hospital stay

7.7% this home

No different from the national rate

US median of homes 7.1% · North Carolina: 1 better, 3 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 43 eligible stays.

Self-care and mobility at discharge

61.0% this home

Median of homes: North Carolina54.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 59 residents counted.

Falls with major injury

2.1% this home

Median of homes: North Carolina0.6% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 95 residents counted.

New or worsened pressure ulcers

6.7% this home

Median of homes: North Carolina2.5% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 95 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: North Carolina97.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 27 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: 931 NORTH ASPEN STREET OPCO LLC. CMS links this home to Avardis Health, a group of 38 nursing homes averaging 2 stars overall.

NameRoleTypeShareSince
Lincolnton Parentco LLCDirect ownership interestOrganization06/01/2025
Ncop Holdco LLCIndirect ownership interestOrganization06/01/2025
Nu C II Irrevocable TrustIndirect ownership interestOrganization06/01/2025
Nu C Irrevocable TrustIndirect ownership interestOrganization06/01/2025
Queen Metro Holdco LLCIndirect ownership interestOrganization06/01/2025
SNF Care Centers LLCIndirect ownership interestOrganization06/01/2025
Zenith Holdco II LLCIndirect ownership interestOrganization06/01/2025
Zenith Holdco LLCIndirect ownership interestOrganization06/01/2025
Hoback, TiffanyManaging control - governing bodyIndividual05/01/2025
Semones, BrandiManaging control - governing bodyIndividual05/01/2025
SNF Mgr LLCOperational/managerial controlOrganization06/01/2025
Caporossi, LisaOperational/managerial controlIndividual06/01/2025
Hawkins, XavierOperational/managerial controlIndividual05/01/2025
Hoback, TiffanyOperational/managerial controlIndividual05/01/2025
Jones, TequillaOperational/managerial controlIndividual05/01/2025
Phillips, AllenOperational/managerial controlIndividual05/01/2025
Semones, BrandiOperational/managerial controlIndividual05/01/2025
SNF Mgr LLCAdp of the SNFOrganization05/19/2025
Caporossi, LisaAdp of the SNFIndividual06/01/2025
Hawkins, XavierAdp of the SNFIndividual05/01/2025
Hoback, TiffanyAdp of the SNFIndividual05/01/2025
Jones, TequillaAdp of the SNFIndividual05/01/2025
Phillips, AllenAdp of the SNFIndividual05/01/2025
Semones, BrandiAdp of the SNFIndividual05/01/2025

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.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on June 1, 2026: "Assess the resident when there is a significant change in condition"
  2. 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 March 14, 2024: "Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice."
  3. 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 May 8, 2025: "Provide and implement an infection prevention and control program."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on March 14, 2024: "Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.84 hours per resident per day, below the North Carolina average of 3.42.

Other nursing homes nearby

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.

Common questions

What is Cardinal Healthcare and Rehabilitation's Medicare star rating?
CMS rates Cardinal Healthcare and Rehabilitation 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Cardinal Healthcare and Rehabilitation get at its last inspection?
1 health deficiency at the standard inspection on June 1, 2026. The North Carolina average is 4.7.
Has Cardinal Healthcare and Rehabilitation been fined?
CMS lists no fines in the last three years.
Does Cardinal Healthcare and 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 Cardinal Healthcare and Rehabilitation?
CMS lists 24 owners and managers, and links the home to Avardis Health. Legal business name: 931 NORTH ASPEN STREET OPCO LLC.

Sources

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