What is The Laurels of Salisbury's Medicare star rating?

CMS rates The Laurels of Salisbury 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did The Laurels of Salisbury get at its last inspection?

1 health deficiency at the standard inspection on February 13, 2026. The North Carolina average is 4.7.

Does The Laurels of Salisbury 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 Laurels of Salisbury?

CMS lists 1 owner or manager, and links the home to Ciena Healthcare/Laurel Health Care. Legal business name: Legal Business Name Not Available.

The Laurels of Salisbury: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on February 13, 2026, inspectors cited 1 health deficiency (the North Carolina average is 4.7, the national average 9.2).

Of 14 health citations since August 2023, 3 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 2 fines totaling $17,175 in the last three years; the largest was $9,525, and the latest is dated February 8, 2024.

Nurses and nurse aides worked 3.28 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.

59.2% of nursing staff left within the year CMS measured (North Carolina average 49.0%).

CMS links it to Ciena Healthcare/Laurel Health Care, an affiliated group of 81 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.

708/23

202/24

401/25

102/26

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 14 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

February 13, 2026Standard inspection · 1 citation

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) March 6, 2026

Inspectors wroteBased on record review and resident, staff, Urology Nurse, Nurse Practitioner and Medical Director interviews, the facility failed to schedule a urology appointment for follow up of the suprapubic catheter (a thin, flexible tube inserted through a small incision in the lower abdomen directly into the bladder to drain urine) placement and infection per the physician order for 1 of 2 residents reviewed for catheters (Resident #7).

January 24, 2025Standard inspection, Complaint inspection · 4 citations

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 19, 2025

Inspectors wroteBased on record review, observations, and staff interviews, the facility failed to cover facial hair for 2 of 2 dietary staff (Cook #1 and Dietary Aide #1) observed working in food production and failed to have necessary supplies to test the chemical level in the sanitizing sink for 3 of 3 observations. This had the potential to affect food served to all the residents in the facility.
D

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 19, 2025

Inspectors wroteBased on record review and staff interviews, the facility failed to complete an admission Minimum Data Set (MDS) assessment within 14 days of admission for 1 of 18 residents reviewed for admission assessments (Resident #16).
D

Ensure services provided by the nursing facility meet professional standards of quality.

F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it

Inspectors wroteBased on record review and staff and Nurse Practitioner interviews, the facility failed to ensure 1 of 3 residents (Resident #163) reviewed for medication errors received medications that were ordered by the physician. Resident #163 received Buspirone (an antianxiety medication) 10 milligrams that was intended for another resident. Medication administration observtions were made during the survey with a sample of residents and no issues were identified.
B

Post nurse staffing information every day.

F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, pattern · deficient, provider has February 19, 2025

Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to accurately report staffing for 3 of 5 daily posted sheets reviewed.

February 8, 2024Complaint inspection · 2 citations

G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 17, 2024

Inspectors wroteBased on record review, observation, and Family Member, staff, and Nurse Practitioner interviews the facility failed to prevent 1 of 1 resident (Resident #1) reviewed for accidents, from being injured during a transfer from a reclining wheelchair to the bed. Resident #1 was admitted to the hospital after she sustained a right proximal femoral fracture on 1/19/2024 when a staff member transferred her without nonskid footwear causing her feet to slide and become twisted. Resident #1 complained of right hip and knee pain, and she could not straighten her right leg due to pain when the Nurse assessed her.
G

Provide safe, appropriate pain management for a resident who requires such services.

F697 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 17, 2024

Inspectors wroteBased on record review, observations, resident, staff, and Nurse Practitioner interviews the facility failed to administer pain medication when a resident complained of right arm and shoulder pain. The delay resulted in the resident experiencing a reported pain of 8 on a scale of 0 to 10 (10 being the worst pain) and the inability to sleep while she waited for the medication. This was for 1 of 1 resident reviewed for pain (Resident #3).

August 21, 2023Standard inspection · 7 citations

J

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) September 11, 2023

Inspectors wroteBased on record review and interviews with Resident, Responsible Party, staff, Nurse Practitioner and Police Department Dispatcher, the facility failed to protect the rights of two residents to be free from resident-to-resident physical abuse. Resident #164 was placed on one-to-one observation prior to the first resident to resident physical abuse incident of 4/5/23 due to aggressive behaviors with staff and exit seeking behaviors. On 4/5/23, Resident #164 went onto Resident #165's bed and put his arm around Resident #165's neck in a chokehold when staff intervened. On 5/4/2023 Resident #164 punched Resident #161 in the left eye and right cheek when Resident #161 asked him to leave his room. A reasonable person (Resident #165) would not expect physical abuse from a roommate, and it would likely result in fear, insecurity, and anxiety. [...]
F

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 11, 2023

Inspectors wroteBased on observation of the lunch meal tray line observation, staff interviews, and record review the facility failed to provide portions of food per the menu which had the potential to affect all 56 residents in the facility since there were no residents that did not receive a meal tray.
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) September 11, 2023

Inspectors wroteBased on observation of the lunch tray line; staff interviews, and record review the facility staff failed to ensure the thermometer probe was cleaned in between uses to prevent the potential for cross-contamination and failed to cover and date food stored in the walk-in refrigerator. This practice had the potential to affect food served to residents.
D

Protect each resident from the wrongful use of the resident's belongings or money.

F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Past noncompliance: already fixed when inspectors found it

Inspectors wroteBased on record reviews and staff interviews, the facility failed to protect a resident's right to be free from misappropriation of pain medication for 1 of 4 residents reviewed for abuse (Resident #211).
D

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 11, 2023

Inspectors wroteBased on record review and staff interviews the facility failed to implement their abuse policy for reporting when the Nurse did not notify the Administrator or Director of Nursing when resident to resident abuse was reported to her by the Nurse Aide. On 4/5/2023 Resident #164 was observed by the Nurse Aide on his knees on Resident #165's bed with his left arm around Resident #165's neck, in a choke hold and his right arm raised like he was going to strike Resident #165 in the face. This deficient practice occurred for 1 of 2 residents reviewed for resident-to-resident abuse.
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 · Past noncompliance: already fixed when inspectors found it

Inspectors wroteBased on record reviews, observations, and staff interviews, the facility failed to store narcotic pain medications in a locked compartment in 1 of 1 medication rooms.
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) September 11, 2023

Inspectors wroteBased on record review and staff interviews, the facility's Quality Assurance and Performance Improvement committee (QAPI) failed to maintain implemented procedures and monitor these interventions the committee put into place in February 2022. This was for 1 re-cited deficiency which was originally cited on [DATE] for drug storage (F761), on [DATE] during the follow-up survey (F761), and on the current recertification/complaint survey on [DATE] (F761). The continued failure of the facility during the three federal surveys of record shows a pattern of the facility's inability to sustain an effective Quality Assurance and Performance Improvement Program.

Fire safety inspections

10 fire safety citations on file: 4 on January 24, 2025, 5 on August 21, 2023, 1 on February 11, 2022.

Every fire safety citation10 citations

D
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · January 24, 2025 · Corrected (the home has a date of correction)
D
Have simulated fire drills held at unexpected times.

K 712 · January 24, 2025 · Corrected (the home has a date of correction)
D
Have a battery powered remote alarm panel in a location accessible by operating personnel.

K 916 · January 24, 2025 · Corrected (the home has a date of correction)
D
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · January 24, 2025 · Corrected (the home has a date of correction)
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 · August 21, 2023 · Corrected (the home has a date of correction)
D
Have exits that are accessible at all times.

K 271 · August 21, 2023 · Corrected (the home has a date of correction)
D
Inspect, test, and maintain automatic sprinkler systems.

K 353 · August 21, 2023 · Corrected (the home has a date of correction)
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · August 21, 2023 · Corrected (the home has a date of correction)
D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · August 21, 2023 · Corrected (the home has a date of correction)
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 · February 11, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

Date	Penalty	Amount or length
February 8, 2024	Fine	$7,650
February 8, 2024	Fine	$9,525

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)	3.28	3.85	3.86
Registered nurses	0.63	0.62	0.69
All nursing staff on weekends	2.75	3.42	3.42
Nurse aides	2.12
Licensed practical nurses	0.52
Nursing staff turnover (share who left in a year)	59.2%	49.0%	45.8%
Registered nurse turnover	41.7%	45.6%	42.9%
Administrators who left	1

CMS expects 3.58 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 3.49 on weekdays and 2.75 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.82 in April to June 2025 to 3.28 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	3.28	0.63	3.49	2.75	0.3%	0 of 90	56
Oct to Dec 2025	3.36	0.77	3.57	2.81	0.2%	0 of 92	55
Jul to Sep 2025	3.56	0.87	3.85	2.83	0.2%	0 of 92	56
Apr to Jun 2025	3.82	0.72	4.08	3.17	0.4%	0 of 91	56
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	17.6	15.6	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.6	0.7	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	1.2	2.3	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	4.7	3.5	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	1.6	1.4	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	22.3	18.3	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	0.5	5.5	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	4.0	14.0	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	22.8	22.9	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	11.6	12.9	12.0

Owners and operators

Legal business name: Legal Business Name Not Available. CMS links this home to Ciena Healthcare/Laurel Health Care, a group of 81 nursing homes averaging 2.8 stars overall.

Name	Role	Type	Share	Since
	Ownership data not available

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 3 problems in this area, most recently on February 13, 2026: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on January 24, 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 3 problems in this area, most recently on August 21, 2023: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on January 24, 2025: "Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.75 hours per resident per day, below the North Carolina average of 3.42.
How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

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Trinity Oaks
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Compass Healthcare and Rehab Rowan, LLC
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Liberty Commons Nsg and Rehab Ctr of Rowan County
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Autumn Care of Salisbury
Salisbury, 4.8 mi · 4 of 5 stars · 20 citations
Nc State Veterans Home - Salisbury
Salisbury, 4.8 mi · 4 of 5 stars · 17 citations
Davidson Health & Rehab Center
Lexington, 12.9 mi · 1 of 5 stars · 43 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 Laurels of Salisbury's Medicare star rating?: CMS rates The Laurels of Salisbury 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Laurels of Salisbury get at its last inspection?: 1 health deficiency at the standard inspection on February 13, 2026. The North Carolina average is 4.7.
Has The Laurels of Salisbury been fined?: Yes. CMS lists 2 fines totaling $17,175 in the last three years.
Does The Laurels of Salisbury 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 Laurels of Salisbury?: CMS lists 1 owner or manager, and links the home to Ciena Healthcare/Laurel Health Care. Legal business name: Legal Business Name Not Available.

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.