Home / North Carolina / Danbury
Stokes County Nursing Home
1570 Nc 8 and 89 Highway, Danbury, NC 27016 · Stokes County · (336) 593-2831
40 certified beds, about 37 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1977
Inside a hospital Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345166 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on November 21, 2025, inspectors cited 7 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
None of its 15 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 3.54 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.71 of those hours.
25.0% 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.
603/23
208/24
711/25
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 15 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
1E
4F
Potential for minimal harm
0A
0B
2C
November 21, 2025Standard inspection · 7 citations
- F Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure the facility assessment included a contingency plan that was informed by the facility assessment to address the availability of staff and other resources for events that did not require activation of the facility's emergency plan but had the potential to affect resident care. This had the potential to affect 38 of 38 facility residents.
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on record review, and staff, Physician and Consultant Pharmacist interviews, the facility failed to provide ongoing Abnormal Involuntary Movement Scale (AIMS) assessments for potential adverse reactions to antipsychotic medications for 3 of 5 residents reviewed for unnecessary medications (Residents #30, #2, and #3).
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review, and resident and staff interviews, the facility failed to revise the comprehensive care plan to include antipsychotic medication use for 1 of 5 residents reviewed for care plans (Resident #3).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to post cautionary and safety signage that indicated the use of oxygen for 3 of 4 residents reviewed for respiratory care (Residents #2, #5, and #37).
- 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 review and interviews with staff, Pharmacy Consultant, Facility Physician, and the Medical Director, the Pharmacy Consultant failed to identify and report irregularities when conducting monthly drug regimen reviews for 2 of 5 residents reviewed for unnecessary medications (Resident #3, and Resident #30).
- D Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observation, record review, and resident and staff interviews, the facility failed to ensure a resident call light system was accessible for 1 of 3 residents (Resident # 28) observed for call light system.
- C Post nurse staffing information every day.
Inspectors wroteBased on record review, and staff interviews, the facility failed to post accurate daily nurse staffing information for 30 of 30 days reviewed (10/20/25, 10/21/25, 10/22/25, 10/23/25, 10/24/25, 10/25/25, 10/26/25, 10/27/25, 10/28/25, 10/29/25, 10/30/25, 10/31/25, 11/1/25, 11/2/25, 11/3/25, 11/4/25, 11/5/25, 11/6/25, 11/7/25, 11/8/25, 11/9/25, 11/10/25, 11/11/25, 11/12/25, 11/13/25, 11/14/25, 11/15/25, 11/16/25, 11/17/25, and 11/18/25).
August 12, 2024Standard inspection · 2 citations
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on staff interview and record review, the facility failed to electronically submit direct care staffing information based on payroll data to the Centers for Medicare and Medicaid Services (CMS) as required for quarter three of fiscal year (FY) 2023 (April 1- June 30, 2023). This failure occurred for 1 of 4 quarters reviewed.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on record review and staff interviews, the facility failed to have a documented water management program for Legionella. Failure to have a water management program had the potential to affect 34 of 34 residents in the facility.
March 9, 2023Standard inspection · 6 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations and staff interviews, the facility failed to dispose of expired nutritional supplements and failed to dispose of expired individually packaged cartons of juice from 1 of 1 nourishment room.
- E Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased on staff interviews and medical record review, the facility failed to complete a quarterly Minimum Data Set (MDS) assessment within 92 days of the Assessment Reference Date (ARD) of the previous MDS assessment for 4 of 10 residents (Residents #9, #37, #14 and #2) reviewed for timely completion of MDS assessments.
- D Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Inspectors wroteBased on resident and staff interview and medical record review, the facility failed to invite a cognitively intact resident to participate in the planning of the resident's care for 1 of 1 resident (Resident #31) reviewed for participation in care plans.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on record review, staff interviews and resident interviews the facility failed to accommodate the needs of 1 of 1 residents (resident #33) by not providing the resident a shower gurney or chair to fit the resident resulting in the resident receiving only bed baths for the last few months.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on staff interview and medical record review, the facility failed to complete an annual Minimum Data Set (MDS) comprehensive assessment within 366 days of the previous comprehensive assessment for 1 of 2 residents (Resident #18) reviewed for timely completion of annual MDS assessments.
- C Post nurse staffing information every day.
Inspectors wroteBased on staff interviews and review of the daily nursing staff postings, the facility's daily posting failed to include the number of registered nurses (RNs) or licensed practical nurses (LPNs) for 30 of 30 days; failed to include the census for 18 of 30 days; and failed to include nurses and certified nursing assistants (CNAs) actual hours worked for 4 of 30 days. Additionally, the facility failed to complete the daily posting for 10 of 30 days.
Fire safety inspections
2 fire safety citations on file: 1 on August 12, 2024, 1 on July 9, 2021.
Every fire safety citation2 citations
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
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) | 3.54 | 3.85 | 3.86 |
| Registered nurses | 0.71 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.03 | 3.42 | 3.42 |
| Nurse aides | 2.19 | ||
| Licensed practical nurses | 0.63 | ||
| Nursing staff turnover (share who left in a year) | 25.0% | 49.0% | 45.8% |
| Registered nurse turnover | 22.2% | 45.6% | 42.9% |
| Administrators who left | not reported |
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 3.75 on weekdays and 3.03 on weekends, 19% 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 3.64 in April to June 2025 to 3.54 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 | 3.54 | 0.71 | 3.75 | 3.03 | 0.0% | 0 of 90 | 37 |
| Oct to Dec 2025 | 3.64 | 0.80 | 3.86 | 3.09 | 0.0% | 0 of 92 | 38 |
| Jul to Sep 2025 | 3.62 | 0.79 | 3.85 | 3.05 | 0.0% | 0 of 92 | 40 |
| Apr to Jun 2025 | 3.64 | 0.74 | 3.90 | 2.98 | 0.0% | 0 of 91 | 37 |
| 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 | 2.6 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 8.1 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.5 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 27.6 | 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 | 28.9 | 14.0 | 15.4 |
Owners and operators
Legal business name: LIFEBRITE HOSPITAL GROUP OF STOKES LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Lifebrite Hospital Group LLC | 5% or greater direct ownership interest | Organization | 100% | 05/13/2016 |
| Amber Dominique Fletcher 2018 Trust | 5% or greater indirect ownership interest | Organization | 12/28/2018 | |
| Fletcher 2018 Family Trust | 5% or greater indirect ownership interest | Organization | 12/28/2018 | |
| Lifebrite Laboratories, LLC | 5% or greater indirect ownership interest | Organization | 01/30/2017 | |
| Fletcher, Christian | Indirect ownership interest | Individual | 12/28/2018 | |
| Fletcher, Amber | Corporate officer | Individual | 01/30/2017 | |
| Fletcher, Christian | Corporate officer | Individual | 01/30/2017 | |
| Lifebrite Hospital Group LLC | Operational/managerial control | Organization | 10/12/2016 | |
| Fletcher, Amber | Operational/managerial control | Individual | 01/31/2017 | |
| Fletcher, Christian | Operational/managerial control | Individual | 01/31/2017 | |
| Tillman, Pamela | Operational/managerial control | Individual | 01/30/2017 | |
| Lifebrite Hospital Group LLC | Adp of the SNF | Organization | 06/18/2025 | |
| Fletcher, Amber | Adp of the SNF | Individual | 01/31/2017 | |
| Fletcher, Christian | Adp of the SNF | Individual | 01/31/2017 | |
| Tillman, Pamela | Adp of the SNF | Individual | 01/30/2017 |
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 3 problems in this area, most recently on November 21, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 2 problems in this area, most recently on November 21, 2025: "Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on November 21, 2025: "Post nurse staffing information every day."
- 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 March 9, 2023: "Allow resident to participate in the development and implementation of his or her person-centered plan of care."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.03 hours per resident per day, below the North Carolina average of 3.42.
Other nursing homes nearby
- Walnut Cove Health and Rehabilitation Walnut Cove, 9.4 mi · 2 of 5 stars · 23 citations
- King Health and Rehabilitation Center King, 12.2 mi · 3 of 5 stars · 11 citations
- Village Care of King King, 13.1 mi · 1 of 5 stars · 15 citations
- Blue Ridge Therapy Connection Stuart, 15.3 mi · 4 of 5 stars · 12 citations
- Oak Forest Health and Rehabilitation Winston Salem, 15.4 mi · 1 of 5 stars · 26 citations
- Mill Creek Center for Nursing and Rehabilitation Winston-Salem, 18.1 mi · 2 of 5 stars · 30 citations
- Jacob's Creek Nursing and Rehabilitation Center Madison, 18.2 mi · 5 of 5 stars · 8 citations
- Brookridge Retirement Community Winston-Salem, 19.1 mi · 5 of 5 stars · 5 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 Stokes County Nursing Home's Medicare star rating?
- CMS rates Stokes County Nursing Home 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Stokes County Nursing Home get at its last inspection?
- 7 health deficiencies at the standard inspection on November 21, 2025. The North Carolina average is 4.7.
- Has Stokes County Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Stokes County Nursing Home 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 Stokes County Nursing Home?
- CMS lists 15 owners and managers. Legal business name: LIFEBRITE HOSPITAL GROUP OF STOKES 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.