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The Cardinal at North Hills
311 Garden at North Hills Street, Raleigh, NC 27609 · Wake County · (984) 204-8444
15 certified beds, about 10 residents a day · For profit - Limited Liability company · Medicare since 2017
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345572 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 10, 2025, inspectors cited 2 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
Of 4 health citations since September 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $7,901 in the last three years; the largest was $7,901, and the latest is dated September 21, 2023.
CMS links it to Kisco Senior Living, an affiliated group of 2 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 4 health citations on file.
September 10, 2025Standard inspection, Complaint inspection · 2 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 observation and staff interviews, the facility failed to label, and date repackaged and opened food items in 2 of 2 reach-in freezers and on a preparation station. This deficient practice had the potential to affect food served to residents.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and staff interviews, the facility failed to report an allegation of injury of unknown origin to local law enforcement and Adult Protective Services (APS) for Resident #3 and also failed to complete the Investigation Report within the required five-day time frame to the State Agency (SA) for 1 of 1 resident reviewed for injury of unknown origin (Resident #3).
September 19, 2024Standard inspection · 0 citations
September 21, 2023Standard inspection · 2 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on staff interviews, interview with the Medical Director, and record review, the facility failed to safely transfer a dependent resident from bed to wheelchair using a mechanical lift. On 6/13/23 during a transfer by Nurse Aide (NA) #1, the resident (Resident #6) fell out of the lift and onto the floor resulting in a cervical (neck) fracture of the first and second cervical vertebrae. Resident #6 required a cervical collar (used to support the neck and spine and limit head movement after an injury) and no surgical intervention for the injury. This deficient practice affected 1 of 1 resident reviewed for accidents.
- 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 successfully submit payroll data to the Centers for Medicare and Medicaid Services (CMS) and failed to follow up that the information submitted on the Payroll Based Journal (PBJ) report was accepted by CMS.
Fire safety inspections
8 fire safety citations on file: 2 on September 19, 2024, 6 on September 21, 2023.
Every fire safety citation8 citations
- D Have properly installed electrical wiring and gas equipment.
- D Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Install a fire alarm system that can be heard throughout the facility.
- D Install corridor and hallway doors that block smoke.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| September 21, 2023 | Fine | $7,901 |
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) | not reported | 3.85 | 3.86 |
| Registered nurses | not reported | 0.62 | 0.69 |
| All nursing staff on weekends | not reported | 3.42 | 3.42 |
| Nurse aides | not reported | ||
| Licensed practical nurses | not reported | ||
| Nursing staff turnover (share who left in a year) | not reported | 49.0% | 45.8% |
| Registered nurse turnover | not reported | 45.6% | 42.9% |
| Administrators who left | not reported |
CMS note on this home's staffing data: This facility submitted data that did not meet the criteria required to calculate a staffing measure.
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 April to June 2025, nursing staff hours per resident were 6.62 on weekdays and 5.25 on weekends, 21% lower on weekends (nationally, weekends ran 16% lower). Contract or agency staff worked 16.2% of nursing hours, against 6.0% nationally.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Apr to Jun 2025 | 6.22 | 1.23 | 6.62 | 5.25 | 16.2% | 2 of 91 | 12 |
| United States, Apr to Jun 2025 | 3.78 | 0.62 | 3.96 | 3.33 | 6.0% | 0.5% of days | |
| North Carolina, Apr to Jun 2025 | 3.65 | 0.52 | 3.83 | 3.19 | 9.7% | 1.2% 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 with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.6 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 13.3 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 5.0 | 1.4 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.0 | 5.5 | 4.6 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.7 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 30.1 | 12.9 | 12.0 |
Owners and operators
Legal business name: THE CARDINAL AT NORTH HILLS HEALTHCARE, LLC. CMS links this home to Kisco Senior Living, a group of 2 nursing homes averaging 3.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Kohlberg, Scott | 5% or greater direct ownership interest | Individual | 01/01/2013 | |
| Austin, Breck | W-2 managing employee | Individual | 01/01/2013 | |
| Pacheco, Jaime | W-2 managing employee | Individual | 11/24/2022 | |
| Austin, Breck | Corporate officer | Individual | 01/01/2013 | |
| Ritschel, Mitchell | Corporate officer | Individual | 12/01/2012 |
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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on September 10, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on September 10, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- 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 September 21, 2023: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on September 21, 2023: "Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data."
Other nursing homes nearby
- Bloomsbury at Hayes Barton Place Raleigh, 2 mi · not rated · 0 citations
- Hillcrest Raleigh at Crabtree Valley Raleigh, 2.6 mi · 4 of 5 stars · 6 citations
- Raleigh Rehabilitation Center Raleigh, 2.8 mi · 3 of 5 stars · 18 citations
- Tower Nursing and Rehabilitation Center Raleigh, 3.7 mi · 3 of 5 stars · 21 citations
- Rex Rehab & Nursing Care Center Raleigh, 3.9 mi · 5 of 5 stars · 9 citations
- Litchford Falls Health and Rehabilitation Center Raleigh, 4.2 mi · 1 of 5 stars · 22 citations
- Sunnybrook Rehabilitation Center Raleigh, 4.4 mi · 1 of 5 stars · 17 citations
- Capital Nursing and Rehabilitation Center Raleigh, 4.5 mi · 4 of 5 stars · 14 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 The Cardinal at North Hills's Medicare star rating?
- CMS rates The Cardinal at North Hills 3 out of 5 stars overall, with 4 for health inspections, no for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Cardinal at North Hills get at its last inspection?
- 2 health deficiencies at the standard inspection on September 10, 2025. The North Carolina average is 4.7.
- Has The Cardinal at North Hills been fined?
- Yes. CMS lists 1 fine totaling $7,901 in the last three years.
- Does The Cardinal at North Hills accept Medicaid?
- CMS lists it as "Medicare", so it is not certified for Medicaid.
- Who owns The Cardinal at North Hills?
- CMS lists 5 owners and managers, and links the home to Kisco Senior Living. Legal business name: THE CARDINAL AT NORTH HILLS HEALTHCARE, 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.