Home / North Carolina / Shelby
Cleveland Pines
1404 N Lafayette Street, Shelby, NC 28150 · Cleveland County · (980) 487-1500
120 certified beds, about 102 residents a day · For profit - Corporation · Medicare and Medicaid since 1988
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345282 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on November 18, 2025, inspectors cited 6 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
None of its 13 health citations since March 2023 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 2.96 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.31 of those hours.
43.3% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Atrium Health, an affiliated group of 5 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.
303/23
407/24
611/25
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 13 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
4E
0F
Potential for minimal harm
0A
0B
0C
November 18, 2025Standard inspection · 6 citations
- E Provide appropriate foot care.
Inspectors wroteBased on observations, record review, and staff and Nurse Practitioner (NP) interviews, the facility failed to ensure resident's toenails were trimmed and podiatry services were arranged for 3 of 7 residents reviewed for foot care (Resident #15, Resident #90, and Resident #24).
- E Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on observations, record reviews, and Nurse Practitioner and staff interviews, the facility failed to review risks and benefit of side rails use with the resident or resident representative prior to installation, failed to obtain informed consent, and failed to accurately assess 5 of 8 severely cognitively impaired residents for the use of bilateral half side rails on their beds (Resident #3, Resident #9, and Resident #15, Resident #39, Resident #35).
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on record review and staff interviews, the facility failed to complete a thorough investigation of an allegation of resident-to-resident abuse for 1 of 3 residents reviewed for abuse (Residents #9).
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review and staff interviews, the facility failed to ensure a Preadmission Screening and Resident Review (PASRR) Level II review was completed for residents with new mental health diagnoses for 2 of 4 residents (Resident #9 and Resident #43) reviewed for PASRR.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, record reviews, and staff interviews, the facility failed to follow their infection control standards and procedures when Nurse #6 failed to sanitize her hands and change her gloves between replacing the new tracheostomy (a surgically created opening in the windpipe through the neck to provide an airway for breathing) ties and neck collar and before cleaning the stoma and outer cannula and applying new disposable inner cannula and when Nurse #7 failed to sanitize her hands and change her gloves after inserting the new inner cannula and before cleaning around the stoma and outer cannula and placing the stoma dressing and new neck collar and ties. The deficient practice occurred for 2 of 2 residents reviewed for respiratory care (Resident #15 and Resident #39).
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record reviews and interviews with staff, the facility failed to have effective systems in place for accurate reconciliation of controlled medications and maintaining accurate records of a resident's controlled medication declining count sheet for 1 of 6 residents reviewed for pharmacy services (Resident #46).
July 18, 2024Standard inspection · 4 citations
- E Provide activities to meet all resident's needs.
Inspectors wroteBased on record reviews, facility activity calendars, and resident and staff interviews, the facility failed to ensure group activities were planned for outside of the facility to meet the needs of residents who expressed that it was important to them to attend group activities outside of the facility for 6 of 8 residents reviewed for activities. (Residents #58, #8, #53, #20, #63, and #16). The residents expressed not being able to leave the facility for almost 2 years made them feel more dependent, sad, depressed, and they missed getting out with the group to shop and socialize with other people.
- D 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.
Inspectors wroteBased on record review, and staff interviews, the facility failed to clarify and update the medical records to reflect the desired advance directive for 1 of 1 resident (Resident #64) reviewed for code status.
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on observations, record review, resident, staff, and Nurse Practitioner interview the facility failed to follow physician's order to provide and apply a left resting hand splint to prevent further contracture for 1 of 3 resident reviewed for limited range of motion. (Resident #30)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record reviews, and staff interviews, the facility failed to implement their infection control policy for hand hygiene/handwashing, when the Treatment Nurse did not perform hand hygiene according to the facility's policy and procedure when she doffed her gloves after preparing her dressing for the wound and did not sanitize her hands before donning clean gloves to remove the old dressing from the wound for a resident (Resident #4). This occurred for 1 of 1 resident observed for wound care.
March 23, 2023Standard inspection · 3 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations and staff interviews the facility failed to ensure food preparation knives ready for use were clean. This practice had the potential to affect food served to residents.
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on observation and staff interviews the facility's Quality Assurance and Performance Improvement (QAPI) committee failed to maintain implemented procedures and monitor interventions that the committee had previously put into place following the facility's 6/10/21 recertification survey. The failure related to two deficiencies that were originally cited during the 6/10/21 recertification survey and was cited on the current recertification and complaint survey of 3/20/23. The recited deficiencies were in the areas of infection prevention and control and food safety requirements and store, prepare, distribute, and serve food in accordance with professional standards for food service safety. The continued failure of the facility during two surveys of record in the same area showed a pattern of the facility's inability to sustain an effective Quality Assurance program.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, record reviews, and staff interviews, the facility failed to implement their policy for Infection Prevention when 1 of 1 staff (Nurse Aide #1) failed to put on gloves and a gown before entering a resident's room for 1 of 2 residents on contact precautions (Resident #6).
Fire safety inspections
5 fire safety citations on file: 1 on November 18, 2025, 3 on July 18, 2024, 1 on March 23, 2023.
Every fire safety citation5 citations
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Use approved construction type or materials.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure electrical receptacles or cover plates have distinctive color or marking.
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.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.96 | 3.85 | 3.86 |
| Registered nurses | 0.31 | 0.62 | 0.69 |
| All nursing staff on weekends | 2.01 | 3.42 | 3.42 |
| Nurse aides | 1.99 | ||
| Licensed practical nurses | 0.65 | ||
| Nursing staff turnover (share who left in a year) | 43.3% | 49.0% | 45.8% |
| Registered nurse turnover | 41.7% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.58 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 3.34 on weekdays and 2.01 on weekends, 40% 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 3.41 in April to June 2025 to 2.96 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 | 2.96 | 0.31 | 3.34 | 2.01 | 0.0% | 1 of 90 | 102 |
| Oct to Dec 2025 | 3.16 | 0.37 | 3.58 | 2.09 | 0.1% | 2 of 92 | 102 |
| Jul to Sep 2025 | 3.28 | 0.43 | 3.47 | 2.81 | 0.0% | 0 of 92 | 104 |
| Apr to Jun 2025 | 3.41 | 0.44 | 3.62 | 2.89 | 0.0% | 0 of 91 | 104 |
| 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 | 24.5 | 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 | 2.5 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.4 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.9 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.7 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.9 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.3 | 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 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.8 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available. CMS links this home to Atrium Health, a group of 5 nursing homes averaging 3.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on November 18, 2025: "Provide appropriate foot care."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on July 18, 2024: "Provide and implement an infection prevention and control program."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on November 18, 2025: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on November 18, 2025: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.01 hours per resident per day, below the North Carolina average of 3.42.
Other nursing homes nearby
- White Oak Manor-Shelby Shelby, 1.5 mi · 2 of 5 stars · 18 citations
- Carolina Care Health and Rehabilitation Cherryville, 9.7 mi · 5 of 5 stars · 9 citations
- White Oak Manor-Kings Mountain Kings Mountain, 11.5 mi · 2 of 5 stars · 13 citations
- Peak Resources- Shelby Grover, 11.5 mi · 2 of 5 stars · 10 citations
- Peak Resources-Cherryville Cherryville, 11.7 mi · 4 of 5 stars · 17 citations
- Fair Haven Home Inc Bostic, 15.2 mi · 5 of 5 stars · 3 citations
- Palmetto Patriots Gaffney, 16.6 mi · 5 of 5 stars · 0 citations
- Peachtree Centre Gaffney, 16.9 mi · 1 of 5 stars · 18 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 Cleveland Pines's Medicare star rating?
- CMS rates Cleveland Pines 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Cleveland Pines get at its last inspection?
- 6 health deficiencies at the standard inspection on November 18, 2025. The North Carolina average is 4.7.
- Has Cleveland Pines been fined?
- CMS lists no fines in the last three years.
- Does Cleveland Pines 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 Cleveland Pines?
- CMS lists 1 owner or manager, and links the home to Atrium Health. Legal business name: Legal Business Name Not Available.
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.