Home / North Carolina / Trinity
The Graybrier Nursing and Retirement Center
116 Lane Drive, Trinity, NC 27370 · Randolph County · (336) 431-8888
128 certified beds, about 98 residents a day · For profit - Corporation · Medicare and Medicaid since 1990
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
CMS note: The accuracy of the staffing data for this measure could not be validated by CMS.
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345330 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 22, 2026, inspectors cited 1 health deficiency (the North Carolina average is 4.7, the national average 9.2).
Of 8 health citations since June 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,512 in the last three years; the largest was $8,512, and the latest is dated January 19, 2024.
60.7% 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.
306/23
101/24
106/24
210/24
101/26
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 8 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
7D
0E
0F
Potential for minimal harm
0A
0B
0C
January 22, 2026Standard inspection · 1 citation
- 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 accidents (Resident #37) and urinary catheter (Resident #25) for 2 of 19 residents whose MDS assessments were reviewed (Resident #37 and Resident #25).
October 17, 2024Standard inspection, Complaint inspection · 2 citations
- D 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.
Inspectors wroteBased on record review and staff interviews, the facility failed to update the Do Not Resuscitate (DNR) status for 1 of 32 residents reviewed for Advanced Directives (Resident #10).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, record review, and interviews with the Medical Director and staff, the facility failed to obtain an order to delay the removal of sutures until the wound was healed for 1 of 2 residents reviewed for professional standards (Resident #62).
June 4, 2024Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, record reviews, resident and staff interviews, the facility failed to secure Resident #1 in a mechanical lift per manufacturer's instructions and failed to provide a safe transfer which resulted in a fall. This deficient practice was for 1 of 3 residents reviewed for supervision to prevent accidents.
January 19, 2024Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review, and interviews of resident, staff, and physician, the facility failed to provide care in a safe manner that prevented Resident #1 from rolling out of her bed during the provision of personal care. Resident #1 fell from her bed onto the floor and sustained a hematoma to her right temple and laceration to her lower right leg. Resident #1 was sent to the Emergency Department and was diagnosed with a closed hip fracture next to her hardware from a previous hip fracgture, laceration of the right lower leg that was too wide to suture, pain, and right temple hematoma head injury. This deficient practice affected one of two sampled residents (Resident#1).
June 1, 2023Standard inspection · 3 citations
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on record reviews, observations, and staff interviews, the facility failed to trim and clean dependent residents' nails (Residents #46 and #32) and failed to provide showers as scheduled (Resident #42). This was for 3 of 3 residents reviewed for Activities of Daily Living (ADLs).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, staff interviews and record review, the facility failed to implement the standing order for changing an oxygen (O2) nasal cannula tubing and failed to initiate the order to change the water container used to humidify the O2 for Resident #134. This was for 1 of 2 residents reviewed for respiratory care.
- 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 and staff interviews the facility failed to date multi-dose medications upon opening on 2 of 3 medication carts reviewed (Upper [NAME] River, and Lower [NAME] River medication carts).
Fire safety inspections
12 fire safety citations on file: 5 on January 22, 2026, 3 on October 17, 2024, 4 on June 1, 2023.
Every fire safety citation12 citations
- E Inspect, test, and maintain automatic sprinkler systems.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Have properly installed electrical wiring and gas equipment.
- 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.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Properly install and monitor supervisory attachments on automatic sprinkler systems.
- D Install an approved automatic sprinkler system.
- D Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| January 19, 2024 | Fine | $8,512 |
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) | 60.7% | 49.0% | 45.8% |
| Registered nurse turnover | 60.0% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS note on this home's staffing data: The accuracy of the staffing data for this measure could not be validated by CMS.
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 4.28 on weekdays and 3.87 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 7.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.21 in April to June 2025 to 4.16 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 | 4.16 | 0.46 | 4.28 | 3.87 | 7.2% | 0 of 90 | 98 |
| Oct to Dec 2025 | 4.14 | 0.46 | 4.27 | 3.81 | 1.5% | 0 of 92 | 103 |
| Jul to Sep 2025 | 4.19 | 0.56 | 4.29 | 3.93 | 6.7% | 0 of 92 | 103 |
| Apr to Jun 2025 | 4.21 | 0.64 | 4.41 | 3.70 | 0.0% | 0 of 91 | 106 |
| 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 | 20.9 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 5.2 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.3 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.8 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.1 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.8 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.8 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.7 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.8 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.8 | 1.8 |
Owners and operators
Legal business name: ARCHDALE NURSING CENTER INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Harvey Linn Wilfong Trust U/W Fbo Trudy Wilfong | 5% or greater direct ownership interest | Organization | 03/03/2005 | |
| Bennett, Richard | 5% or greater direct ownership interest | Individual | 04/05/1989 | |
| Lennon, Daniel | 5% or greater direct ownership interest | Individual | 16% | 11/13/1989 |
| Lennon, Rudolph | 5% or greater direct ownership interest | Individual | 16% | 11/13/1989 |
| Walker, Suzette | W-2 managing employee | Individual | 03/12/2018 | |
| Lennon, Daniel | Corporate officer | Individual | 12/03/1990 | |
| Lennon, Rudolph | Corporate officer | Individual | 12/03/1990 | |
| Canyon Management Consultants, Inc | Operational/managerial control | Organization | 08/01/2001 |
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 do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on October 17, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on January 22, 2026: "Ensure each resident receives an accurate assessment."
- 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 October 17, 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."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on June 1, 2023: "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."
Other nursing homes nearby
- Westwood Health and Rehabilitation Archdale, 2.5 mi · 1 of 5 stars · 29 citations
- Westchester Manor at Providence Place High Point, 6.5 mi · 3 of 5 stars · 7 citations
- Magnolia Gardens Center for Nursing and Rehabilita Thomasville, 6.6 mi · 3 of 5 stars · 19 citations
- Meridian Center High Point, 6.8 mi · 1 of 5 stars · 25 citations
- The Shannon Gray Rehabilitation & Recovery Center Jamestown, 7.3 mi · 3 of 5 stars · 10 citations
- Maryfield Nursing Home High Point, 7.4 mi · 5 of 5 stars · 2 citations
- Pine Ridge Health and Rehabilitation Center Thomasville, 8.8 mi · 3 of 5 stars · 17 citations
- Piedmont Crossing Thomasville, 9.5 mi · 5 of 5 stars · 3 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 Graybrier Nursing and Retirement Center's Medicare star rating?
- CMS rates The Graybrier Nursing and Retirement Center 3 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Graybrier Nursing and Retirement Center get at its last inspection?
- 1 health deficiency at the standard inspection on January 22, 2026. The North Carolina average is 4.7.
- Has The Graybrier Nursing and Retirement Center been fined?
- Yes. CMS lists 1 fine totaling $8,512 in the last three years.
- Does The Graybrier Nursing and Retirement 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 The Graybrier Nursing and Retirement Center?
- CMS lists 8 owners and managers. Legal business name: ARCHDALE NURSING CENTER INC.
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.