Home / North Carolina / Lake Waccamaw
106 Cameron Street, Lake Waccamaw, NC 28450 · Columbus County · (910) 646-3132
127 certified beds, about 67 residents a day · For profit - Individual · Medicare and Medicaid since 1978
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345185 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 26, 2025, inspectors cited 20 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
Of 56 health citations since April 2023, 8 were rated as actual harm or immediate jeopardy to residents (5 immediate jeopardy).
CMS lists 2 fines totaling $384,730 in the last three years; the largest was $267,040, and the latest is dated June 26, 2025.
Nurses and nurse aides worked 3.60 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.45 of those hours.
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 56 health citations on file.
Inspectors wroteBased on observations, record review and staff and Nurse Practitioner interviews the facility failed to protect a resident's right to be free from neglect when the Nurse Practitioner failed to provide a pain management treatment for a resident (Resident #62) who was reporting pain and demonstrating signs and symptoms of pain after he was assessed for pain on 03/17/25 and 06/16/25. This failure occurred for 1 of 1 resident reviewed for neglect.
Inspectors wroteBased on observations, record reviews, staff interviews, and Wound Care Physician interviews, the facility failed to obtain orders, and to provide treatment on admission for a Stage 2 pressure ulcer wound that progressed to an unstageable wound for 1 of 1 residents (Resident # 64) reviewed for pressure ulcers.
Inspectors wroteBased on observations, record review, and staff, Nurse Practitioner and Physician interviews, the facility failed to provide pain management to include medications or non-pharmacological interventions for a resident who was observed by the Nurse Practitioner, the Nursing Aides and Occupational Therapist Assistant to have signs and symptoms of pain. This was for 1 of 1 resident (Resident #62) reviewed for pain.
Inspectors wroteBased on record review and staff interviews, the facility failed to submit payroll data on the Payroll Based Journal (PBJ) report to the Centers for Medicare and Medicaid Services (CMS) for federal fiscal year Quarter 1 (October through December 2024) and Quarter 2 (January through March 2025). This was for 2 of 3 quarters reviewed.
Inspectors wroteBased on record review and staff and Nurse Practitioner interviews, the facility Quality Assurance and Performance Improvement (QAPI) committee failed to meet at least quarterly to fulfill the responsibilities of the committee to identify and correct deficient practices in the facility effectively for 2 quarters and failed to have the Medical Director attend the meeting for 1 quarter. This deficient practice was observed for 3 of 3 quarters reviewed and had the potential to impact all facility residents.
Inspectors wroteBased on observations, record review, and staff, Nurse Practitioner and Physician interviews the facility failed to 1.) follow the physician's order to obtain an x-ray of a resident's right wrist and lower arm due to swelling and signs and symptoms of pain and failed to acknowledge recommendations on the x-ray results for further diagnostic reviews indicating a fracture could not be excluded for Resident #62. 2.) provide a TLSO (thoraco-lumbo-sacral orthosis, a type of spinal brace that supports the spine from the thoracic region down to the sacrum. It is used to limit movement, provide support and stabilization to the spine, and promote healing after injury) which was ordered by the hospital following a T3 (third thoracic vertebra) compression fracture for a resident (Resident #38) who experienced a fall in the facility. [...]
Inspectors wroteBased on record review and staff interviews, the Consultant Pharmacist failed to identify and report a medication irregularity during the monthly medication regimen review. Resident #62 received the anticonvulsant medication Depakote 250 milligrams after the order was written for a gradual dose reduction and to discontinue after 14 days. Resident #62 received 25 additional tablets of Depakote and the wrong dose. There was no significant outcome. This occurred for 1 of 5 residents reviewed for medication administration.
Inspectors wroteBased on observations, record review, the Psychiatrist, Nurse Practitioner, the Physician, and the dispensing pharmacy Quality Assurance Representative interviews, the facility failed to discontinue the anticonvulsant medication Depakote prescribed to a resident (Resident #62) for mood disorder. This resulted in the resident receiving 25 additional tablets of Depakote and the wrong dose. There was no significant outcome. This occurred for 1 of 5 residents reviewed for medication administration.
Inspectors wroteBased on manufacturer instructions, observations and staff interviews the facility failed to record an opened date on a multi-dose oral inhaler that had a shortened expiration date on 1 of 3 medication carts (300 hall) and to discard expired medications on 2 of 2 wound treatment carts (100/200 hall, 400/500 hall) and in 1 of 2 medication storage rooms (400/500 hall) and maintain a locked wound treatment cart (100/200 hall) that were reviewed for medication storage.
Inspectors wroteBased on record review, observations and staff interviews, the facility failed to remove expired food items stored for use in the reach-in refrigerator, the dry storage room and the walk-in refrigerator, failed to remove dented cans that were in stock rotation stored for use in the dry storage room, and failed to maintain cold food temperatures at 41 degree Fahrenheit or less. This deficient practice had the potential to affect the food served to residents residing in the facility.
Inspectors wroteBased on record review, and staff interviews the facility failed to maintain accurate medical records by 1.) not documenting the administration of narcotic pain medications (Hydrocodone-Acetaminophen 5-325 milligrams (mg) and oxycodone 10 mgs) on the residents Medication Administration Record (MAR). 2.) not accurately documenting notification of the resident's responsible party and the physician of a pressure wound. This occurred for 2 of 5 residents reviewed for medication administration, pressure wounds, and medical record review (Resident #40, Resident #64).
Inspectors wroteBased on record review and staff interviews, the facility failed to ensure the Quality Assurance and Performance Improvement (QAPI) program established and implemented effective systems to monitor and evaluate action plans previously developed to correct identified deficiencies. This failure resulted in the facility being unable to sustain compliance at F686, F761, and F842. During the recertification and complaint investigation survey of 7/2/24 the facility failed to obtain and implement physician orders for treatment of pressure ulcers (F686), discard expired medications and record an opened date on medication (F761), and accurately document the administration of medications on the Medication Administration Record (MAR). During the revisit survey of 8/21/24 the facility again failed to record an opened date on medication (F761). [...]
Inspectors wroteBased on record review and staff and resident interviews, the facility failed to ensure resident's right to maintain dignity for 1 of 1 residents reviewed for dignity. Resident #35, a bedbound cognitively intact resident was transported to a physician appointment in a urine soiled brief, wearing a hospital gown rather than her personal clothing as was her preference and without her hair brushed. This resulted in the resident feeling bad and embarrassed.
Inspectors wrote2. Resident #23 was admitted to the facility on [DATE] with diagnoses that included dementia, anxiety, anxiety disorder, and recurrent moderate depressive disorder. The physician's orders revealed an order dated 4/30/25 for the psychotropic medication Depakote tablet delayed release 125 mg. Give 1 tablet by mouth two times a day for generalized anxiety. The quarterly Minimum Data Set (MDS) for Resident #23 dated 5/10/25 revealed he was severely cognitively impaired and received an antidepressant on a regular basis. A review of Resident #23's electronic medical record (EMR) indicated no documentation that the resident representative was informed in advance of the risks or benefits of initiating Depakote. The Medication Administration Record (MAR) from 4/30/25 through 6/25/25 indicated Resident #23 was administered Depakote as ordered. [...]
Inspectors wroteBased on record review and staff, and Wound Care Physician interviews, the facility failed to notify the physician of pressure ulcers that were identified on admission and to notify the responsible party when a stage 2 pressure ulcer worsened to an unstageable pressure ulcer for 1 of 1 residents reviewed for pressure ulcers (Resident #64).
Inspectors wroteBased on record review, and staff, Wound Care Physician, and Nurse Practitioner interviews, the facility failed to implement an effective discharge plan by failing to inform the responsible party of a pressure wound and provide wound care instructions before discharging a resident home for 1 of 1 residents reviewed for discharge (Resident #64).
Inspectors wrote2. Resident #32 was admitted to the facility on [DATE]. Diagnoses included major joint replacement with right femur fracture. A progress note written on 04/11/25 by Nurse #10 revealed Resident #32 had a fall and an order was obtained to send Resident #32 to the emergency room for further evaluation. A nursing progress note written on 04/11/25 by Nurse #10 revealed Resident #32 was admitted to the hospital for right femur fracture. An admission summary note written by the Director of Nursing on 04/15/25 revealed that the resident arrived at the facility via Emergency Medical Services, had a right femur fracture and had an open reduction internal fixation (a type of surgical procedure used to repair a bone break or facture) done on 04/14/25. [...]
Inspectors wroteBased on observation, record review, and staff, the Registered Dietitian, Nurse Practitioner, and Physician interviews the facility failed to provide an enteral tube feeding (nutrition provided directly into the digestive system through a tube inserted through the nose, stomach, or small intestine) according to the physician's order. This occurred for 1 of 2 residents reviewed for nutrition (Resident #48).
Inspectors wroteBased on record review and staff interviews, the facility failed to complete the required Significant Change in Status Assessment (SCSA) for 1 of 19 residents (Resident #32) reviewed for assessments. Resident #32 required a SCSA due to changes in activities of daily living (ADL).
Inspectors wroteBased on record reviews, staff and Nurse Practitioner interviews the facility failed to develop a comprehensive person-centered care plan for the focus area of hospice in the intial care plan for 1 of 19 residents (Resident # 4) reviewed for comprehensive care plans.
Inspectors wroteBased on record review, and staff, resident, and Physician interviews, the facility failed to notify the physician that the scheduled medication gabapentin, a medication ordered for nerve pain that is not to be stopped abruptly, was not administered. Resident #51 was prescribed gabapentin 800 milligrams (mg) four times daily for nerve pain. Resident #51 missed a total of 21 doses of the medication from 5/8/24 through 5/13/24 and had complaints of constant pain up to a 10 (on a scale of 0 to 10 with the 10 being the worst pain possible), numbness in her legs, and spasms and the physician was not notified of this. Resident #46 was prescribed gabapentin 800 mg two times daily for nerve pain. [...]
Inspectors wroteBased on record review and interviews with resident, staff, Consultant Pharmacist, Pharmacy Quality Assurance Specialist, Psychiatrist, Physician, and Wound Clinic Physician, the facility failed to protect the residents' right to be free of neglect when the facility failed to obtain significant medications (Resident #51, Resident #46, and Resident #8), administer significant medications (Resident #269, Resident #51, Resident #46, Resident #419, Resident #39, Resident #32, Resident #10, Resident #50, and Resident #8), notify the physician that scheduled medication for nerve pain that was not to be stopped abruptly was not administered (Resident #51 and Resident #46), and provide effective pain management (Resident #51 and Resident #46). [...]
Inspectors wroteBased on record review, staff, resident, Consultant Pharmacist, and Physician interview, the facility failed to provide effective pain management and manage symptoms of withdraw for 2 of 10 residents (Resident #51 and Resident #46) reviewed for pain management. Resident #51 was prescribed gabapentin 800 milligrams (mg) four times daily for nerve pain. The medication was not available to administer and resulted in a total of 21 doses of the prescribed medication not administered from 5/8/24 through 5/13/24. Resident #51 had complaints of constant pain at up to a 10 (on a scale of 0 to 10 with the 10 being the worst pain possible), numbness in her legs, and spasms. She was transferred to the Emergency Department (ED) per her request on 5/12/24 in the middle of the night where she was treated for acute pain with gabapentin and returned to the facility the same day. [...]
Inspectors wroteBased on record review, staff, resident, Consultant Pharmacist, Pharmacy Quality Assurance Specialist, and Physician interview, the facility failed to ensure scheduled medication was obtained and available for administration for 3 of 10 residents (Resident #51, Resident #46, and Resident #8) reviewed for medications. Resident #51 was prescribed gabapentin 800 milligrams (mg) four times daily for nerve pain. The medication was not obtained from the pharmacy and Resident #51 missed a total of 21 doses of the medication from 5/8/24 through 5/13/24. Resident #51 had complaints of constant pain up to a 10 (on a scale of 0 to 10 with the 10 being the worst pain possible), numbness in her legs, and spasms. She was transferred to the Emergency Department (ED) on 5/12/24 in the middle of the night after missing 14 doses of the medication. [...]
Inspectors wrote8. Resident #50 was admitted to the facility on [DATE]. Diagnoses included, in part, coronary artery disease, high blood pressure, chronic kidney disease, and congestive heart failure. The Minimum Data Set (MDS) quarterly assessment dated [DATE] revealed Resident #50 was cognitively intact. A review of a physician's order written on 10/06/23 revealed give one tablet of Carvedilol (a medication to treat coronary artery disease) 12.5 milligrams twice daily and to hold medication for a heart rate less than 60 bpm or systolic blood pressure (SBP) less than 110 mg/Hg and administer with meals. A review of Resident #50's medication administration record (MAR) for May 2024 to administer the Carvedilol 12.5 milligrams revealed the following: [...]
Inspectors wroteBased on record review, observation, and staff interviews, the facility failed to implement their policy for enhanced barrier precautions and hand hygiene during wound care for 1 of 3 residents (Resident #66) whose wound care was observed. The facility also failed to implement an infection surveillance plan for monitoring and tracking infections in the facility to help prevent the development and transmission of communicable diseases and infections. This deficient practice had the potential to affect 70 of 70 residents in the facility.
Inspectors wroteBased on record review and staff interviews, the facility failed to ensure all staff received training on dementia care, infection control policies and procedures and the elements of the Quality Assurance Performance Improvement (QAPI) program. This practice had the potential to affect all residents.
Inspectors wroteBased on record review and staff interviews, the facility failed to submit a report of an allegation of neglect to Adult Protective Services (APS) and law enforcement within the required time frame for 4 of 4 residents (Resident #46, #51, #269 and #419) reviewed for neglect. The facility was officially notified of neglect on 06/13/24 at 2:15 PM when an immediate jeopardy template was issued. The facility did not notify APS or law enforcement within the required time frame following notification.
Inspectors wroteBased on record review and staff interviews, the facility failed to complete the comprehensive Minimum Data Set (MDS) assessments within the required timeframe for 5 of 29 residents reviewed for MDS assessments (Resident #269, Resident #17, Resident #9, Resident #24 and Resident #16).
Inspectors wroteBased on record review and staff interviews, the facility failed to complete quarterly assessments within the required 14-day timeframe for 14 of 29 residents reviewed for quarterly MDS assessments. (Resident #20, Resident #36, Resident #51, Resident #22, Resident #38, Resident #61, Resident #63, Resident #5, Resident #21, Resident #47, Resident #7, Resident #14, Resident #26, and Resident #58).
Inspectors wroteBased on record review and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) assessments for 3 of 26 residents reviewed (Resident #50, Resident #61, and Resident #8 ).
Inspectors wrote3. Resident #52 was admitted to the facility on [DATE]. Diagnoses included, in part, dementia, seizures, syncope and chronic kidney disease. The Minimum Data Set (MDS) admission assessment dated [DATE] revealed Resident #52 was severely cognitively impaired and required assistance with activities of daily living and was occasionally incontinent of bladder and frequently incontinent of bowel. Resident #52's weight was recorded as 193 pounds and there were no nutritional approaches indicated. The care area assessment dated [DATE] indicated to initiate care plans in the following areas: activities of daily living, urinary incontinence, and nutritional status. Review of Resident #52's electronic medical record from admission on [DATE] through 06/19/24 revealed there were no care plans in place to address nutritional status, activities of daily living, or urinary incontinence. [...]
Inspectors wroteBased on record review, resident interviews, resident representative interviews, and staff interviews, the facility failed to ensure the resident and/or the responsible party was involved in the care planning process (Resident #61 and Resident #16), to revise a resident's care plan with new fall interventions (Resident #47), and to develop a care plan within 7 days after completion of the comprehensive assessment (Resident #319). This deficient practice affected 4 of 26 residents reviewed for care planning.
Inspectors wrote2. Resident #419 was admitted to the facility most recently on 08/07/23. Diagnoses included, in part, a sacral stage 4 pressure ulcer, and hemiplegia and hemiparesis following a stroke (cerebral infarction) affecting his dominant right side. Review of a quarterly Minimum Data Set (MDS) assessment date 02/09/24 revealed Resident #419 had severely impaired cognition. Both upper and lower extremities on one side were impaired. He had one stage 4 pressure ulcer and one deep tissue injury that were not present on admission. He had received pressure ulcer care. The care plan for Resident #419 revised on 03/05/24 documented a focus area of antibiotic therapy. The goal was for the resident to be free of any discomfort or adverse side effects of antibiotic therapy through the review date. [...]
Inspectors wroteBased on record review, staff, Registered Dietitian and Facility Physician interviews, the facility failed to obtain physician ordered weekly weights for 4 of 6 residents reviewed for nutrition and wound care evaluation (Resident #36, Resident #38, Resident #219, Resident #52) and failed to address a Registered Dietitian recommendation for a medication to stimulate appetite for 2 of 6 residents reviewed for nutrition (Resident #36, Resident #38).
Inspectors wroteBased on record review and staff interview, the facility failed to ensure staff were trained and competent in the process to obtain medications from the pharmacy for 10 of 10 staff (Nurse #8, Nurse #9, Nurse #3, Nurse #6, Nurse #17, Nurse #16, Nurse #7, Unit Manager #1, Unit Manager #2, and the Director of Nursing) reviewed for pharmacy procedures for obtaining medications.
Inspectors wroteBased on record reviews and staff interviews, the facility failed to schedule a Registered Nurse (RN) for at least eight consecutive hours per day seven days a week for 17 of 130 days reviewed for sufficient staffing ( 2/18/2024, 3/10/2024, 3/12/2024, 3/16/2024, 3/17/2024, 3/23/2024, 3/24/2024, 3/30/2024, 3/31/2024, 4/13/2024, 4/14/2024, 4/20/2024, 4/21/2024, 5/4/2024, 5/5/2024, 6/8/2024 and 6/9/2024).
Inspectors wrote3. Resident #50 was admitted to the facility on [DATE]. Diagnoses included, in part, coronary artery disease, high blood pressure, chronic kidney disease, and congestive heart failure. A review of a physician's order written on 10/06/23 revealed give one tablet of Carvedilol (a medication to treat coronary artery disease) 12.5 milligrams twice daily and to hold medication for a heart rate less than 60 beats per minute (bpm) or systolic blood pressure (SBP) less than 110 milligrams per mercury (mg/Hg) and administer with meals. A review of Resident #50's medication administration record (MAR) for May 2024 to administer the Carvedilol 12.5 milligrams revealed the following: [...]
Inspectors wroteBased on record review, and Consultant Pharmacist, staff and Physician interviews the facility failed to limit an as needed (PRN) psychotropic medication to 14 days (Resident #18 and Resident #22), provide an appropriate diagnosis for an antipsychotic medication (Resident #269), and monitor for abnormal involuntary movements on a resident receiving an antipsychotic medication (Resident #47) for 4 of 5 residents reviewed for unnecessary medications.
Inspectors wroteBased on observation and staff interviews, the facility failed to: discard 10 doses of COVID-19 vaccine and a bottle of senna syrup (a liquid laxative medication) that were expired in the South station medication room for 1 of 2 medication rooms reviewed. The facility failed to store an unopened bottle of eye drops in the refrigerator per manufacturer's instructions on the 400-hall medication cart. The facility failed to dispose of 4 bottles of expired eye drops and had an in use inhaler with no resident name, opened date or expiration date on the 200 Hall medication cart. The facility failed to label a tube of eye ointment with an opened and expiration date and failed to discard an expired bottle of atropine solution on the 300 Hall medication cart. This was for 3 of 3 medication carts observed for medication storage.
Inspectors wroteBased on record review, and staff, Pharmacy Technician, and Consultant Pharmacist interviews the facility failed to accurately document on the Medication Administration Record (MAR) the administration of medications for 2 of 10 residents (Resident #10 and Resident #8) reviewed for medications.
Inspectors wroteBased on record review, staff, and resident interviews, the facility failed to treat a resident (Resident #50) with dignity and respect when a nurse refused to leave the resident's room upon request and when the resident was not assisted out of the shower when requested. The resident expressed feelings of anger and frustration. This was for 1 of 1 resident reviewed for dignity.
Inspectors wroteBased on record review and staff interviews the facility failed to transmit the quarterly Minimum Data Set within the required time frame for 1 of 26 resident assessments reviewed (Resident #5).
Inspectors wroteBased on record review and staff interviews, the facility failed to develop an individualized person-centered baseline care plan within forty-eight hours of admission for 2 of 26 residents reviewed for care planning (Resident #16 and Resident #319).
Inspectors wroteBased on record review, and staff and Nurse Practitioner (NP) interviews, the facility failed to assess, obtain physician orders for treatment, and communicate about the new pressure ulcer so assessments and treatments could be provided for 1 of 5 residents reviewed for pressure ulcers (Resident #119).
Inspectors wroteBased on observations, record review, resident and staff interviews, the facility failed to supervise a dependent resident (Resident #50) when he was left alone in the shower room on the shower chair and waited for staff to answer the call light and provide assistance for 1 of 7 residents reviewed for accidents.
Inspectors wroteBased on record review and staff interviews, the facility failed to ensure a physician visit occurred for a resident within 30 days from admission for 1 of 8 sampled residents reviewed for physician visits (Residents #48).
Inspectors wroteBased on record review and staff interviews, the facility failed to complete a performance review every 12 months for 1 of 5 nursing assistants (NAs) reviewed to ensure in-service education was designed to address the outcome of the performance reviews (Medication Aide #5).
Inspectors wroteBased on record review, staff interviews, and hospice staff interviews the facility failed to maintain communication and coordination of services provided by hospice in the medical record complete with hospice admission documentation, hospice plan of care, and hospice visit notes in the facility's electronic medical record and failed to obtain physician orders for hospice services for 1 of 1 resident reviewed for hospice (Resident #48).
Inspectors wroteBased on record review and staff interviews the facility failed to have a Registered Nurse (RN) scheduled for 8 consecutive hours a day for 3 of 92 days (08/07/22, 09/03/22, and 09/04/22) reviewed for staffing. This failure had the potential to affect all residents in the facility.
Inspectors wroteBased on record review and staff interviews, the facility failed to complete the annual Minimum Data Set (MDS) assessments within the required timeframe for 5 of 5 residents reviewed for annual MDS assessments (Resident #39, Resident #4, Resident #19, Resident #34 and Resident #7)
Inspectors wroteBased on record review and staff interviews, the facility failed to complete quarterly assessments within the required 14-day timeframe for 6 of 6 residents reviewed for MDS assessments. (Resident #15, Resident #21, Resident #10, Resident #40, Resident #35, and Resident #17).
Inspectors wroteBased on record review and staff interview the facility failed to code the Minimum Data Set (MDS) assessment accurately in the area of Level II Preadmission Screening and Resident Review (PASARR) for 3 of 3 residents (Resident #15, Resident #7, and Resident #3) reviewed for PASARR.
Inspectors wroteBased on record review and staff interviews, the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitoring interventions the committee put into place following a COVID-19 Focused Infection Control survey and complaint investigation survey on 01/06/2021. The failure was for one deficiency that was cited for Resident Assessment (F641) and was subsequently recited on the current recertification and complaint investigation survey of 04/06/2023. The repeat deficiency during two federal surveys of record showed a pattern of the facility's inability to sustain an effective QA program.
Inspectors wroteBased on record review and staff interview, the facility failed to administer the influenza vaccine during the 2022-2023 season after informed consent was obtained for 2 of 5 residents reviewed for influenza vaccinations (Resident #248 and Resident #44) and failed to administer the pneumococcal vaccination after obtaining informed consent for 1 of 5 residents reviewed for pneumococcal vaccinations (Resident #248).
Inspectors wroteBased on record review and staff interviews, the facility failed to accurately document on the Medication Administration Record (MAR) for 1 of 19 residents (Resident # 34).
9 fire safety citations on file: 5 on July 2, 2024, 2 on April 6, 2023, 2 on May 12, 2022.
| Date | Penalty | Amount or length |
|---|---|---|
| June 26, 2025 | Fine | $117,690 |
| June 26, 2025 | Payment Denial | 21 days from July 25, 2025 |
| July 2, 2024 | Fine | $267,040 |
| July 2, 2024 | Payment Denial | 45 days from August 1, 2024 |
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) | 3.60 | 3.85 | 3.86 |
| Registered nurses | 0.45 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.28 | 3.42 | 3.42 |
| Nurse aides | 2.27 | ||
| Licensed practical nurses | 0.89 | ||
| Nursing staff turnover (share who left in a year) | not reported | 49.0% | 45.8% |
| Registered nurse turnover | not reported | 45.6% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.20 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 3.73 on weekdays and 3.28 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.0% of nursing hours, against 5.3% nationally.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.60 | 0.45 | 3.73 | 3.28 | 2.0% | 0 of 90 | 67 |
| 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 | 20.4 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.1 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.5 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.1 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 26.2 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.6 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 29.8 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 7.6 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 21.7 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Premier Living and Rehab Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
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. 19 eligible stays.
10.8% 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. 29 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. 20 eligible stays.
28.6% 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. 21 residents counted.
3.9% 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. 26 residents counted.
6.8% 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. 26 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. 6 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: PREMIER LIVING AND HEALTHCARE CENTER LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Premier Living SNF Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 01/26/2026 |
| Cdo Maratime Trust | 5% or greater indirect ownership interest | Organization | 5% | 01/26/2026 |
| Aysan Tr | Indirect ownership interest | Organization | 01/26/2026 | |
| Wolofsky, Rochel | Indirect ownership interest | Individual | 01/26/2026 | |
| Sidana, Lalita | Operational/managerial control | Individual | 01/26/2026 | |
| Winn, Laura | Operational/managerial control | Individual | 01/26/2026 | |
| Ellenbogen, Moss | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 06/11/2026 | |
| Sidana, Lalita | Adp of the SNF | Individual | 02/09/2026 | |
| Winn, Laura | Adp of the SNF | Individual | 02/03/2026 |
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.
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