Find a nursing home

Home / North Carolina / Salisbury

Piedmont Health & Rehab Center

610 West Fisher Street, Salisbury, NC 28145 · Rowan County · (704) 633-2781

58 certified beds, about 54 residents a day · For profit - Corporation · Medicare and Medicaid since 1975

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 345140 · 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 5 health deficiencies (the North Carolina average is 4.7, the national average 9.2).

Of 15 health citations since September 2023, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 2 fines totaling $32,717 in the last three years; the largest was $24,205, and the latest is dated May 13, 2026.

Nurses and nurse aides worked 3.23 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.

41.7% of nursing staff left within the year CMS measured (North Carolina average 49.0%).

CMS links it to Saber Healthcare Group, an affiliated group of 126 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 15 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
10D
3E
0F
Potential for minimal harm
0A
0B
0C
May 13, 2026Complaint inspection · 1 citation
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observations, record review, and interviews with staff, Contractor for safety systems, and the Medical Director, the facility failed to effectively supervise a resident, who had diagnoses including dementia and altered mental status and a history of falls, from exiting the facility unsupervised and without staff knowledge for 1 of 3 residents reviewed for supervision to prevent accidents (Resident #1). Resident #1 was admitted to the facility on [DATE] and according to staff became increasingly confused during the shift which started at 7:00 PM. Resident #1 got out of bed multiple times and self-propelled in his wheelchair up and down the hall and was observed at the exit door looking out the window. [...]
September 11, 2025Standard inspection · 5 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) October 9, 2025
    Inspectors wroteBased on observations, and Dietitian and staff interviews, the facility failed to label and date leftover food items stored for use in 1 of 1 walk-in cooler, 1 of 1 walk-in freezer and the dry goods storage area and failed to maintain clean food service equipment and flooring and failed to clean a thermometer probe before inserting the probe into food. These practices had the potential to affect food served to residents.
  2. 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 · Corrected (the home has a date of correction) October 9, 2025
    Inspectors wroteBased on record review, observations, and resident and staff interviews, the facility failed to ensure a resident was spoken to in a dignified manner when the resident expressed feelings of being frustrated and felt like he was spoken to in a childlike manner. This affected 1 of 3 residents reviewed for dignity and respect (Resident #30).
  3. 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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 9, 2025
    Inspectors wroteBased on record review and staff interviews, the facility failed to update 2 of 3 residents advance directive information (Resident #15 and Resident #18).
  4. 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) October 9, 2025
    Inspectors wroteBased on record review, observations, and staff interviews, the facility failed to provide nail care for 3 of 4 residents that were dependent on staff for personal care (Resident #2, Resident #26, and Resident #18).
  5. 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 · Corrected (the home has a date of correction) October 9, 2025
    Inspectors wroteBased on record review, observations, and staff interviews, the facility failed to post cautionary signage for oxygen in use for 2 of 3 residents reviewed for respiratory care (Resident #25 and Resident #38).
July 23, 2024Standard inspection, Complaint inspection · 4 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 · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on record review, observations, staff, and physician interviews, the facility failed to provide care in a safe manner when a resident fell out of bed during incontinence care for 1 of 3 residents reviewed for accidents (Resident #12). Nursing assistant (NA) #1 rolled Resident #12 away from her during incontinence care and Resident #12 rolled out of bed. Resident #12 sustained a fractured tibia and fibula (bones below the right knee). Resident #12 required a 2-day hospitalization for the fracture and returned to the facility with a leg brace in place.
  2. E
    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, pattern · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on record review, observations, and staff interviews, the facility failed to provide routine medications for 1 of 3 residents reviewed for medication administration (Resident #2).
  3. 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 · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on record review and staff interviews, the facility failed to notify the physician of missed medication administration for 1 of 2 residents reviewed for notification (Resident #2).
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 25, 2024
    Inspectors wroteBased on record review, observation, and staff interviews, the facility failed to handle soiled linens in a manner to prevent the spread of infection for 1 of 1 laundry room observation.
September 28, 2023Standard inspection, Complaint inspection · 5 citations
  1. E
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 19, 2023
    Inspectors wroteBased on observations, record review and staff interview the facility failed to accurately code the Minimum Data Set (MDS) assessments for 7 of 14 residents reviewed for MDS accuracy. Resident #14 was not coded for Level II Preadmission Screening and Resident Review (PASRR) and inaccurately coded for daily restraint use. Residents #8, #5, #9, #13, #1 and Resident #6 were also inaccurately coded for daily restraint use.
  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 · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on record reviews, observations, resident, and staff interviews, the facility failed to protect a resident's right to be free from abuse for 1 of 3 residents investigated for abuse from resident-to-resident sexual abuse (Resident #19).
  3. D
    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, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on record reviews, observations, resident and staff interviews, the facility failed to protect resident's bank debit cards, checks and credit cards from being accessed and used without resident permission for 3 of 3 residents reviewed for misappropriation of personal bank accounts (Resident #2,Resident #18, and Resident #14).
  4. 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 · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on record reviews, observations, and staff interviews, the facility failed to assess injuries after an unwitnessed fall for 1 of 3 residents reviewed for accidents (Resident #6).
  5. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on record reviews and staff interviews, the facility failed to protect residents and staff from COVID-19 exposure and infection after a medication aide (MA#1) reported to work with signs and symptoms of COVID-19 and worked her shift before testing positive for COVID-19. MA #1 failed to notify the facility administration of the positive test result. 11 out of 21 residents were reviewed for COVID (Resident #4, Resident #9, Resident #18, Resident #13, Resident #3, Resident #2, Resident #15, Resident #17, Resident #123, Resident #124, and Resident #19) and 6 out of 35 staff (MA #2, Nursing Assistant #3, Nursing Assistant #4, Assistant Director of Nursing, MA #3, and Maintenance Director) tested positive for COVID-19.

Fire safety inspections

9 fire safety citations on file: 3 on July 23, 2024, 2 on September 28, 2023, 4 on June 9, 2022.

Every fire safety citation9 citations
  1. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · July 23, 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 · July 23, 2024 · Corrected (the home has a date of correction)
  3. D
    Have proper medical gas storage and administration areas.
    K 923 · July 23, 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 · September 28, 2023 · Corrected (the home has a date of correction)
  5. D
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · September 28, 2023 · Corrected (the home has a date of correction)
  6. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · June 9, 2022 · Corrected (the home has a date of correction)
  7. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 9, 2022 · Corrected (the home has a date of correction)
  8. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · June 9, 2022 · Corrected (the home has a date of correction)
  9. D
    Install corridor and hallway doors that block smoke.
    K 363 · June 9, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
May 13, 2026Fine $24,205
July 23, 2024Fine $8,512

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)3.233.853.86
Registered nurses0.520.620.69
All nursing staff on weekends2.943.423.42
Nurse aides1.98
Licensed practical nurses0.73
Nursing staff turnover (share who left in a year)41.7%49.0%45.8%
Registered nurse turnover60.0%45.6%42.9%
Administrators who left1

CMS expects 3.53 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 3.35 on weekdays and 2.94 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 10.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.13 in April to June 2025 to 3.23 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.230.523.352.94 10.0%0 of 9054
Oct to Dec 20253.350.553.443.10 12.0%0 of 9249
Jul to Sep 20253.790.443.913.49 11.1%2 of 9243
Apr to Jun 20254.130.514.383.52 6.6%3 of 9139
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
12.315.613.9
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
4.92.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.43.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.51.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
2.818.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.15.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
7.214.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
30.622.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.412.912.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Piedmont Health & Rehab Center's Medicare short-stay residents. How to read these, and what Medicare pays for.

Went home or back to the community

Not reported

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

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. 5 eligible stays.

Potentially preventable readmissions

Not reported

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

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. 11 eligible stays.

Infections that led to a hospital stay

Not reported

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

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. 7 eligible stays.

Self-care and mobility at discharge

46.1% 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. 39 residents counted.

Falls with major injury

1.6% 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. 61 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. 61 residents counted.

Medication list given at discharge

96.3% 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. 27 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: PIEDMONT HEALTH & REHAB CENTER, LLC. CMS links this home to Saber Healthcare Group, a group of 126 nursing homes averaging 2.9 stars overall.

NameRoleTypeShareSince
Saber Healthcare Holdings LLCDirect ownership interestOrganization12/01/2022
Benjamin N. Volpe Family Dynasty Trust (dated December 29, 2020)Indirect ownership interestOrganization01/01/2023
Bnv Dynasty LLCIndirect ownership interestOrganization01/01/2023
Decanted William I. Weisberg Family Dynasty Trust (dated Sept 30, 2020Indirect ownership interestOrganization01/01/2023
Wiw Dynasty LLCIndirect ownership interestOrganization01/01/2023
Ohi Asset (nc) Fisher St. Salisbury, LP5% or greater security interestOrganization12/01/2022
Volpe, BenjaminCorporate directorIndividual12/01/2022
Weisberg, WilliamCorporate directorIndividual12/01/2022
Nicoluzakis, GregoryCorporate officerIndividual12/01/2022
Volpe, BenjaminCorporate officerIndividual12/01/2022
Weisberg, WilliamCorporate officerIndividual12/01/2022
Shg Management LLCOperational/managerial controlOrganization12/01/2022
Hopping, DarinOperational/managerial controlIndividual12/01/2022
Stokes, EmmaOperational/managerial controlIndividual11/02/2025
Weisberg, WilliamIndividual is an owner, partner or trustee of any ADP of the SNFIndividual12/27/2025
Citrin Cooperman Advisors LLCAdp of the SNFOrganization12/01/2022
Ohi Asset (nc) Fisher St. Salisbury, LPAdp of the SNFOrganization12/01/2022
Saber Governance LLCAdp of the SNFOrganization12/01/2022
Saber Healthcare Group LLCAdp of the SNFOrganization12/01/2022
Shg Boa LLCAdp of the SNFOrganization12/27/2025
Shg Management LLCAdp of the SNFOrganization12/01/2022
Shg Mt, LLCAdp of the SNFOrganization12/27/2025
Walker & Associates PCAdp of the SNFOrganization12/18/2023
Hopping, DarinAdp of the SNFIndividual12/01/2022
Nicoluzakis, GregoryAdp of the SNFIndividual12/01/2022
Schwartzman, NeilAdp of the SNFIndividual04/10/2025
Stokes, EmmaAdp of the SNFIndividual11/02/2025
Volpe, BenjaminAdp of the SNFIndividual12/01/2022
Weisberg, WilliamAdp of the SNFIndividual12/01/2022

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 5 problems in this area, most recently on May 13, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on September 11, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  3. 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 23, 2024: "Provide and implement an infection prevention and control program."
  4. 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 28, 2023: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.94 hours per resident per day, below the North Carolina average of 3.42.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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 Piedmont Health & Rehab Center's Medicare star rating?
CMS rates Piedmont Health & Rehab Center 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Piedmont Health & Rehab Center get at its last inspection?
5 health deficiencies at the standard inspection on September 11, 2025. The North Carolina average is 4.7.
Has Piedmont Health & Rehab Center been fined?
Yes. CMS lists 2 fines totaling $32,717 in the last three years.
Does Piedmont Health & Rehab 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 Piedmont Health & Rehab Center?
CMS lists 29 owners and managers, and links the home to Saber Healthcare Group. Legal business name: PIEDMONT HEALTH & REHAB CENTER, LLC.

Sources

Find a nursing home Read an inspection