Home / North Carolina / Lenoir
Shaire Nursing Center
1450 Shaire Center Drive, Lenoir, NC 28645 · Caldwell County · (828) 728-4673
60 certified beds, about 50 residents a day · For profit - Corporation · Medicare and Medicaid since 1997
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345483 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 13, 2025, inspectors cited 5 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
None of its 11 health citations since March 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 4.55 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.76 of those hours.
34.4% 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.
303/23
207/24
107/25
508/25
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 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
0E
0F
Potential for minimal harm
0A
0B
0C
August 13, 2025Standard inspection · 5 citations
- D 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.
Inspectors wroteBased on observation, record review, and interviews with resident and staff, the facility failed to maintain a wheelchair in good repair for 1 of 1 resident reviewed for safe, clean, comfortable and homelike environment (Resident #18). Resident #18 was admitted to the facility on [DATE]. Review of weekly skin assessments from 06/07/25 through 08/09/25 revealed Resident #18's skin was intact. The quarterly Minimum Data Set (MDS) assessment dated [DATE] coded Resident #18 with moderate impairment in cognition and her primary mobility device was a wheelchair. During an observation conducted on 08/11/25 at 11:30 AM, Resident #18 was seen sitting in her wheelchair next to her bed in her room. The vinyl cover of the left armrest of her wheelchair was in disrepair with multiple torn spots, ripped edges, and cracked lines approximately size of 2.5 inches by 9 inches. [...]
- 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 staff interviews, the facility failed to ensure an as needed (PRN) psychotropic medication, lorazepam (a medication used to relieve anxiety disorder), had a stop date of 14 days for 1 or 5 residents (Resident #3) reviewed for unnecessary medications. Resident #3 was admitted to the facility on [DATE] with diagnoses that included anxiety disorder. The care plan for anxiety disorder initiated on 09/22/24 revealed Resident #3 received antianxiety related to anxiety disorder. The goal was to have decreased episodes of anxiety through the next review date. Interventions included administering medications as ordered by the physician. The quarterly Minimum Data Set (MDS) assessment dated [DATE] coded Resident #3's with severely impaired cognition and indicated she received antianxiety medications during the assessment period. [...]
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) assessments in the areas of bladder and bowel, and medications for 2 of 5 residents (Resident #53 and Resident #21) whose MDS were reviewed.
- 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 staff and the Consultant Pharmacist, the Consultant Pharmacist failed to identify a drug irregularity and provide recommendations for 1 of 5 residents reviewed for unnecessary medications (Residents #3). Resident #3 was admitted to the facility on [DATE] with diagnoses that included anxiety disorder. The quarterly Minimum Data Set (MDS) assessment dated [DATE] coded Resident #3's with severely impaired cognition and indicated she received antianxiety medication during the assessment period. A review of physician orders dated 07/05/25 revealed Resident #3 had an order to receive one (1) tablet of lorazepam 0.5 milligrams (mg) by mouth once every 4 hours as needed (PRN) for anxiety disorder. In addition, Resident #3 also had a scheduled order of lorazepam 0.5 mg 4 times daily initiated on 07/05/25. [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on record review, observations and staff interviews, the facility failed to follow their infection control policies and procedures for Enhanced Barrier Precautions when 3 of 6 staff members (Nurse #2, Nurse #1 and Nurse Aide #1) reviewed for infection control practices failed to wear a gown while performing and assisting with wound care.
July 2, 2025Complaint inspection · 1 citation
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on record review and staff interviews, the facility failed to ensure staff implemented their abuse policy and procedure in the areas of reporting, investigation and protection when nursing staff did not immediately inform the Administrator when a resident reported an allegation of abuse. This failure resulted in a delay in reporting the allegation to the State Agency, local law enforcement and Adult Protective Services (APS) and the facility investigating the allegation for 1 of 3 residents reviewed for abuse (Resident #1).
July 3, 2024Standard inspection · 2 citations
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on record review and staff interviews the facility failed to complete a Significant Change in Status Assessment for a resident who had been discharged from hospice care for 1 of 3 residents reviewed for hospice (Resident #3).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and staff interviews the facility failed to accurately code the Minimum Data Set (MDS) assessment for 3 of 6 residents reviewed for hospice, discharge, and falls (Resident #3, Resident #40, and Resident #50).
March 3, 2023Standard inspection · 3 citations
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on staff interviews and record review, the facility failed to develop personalized comprehensive care plans in the areas of anticoagulation therapy, diuretic therapy, insulin, psychotropic drugs, depression, use of indwelling urinary catheter and respiratory therapy for 2 of 5 residents reviewed (Resident #21, #2).
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, staff and resident interview, and record review, the facility failed to ensure dependent residents received assistance with nail care for 2 of 3 residents reviewed for activities of daily living (ADL). (Residents #8 and #15)
- 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 observation, record review, staff and Pharmacy interview the facility failed to label and date medications for 1 of 2 storage rooms reviewed for medication storage and labeling.
Fire safety inspections
9 fire safety citations on file: 1 on July 3, 2024, 6 on March 3, 2023, 2 on September 3, 2021.
Every fire safety citation9 citations
- D Inspect, test, and maintain automatic sprinkler systems.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have properly installed electrical wiring and gas equipment.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Provide properly protected cooking facilities.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Meet requirements for the installation and maintenance of electrical systems.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Have generator or other power source capable of supplying service within 10 seconds.
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.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.55 | 3.85 | 3.86 |
| Registered nurses | 0.76 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.74 | 3.42 | 3.42 |
| Nurse aides | 2.59 | ||
| Licensed practical nurses | 1.21 | ||
| Nursing staff turnover (share who left in a year) | 34.4% | 49.0% | 45.8% |
| Registered nurse turnover | 12.5% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.42 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 4.88 on weekdays and 3.74 on weekends, 23% 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 4.42 in April to June 2025 to 4.55 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 | 4.55 | 0.76 | 4.88 | 3.74 | 0.0% | 0 of 90 | 50 |
| Oct to Dec 2025 | 4.70 | 0.78 | 5.00 | 3.95 | 0.0% | 0 of 92 | 49 |
| Jul to Sep 2025 | 4.33 | 0.79 | 4.44 | 4.05 | 0.0% | 2 of 92 | 51 |
| Apr to Jun 2025 | 4.42 | 0.78 | 4.54 | 4.11 | 0.0% | 0 of 91 | 54 |
| 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 | 18.2 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.4 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.7 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.4 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.3 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 17.5 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.3 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 2.1 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.6 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.2 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.5 | 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 |
Owners and operators
Legal business name: SHAIRE NURSING CENTER.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Haire, Katherine | 5% or greater direct ownership interest | Individual | 20% | 06/30/2020 |
| Haire, Kay | 5% or greater direct ownership interest | Individual | 45% | 01/16/1996 |
| Haire, Micheal | 5% or greater direct ownership interest | Individual | 35% | 01/16/1996 |
| Haire, Micheal | W-2 managing employee | Individual | 01/16/1996 | |
| Haire, Katherine | Corporate officer | Individual | 06/30/2020 | |
| Haire, Kay | Corporate officer | Individual | 06/30/2020 | |
| Haire, Micheal | Corporate officer | Individual | 01/16/1996 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on August 13, 2025: "Ensure each resident receives an accurate assessment."
- 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 August 13, 2025: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on August 13, 2025: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on August 13, 2025: "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."
Other nursing homes nearby
- Hibriten Mountain Nursing and Rehabilitation Lenoir, 3.5 mi · 1 of 5 stars · 46 citations
- Lenoir Health and Rehabilitation Center Lenoir, 6.1 mi · 1 of 5 stars · 35 citations
- Hickory Falls Health and Rehabilitation Granite Falls, 6.2 mi · 4 of 5 stars · 3 citations
- Autumn Care of Drexel Morganton, 7.6 mi · 4 of 5 stars · 17 citations
- College Pines Health and Rehabilitation Connelly Springs, 7.7 mi · 5 of 5 stars · 6 citations
- Carolina Rehab Center of Burke Connelly Spring, 10.6 mi · 3 of 5 stars · 20 citations
- Grace Heights Health & Rehabilitation Morganton, 11 mi · 5 of 5 stars · 3 citations
- Magnolia Lane Nursing and Rehabilitation Center Morganton, 12.7 mi · 2 of 5 stars · 23 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 Shaire Nursing Center's Medicare star rating?
- CMS rates Shaire Nursing Center 4 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Shaire Nursing Center get at its last inspection?
- 5 health deficiencies at the standard inspection on August 13, 2025. The North Carolina average is 4.7.
- Has Shaire Nursing Center been fined?
- CMS lists no fines in the last three years.
- Does Shaire Nursing 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 Shaire Nursing Center?
- CMS lists 7 owners and managers. Legal business name: SHAIRE NURSING CENTER.
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.