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The Carrolton of Nash

7369 Hunter Hill Road, Rocky Mount, NC 27804 · Nash County · (252) 443-0867

141 certified beds, about 126 residents a day · For profit - Partnership · Medicare and Medicaid since 1988

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 345279 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 15, 2026, inspectors cited 2 health deficiencies (the North Carolina average is 4.7, the national average 9.2).

None of its 17 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 3.79 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.27 of those hours.

35.1% of nursing staff left within the year CMS measured (North Carolina average 49.0%).

CMS links it to Carrolton Nursing Homes, an affiliated group of 6 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.

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 17 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
3E
1F
Potential for minimal harm
0A
3B
1C
January 15, 2026Standard inspection · 2 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 11, 2026
    Inspectors wroteBased on observation and staff interviews, the facility failed to clean 1 of 1 fryer, 2 of 4 kitchen walls, and 1 of 1 air conditioner wall unit. The facility also failed to allow cook pans, meal trays, and dishes to completely dry prior to assemblage and stacking. These practices had the potential to affect food served to residents.
  2. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 11, 2026
    Inspectors wroteBased on record review, observation, and interviews with resident, Nurse Practitioner (NP), and staff, the facility failed to provide care in a safe manner resulting in the resident sustaining a closed head injury (occurs when a strong force hits the head causing the brain to shake without breaking the skin or skull) and a dislocation of the right shoulder with a right humerus fracture (a break in the top part of the upper arm bone near the shoulder) during the provision of a bed bath by Nurse Aide #1. The resident was evaluated at the Emergency Department (ED) and nonoperative management with a shoulder sling and orthopedic follow up was determined. The deficient practice occurred for 1 of 3 residents reviewed for supervision to prevent accidents.
October 24, 2024Standard inspection, Complaint inspection · 8 citations
  1. E
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 21, 2024
    Inspectors wroteBased on record review, and resident and staff interviews the facility failed to provide written advance directive information and/or an opportunity to formulate an advance directive for 10 of 33 residents reviewed for advance directives (Residents #2, #14, #22, #42, #45, #49, #72, #80, #109, and #427).
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 21, 2024
    Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to implement their infection prevention program policies and procedures when 1) Unit Manager #2 failed to wear a gown and did not perform hand hygiene between glove changes while performing tracheostomy care for a resident on Enhanced Barrier Protection (EBP) (Resident #112), 2) when the Wound Treatment Nurse failed to perform hand hygiene between glove changes during the observation of wound treatment (Resident #115), and 3) when Nurse Aide #1 was observed carrying uncontained dirty linen in the hallway. The facility also failed to implement its hand hygiene policy when Nurse Aide #1 failed to perform hand hygiene and remove gloves before entering and exiting 2 of 2 resident rooms (room [ROOM NUMBER], room [ROOM NUMBER]) observed for infection control practices.
  3. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2024
    Inspectors wroteBased on record review, and staff and Ombudsman interviews, the facility failed to notify the Ombudsman in writing of a resident transfer for 2 of 5 residents reviewed for hospitalization (Resident #2 and Resident #42).
  4. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2024
    Inspectors wroteBased on observation, record reviews, staff interviews, the facility failed to ensure there was a physician's order in place for the size of an indwelling urinary catheter and frequency to change the indwelling urinary catheter for 1 of 1 resident reviewed for catheters (Resident #49).
  5. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 21, 2024
    Inspectors wroteBased on observations, record review, and staff, resident, Respiratory Therapist, and Nurse Practitioner interviews, the facility failed to obtain a physician order for liters of oxygen and the fraction of inspired oxygen (FiO2) for a resident with a tracheostomy for 1 of 1 resident reviewed for respiratory care (Resident #112).
  6. 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) November 21, 2024
    Inspectors wroteBased on observation, staff interviews, the facility failed to dispose/discard expired medications in 2 of 4 medication carts (200 Hall, 700 Hall medication cart) observed for medication storage.
  7. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 21, 2024
    Inspectors wroteBased on record review and staff interviews, the facility failed to sign off documentation for physician orders of cleansing area to right ankle and applying Calcium Alginate and Cleanse left lateral ankle and apply Santyl ointment daily, in the Treatment Administration Records (TAR) for 1 of 2 reviewed residents for treatment (Resident #94). Resident #94's TAR had blanks where staff were to indicate if treatment was administered or an indication that the treatment was not administered with an explanation on the reverse side of the TAR for 1 of 2 residents reviewed for documentation (Resident #94).
  8. B
    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.
    F584 · Resident Rights · No actual harm, potential for minimal harm, pattern · found on a complaint visit · deficient, provider has November 21, 2024
    Inspectors wroteBased on observations and staff interviews, the facility failed to maintain a clean and sanitary homelike environment as evidenced by dried substance on the top and front of an oxygen concentrator and dried enteral feeding on the floor for 1 of 4 rooms reviewed for environment (room [ROOM NUMBER]).
March 29, 2023Standard inspection · 7 citations
  1. F
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 26, 2023
    Inspectors wroteBased on observations and staff interviews, the facility failed to maintain the area surrounding the grease bin free of grease buildup and debris. This included 1 of 1 grease bin observed.
  2. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 26, 2023
    Inspectors wroteBased on observation, record review and staff interviews, the facility failed to assess a resident for self-administration of medication for 1 of 1 resident (Resident #47) reviewed for self-administration of medication.
  3. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 26, 2023
    Inspectors wroteBased on observations, record review, staff interviews, and Nurse Practitioner interview, the facility failed to obtain physician orders for supplemental oxygen (Resident #74) and tracheostomy care and suctioning (Resident #82) for 2 of 5 residents reviewed for respiratory care.
  4. D
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 26, 2023
    Inspectors wroteBased on observations, staff interviews and record review, the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor these interventions the committee put into place following the 1/14/22 complaint and recertification survey. This was for a recited deficiency on the current recertification survey in the area of respiratory/tracheostomy care and suctioning and dispose garbage and refuse properly. The continued failure during two federal surveys shows a pattern of the facility's inability to sustain an effective QAA program.
  5. C
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for minimal harm, widespread · deficient, provider has April 26, 2023
    Inspectors wroteBased on record review and staff interviews, the facility failed to provide written notification for reason of discharge to hospital to the Resident and/or Responsible Party (RP) for 6 of 6 residents reviewed for hospitalization (Resident #69, Resident #82, Resident #3, Resident #96, Resident #74, and Resident #46).
  6. B
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · deficient, provider has April 26, 2023
    Inspectors wroteBased on record review and staff interviews, the facility failed to code the Minimum Data Set (MDS) assessment accurately for 2 of 27 residents whose MDS was reviewed (Resident #67 and Resident #107).
  7. B
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · deficient, provider has April 26, 2023
    Inspectors wroteBased on record review and staff interviews, the facility failed to develop a comprehensive, individualized care plan that addressed Hospice services for 2 of 2 sampled residents reviewed for Hospice services (Resident #102 and Resident #56).

Fire safety inspections

14 fire safety citations on file: 4 on January 15, 2026, 3 on October 24, 2024, 7 on March 29, 2023.

Every fire safety citation14 citations
  1. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 15, 2026 · Corrected (the home has a date of correction)
  2. D
    Use approved construction type or materials.
    K 161 · January 15, 2026 · Corrected (the home has a date of correction)
  3. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · January 15, 2026 · Corrected (the home has a date of correction)
  4. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · January 15, 2026 · Corrected (the home has a date of correction)
  5. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · October 24, 2024 · Corrected (the home has a date of correction)
  6. D
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · October 24, 2024 · Corrected (the home has a date of correction)
  7. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 24, 2024 · Corrected (the home has a date of correction)
  8. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 29, 2023 · Corrected (the home has a date of correction)
  9. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · March 29, 2023 · Corrected (the home has a date of correction)
  10. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · March 29, 2023 · Corrected (the home has a date of correction)
  11. D
    Install corridor and hallway doors that block smoke.
    K 363 · March 29, 2023 · Corrected (the home has a date of correction)
  12. D
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · March 29, 2023 · Corrected (the home has a date of correction)
  13. D
    Have simulated fire drills held at unexpected times.
    K 712 · March 29, 2023 · Corrected (the home has a date of correction)
  14. D
    Have proper medical gas storage and administration areas.
    K 923 · March 29, 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)3.793.853.86
Registered nurses0.270.620.69
All nursing staff on weekends3.323.423.42
Nurse aides2.83
Licensed practical nurses0.70
Nursing staff turnover (share who left in a year)35.1%49.0%45.8%
Registered nurse turnover55.6%45.6%42.9%
Administrators who left0

CMS expects 4.04 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 3.98 on weekdays and 3.32 on weekends, 17% 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 3.79 in April to June 2025 to 3.79 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.790.273.983.32 0.0%0 of 90126
Oct to Dec 20253.750.283.883.39 0.0%1 of 92120
Jul to Sep 20253.720.263.873.33 0.0%1 of 92121
Apr to Jun 20253.790.233.923.45 0.0%3 of 91111
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
12.415.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.70.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
4.72.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.63.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
32.918.314.1
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
5.714.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
19.322.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
15.212.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.61.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.01.81.8

Owners and operators

Legal business name: THE CARROLTON OF NASH, LLC. CMS links this home to Carrolton Nursing Homes, a group of 6 nursing homes averaging 2.2 stars overall.

NameRoleTypeShareSince
C. Saunders Roberson, Jr., As Trustee of the Judith Roberson Dixon Irr5% or greater direct ownership interestOrganization38%03/10/2020
C. Saunders Roberson, Jr., Trustee of the Carol Saunders Roberson Fami5% or greater direct ownership interestOrganization13%03/10/2020
Figlewski, Deborah5% or greater direct ownership interestIndividual13%03/10/2020
Powell, Earl5% or greater direct ownership interestIndividual13%03/10/2020
Powell, John5% or greater direct ownership interestIndividual13%03/10/2020
Russell, Denise5% or greater direct ownership interestIndividual13%03/10/2020
Roberson, CarrolManaging control - governing bodyIndividual10/01/2020
Carrolton Facility Management, LLCOperational/managerial controlOrganization10/01/2020
Roberson, CarrolOperational/managerial controlIndividual10/01/2020
Rozier, SonyaOperational/managerial controlIndividual10/01/2020
Roberson, CarrolAdp of the SNFIndividual10/01/2020
Rozier, SonyaAdp of the SNFIndividual10/01/2020

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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on October 24, 2024: "Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on January 15, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on October 24, 2024: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on January 15, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.32 hours per resident per day, below the North Carolina average of 3.42.

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North Carolina contacts for a concern about a nursing home

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Common questions

What is The Carrolton of Nash's Medicare star rating?
CMS rates The Carrolton of Nash 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Carrolton of Nash get at its last inspection?
2 health deficiencies at the standard inspection on January 15, 2026. The North Carolina average is 4.7.
Has The Carrolton of Nash been fined?
CMS lists no fines in the last three years.
Does The Carrolton of Nash 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 The Carrolton of Nash?
CMS lists 12 owners and managers, and links the home to Carrolton Nursing Homes. Legal business name: THE CARROLTON OF NASH, LLC.

Sources

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