Home / North Carolina / Rutherfordton
518 Old Us 221 Highway, Rutherfordton, NC 28139 · Rutherford County · (828) 287-7655
60 certified beds, about 56 residents a day · For profit - Corporation · Medicare and Medicaid since 1994
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345464 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on December 3, 2025, inspectors cited 1 health deficiency (the North Carolina average is 4.7, the national average 9.2).
None of its 5 health citations since July 2022 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 3.04 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.34 of those hours.
54.0% 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.
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.
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 5 health citations on file.
Inspectors wroteBased on observations, record review and staff interviews, the facility failed to post the daily nurse staffing data for 1 of 4 days of the survey (11/30/25) and maintain posted daily nurse staffing data sheets for 83 of 169 days reviewed from June 2025 through December 2025.
Inspectors wroteBased on record reviews and interviews with staff, residents, responsible parties, and the Medical Director (MD), the facility failed to protect resident's rights to be free of misappropriation of controlled substances for 2 of 2 residents reviewed for misappropriation of resident property (Resident #212 and Resident #49).
Inspectors wroteBased on record reviews and staff interviews the facility failed to code the Minimum Data Set (MDS) assessment accurately in the areas of Level II Pre-admission Screening and Resident Review (PASRR) (Resident #17 and Resident #27), and anticoagulants (Resident #23). This deficient practice was identified for 3 of 3 residents reviewed for MDS accuracy.
Inspectors wroteBased on record review and staff interviews, the facility failed to maintain accurate advance directives throughout the medical record for 1 of 18 residents reviewed for advance directives (Resident #204).
Inspectors wroteBased on record review and staff interviews, the facility failed to update care plans to reflect weight loss for 1 of 2 residents reviewed for nutrition (Resident #39) and failed to update care plans for 1 of 1 resident reviewed for pressure ulcers (Resident #17).
6 fire safety citations on file: 2 on September 6, 2024, 4 on July 13, 2022.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.04 | 3.85 | 3.86 |
| Registered nurses | 0.34 | 0.62 | 0.69 |
| All nursing staff on weekends | 2.82 | 3.42 | 3.42 |
| Nurse aides | 1.96 | ||
| Licensed practical nurses | 0.75 | ||
| Nursing staff turnover (share who left in a year) | 54.0% | 49.0% | 45.8% |
| Registered nurse turnover | 75.0% | 45.6% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.43 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.13 on weekdays and 2.82 on weekends, 10% 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 2.96 in April to June 2025 to 3.04 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 | 3.04 | 0.34 | 3.13 | 2.82 | 0.0% | 6 of 90 | 56 |
| Oct to Dec 2025 | 2.87 | 0.36 | 3.05 | 2.42 | 0.0% | 9 of 92 | 58 |
| Jul to Sep 2025 | 2.94 | 0.32 | 3.14 | 2.45 | 0.0% | 1 of 92 | 53 |
| Apr to Jun 2025 | 2.96 | 0.41 | 3.22 | 2.31 | 0.0% | 3 of 91 | 54 |
| 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.
Staff pay reports
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.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| North Carolina, all employers | |||
| CNAs (nursing assistants) | $18.49 | $17.28 to $21.08 | 64,010 |
| LPNs and LVNs | $30.42 | $28.50 to $33.51 | 18,010 |
| Registered nurses | $40.56 | $37.87 to $49.06 | 111,120 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
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 | 10.8 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.2 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.9 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.9 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.8 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.6 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.0 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 38.8 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.0 | 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 | 2.9 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Oak Grove Healthcare's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (62.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
62.4% this home
Better than 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. 78 eligible stays.
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. 82 eligible stays.
6.6% 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. 47 eligible stays.
34.8% 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. 23 residents counted.
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. 49 residents counted.
3.8% 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. 49 residents counted.
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. 30 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.
Legal business name: 518 OLD US HIGHWAY 221 OPCO LLC. CMS links this home to Avardis Health, a group of 38 nursing homes averaging 2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Rutherfordton Parentco LLC | 5% or greater direct ownership interest | Organization | 100% | 05/01/2025 |
| Ouh Holdco LLC | 5% or greater indirect ownership interest | Organization | 100% | 05/01/2025 |
| Fc Encore Rutherfordton LLC | 5% or greater security interest | Organization | 05/01/2025 | |
| Hoback, Tiffany | Managing control - governing body | Individual | 05/01/2025 | |
| Semones, Brandi | Managing control - governing body | Individual | 05/01/2025 | |
| SNF Mgr LLC | Operational/managerial control | Organization | 05/01/2025 | |
| Franklin, Christina | Operational/managerial control | Individual | 05/01/2025 | |
| Hainsworth, Jeffrey | Operational/managerial control | Individual | 05/01/2025 | |
| Hoback, Tiffany | Operational/managerial control | Individual | 05/01/2025 | |
| Jones, Tequilla | Operational/managerial control | Individual | 05/01/2025 | |
| Kennedy, Sherry | Operational/managerial control | Individual | 05/01/2025 | |
| Semones, Brandi | Operational/managerial control | Individual | 05/01/2025 | |
| Fc Encore Rutherfordton LLC | Adp of the SNF | Organization | 05/01/2025 | |
| SNF Mgr LLC | Adp of the SNF | Organization | 04/18/2025 | |
| Franklin, Christina | Adp of the SNF | Individual | 05/01/2025 | |
| Hainsworth, Jeffrey | Adp of the SNF | Individual | 05/01/2025 | |
| Hoback, Tiffany | Adp of the SNF | Individual | 05/01/2025 | |
| Jones, Tequilla | Adp of the SNF | Individual | 05/01/2025 | |
| Kennedy, Sherry | Adp of the SNF | Individual | 05/01/2025 | |
| Semones, Brandi | Adp of the SNF | Individual | 05/01/2025 |
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.
Chosen from this home's own inspection record.
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.