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Central Continuing Care

1287 Newsome Street, Mount Airy, NC 27030 · Surry County · (336) 786-2133

120 certified beds, about 81 residents a day · For profit - Partnership · Medicare and Medicaid since 1991

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 345410 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 11, 2025, inspectors cited 4 health deficiencies (the North Carolina average is 4.7, the national average 9.2).

None of its 9 health citations since May 2023 was rated as actual harm or immediate jeopardy.

CMS lists 1 fine totaling $5,597 in the last three years; the largest was $5,597, and the latest is dated December 5, 2023.

Nurses and nurse aides worked 4.36 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.65 of those hours.

42.6% of nursing staff left within the year CMS measured (North Carolina average 49.0%).

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 9 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
1E
0F
Potential for minimal harm
0A
0B
1C
September 11, 2025Standard inspection, Complaint inspection · 4 citations
  1. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on record reviews and staff interviews, the facility failed to provide Centers for Medicare and Medicaid Services (CMS)-10055 Skilled Nursing Facility Advanced Beneficiary Notice (SNF-ABN) prior to discharge from Medicare Part A skilled services for 1 of 3 residents reviewed for beneficiary protection notification review (Resident #71).
  2. 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) October 3, 2025
    Inspectors wroteBased on observation, record review, and staff and resident interviews, the facility failed to protect a resident's right to be free from verbal and physical abuse when Family Member #1 pulled Resident #50 by her hair back into her room, which resulted in no physical harm to Resident #50. In addition, Family Member #1 raised her hand and stated to Resident #50 I will slap you out of the chair, this resulted in restricted visitation for the Family Member of Resident #50. This affected 1 of 3 residents reviewed for abuse (Resident #50).
  3. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 3, 2025
    Inspectors wroteBased on record review, observations, resident and staff interviews, the facility failed to implement a pressure-relieving chair cushion for 1 of 4 resident reviewed for pressure ulcers (Resident #30). This resulted in Resident #30 experiencing discomfort while up in her wheelchair and prevented her from remaining in her wheelchair for social activities.
  4. 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 · no revisit needed October 9, 2025
    Inspectors wroteBased on observations, and resident and staff interviews, the facility failed to have the most recent survey results labeled and accessible to residents and the public in the location stated on the signage in the lobby. This deficient practice occurred 4 of 4 days of the survey.
August 7, 2024Standard inspection · 4 citations
  1. 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) September 3, 2024
    Inspectors wroteBased on observations, record review, and staff interviews the facility failed to post cautionary safety signs that indicated the use of oxygen for 5 of 7 residents reviewed for oxygen use (Resident #47, #30, #48, #19, and #70).
  2. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 3, 2024
    Inspectors wroteBased on record review and staff interviews, the facility failed to develop a baseline care plan that addressed a resident's weight-bearing status and the use of a sling to the right upper extremity for 1 of 1 resident (Resident #47) reviewed for baseline care plan.
  3. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 3, 2024
    Inspectors wroteBased on observations, record review, and staff interviews the facility failed to provide fingernail care for a dependent resident for 1 of 4 residents reviewed for activities of daily living (ADL) (Resident #35).
  4. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 3, 2024
    Inspectors wroteBased on observations, record review and interviews the facility failed to secure an indwelling urinary catheter tubing to prevent tension or trauma for 1 of 3 residents reviewed for urinary catheter (Resident #86).
December 5, 2023Complaint inspection · 1 citation
  1. 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 · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observations, record review, resident, staff, Psychiatric Nurse Practitioner, and Medical Director interviews the facility failed to protect a resident's right to be free from abuse when Resident #1 hit Resident #2 with a tissue box causing a very small cut to his left eyebrow with a bruise because Resident #2 was banging a tissue box on his bedside table. This affected 1 of 2 residents (Resident #1) reviewed for resident-to-resident abuse.
May 10, 2023Standard inspection · 0 citations

Fire safety inspections

8 fire safety citations on file: 5 on August 7, 2024, 3 on May 10, 2023.

Every fire safety citation8 citations
  1. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · August 7, 2024 · Corrected (the home has a date of correction)
  2. 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 7, 2024 · Corrected (the home has a date of correction)
  3. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 7, 2024 · Corrected (the home has a date of correction)
  4. D
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · August 7, 2024 · Corrected (the home has a date of correction)
  5. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 7, 2024 · Corrected (the home has a date of correction)
  6. 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 · May 10, 2023 · Corrected (the home has a date of correction)
  7. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 10, 2023 · Corrected (the home has a date of correction)
  8. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · May 10, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
December 5, 2023Fine $5,597

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)4.363.853.86
Registered nurses0.650.620.69
All nursing staff on weekends3.423.423.42
Nurse aides2.80
Licensed practical nurses0.91
Nursing staff turnover (share who left in a year)42.6%49.0%45.8%
Registered nurse turnover0.0%45.6%42.9%
Administrators who left0

CMS expects 3.94 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 4.74 on weekdays and 3.42 on weekends, 28% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 15.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.15 in April to June 2025 to 4.36 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.360.654.743.42 15.8%0 of 9081
Oct to Dec 20253.980.664.343.05 12.9%0 of 9283
Jul to Sep 20254.220.624.633.17 12.6%0 of 9283
Apr to Jun 20254.150.524.573.11 13.6%0 of 9180
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
28.315.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.90.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
5.42.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.43.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
4.61.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
33.718.314.1
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
16.914.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
28.722.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
13.312.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.01.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.21.81.8

Owners and operators

Legal business name: CCC OF MT. AIRY, INC.

NameRoleTypeShareSince
Payne, David5% or greater direct ownership interestIndividual50%09/01/1994
Payne, Mark5% or greater direct ownership interestIndividual50%09/01/1994
Payne, DavidCorporate officerIndividual09/01/1994
Payne, MarkCorporate officerIndividual09/01/1994
Epperson, CrystalOperational/managerial controlIndividual06/01/2002
Payne, KyleOperational/managerial controlIndividual03/17/2014

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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on September 11, 2025: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  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 September 11, 2025: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on September 11, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on August 7, 2024: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"

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 Central Continuing Care's Medicare star rating?
CMS rates Central Continuing Care 3 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Central Continuing Care get at its last inspection?
4 health deficiencies at the standard inspection on September 11, 2025. The North Carolina average is 4.7.
Has Central Continuing Care been fined?
Yes. CMS lists 1 fine totaling $5,597 in the last three years.
Does Central Continuing Care 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 Central Continuing Care?
CMS lists 6 owners and managers. Legal business name: CCC OF MT. AIRY, INC.

Sources

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