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Woodbury Wellness Center Inc

2778 Country Club Drive, Hampstead, NC 28443 · Pender County · (910) 270-1443

112 certified beds, about 104 residents a day · For profit - Corporation · Medicare and Medicaid since 1990

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 345349 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on November 17, 2025, inspectors cited 1 health deficiency (the North Carolina average is 4.7, the national average 9.2).

Of 13 health citations since March 2023, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 1 fine totaling $15,646 in the last three years; the largest was $15,646, and the latest is dated July 24, 2024.

Nurses and nurse aides worked 4.51 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.76 of those hours.

49.1% 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.

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 13 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
0E
3F
Potential for minimal harm
0A
2B
0C
November 17, 2025Standard inspection · 1 citation
  1. 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 27, 2025
    Inspectors wroteBased on record review, observations, staff and Nurse Practitioner interviews, the facility failed to administer oxygen at the prescribed rate for 1 of 3 residents (Resident #12) reviewed for respiratory care.
July 24, 2024Standard inspection, Complaint inspection · 5 citations
  1. J
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) August 13, 2024
    Inspectors wroteBased on record review, Medical Director interview and staff interviews, the facility failed to notify the on-call provider when Resident #69 had a hypoglycemic episode (blood glucose less than 70 milligrams [mg] per deciliter [dL]). Normal blood glucose ranges from 70 - 100, according to the lab used by the facility. On the morning of 7/6/24, Resident #69's blood glucose (sugar) values were less than 45 mg/dL from 6:03 AM until 7:15 AM. Standing orders were not followed. The on-call provider was not notified of the values or about the resident's refusal of snacks and meal intake, and there was no documentation that Nurse #2 continued to monitor Resident #69's blood glucose (BG) after 7:15 AM. Long-acting insulin was administered by Nurse #2 at 9:00 AM without a documented blood glucose. Uncorrected hypoglycemia could result in brain injury or death. [...]
  2. J
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 13, 2024
    Inspectors wroteBased on record review and interviews with the Nurse Practitioner, Medical Director, and staff, the facility failed to manage and assess Resident #69's hypoglycemic episodes (blood glucose less than 70 milligrams [mg] per deciliter [dL]) on the mornings of 7/6/24 and 7/7/24. Normal blood glucose ranges from 70 - 100, according to the lab used by the facility. On the morning of 7/6/24, Resident #69's blood glucose (sugar) values were less than 45 mg/dL from 6:03 AM until 7:15 AM. Standing orders were not followed. The on-call provider was not notified of the values or about the resident's refusal of snacks and meal intake, and there was no documentation that Nurse #2 continued to monitor Resident #69's blood glucose (BG) after 7:15 AM. Long-acting insulin was administered by Nurse #2 at 9:00 AM without a documented blood glucose. [...]
  3. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 13, 2024
    Inspectors wroteBased on record review and staff interviews the facility failed to accurately code the Minimum Data Set (MDS) assessment for 1 of 22 residents reviewed for MDS accuracy (Resident #15). Findings including: Resident #151 was admitted to the facility on [DATE] with diagnoses including tracheostomy and personal history of malignant neoplasm of larynx. The 5-day MDS dated [DATE] revealed Resident #151 did not have a tracheostomy. The care plan dated 07/11/2023 had a focus of a long-term tracheostomy related to a history of larynx cancer. An interview with the Quality Assurance (QA) Nurse was conducted on 07/17/24 at 2:18 PM. She stated Resident #151 was receiving trach care and it should have been coded as receiving the care. It was a coding error due to an oversite. An interview with the Director of Nursing (DON) was conducted on 07/18/24 at 10:16 AM. [...]
  4. 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 · Corrected (the home has a date of correction) August 13, 2024
    Inspectors wroteBased on staff interviews and record review, the facility failed to maintain a complete and accurate medical record for 1 of 22 residents' medical records reviewed (Residents #69).
  5. B
    Honor the resident's right to manage his or her financial affairs.
    F567 · Resident Rights · No actual harm, potential for minimal harm, pattern · found on a complaint visit · deficient, provider has August 13, 2024
    Inspectors wroteBased on resident and staff interviews the facility failed to allow residents to withdraw money from their personal facility held account after normal banking hours. This was for 1 of 1 resident (Resident #10) sampled for personal funds and had the potential to affect all residents with personal funds accounts.
March 2, 2023Standard inspection · 7 citations
  1. F
    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
    F802 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 28, 2023
    Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to have sufficient staff to ensure timely meals. This had the potential to affect residents receiving food from the kitchen.
  2. F
    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
    F809 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 28, 2023
    Inspectors wroteBased on observations, record review, and resident, family, and staff interviews, the facility failed to provide timely meals for 3 of the 3 meals observed. This had the potential to affect all residents receiving food from the kitchen.
  3. F
    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, widespread · Corrected (the home has a date of correction) March 28, 2023
    Inspectors wroteBased on observation, staff interviews, and record review, the facility failed to date and remove leftover food stored for use in one of one kitchen walk-in refrigerator and failed to discard leftover food in 2 of 3 (100 hall and 200 hall) nourishment room refrigerators.
  4. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 28, 2023
    Inspectors wroteBased on record review, staff and resident interviews, the facility failed to honor a resident's preference for a shower for 1 of 32 reviewed for choices (Resident #4).
  5. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 28, 2023
    Inspectors wroteBased on record review and staff interviews the facility failed to code the Minimum Data Set (MDS) assessment accurately for the Preadmission Screening and Resident Review (PASRR) Level II for 2 of 2 residents (Resident #75 and Resident #79) reviewed for PASRR.
  6. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 28, 2023
    Inspectors wroteBased on staff interview and record review, the facility failed to obtain a Level II Preadmission Screening and Resident Review (PASRR) for a resident with an active diagnosis of a serious mental illness for 2 of 4 residents reviewed for PASRR (Resident #5 and Resident #49).
  7. B
    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, pattern · deficient, provider has March 28, 2023
    Inspectors wroteBased on record review and staff interviews, the facility failed to provide written notification to the resident or resident representative of the reason for discharge to the hospital for 2 of 2 sampled residents (Resident #41 and Resident #99) reviewed for hospitalization. This deficient practice had the potential to affect other residents.

Fire safety inspections

13 fire safety citations on file: 10 on July 24, 2024, 2 on March 2, 2023, 1 on July 30, 2021.

Every fire safety citation13 citations
  1. F
    Have simulated fire drills held at unexpected times.
    K 712 · July 24, 2024 · Corrected (the home has a date of correction)
  2. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · July 24, 2024 · Corrected (the home has a date of correction)
  3. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · July 24, 2024 · Corrected (the home has a date of correction)
  4. E
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 24, 2024 · Corrected (the home has a date of correction)
  5. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · July 24, 2024 · Corrected (the home has a date of correction)
  6. 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 · July 24, 2024 · Corrected (the home has a date of correction)
  7. D
    Provide properly protected cooking facilities.
    K 324 · July 24, 2024 · Corrected (the home has a date of correction)
  8. D
    Install an approved automatic sprinkler system.
    K 351 · July 24, 2024 · Corrected (the home has a date of correction)
  9. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · July 24, 2024 · Corrected (the home has a date of correction)
  10. D
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · July 24, 2024 · Corrected (the home has a date of correction)
  11. D
    Use approved construction type or materials.
    K 161 · March 2, 2023 · Corrected (the home has a date of correction)
  12. 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 2, 2023 · Corrected (the home has a date of correction)
  13. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 30, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
July 24, 2024Fine $15,646

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.

MeasureThis homeNorth CarolinaUnited States
All nursing staff (RN, LPN and aides)4.513.853.86
Registered nurses0.760.620.69
All nursing staff on weekends3.903.423.42
Nurse aides2.60
Licensed practical nurses1.15
Nursing staff turnover (share who left in a year)49.1%49.0%45.8%
Registered nurse turnover31.8%45.6%42.9%
Administrators who left0

CMS expects 3.72 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 4.76 on weekdays and 3.90 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.22 in April to June 2025 to 4.51 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.510.764.763.90 0.1%0 of 90104
Oct to Dec 20254.820.785.084.15 0.1%0 of 92105
Jul to Sep 20254.660.774.884.09 0.1%0 of 92104
Apr to Jun 20254.220.714.393.80 0.1%0 of 91104
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
22.815.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.20.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.72.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.43.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.91.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
20.318.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.05.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
9.614.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
27.022.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
18.812.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.31.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.31.81.8

Owners and operators

Legal business name: WOODBURY WELLNESS CENTER, INC..

NameRoleTypeShareSince
Avant & Nunn, LLC5% or greater direct ownership interestOrganization100%01/29/1998
Avant, Keith5% or greater direct ownership interestIndividual03/01/1998
Nunn, Deborah5% or greater direct ownership interestIndividual03/01/1998
Avant & Nunn, LLC5% or greater mortgage interestOrganization01/29/1988
Bullard, JudithW-2 managing employeeIndividual08/31/2000
Avant, KeithCorporate directorIndividual12/20/2003
Bullard, JudithCorporate directorIndividual12/20/2003

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 4 problems in this area, most recently on July 24, 2024: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on July 24, 2024: "Ensure each resident receives an accurate assessment."
  3. 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 March 2, 2023: "Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service."
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on November 17, 2025: "Provide safe and appropriate respiratory care for a resident when needed."

Other nursing homes nearby

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.

Common questions

What is Woodbury Wellness Center Inc's Medicare star rating?
CMS rates Woodbury Wellness Center Inc 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Woodbury Wellness Center Inc get at its last inspection?
1 health deficiency at the standard inspection on November 17, 2025. The North Carolina average is 4.7.
Has Woodbury Wellness Center Inc been fined?
Yes. CMS lists 1 fine totaling $15,646 in the last three years.
Does Woodbury Wellness Center Inc 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 Woodbury Wellness Center Inc?
CMS lists 7 owners and managers. Legal business name: WOODBURY WELLNESS CENTER, INC..

Sources

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