Home / North Carolina / Lexington
279 Brian Center Drive, Lexington, NC 27292 · Davidson County · (336) 249-7521
106 certified beds, about 103 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1976
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345011 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 23, 2026, inspectors cited 1 health deficiency (the North Carolina average is 4.7, the national average 9.2).
Of 26 health citations since March 2024, 10 were rated as actual harm or immediate jeopardy to residents (5 immediate jeopardy).
CMS lists 2 fines totaling $122,460 in the last three years; the largest was $107,432, and the latest is dated May 22, 2025.
Nurses and nurse aides worked 3.30 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.11 of those hours.
45.5% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Alliance Health Group, an affiliated group of 13 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 26 health citations on file.
Inspectors wroteBased on record review and staff interviews, the facility failed to provide 8 hours of Registered Nurse (RN) coverage for 13 of 30 days reviewed for staffing (6/19/26, 7/2/26, 7/5/26, 7/6/26, 7/7/26, 7/8/26, 7/9/26, 7/10/26, 7/13/26, 7/14/26, 7/15/26, 7/16/26, and 7/17/26).
Inspectors wroteBased on record review, and staff and Medical Director interviews, the facility failed to ensure the Nursing Assistant (NA) and/or Medication Aide requested a nurse to assess a Resident who experienced a drop in oxygen saturation on room air to a level of 68 percent where a normal oxygen saturation ranges from 95-100 percent in healthy individuals but may be 90-100 percent in individuals with known respiratory conditions. The deficient practice occurred in 1 of 1 resident investigated for quality of life (Resident #1).
Inspectors wroteBased on record review, and staff and Medical Director interviews, the facility failed to obtain a physician order for oxygen therapy for 1 of 1 resident reviewed for respiratory care (Resident #1).
Inspectors wroteBased on record review, and staff, family, and Physician Assistant (PA) interviews, the facility failed to provide care safely to a dependent resident. Resident #76 had an impaired gait and she was unable to walk without assistance. On 01/11/25 Nursing Assistant (NA) #1 transferred Resident #76 from her bed to the floor for ambulation to the bathroom. The NA turned away from the resident to place the resident's brief in a trash can leaving the resident in a standing position with no staff support resulting in the resident falling. Resident #76 sustained a left wrist fracture and a left hip fracture. This was for 1 of 4 residents reviewed for accidents (Resident #76).
Inspectors wroteBased on record review and staff interview, the facility failed to ensure a Nursing Assistant (NA) was trained and competent on utilizing the kardex (a concise, quick-reference system for resident care information) to identify the care needs that residents required prior to providing direct care to residents. This was for 1 of 5 staff reviewed for competency (NA #1).
Inspectors wroteBased on record review and staff interviews, the facility failed to code the Minimum Data Set (MDS) assessment accurately in the areas of oxygen use (Resident #7), prognosis (Resident #62), diagnoses (Resident #6) and medications (Resident #85). This was for 4 of 25 residents whose MDS assessments were reviewed.
Inspectors wrote2. Resident #20 was admitted to the facility on [DATE] and readmitted [DATE] with diagnoses including chronic obstructive lung disease (COPD) and respiratory failure. Physician orders for Resident #20 dated 4/26/25 specified oxygen flow rate to be administered at 3 liters per minute (LPM). The quarterly Minimum Data Set, dated [DATE] documented Resident #20 was cognitively intact and used oxygen. Review of the medication administration record for May 2025 indicated by the nursing initials that the oxygen flow rate of 3 LPM was checked by the nurse twice per day (once on each shift). Resident #20 was observed on 5/19/25 at 8:31 AM. She was in bed and had oxygen nasal cannula in place with the oxygen flow rate set at 5 LPM. Resident #20 reported she did not know the oxygen flow rate, but sometimes she felt like she was not getting enough oxygen. [...]
Inspectors wroteBased on observations and staff interviews the facility failed to discard milk stored past the use by date in 1 of 1 reach-in cooler and failed to label, and date opened left food items in 1 of 1 walk-in cooler. This practice had the potential to affect food served to residents.
Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to label enteral feeding formula for 1 of 2 residents reviewed for enteral feeding (method of supplying nutrition through a feeding tube that goes directly into the stomach or small intestine) (Resident #79) and failed to store a plastic enteral feeding syringe with the plunger separated from the barrel of the syringe for 2 of 2 residents (Resident #79 and Resident #43) reviewed for enteral feeding management. This practice had the potential for bacterial growth and contamination.
Inspectors wroteBased on record review, resident, Pharmacist, and staff interviews, the pharmacy failed to label a medication blister package correctly, which resulted in the facility administering 18 doses of oxycodone (an opioid pain medication) to Resident #75 instead of ordered hydrocodone (an opioid pain medication). This was for 1 of 6 residents reviewed for medication administration.
Inspectors wrote2. Resident #64 was admitted to the facility 3/8/23 with the most recent readmission date of 4/26/25. Diagnoses for Resident #64 included respiratory failure and diabetes. a. A nursing note dated 2/25/25 documented Resident #64 had a change in condition and was transferred to the hospital. Review of the medical record revealed no written notification of transfer for the Responsible Party or the resident. A nursing note dated 3/1/25 documented Resident #64 returned to the facility after hospitalization. b. A nursing note dated 3/2/25 documented Resident #64 was transferred to the hospital after a change in condition. Review of the medical record revealed no written notification of transfer for the Responsible Party or the resident. A nursing note dated 3/4/25 documented Resident #64 returned to the facility after hospitalization. c. [...]
Inspectors wroteBased on observation, record review, and staff interviews, the facility failed to post accurate nurse staffing forms for 5 of 8 posted daily posted nurse staffing forms reviewed (11/28/24, 3/14/25, 5/7/25, 5/17/25, and 5/18/25).
Inspectors wroteBased on record review, staff, resident, Emergency Service Services (EMS) Personnel, Infectious Disease Nurse Practitioner, facility Nurse Practitioner, Medical Director, family, and Physician Assistant interviews the facility neglected to provide intravenous (IV) antibiotic medication as ordered for 14 days to a resident when his IV access became dislodged and neglected to direct him to a higher level of care, to replace the IV access line for 1 of 3 residents reviewed (Resident #244) for abuse/neglect. There was the the high likelihood of physical harm by not administering the IV antibiotic as ordered by the infectious disease clinic. The untreated bacterial infection had the high likelihood of causing loss of function to his extremities or possible amputation of his extremities. [...]
Inspectors wroteBased on record review, staff, family, Emergency Medical Services (EMS) personnel, Infectious Disease Nurse Practitioner, facility Nurse Practitioner #2, and Medical Director interviews the facility failed to send Resident #244 to the emergency room (ER) as directed by the Infectious Disease office on 07/14/23 to have his intravenous (IV) access restored and to resume his previously prescribed IV antibiotics. Resident #244's peripherally inserted central catheter (PICC) line became dislodged on 07/11/23 and on 07/14/23 Nurse #10 was notified by the Infectious Disease office to send Resident #244 to the ER to have his PICC line reinserted so that he could resume his antibiotics as ordered and Nurse #10 failed to send him to the ER. [...]
Inspectors wroteBased on record review, staff, family, Infectious Disease Nurse Practitioner, facility Nurse Practitioner #2, and Medical Director interviews the facility failed to prevent a significant medication error when staff failed to administer 14 ordered doses of intravenous (IV) antibiotic from 07/11/23 to 07/24/23 after the residents peripherally inserted central catheter (PICC line) was dislodged for 1 of 2 residents reviewed for significant medication error (Resident #244). Resident #244's infection if left untreated could lead to loss of limb function. Immediate jeopardy began on 07/14/23 when Resident #244's PICC line become dislodged, and the facility failed to direct him to higher level of care to ensure he received the IV antibiotic he required. Immediate jeopardy was removed on 03/28/24 when the facility implemented an acceptable credible allegation of immediate jeopardy removal. [...]
Inspectors wroteBased on record review, staff, resident, and Physician's Assistant interviews the facility failed to immediately report an allegation of sexual abuse to the administrator for 1 of 3 residents reviewed for sexual abuse (Resident #38). A severely cognitively impaired female resident (Resident #38) was taken by a resident (Resident #241), a cognitively intact male resident, into the bathroom in his room. Resident #241's roommate, a cognitively intact male resident (Resident #47), used his call light to alert Nurse Aide (NA) #1 about Resident #241 and Resident #38. NA #1 did not report the allegation about Resident #241 and Resident #38 to a nurse. During this time when NA #1 did not report the allegation to a nurse, Resident #241 was in the bathroom with Resident #38. [...]
Inspectors wroteBased on record review, resident, facility staff, and shelter staff interview the facility failed to develop and implement an effective discharge planning process to ensure discharge needs and goals were identified with the resident and the interdisciplinary team (IDT) as active participants in the discharge plan in order to prepare the resident for an effective transition to post-discharge care for a resident who was a planned discharge. On 2/14/24 Resident #241 was discharged without the facility verifying his discharge location and if his care needs were able to be met. In addition, the resident was discharged without adaptive equipment required for ambulation (rolling walker). Resident #241 indicated he was dropped off at a homeless shelter where he continued to reside and felt unsafe and was fearful. These failures created a high likelihood of harm for Resident #241. [...]
Inspectors wroteBased on record review, resident, and staff interviews the facility failed to treat a resident in a dignified manner when two Nurse Aides (NAs) were talking about the residents' wounds in front of her, but not to her, and were rough during incontinent care, and when the resident was screaming and crying in pain (Resident #35) they did not stop the care. The resident stated the interactions with the NAs made her feel angry and upset that they treated her that way for 1 of 1 resident reviewed for pain.
Inspectors wroteBased on record review, resident, roommate, staff, Wound Nurse Practitioner, and facility Nurse Practitioner interviews the facility failed to stop incontinent care when a resident (Resident #35) experienced pain and was crying and failed to report to the nurse so that her complaints of pain could be addressed for 1 of 1 resident reviewed for pain management. Resident #35 stated that during incontinent care and while being turned onto her side her pain was an 8 on a pain scale.
Inspectors wroteBased on record review, resident, shelter staff, and facility staff interviews the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor these interventions that the committee put into place following the 9/23/2021 Complaint Investigation Survey and the 3/8/2022 Complaint Investigation Survey During the 3/8/2022 Complaint Investigation Survey the facility was cited for Resident Rights (F550) and during the 9/23/2021 Complaint Investigation Survey the facility was cited for Discharge Planning Process (F660). These deficiencies were recited again on the current Recertification Survey and Complaint Investigation Survey of 3/28/2024. [...]
Inspectors wroteBased on record review and staff interviews the facility failed to included documentation in the medical record of education regarding the benefits and potential side effects of the Influenza and Pneumococcal immunization for 5 of 5 residents reviewed (Resident #10, Resident #21, Resident #34, Resident #35, and Resident #41.)
Inspectors wroteBased on record review, and staff and resident interviews the facility failed to provide resolution of Resident Council Meeting group grievances for 4 of 6 monthly Resident Council Meetings. The Resident Council had repeated concerns regarding evening snacks and ice water being delivered in the evening (11/9/2023, 12/7/2023, 2/22/2024, and 3/21/2024).
Inspectors wroteBased on record review and staff interviews the facility failed to accurately code the Minimum Data Set (MDS) assessment for 1 of 4 residents reviewed for accidents (Resident #79).
Inspectors wroteBased on record review and staff and Physician interviews the facility failed to prevent a vaccine from being given more than once when it was ordered for a one-time dose for 1 of 5 residents (Resident #71) reviewed for unnecessary medications.
Inspectors wroteBased on observation and staff interviews the facility failed to label and date four liquid medications that had been opened in 1 of 3 medications carts (100-hall medication cart) observed for storage and labeling of medications.
Inspectors wroteBased on record review and staff interviews the facility failed to include documentation in the medical record of education regarding the benefits and potential side effects of the COVID-19 immunization for 3 of 5 (Resident #10, Resident #35, and Resident #41) residents reviewed for infection control.
10 fire safety citations on file: 3 on July 23, 2026, 3 on May 22, 2025, 4 on March 28, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| May 22, 2025 | Fine | $15,028 |
| March 28, 2024 | Fine | $107,432 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.30 | 3.85 | 3.86 |
| Registered nurses | 0.11 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.01 | 3.42 | 3.42 |
| Nurse aides | 2.10 | ||
| Licensed practical nurses | 1.09 | ||
| Nursing staff turnover (share who left in a year) | 45.5% | 49.0% | 45.8% |
| Registered nurse turnover | not reported | 45.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.14 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 3.42 on weekdays and 3.01 on weekends, 12% 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 3.49 in April to June 2025 to 3.30 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 | 3.30 | 0.11 | 3.42 | 3.01 | 0.0% | 5 of 90 | 103 |
| Oct to Dec 2025 | 3.35 | 0.21 | 3.46 | 3.06 | 0.0% | 0 of 92 | 100 |
| Jul to Sep 2025 | 3.38 | 0.20 | 3.46 | 3.17 | 0.0% | 3 of 92 | 102 |
| Apr to Jun 2025 | 3.49 | 0.20 | 3.60 | 3.21 | 0.1% | 1 of 91 | 101 |
| 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. If you work here, your report helps start one.
| 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 | 19.9 | 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 | 3.1 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.6 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 24.1 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.0 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.2 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.5 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.9 | 12.9 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Pine Acres Center for Nursing and Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (23.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
23.1% this home
Worse 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. 47 eligible stays.
10.3% 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. 52 eligible stays.
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. 23 eligible stays.
64.3% 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. 28 residents counted.
2.2% 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. 45 residents counted.
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. 45 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: North Carolina97.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 9 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: BRIAN CENTER DRIVE OPERATING COMPANY, LLC. CMS links this home to Alliance Health Group, a group of 13 nursing homes averaging 1.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Emanuel, Yosef | Corporate officer | Individual | 08/01/2024 | |
| Alliance Health Group LLC | Operational/managerial control | Organization | 08/01/2024 | |
| Emanuel, Yosef | Operational/managerial control | Individual | 08/01/2024 | |
| Alliance Health Group LLC | Adp of the SNF | Organization | 08/01/2024 | |
| Coalition Group LLC | Adp of the SNF | Organization | 08/29/2025 | |
| Emanuel, Yosef | Adp of the SNF | Individual | 08/01/2024 | |
| Terry, Glenn | Adp of the SNF | Individual | 08/29/2025 | |
| Turbett, Timothy | Adp of the SNF | Individual | 08/29/2025 |
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.