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River Landing at Sandy Ridge

1575 John Knox Drive, Colfax, NC 27235 · Guilford County · (336) 668-4900

60 certified beds, about 54 residents a day · Non profit - Corporation · Medicare and Medicaid since 2003

CMS high performing icon Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 345528 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 8, 2026, inspectors cited 2 health deficiencies (the North Carolina average is 4.7, the national average 9.2).

None of its 3 health citations since August 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 5.52 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 1.01 of those hours.

29.5% of nursing staff left within the year CMS measured (North Carolina average 49.0%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 3 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
3D
0E
0F
Potential for minimal harm
0A
0B
0C
January 8, 2026Standard inspection · 2 citations
  1. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 2, 2026
    Inspectors wroteBased on observations, record reviews, and staff interviews, the facility performed perineal care by wiping from back to front and wiping back to front with the same area of the wipe for 1 of 2 residents reviewed for activities of daily living (Resident #4).
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 2, 2026
    Inspectors wroteBased on observations, record reviews, and staff interviews, the facility failed to implement manufacturer instructions and their policy and procedure to disinfect a blood glucose meter (glucometer). Nurse #1 did not allow the individually assigned glucometer to have the required two-minute wet contact time or allow the glucometer to air-dry before returning it to the individual's plastic storage bag. This occurred for 1 of 1 observation of glucometer disinfection (Nurse #1).
November 21, 2024Standard inspection · 1 citation
  1. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 16, 2024
    Inspectors wroteBased on observations and staff interviews, the facility failed to secure resident medications left in an unattended medication cart for 1 of 3 medication carts (Hall 100 medication cart).
August 16, 2023Standard inspection · 0 citations

Fire safety inspections

7 fire safety citations on file: 2 on November 21, 2024, 5 on August 16, 2023.

Every fire safety citation7 citations
  1. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · November 21, 2024 · Corrected (the home has a date of correction)
  2. D
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · November 21, 2024 · Corrected (the home has a date of correction)
  3. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · August 16, 2023 · Corrected (the home has a date of correction)
  4. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · August 16, 2023 · Corrected (the home has a date of correction)
  5. F
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · August 16, 2023 · Corrected (the home has a date of correction)
  6. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · August 16, 2023 · Corrected (the home has a date of correction)
  7. D
    Have proper medical gas storage and administration areas.
    K 923 · August 16, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeNorth CarolinaUnited States
All nursing staff (RN, LPN and aides)5.523.853.86
Registered nurses1.010.620.69
All nursing staff on weekends4.903.423.42
Nurse aides3.45
Licensed practical nurses1.07
Nursing staff turnover (share who left in a year)29.5%49.0%45.8%
Registered nurse turnover0.0%45.6%42.9%
Administrators who left0

CMS expects 3.31 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 5.78 on weekdays and 4.90 on weekends, 15% 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 5.57 in April to June 2025 to 5.52 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.521.015.784.90 0.0%0 of 9054
Oct to Dec 20255.430.925.674.80 0.0%0 of 9256
Jul to Sep 20255.620.925.874.97 0.0%0 of 9254
Apr to Jun 20255.570.745.785.03 0.0%0 of 9154
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
North Carolina, Jan to Mar 20263.650.533.823.258.0%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeNorth CarolinaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
17.915.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.62.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.93.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.81.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
24.018.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.05.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
17.214.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
22.622.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.512.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.71.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.61.81.8

Owners and operators

Legal business name: PRESBYTERIAN HOMES, INC.

NameRoleTypeShareSince
Blake, KhashanaContracted managing employeeIndividual03/01/2024
Brown, MeganW-2 managing employeeIndividual03/15/2021
Collins, MarkW-2 managing employeeIndividual09/04/2012
Hanover, JuliaW-2 managing employeeIndividual01/01/2005
Lovvorn, CreightonW-2 managing employeeIndividual01/01/2010
Smith, ThomasW-2 managing employeeIndividual01/28/2004
Webster, TimothyW-2 managing employeeIndividual01/01/2005
Collins, MarkCorporate directorIndividual09/04/2012
Hanover, JuliaCorporate directorIndividual01/01/2005
Lovvorn, CreightonCorporate directorIndividual01/01/2010
Smith, ThomasCorporate directorIndividual01/28/2004
Webster, TimothyCorporate directorIndividual01/01/2005
Presbyterian Homes, IncOperational/managerial controlOrganization02/01/2003

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on January 8, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on January 8, 2026: "Provide and implement an infection prevention and control program."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on November 21, 2024: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."

Other nursing homes nearby

North Carolina contacts for a concern about a nursing home

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

Common questions

What is River Landing at Sandy Ridge's Medicare star rating?
CMS rates River Landing at Sandy Ridge 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did River Landing at Sandy Ridge get at its last inspection?
2 health deficiencies at the standard inspection on January 8, 2026. The North Carolina average is 4.7.
Has River Landing at Sandy Ridge been fined?
CMS lists no fines in the last three years.
Does River Landing at Sandy Ridge 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 River Landing at Sandy Ridge?
CMS lists 13 owners and managers. Legal business name: PRESBYTERIAN HOMES, INC.

Sources

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