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Clapps Nursing Center Inc

5229 Appomattox Road, Pleasant Garden, NC 27313 · Guilford County · (336) 674-2252

118 certified beds, about 107 residents a day · For profit - Individual · Medicare and Medicaid since 1976

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 345024 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 25, 2025, inspectors cited 0 health deficiencies (the North Carolina average is 4.7, the national average 9.2).

CMS lists no health citations for this home in the inspections on file.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.67 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.35 of those hours.

47.5% 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.

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 0 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
0D
0E
0F
Potential for minimal harm
0A
0B
0C
September 25, 2025Standard inspection · 0 citations
June 26, 2024Standard inspection · 0 citations
May 24, 2023Standard inspection · 0 citations

Fire safety inspections

8 fire safety citations on file: 8 on June 26, 2024.

Every fire safety citation8 citations
  1. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · June 26, 2024 · Corrected (the home has a date of correction)
  2. E
    Install proper backup exit lighting.
    K 281 · June 26, 2024 · Corrected (the home has a date of correction)
  3. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · June 26, 2024 · Corrected (the home has a date of correction)
  4. 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 26, 2024 · Corrected (the home has a date of correction)
  5. D
    Install an approved automatic sprinkler system.
    K 351 · June 26, 2024 · Corrected (the home has a date of correction)
  6. D
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · June 26, 2024 · Corrected (the home has a date of correction)
  7. D
    Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
    K 700 · June 26, 2024 · Corrected (the home has a date of correction)
  8. D
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · June 26, 2024 · 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)3.673.853.86
Registered nurses0.350.620.69
All nursing staff on weekends3.433.423.42
Nurse aides2.46
Licensed practical nurses0.86
Nursing staff turnover (share who left in a year)47.5%49.0%45.8%
Registered nurse turnover11.1%45.6%42.9%
Administrators who left0

CMS expects 3.40 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 3.77 on weekdays and 3.43 on weekends, 9% 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 3.78 in April to June 2025 to 3.67 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.670.353.773.43 0.0%0 of 90107
Oct to Dec 20253.770.393.923.40 0.0%0 of 92106
Jul to Sep 20253.840.403.963.55 0.0%0 of 92105
Apr to Jun 20253.780.323.943.39 0.0%0 of 91103
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
19.815.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.40.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.02.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.23.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.61.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
15.018.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.35.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
15.714.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
19.322.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
0.012.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.01.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.11.81.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Clapps Nursing Center Inc's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (49.0% 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

49.0% 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. 126 eligible stays.

Potentially preventable readmissions

10.4% 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. 127 eligible stays.

Infections that led to a hospital stay

6.0% 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. 66 eligible stays.

Self-care and mobility at discharge

48.1% 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. 52 residents counted.

Falls with major injury

0.0% 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. 60 residents counted.

New or worsened pressure ulcers

7.2% 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. 60 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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. 10 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: CLAPP'S NURSING CENTER, INC..

NameRoleTypeShareSince
Clapp Health Care LLC5% or greater direct ownership interestOrganization100%08/31/2023
Hollowell, DanielleDirect ownership interestIndividual08/31/2023
Hollowell, MatthewDirect ownership interestIndividual08/31/2023
Hollowell, DanielleCorporate officerIndividual08/31/2023
Hollowell, MatthewCorporate officerIndividual08/31/2023
Hollowell, MatthewOperational/managerial controlIndividual08/31/2023
Clapp Health Care LLCAdp of the SNFOrganization08/31/2023
Hollowell, DanielleAdp of the SNFIndividual08/31/2023
Hollowell, MatthewAdp of the SNFIndividual08/31/2023

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.

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 Clapps Nursing Center Inc's Medicare star rating?
CMS rates Clapps Nursing Center Inc 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Clapps Nursing Center Inc get at its last inspection?
0 health deficiencies at the standard inspection on September 25, 2025. The North Carolina average is 4.7.
Has Clapps Nursing Center Inc been fined?
CMS lists no fines in the last three years.
Does Clapps Nursing Center Inc 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 Clapps Nursing Center Inc?
CMS lists 9 owners and managers. Legal business name: CLAPP'S NURSING CENTER, INC..

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