Home / North Carolina / Sanford
Sanford Health & Rehabilitation Co
2702 Farrell Road, Sanford, NC 27330 · Lee County · (919) 776-9602
131 certified beds, about 102 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2005
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345534 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 23, 2026, inspectors cited 2 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
Of 13 health citations since January 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $10,527 in the last three years; the largest was $10,527, and the latest is dated June 13, 2024.
Nurses and nurse aides worked 3.82 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.25 of those hours.
24.7% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Sanstone Health & Rehabilitation, an affiliated group of 18 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.
601/24
106/24
104/25
507/26
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 13 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
12D
0E
0F
Potential for minimal harm
0A
0B
0C
July 23, 2026Standard inspection · 5 citations
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on record review, resident and staff interviews, the facility failed to honor a resident's choice and provide showers as scheduled (Resident #86) for 1 of 3 residents reviewed for choices.
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on observations, record review and interviews with the Nurse Practitioner and staff, the facility failed to assess the use of an abdominal binder (a wide compression belt worn around the abdomen) as a restraint and failed to obtain Responsible Party (RP) written consent for the use of a restraint. This deficient practice affected 1 of 1 resident reviewed for restraints (Resident #12).
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on record reviews and interviews with the Nurse Practitioner, Medical Director and staff, the facility failed to have an adequate clinical indication for the use of antipsychotic medications (Residents #4 and #88). This was for 2 of 6 residents whose medications were reviewed.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record reviews and staff interviews, the facility failed to code the Minimum Data Set (MDS) assessment accurately in the areas of weights (Residents #32 and #124) and skin treatments (Resident #5) for 3 of 26 residents reviewed for MDS accuracy.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record reviews and interviews with the Medical Director, Pharmacy Consultant and staff, the Pharmacy Consultant failed to identify and address the use of antipsychotic medications without an adequate clinical indication for 2 of 6 residents whose medications were reviewed (Residents #4 and #88).
April 4, 2025Standard inspection · 1 citation
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review and staff interviews, the facility failed to submit follow up documents for completion of a Preadmission Screening and Resident Review (PASRR) level I screen to determine appropriate placement for 1 of 3 residents sampled for PASRR (Resident #46).
June 13, 2024Complaint inspection · 1 citation
- G Ensure that residents are free from significant medication errors.
Inspectors wroteBased on record review, Medical Director, Nurse Practitioner, staff and resident interviews the facility failed to prevent a significant medication error for 1 of 3 residents reviewed for medication administration when two blood pressure (BP) medications, Isosorbide mononitrate and hydralazine were not administered per orders for Resident #1. This resulted in Resident #1 ' s BP to drop to 82/50 causing a near syncope event that required a visit to the emergency room for further evaluation.
January 24, 2024Standard inspection, Complaint inspection · 6 citations
- D Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on observations, staff, resident, Nurse Practitioner (NP) and Medical Director (MD) interviews and record review, the facility failed to obtain Physician orders for the care and maintenance of a peripherally inserted central catheter(PICC) intravenous line for 1 (Resident #33) of 1 residents reviewed for intravenous (IV) therapy.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, record review, and staff and Medical Director interviews, the facility failed to obtain Physician orders for continuous oxygen (Resident #73). This was for 1 of 2 residents reviewed for respiratory care.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observations, staff interviews, and record reviews, the facility failed to secure unused narcotic medications for disposition (the process of returning unused medications) resulting in possible diversion (the transfer of a controlled medication from a lawful to an unlawful channel of distribution or use). This was for 1 of 1 discharged resident (Resident #92) reviewed for pharmacy services.
- 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.
Inspectors wroteBased on observations, record review and staff interviews, the facility failed to label multi-dose medications with the date they were opened on 1 of 3 medication carts reviewed (the 300 Hall Medication Cart).
- D Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspectors wroteBased on observations, staff interviews, and record reviews, the facility failed to provide effective leadership and implement effective systems to thoroughly investigate possible diversion (the transfer of a controlled medication from a lawful to an unlawful channel of distribution or use) of missing narcotic medications from 100 hall medication room.
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on record reviews, observations, and staff interviews, the facility's Quality Assurance and Performance Improvement (QAPI) committee failed to maintain implemented procedures and monitor interventions the committee put into place following the annual recertification and complaint survey on 5/6/21. This was for one deficiency that was cited in the area of Respiratory/Tracheostomy care and Suctioning. In addition, two additional deficiencies were cited during the annual recertification and complaint survey on 12/1/22 in the areas of Respiratory/Tracheostomy care and Suctioning and Label/Store Drugs and Biologics. The duplicate citations during three federal surveys of record show a pattern of the facility's inability to sustain an effective QAPI program.
Fire safety inspections
24 fire safety citations on file: 5 on April 4, 2025, 10 on January 24, 2024, 9 on December 1, 2022.
Every fire safety citation24 citations
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Install an approved automatic sprinkler system.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Install corridor and hallway doors that block smoke.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Install emergency lighting that can last at least 1 1/2 hours.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Provide properly protected cooking facilities.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Install corridor and hallway doors that block smoke.
- D Have properly installed electrical wiring and gas equipment.
- D Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have properly installed electrical wiring and gas equipment.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Use approved construction type or materials.
- D Provide properly protected cooking facilities.
- D Have proper medical gas storage and administration areas.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 13, 2024 | Fine | $10,527 |
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) | 3.82 | 3.85 | 3.86 |
| Registered nurses | 0.25 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.30 | 3.42 | 3.42 |
| Nurse aides | 2.26 | ||
| Licensed practical nurses | 1.32 | ||
| Nursing staff turnover (share who left in a year) | 24.7% | 49.0% | 45.8% |
| Registered nurse turnover | 62.5% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.47 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 4.04 on weekdays and 3.30 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.77 in April to June 2025 to 3.82 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 | 3.82 | 0.25 | 4.04 | 3.30 | 0.1% | 0 of 90 | 102 |
| Oct to Dec 2025 | 3.68 | 0.24 | 3.83 | 3.29 | 0.0% | 0 of 92 | 103 |
| Jul to Sep 2025 | 3.68 | 0.23 | 3.89 | 3.13 | 0.1% | 0 of 92 | 106 |
| Apr to Jun 2025 | 3.77 | 0.26 | 3.99 | 3.21 | 0.1% | 0 of 91 | 101 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
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 | 14.9 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.7 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.2 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.5 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.9 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.9 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.7 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.7 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.4 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.9 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.8 | 1.8 |
Owners and operators
Legal business name: SANFORD HEALTH AND REHABILITATION CO LLC. CMS links this home to Sanstone Health & Rehabilitation, a group of 18 nursing homes averaging 4.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ardent Health and Rehabilitation Co | 5% or greater direct ownership interest | Organization | 06/01/2005 | |
| Sprenger, Christopher | 5% or greater direct ownership interest | Individual | 100% | 06/10/2005 |
| Sprenger, Christopher | W-2 managing employee | Individual | 06/10/2005 | |
| Womble, Wayne | W-2 managing employee | Individual | 07/05/2006 | |
| Sprenger, Christopher | Corporate director | Individual | 05/20/2005 | |
| Sprenger, Christopher | Corporate officer | Individual | 01/01/2005 | |
| Ardent Health and Rehabilitation Co | Operational/managerial control | Organization | 06/01/2005 |
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 are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on July 23, 2026: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on July 23, 2026: "Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on July 23, 2026: "Ensure each resident receives an accurate assessment."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on January 24, 2024: "Provide for the safe, appropriate administration of IV fluids for a resident when needed."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.30 hours per resident per day, below the North Carolina average of 3.42.
Other nursing homes nearby
- Westfield Rehabilitation and Health Center Sanford, 9.7 mi · 4 of 5 stars · 12 citations
- Liberty Commons Nursing and Rehabilitation Center Sanford, 10.2 mi · 2 of 5 stars · 34 citations
- The Laurels of Chatham Pittsboro, 10.6 mi · 2 of 5 stars · 31 citations
- The Arbor Pittsboro, 15.6 mi · 5 of 5 stars · 6 citations
- Windsor Point Continuing Care Fuquay-Varina, 18.3 mi · 5 of 5 stars · 10 citations
- Unc Rex Rehab & Nursing Care Center of Apex Apex, 18.6 mi · 5 of 5 stars · 5 citations
- Fuquay-Varina Health and Rehabilitation Center Fuquay Varina, 19.4 mi · 1 of 5 stars · 50 citations
- Emerald Health & Rehab Center Lillington, 21.2 mi · 2 of 5 stars · 20 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 Sanford Health & Rehabilitation Co's Medicare star rating?
- CMS rates Sanford Health & Rehabilitation Co 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Sanford Health & Rehabilitation Co get at its last inspection?
- 2 health deficiencies at the standard inspection on July 23, 2026. The North Carolina average is 4.7.
- Has Sanford Health & Rehabilitation Co been fined?
- Yes. CMS lists 1 fine totaling $10,527 in the last three years.
- Does Sanford Health & Rehabilitation Co 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 Sanford Health & Rehabilitation Co?
- CMS lists 7 owners and managers, and links the home to Sanstone Health & Rehabilitation. Legal business name: SANFORD HEALTH AND REHABILITATION CO 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.