Does Piney Grove Nursing 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 Piney Grove Nursing and Rehabilitation Center?

CMS lists 10 owners and managers, and links the home to Principle Long Term Care. Legal business name: SNOWSHOE LTC GROUP, LLC.

Piney Grove Nursing and Rehabilitation Center: Inspections

The record in brief

At its most recent standard inspection, on January 27, 2026, inspectors cited 1 health deficiency (the North Carolina average is 4.7, the national average 9.2).

Of 14 health citations since June 2023, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 2 fines totaling $10,699 in the last three years; the largest was $5,350, and the latest is dated October 14, 2024.

Nurses and nurse aides worked 3.81 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.61 of those hours.

66.1% of nursing staff left within the year CMS measured (North Carolina average 49.0%).

CMS links it to Principle Long Term Care, an affiliated group of 40 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.

006/23

1310/24

101/26

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 14 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

January 27, 2026Standard inspection · 1 citation

B

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

F584 · Resident Rights · No actual harm, potential for minimal harm, pattern · Not yet corrected

Inspectors wroteBased on observations, and resident and staff interviews, the facility failed to maintain Packaged Terminal Air Conditioner (PTAC) units in good condition in 8 of 26 resident rooms (room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], room [ROOM NUMBER], Room#109, room [ROOM NUMBER], and room [ROOM NUMBER]) reviewed for a comfortable, safe, and homelike environment.

October 14, 2024Standard inspection, Complaint inspection · 13 citations

G

Protect each resident from the wrongful use of the resident's belongings or money.

F602 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 19, 2024

Inspectors wroteBased on record review and interviews with residents, staff, Nurse Practitioner (NP), and the Medical Director (MD), the facility failed to protect a resident's right to be free from misappropriation of controlled medications for 1 of 3 residents reviewed for misappropriation of resident's property (Resident # 17). As a result of not getting her pain medication, Resident #17 had an increase in her pain of a level 8 on a scale of 1 to 10 which was increased from her usual pain level of 0 to 3 when getting her medication as prescribed. Resident #17 described the pain as constant aching and throbbing pain in her right hip and throbbing pain in her mouth.
G

Provide safe, appropriate pain management for a resident who requires such services.

F697 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 19, 2024

Inspectors wroteBased on record review and interviews with residents, staff, Nurse Practitioner (NP), and the Medical Director (MD), the facility failed to ensure a resident's pain was assessed and that she received her pain medication to treat acute throbbing mouth pain from teeth being extracted and chronic constant aching and throbbing pain in her right hip for 1 of 3 residents reviewed for pain management (Resident #17). As a result of the resident not getting her pain medication as prescribed, her pain level increased to an 8 on a scale of 1 to 10 when her usual pain level was 0 to 3 when taking her pain medication as prescribed three times a day.
E

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

F561 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 19, 2024

Inspectors wroteBased on observations, record reviews, resident and staff interviews, the facility failed to provide the resident's preference of showers for 3 of 3 residents reviewed for choices (Resident #17, Resident #189 and Resident #64).
E

Honor the resident's right to organize and participate in resident/family groups in the facility.

F565 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 19, 2024

Inspectors wroteBased on record review, resident and staff interviews, the facility failed to resolve and communicate the facility's efforts to address repeated concerns and/or suggestions voiced by residents during Resident Council meetings for 6 of 10 months reviewed (January 2024, March 2024, April 2024, June 2024, July 2024, and August 2024).
E

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F623 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 19, 2024

Inspectors wroteBased on record review and staff interviews, the facility failed to notify the Regional Ombudsman when residents discharged or transferred from the facility for 6 of 6 months (April 2024, May 2024, June 2024, July 2024, August 2024, and September 2024).
E

Plan the resident's discharge to meet the resident's goals and needs.

F660 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 19, 2024

Inspectors wroteBased on record review and resident, family and staff interviews, the facility failed to have a discharge planning process in place that incorporated the resident in the development of a discharge care plan that addressed the resident's discharge goals and post-discharge needs for residents who wished to discharge to the community for 3 of 4 sampled residents (Residents #82, #13 and #137).
E

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 19, 2024

Inspectors wroteBased on record reviews and staff interviews, the facility failed to maintain accurate Treatment Administration Records (TAR) for 1 of 4 residents reviewed for pressure ulcers (Resident #238).
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) November 19, 2024

Inspectors wroteBased on observations, record reviews, and resident and staff interviews, the facility failed to implement infection control policies and procedures when the Wound Nurse did not follow the procedure for dressing change for a wound (Resident #25). In addition, Nurse Aide (NA) #11 failed to remove soiled gloves and perform hand hygiene after incontinence care and before she touched the resident, bed linens and the bed control (Resident #25), the Wound Nurse did not follow enhanced barrier precautions (EPB) while applying stabilizing devices to indwelling catheters for two residents (Resident #60 and Resident #63), Nurse #9, failed to follow enhanced barrier precautions while administering intravenous antibiotics into a central venous catheter (Resident #139) and NA #1 did not follow EPB when providing catheter care (Resident #63). [...]
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) November 19, 2024

Inspectors wroteBased on record review and interviews with resident, staff, Nurse Practitioner (NP), and the Medical Director (MD), the facility failed to notify the NP and MD that a resident was completely out of her narcotic pain medication resulting in her missing 14 consecutive doses for 4 ½ days for 1 of 3 residents reviewed for notification (Resident #17).
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 · Corrected (the home has a date of correction) November 19, 2024

Inspectors wroteBased on record review, residents and staff interviews, the facility failed to invite residents to participate and provide input in care planning for 2 of 3 sampled residents (Residents #82 and #13).
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) November 19, 2024

Inspectors wroteBased on observations, record review, and resident, family member, and staff interviews, the facility failed to clean and trim nails on both hands of a dependent resident and failed to shave chin hairs on a dependent resident for 1 of 3 dependent residents reviewed for activities of daily living (Resident #43).
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) November 19, 2024

Inspectors wroteBased on observations, record review, resident and staff interviews the facility failed to apply compression wraps daily per the physician's order for 1 of 1 resident (Resident #57) reviewed for edema (swelling).
D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 19, 2024

Inspectors wroteBased on observations, record review, resident and staff interviews the facility failed to secure an indwelling urinary catheter tubing to prevent tension or trauma for 1 of 3 residents reviewed for urinary catheter (Resident #63).

June 8, 2023Standard inspection · 0 citations

Fire safety inspections

6 fire safety citations on file: 2 on January 27, 2026, 2 on October 14, 2024, 2 on June 8, 2023.

Every fire safety citation6 citations

D
Use approved construction type or materials.

K 161 · January 27, 2026 · Corrected (the home has a date of correction)
D
Install an approved automatic sprinkler system.

K 351 · January 27, 2026 · Corrected (the home has a date of correction)
D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · October 14, 2024 · Corrected (the home has a date of correction)
D
Meet requirements for the installation and maintenance of electrical systems.

K 911 · October 14, 2024 · Corrected (the home has a date of correction)
D
Have simulated fire drills held at unexpected times.

K 712 · June 8, 2023 · Corrected (the home has a date of correction)
D
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · June 8, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

Date	Penalty	Amount or length
October 14, 2024	Fine	$5,349
October 14, 2024	Fine	$5,350
October 14, 2024	Payment Denial	6 days from November 13, 2024

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.

Measure	This home	North Carolina	United States
All nursing staff (RN, LPN and aides)	3.81	3.85	3.86
Registered nurses	0.61	0.62	0.69
All nursing staff on weekends	3.63	3.42	3.42
Nurse aides	2.35
Licensed practical nurses	0.86
Nursing staff turnover (share who left in a year)	66.1%	49.0%	45.8%
Registered nurse turnover	41.2%	45.6%	42.9%
Administrators who left	0

CMS expects 3.61 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 3.89 on weekdays and 3.63 on weekends, 7% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 26.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.92 in April to June 2025 to 3.81 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	3.81	0.61	3.89	3.63	26.3%	0 of 90	87
Oct to Dec 2025	4.01	0.63	4.05	3.89	30.8%	0 of 92	87
Jul to Sep 2025	3.80	0.58	3.87	3.61	32.8%	0 of 92	86
Apr to Jun 2025	3.92	0.65	4.04	3.62	36.8%	0 of 91	85
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

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

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.

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.

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	11.2	15.6	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.6	0.7	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	1.0	2.3	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	1.0	3.5	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	1.1	1.4	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	11.9	18.3	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	4.5	5.5	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	25.5	14.0	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	26.9	22.9	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	14.5	12.9	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.4	1.8	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.6	1.8	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Piney Grove Nursing 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 (55.4% 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

55.4% 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. 93 eligible stays.

Potentially preventable readmissions

10.1% 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.

Infections that led to a hospital stay

7.7% 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.

Self-care and mobility at discharge

48.5% 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. 33 residents counted.

Falls with major injury

2.3% 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. 44 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. 44 residents counted.

Medication list given at discharge

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. 10 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: SNOWSHOE LTC GROUP, LLC. CMS links this home to Principle Long Term Care, a group of 40 nursing homes averaging 3 stars overall.

Name	Role	Type	Since
Boice, Gale	Corporate officer	Individual	03/05/2018
Johnson, Dianne	Corporate officer	Individual	01/01/2011
Principle Long Term Care, Inc.	Operational/managerial control	Organization	01/01/2011
Stimpson, Jared	Operational/managerial control	Individual	08/05/2024
Boice, Gale	Adp of the SNF	Individual	03/05/2018
Hill, Raymond	Adp of the SNF	Individual	01/01/2011
Hill, Robert	Adp of the SNF	Individual	01/01/2011
Hill, Stephen	Adp of the SNF	Individual	01/01/2011
Pierce, Ashley	Adp of the SNF	Individual	09/03/2024
Stimpson, Jared	Adp of the SNF	Individual	07/03/2025

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.

How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on January 27, 2026: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on October 14, 2024: "Provide safe, appropriate pain management for a resident who requires such services."
When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on October 14, 2024: "Plan the resident's discharge to meet the resident's goals and needs."
How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on October 14, 2024: "Protect each resident from the wrongful use of the resident's belongings or money."

Other nursing homes nearby

Summerstone Health and Rehabilitation Center
Kernersville, 1.8 mi · 3 of 5 stars · 20 citations
North Carolina State Veterans Home Kernersville
Kernersville, 1.8 mi · 5 of 5 stars · 0 citations
River Landing at Sandy Ridge
Colfax, 5.9 mi · 5 of 5 stars · 3 citations
Trinity Glen
Winston-Salem, 7.8 mi · 4 of 5 stars · 2 citations
Countryside
Stokesdale, 9.1 mi · 4 of 5 stars · 7 citations
Friends Homes at Guilford
Greensboro, 10.5 mi · 5 of 5 stars · 2 citations
Oak Forest Health and Rehabilitation
Winston Salem, 11.4 mi · 1 of 5 stars · 26 citations
Willow Valley Center for Nursing and Rehabilitatio
Winston-Salem, 11.6 mi · 1 of 5 stars · 51 citations

North Carolina contacts for a concern about a nursing home

These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: NC Division of Health Service Regulation, Nursing Home Licensure and Certification Section, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: North Carolina Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: NC DHSR Regulated Facilities search (Statements of Deficiencies), where North Carolina publishes its own records on licensed homes.

Common questions

What is Piney Grove Nursing and Rehabilitation Center's Medicare star rating?: CMS rates Piney Grove Nursing and Rehabilitation Center 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Piney Grove Nursing and Rehabilitation Center get at its last inspection?: 1 health deficiency at the standard inspection on January 27, 2026. The North Carolina average is 4.7.
Has Piney Grove Nursing and Rehabilitation Center been fined?: Yes. CMS lists 2 fines totaling $10,699 in the last three years.
Does Piney Grove Nursing 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 Piney Grove Nursing and Rehabilitation Center?: CMS lists 10 owners and managers, and links the home to Principle Long Term Care. Legal business name: SNOWSHOE LTC GROUP, LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.