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Lenoir Health and Rehabilitation Center

322 Nuway Circle, Lenoir, NC 28645 · Caldwell County · (828) 758-7326

120 certified beds, about 109 residents a day · For profit - Corporation · Medicare and Medicaid since 1977

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 345138 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on November 24, 2025, inspectors cited 11 health deficiencies (the North Carolina average is 4.7, the national average 9.2).

Of 35 health citations since April 2023, 3 were rated as actual harm or immediate jeopardy to residents.

CMS lists 4 fines totaling $150,174 in the last three years; the largest was $84,221, and the latest is dated February 5, 2026.

Nurses and nurse aides worked 3.57 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.43 of those hours.

68.7% of nursing staff left within the year CMS measured (North Carolina average 49.0%).

CMS links it to Lifeworks Rehab, an affiliated group of 64 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 35 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
23D
6E
1F
Potential for minimal harm
0A
2B
0C
February 5, 2026Complaint inspection · 3 citations
  1. G
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 2, 2026
    Inspectors wroteBased on observation, record review, staff, resident, Nurse Practitioner, Medical Director, Pharmacist, and Regional Pharmacy Consultant interviews, the facility failed to ensure a resident was free of significant medication errors when they failed to administer the medication Gabapentin for diabetic polyneuropathy (a chronic nerve disorder caused by long-term high blood sugar in diabetes, leading to damage of multiple peripheral nerves, especially in the feet and legs) for 1 of 3 residents reviewed for medication errors (Resident #1). Resident #1 missed a total of 8 doses of Gabapentin over a 4-day period. Resident #1 stated the pain in his legs was extremely bad and rated his pain at a 10 on a 0-10 scale (0 is no pain 10 is worst pain). Resident #1 also stated he experienced twitching in his legs that kept him from sleeping for 3 nights.
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) March 2, 2026
    Inspectors wroteBased on observation, record review, and staff and Nurse Practitioner interviews, the facility failed to notify the Physician/Nurse Practitioner when a resident did not receive his prescribed medication, Gabapentin, for diabetic polyneuropathy (a chronic nerve disorder caused by long-term high blood sugar in diabetes, leading to damage of multiple peripheral nerves, especially in the feet and legs) for 1 of 3 residents reviewed for notification (Resident #1).
  3. 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 2, 2026
    Inspectors wroteBased on observation, record review, and staff and Pharmacist interviews, the facility failed to follow up with the pharmacy to ensure the availability and delivery of a resident's prescribed medication. The facility did not contact the pharmacy to verify the status of the resident's medication when it was unavailable in the medication cart, resulting in total of 8 missed doses of Gabapentin over a 4-day period. The deficient practice occurred for 1 of 3 residents reviewed for medication errors (Resident #1).
November 24, 2025Standard inspection, Complaint inspection · 11 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 19, 2025
    Inspectors wroteBased on observations and staff interviews, the facility failed to clean 1 of 2 ice machines (the dining room ice machine). This practice had the potential to affect beverages served to residents.
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 19, 2025
    Inspectors wroteBased on observations, record review, and Nurse Practitioner (NP), Local Health Department Nurse, State Health Department, staff and resident interviews, the facility failed to implement their infection control policy and procedures for enhanced barrier precaution (EBP) for a resident who was positive for Carbapenem Resistant Enterobacterial (CRE) (bacteria resistant to one or more antibiotics and could cause serious infection). In addition, the facility failed to immediately implement health department recommendations to initiate the process to test other residents for CRE. This deficient practice was identified for 1 of 6 residents observed for infection control practices and had the potential to affect other residents (Resident #105).
  3. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 19, 2025
    Inspectors wroteBased on record review and Nurse Practitioner, Psychiatric Nurse Practitioner, and staff interviews, the facility failed to obtain consent and inform the resident in advance of the risks and benefits of psychotropic medications prior to the initiation of the antianxiety medication clonazepam and the antidepressant medication venlafaxine for 1 of 5 residents reviewed for unnecessary medications (Resident #45).
  4. 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 · found on a complaint visit · Corrected (the home has a date of correction) December 19, 2025
    Inspectors wroteBased on record reviews, staff, Nurse Practitioner (NP), and Medical Director interviews, the facility failed to notify the physician immediately of abdominal bruising on a resident receiving Plavix and aspirin (antiplatelet medications) for 1 of 5 residents reviewed for unnecessary medications (Resident #23). The facility also failed to notify the physician before turning off a continuous enteral feeding (tube feeding) when a resident's blood sugar was elevated for 1 of 3 residents reviewed for tube feeding (Resident #63).
  5. 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) December 19, 2025
    Inspectors wroteBased on record review, staff and resident interviews, the facility failed to develop abuse policies and procedures that directed staff on how to immediately protect residents after an abuse allegation. The facility also failed to implement their abuse policy in the areas of reporting and training. An allegation of staff to resident physical abuse occurred on 11/15/25. The facility failed to immediately remove the alleged perpetrators from the facility, immediately notify the Administrator of the abuse allegation, and train staff on immediately reporting abuse allegations to administration. This deficient practice occurred for 1 of 3 residents reviewed for abuse (Resident #23).
  6. 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) December 19, 2025
    Inspectors wroteBased on observation, record reviews, and staff interviews, the facility failed to complete a significant change in status Minimum Data Set (MDS) assessment within 14 days following hospice election for 1 of 1 resident reviewed for hospice (Resident #73).
  7. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · 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) December 19, 2025
    Inspectors wroteBased on observations, record reviews, and Medical Director, Nurse Practitioner (NP), staff, and resident interviews, the facility failed to complete and document thorough assessments of abdominal bruising on a resident that received Plavix (antiplatelet medication) and aspirin daily. The facility also failed to follow physician orders for daily scheduled treatment of surgical wounds. These practices occurred for 2 of 4 residents reviewed for providing care to maintain wellbeing (Resident #23 and Resident #105).
  8. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 19, 2025
    Inspectors wroteBased on record review, and Guardian, staff, Registered Dietician, Nurse Practitioner and Medical Director interviews, the facility failed to provide enteral feedings (method of delivering nutrition directly into the gastrointestinal tract through a feeding tube) per the physician orders for 1 of 3 residents reviewed for nutrition (Resident #63).
  9. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 19, 2025
    Inspectors wroteBased on observations, record reviews, and Nurse Practitioner and staff interviews, the facility failed to obtain a physician's order for a resident who was admitted from the hospital on continuous oxygen (Resident #126). The facility also failed to post cautionary signage outside of resident rooms that indicated the use of oxygen for 1 of 5 residents reviewed for respiratory care (Resident #126).
  10. 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) December 19, 2025
    Inspectors wroteBased on record reviews, observations, Consultant Pharmacist, and staff interviews, the facility failed to discard expired medications in 1 of 1 medication room, failed to store influenza vaccine per manufacturer recommendations, and failed to maintain a refrigerator temperature log for 2 of 2 refrigerators housing medications that required refrigeration.
  11. B
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, pattern · no revisit needed December 19, 2025
    Inspectors wroteBased on record review and staff interviews, the facility failed to post accurate Registered Nurse (RN) staffing information for 10 of 79 days reviewed for posted nurse staffing (09/08/2025, 09/09/2025, 09/15/2025, 09/17/2025, 09/19/2025, 10/27/2025, 11/07/2025, 11/14/2025, 11/17/2025, and 11/18/2025).
July 8, 2025Complaint inspection · 3 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on record review, and Nurse Practitioner, and staff interviews, the facility failed to provide supervision to prevent accidents when a resident (Resident #1) with left sided weakness, muscle wasting, vascular dementia and at risk for falls fell from the bed in low position on 5/25/2025 and the facility failed to implement a new intervention for fall prevention. The resident had another fall from bed that was not in the low position on 6/1/2025 and was found face down on the floor. Resident #1 was transferred to the hospital for emergency medical treatment where it was discovered Resident #1 had sustained a large scalp laceration with significant bleeding that was cleaned and repaired with staples and a cervical spine (one of the vertebrae of the neck) fracture that required wearing a cervical collar at all times. [...]
  2. E
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 29, 2025
    Inspectors wroteBased on observations, and resident, staff, and pest control contractor supervisor interviews, the facility failed to maintain an environment free from of flies in 2 of 2 resident rooms (Resident #2 and #3) on 1 of 4 halls and the kitchen. In addition, the facility failed to notify the pest control contractor of the increased fly activity.
  3. 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) July 29, 2025
    Inspectors wroteBased on observation, record review, staff, pharmacist and Nurse Practitioner interviews, the facility failed to prevent a significant medication error when an ordered medication was not available to be administered and when Medication Aide (MA) #1 pulled an incorrect dose of a potassium supplement and crushed and administered the potassium supplement that was labelled as a do not crush medication for 1 of 3 residents reviewed for medication errors (Resident #4).
October 30, 2024Complaint inspection · 5 citations
  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 · Corrected (the home has a date of correction) November 16, 2024
    Inspectors wroteBased on record review and interviews with staff and residents, the facility failed to protect the resident's right to be free from physical abuse by a resident for one of three residents (Resident (R) 1) reviewed for abuse. R2, who had severe cognitive impairment, hit R1 in the back of the head with his fist after a dispute over a TV channel.
  2. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · 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) November 16, 2024
    Inspectors wroteBased on record review and staff interview, the facility failed to report an incident of resident-to-resident abuse immediately to the Administrator and within two hours to the state survey agency for one of three residents (Resident (R) 1) reviewed for abuse. R2, who was severely cognitively impaired, hit R1 on the back of the head with his fist after a dispute over a TV channel. The incident was not reported to the state survey agency for more than 4 hours.
  3. 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) November 16, 2024
    Inspectors wroteBased on record review and staff interview, the facility failed to thoroughly investigate an incident of resident-to-resident abuse for one of three residents (Resident (R) 1) reviewed for abuse. R2, who was severely cognitively impaired, hit R1 on the back of the head with his fist after a dispute over a TV channel. This lack of investigation had the potential to lead to continued episodes of physical abuse.
  4. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · 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) November 16, 2024
    Inspectors wroteBased on staff interviews, and record review the facility failed to update care plans to reflect aggressive behaviors and identify interventions related to aggressive behaviors for one of three residents (Resident (R) 2) reviewed for abuse.
  5. 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 · found on a complaint visit · Corrected (the home has a date of correction) November 16, 2024
    Inspectors wroteBased on staff interviews and record review the facility failed to ensure staff maintained professional standards of practice by ensuring 1 of 13 residents (Resident (R) 3) was free from medication errors when staff administered R3 two melatonin pills instead of two oxycodone pills.
August 8, 2024Standard inspection, Complaint inspection · 6 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) November 15, 2024
    Inspectors wroteBased on record review and staff interview, the facility failed to schedule a Registered Nurse (RN) for at least 8 consecutive hours per day, 7 days a week for 25 of 213 days reviewed for sufficient staffing. This deficient practice had the potential to affect all facility residents.
  2. E
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on record review and interviews with staff, residents, and the Medical Director (MD), the facility failed to protect residents' rights to be free from misappropriation of controlled medication for 9 of 9 residents reviewed for misappropriation of resident property (Resident #5, #13, #36, #45, #49, #59, #336, #337, and #338).
  3. E
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 30, 2024
    Inspectors wroteBased on record review, facility activity calendar, 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 4 of 4 residents reviewed for activities (Resident #31, #35, #45, and #65). The residents expressed not being able to leave the facility for over a year made them feel mad, sad, at times depressed and they missed going out with the group to engage in activities, eat at restaurants, shop and socialize.
  4. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · 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) October 30, 2024
    Inspectors wroteBased on record reviews, resident, family member, and staff interviews, the facility failed to treat a resident in a respectful and dignified manner when 1 of 3 staff (Nurse Aide (NA) #3) failed to change the resident resulting in a bowel movement that filled his brief, pooled in his wheelchair and dripped onto the floor for 1 of 3 residents reviewed for dignity and respect (Resident #1). Resident #1 indicated it made him feel bad to have bowel movement on him, his wheelchair and the floor.
  5. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · 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) October 30, 2024
    Inspectors wroteBased on observation, record review, and interviews with resident and staff, the facility failed to ensure dependent residents could access the light switch located behind their bed for 2 of 2 residents reviewed for accommodation of needs (Resident #36 and Resident #57). a. Resident #36 was admitted to the facility on [DATE]. Review of Resident #36's medical records revealed she had moved to her current room on 11/22/22. The annual Minimum Data Set (MDS) dated [DATE] coded Resident #36 with a moderately impaired cognition. The MDS indicated walking between locations inside the room for more than 10 feet was not attempted by Resident #36 during the assessment period due to medical condition or safety concerns. [...]
  6. 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 · found on a complaint visit · Corrected (the home has a date of correction) October 30, 2024
    Inspectors wroteBased on record reviews and resident, family member, and staff interviews, the facility failed to provide incontinence care when staff failed to change a resident resulting in a urine soaked brief, incontinence pad, sheet, and mattress for 1 of 3 residents (Resident #1) on two consecutive night shifts (11:00 PM to 7:00 AM) and when staff failed to change a resident resulting in a bowel movement that filled his brief, pooled in his wheelchair and dripped onto the floor for 1 of 3 residents reviewed for activities of daily living (ADL) (Resident #1).
December 4, 2023Complaint inspection · 3 citations
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) December 28, 2023
    Inspectors wroteBased on observations, record reviews, and resident and staff interviews, the facility failed to provide complete incontinent care and maintain personal hygiene for 1 of 4 dependent residents (Resident #2) reviewed for activities of daily living (ADL).
  2. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 28, 2023
    Inspectors wroteBased on observations, record review, and staff interviews, the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor interventions the committee put in place following surveys 02/11/21, 07/09/21, 09/08/21 and 06/16/22. The area activities of daily living (ADL) care for dependent residents was originally cited during a recertification and complaint survey dated 07/09/21, recited during the onsite revisit and complaint survey dated 09/08/21, recited on the focused infection control and complaint investigation survey dated 06/16/22 and subsequently recited during the onsite revisit and complaint survey dated 12/04/23. [...]
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 28, 2023
    Inspectors wroteBased on observation, and staff interview, the facility failed to implement their infection control policy when Nurse Aide (NA) #1 did not change gloves while providing incontinence care for 1 of 1 resident (Resident #2) reviewed for infection control.
October 5, 2023Complaint inspection · 1 citation
  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) December 4, 2023
    Inspectors wroteBased on record review and resident and staff interviews the facility failed to treat a resident in a dignified manner by not providing assistance and care when requested. Resident #1 contacted law enforcement and the responding officer had to request assistance from staff twice before care was provided. This deficient practice occurred for 1 of 3 residents reviewed for dignity (Resident #1). Resident #1 stated he was asking for assistance to the bathroom and then was incontinent of bowel movement due to the long wait which made him feel angry, disrespected, and embarrassed.
April 19, 2023Standard inspection · 3 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 12, 2023
    Inspectors wroteBased on observations, staff interviews and record review, the facility failed to ensure leftover food items stored for use in the reach-in cooler and walk-in freezer were labeled, dated and sealed. The failure occurred in 2 of 4 cold storage units and had the potential to affect food served to residents.
  2. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 12, 2023
    Inspectors wroteBased on staff and resident interviews and record review, the facility failed to provide privacy for 1 of 1 resident (Resident #12) reviewed for privacy when staff discussed Resident #12's financial matters with the roommate present.
  3. B
    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 minimal harm, pattern · Corrected (the home has a date of correction) May 12, 2023
    Inspectors wroteBased on record review and staff and resident interviews the facility failed to notify a Resident's responsible party of a change in condition when Resident #288 pulled out his drain used to help empty fluid from the body after surgery (JP drain) for 1 of 1 resident reviewed for notification (Resident #288).

Fire safety inspections

6 fire safety citations on file: 2 on August 8, 2024, 4 on April 19, 2023.

Every fire safety citation6 citations
  1. D
    Use approved construction type or materials.
    K 161 · August 8, 2024 · Corrected (the home has a date of correction)
  2. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 8, 2024 · Corrected (the home has a date of correction)
  3. D
    Provide rooms that can be unlocked from inside without a key.
    K 221 · April 19, 2023 · 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 · April 19, 2023 · Corrected (the home has a date of correction)
  5. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 19, 2023 · Corrected (the home has a date of correction)
  6. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · April 19, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
February 5, 2026Fine $35,464
July 8, 2025Fine $9,620
August 8, 2024Fine $20,869
August 8, 2024Payment Denial 8 days from November 8, 2024
October 5, 2023Fine $84,221
October 5, 2023Payment Denial 55 days from November 3, 2023

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)3.573.853.86
Registered nurses0.430.620.69
All nursing staff on weekends3.033.423.42
Nurse aides2.65
Licensed practical nurses0.49
Nursing staff turnover (share who left in a year)68.7%49.0%45.8%
Registered nurse turnover83.3%45.6%42.9%
Administrators who left3

CMS expects 4.15 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 3.78 on weekdays and 3.03 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 28.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.12 in April to June 2025 to 3.57 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.570.433.783.03 28.5%0 of 90109
Oct to Dec 20253.700.243.933.12 43.4%0 of 92113
Jul to Sep 20253.210.243.382.78 46.8%0 of 92116
Apr to Jun 20253.120.293.362.54 45.8%0 of 91113
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. If you work here, your report helps start one.

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.

Work here? Share your pay anonymously

For Lenoir Health and Rehabilitation Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

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
10.715.613.9
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
1.52.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.33.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.41.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
15.418.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.85.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
15.514.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
23.622.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
12.712.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.91.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.31.81.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Lenoir Health and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (44.0% 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

44.0% 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. 45 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. 46 eligible stays.

Infections that led to a hospital stay

6.8% 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. 35 eligible stays.

Self-care and mobility at discharge

65.0% 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. 40 residents counted.

Falls with major injury

3.6% 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. 56 residents counted.

New or worsened pressure ulcers

0.0% 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. 56 residents counted.

Medication list given at discharge

85.7% 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. 21 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: LENOIR OPERATOR LLC. CMS links this home to Lifeworks Rehab, a group of 64 nursing homes averaging 2.1 stars overall.

NameRoleTypeShareSince
Lenoir Holdings LLC5% or greater direct ownership interestOrganization06/01/2024
Ib Mimi 2022 Family TrustDirect ownership interestOrganization06/01/2024
Lambert, MiranaOperational/managerial controlIndividual06/01/2024
Maher, CindyOperational/managerial controlIndividual06/01/2024
Wingate, ShondaOperational/managerial controlIndividual03/27/2025
Burton, NoahTrustee of the SNFIndividual06/01/2024
Ellenbogen, MossTrustee of the SNFIndividual06/01/2024
Rubin, EliezerTrustee of the SNFIndividual06/01/2024
Weiss, HillelTrustee of the SNFIndividual06/01/2024
322 Nuway Circle LLCAdp of the SNFOrganization06/01/2024
Acs Pro Global SolutionsAdp of the SNFOrganization06/01/2024
Bridgewater Nc Holdings LLCAdp of the SNFOrganization06/01/2024
Cyop Cyber Security LLCAdp of the SNFOrganization06/01/2024
Ib Mimi 2022 Family TrustAdp of the SNFOrganization06/01/2024
Milano Family Holdings LLCAdp of the SNFOrganization06/01/2024
Ml Milano 2022 Family TrustAdp of the SNFOrganization06/01/2024
Clark, KevinAdp of the SNFIndividual01/08/2026
Lambert, MiranaAdp of the SNFIndividual06/01/2024
Wingate, ShondaAdp of the SNFIndividual03/27/2025

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 8 problems in this area, most recently on February 5, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on November 24, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 5 problems in this area, most recently on November 24, 2025: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on February 5, 2026: "Ensure that residents are free from significant medication errors."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.03 hours per resident per day, below the North Carolina average of 3.42.
  6. How long has the current administrator been here?CMS counts 3 administrators who left in the period it measured.

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Common questions

What is Lenoir Health and Rehabilitation Center's Medicare star rating?
CMS rates Lenoir Health and Rehabilitation Center 1 out of 5 stars overall, with 1 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Lenoir Health and Rehabilitation Center get at its last inspection?
11 health deficiencies at the standard inspection on November 24, 2025. The North Carolina average is 4.7.
Has Lenoir Health and Rehabilitation Center been fined?
Yes. CMS lists 4 fines totaling $150,174 in the last three years.
Does Lenoir Health and Rehabilitation Center 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 Lenoir Health and Rehabilitation Center?
CMS lists 19 owners and managers, and links the home to Lifeworks Rehab. Legal business name: LENOIR OPERATOR LLC.

Sources

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