Home / North Carolina / Elkin
Pruitthealth-Elkin
560 Johnson Ridge Road, Elkin, NC 28621 · Surry County · (336) 835-7802
100 certified beds, about 92 residents a day · For profit - Corporation · Medicare and Medicaid since 1974
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345124 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 9, 2026, inspectors cited 2 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
Of 6 health citations since March 2024, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $15,734 in the last three years; the largest was $15,734, and the latest is dated July 5, 2024.
Nurses and nurse aides worked 3.72 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.83 of those hours.
31.5% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Pruitthealth, an affiliated group of 96 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.
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 6 health citations on file.
July 9, 2026Standard inspection · 2 citations
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observations, record review, and interviews with staff and residents, the failed to assess residents for self-administration of over-the-counter lubricating eye drops and topical pain-relieving gel for 2 of 2 residents observed with over-the-counter pharmacy products at bedside (Resident #9 and Resident #38).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, record review and staff interviews, the facility failed to implement their policy for Enhanced Barrier Precautions (EBP) when Nurse #4 failed to wear a gown while changing out Resident #1's catheter urine collection bag. In addition, the facility failed to implement their policy for Contact Precautions when Nurse Aide (NA) #10 and NA #11 provided incontinence care and a shower to Resident #76 without wearing a gown and Nurse #13 provided wound care without wearing a gown. The deficient practice occurred for 4 of 10 staff observed for infection control practices(Nurse #4, NA #10, NA #11, Nurse #13).
June 5, 2025Standard inspection · 1 citation
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on observations, record review, and staff interviews the facility failed to refer residents with serious mental disorders to the state's mental health authority for Preadmission Screening and Resident Review (PASRR) assessments, upon admission for 2 of 2 residents reviewed with serious mental disorders (Residents #21 and #42).
July 5, 2024Complaint inspection · 1 citation
- K Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, record review, facility policy, and interviews with Resident #1, staff, Local Health Department Representative, State Health Department Representative, State Health Department Medical Provider, Nurse Consultant to the North Carolina Hepatitis Program, facility Attending Physician, facility Medical Director, and Corporate Medical Director, the facility failed to immediately implement effective precautions to prevent further transmission of bloodborne pathogens to other residents who required blood glucose monitoring and failed to immediately begin training on acute hepatitis B following Resident #1's diagnosis of acute hepatitis B. Acute hepatitis B is a serious liver infection caused by the hepatitis B virus. The disease is commonly spread by unsafe injection practices and exposure to infected body fluids. [...]
March 14, 2024Standard inspection, Complaint inspection · 2 citations
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review and resident, staff and physician interviews, the facility failed to secure smoking materials, specifically, a lighter and failed to assess a resident's ability to smoke independently for 1 of 1 resident (Resident #2) reviewed for smoking.
- C Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Inspectors wroteBased on observations, resident and staff interviews, the facility failed to post the contact information for the State Survey Agency in an area accessible to residents and resident representatives and failed to post a statement that a resident may file a complaint with the State Survey Agency. This observation occurred for 2 of the 4 days of the recertification survey.
Fire safety inspections
24 fire safety citations on file: 7 on June 5, 2025, 3 on March 14, 2024, 14 on January 11, 2023.
Every fire safety citation24 citations
- D Meet other general requirements.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Use approved construction type or materials.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Meet requirements for the installation and maintenance of electrical systems.
- F Provide properly protected cooking facilities.
- F Install a fire alarm system that can be heard throughout the facility.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F Meet requirements for the installation and maintenance of electrical systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Use approved construction type or materials.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Have an enclosure around a vertical opening shaft.
- D Properly install and monitor supervisory attachments on automatic sprinkler systems.
- D Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D Have properly installed electrical wiring and gas equipment.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| July 5, 2024 | Fine | $15,734 |
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) | 3.72 | 3.85 | 3.86 |
| Registered nurses | 0.83 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.16 | 3.42 | 3.42 |
| Nurse aides | 2.25 | ||
| Licensed practical nurses | 0.63 | ||
| Nursing staff turnover (share who left in a year) | 31.5% | 49.0% | 45.8% |
| Registered nurse turnover | 33.3% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.44 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 3.95 on weekdays and 3.16 on weekends, 20% 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 4.13 in April to June 2025 to 3.72 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 | 3.72 | 0.83 | 3.95 | 3.16 | 0.0% | 0 of 90 | 92 |
| Oct to Dec 2025 | 3.52 | 0.74 | 3.75 | 2.92 | 0.0% | 0 of 92 | 91 |
| Jul to Sep 2025 | 3.94 | 0.92 | 4.25 | 3.13 | 0.0% | 0 of 92 | 85 |
| Apr to Jun 2025 | 4.13 | 0.91 | 4.50 | 3.22 | 0.0% | 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.
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 | 7.6 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.4 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.5 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.4 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.2 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.9 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 16.1 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.5 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.9 | 12.9 | 12.0 |
Owners and operators
Legal business name: PRUITTHEALTH - ELKIN, LLC. CMS links this home to Pruitthealth, a group of 96 nursing homes averaging 3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Reece, Linda | W-2 managing employee | Individual | 02/10/2014 | |
| Pruitt, Neil | Corporate director | Individual | 06/08/2005 | |
| Pruitt, Neil | Corporate officer | Individual | 06/08/2005 |
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 2 problems in this area, most recently on July 9, 2026: "Allow residents to self-administer drugs if determined clinically appropriate."
- 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 9, 2026: "Provide and implement an infection prevention and control program."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on June 5, 2025: "PASARR screening for Mental disorders or Intellectual Disabilities"
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on March 14, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.16 hours per resident per day, below the North Carolina average of 3.42.
Other nursing homes nearby
- Chatham Nursing & Rehabilitation Elkin, 3.7 mi · 5 of 5 stars · 1 citation
- Yadkin Nursing and Care Center Yadkinville, 12.4 mi · 5 of 5 stars · 2 citations
- Willowbrook Rehabilitation and Care Yadkinville, 13.8 mi · 4 of 5 stars · 6 citations
- Wilkes Regional Medical Ctr Sn North Wilkesboro, 19.5 mi · 3 of 5 stars · 15 citations
- Central Continuing Care Mount Airy, 19.8 mi · 3 of 5 stars · 9 citations
- Northern Regional Hospital Mount Airy, 19.8 mi · 5 of 5 stars · 1 citation
- Ridge Valley Center for Nursing and Rehabilitation Wilkesboro, 20.3 mi · 1 of 5 stars · 25 citations
- Wilkesboro Health and Rehabilitation North Wilkesboro, 20.4 mi · 3 of 5 stars · 16 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 Pruitthealth-Elkin's Medicare star rating?
- CMS rates Pruitthealth-Elkin 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Pruitthealth-Elkin get at its last inspection?
- 2 health deficiencies at the standard inspection on July 9, 2026. The North Carolina average is 4.7.
- Has Pruitthealth-Elkin been fined?
- Yes. CMS lists 1 fine totaling $15,734 in the last three years.
- Does Pruitthealth-Elkin 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 Pruitthealth-Elkin?
- CMS lists 3 owners and managers, and links the home to Pruitthealth. Legal business name: PRUITTHEALTH - ELKIN, 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.