Cycle 1
Health 2025-12-05 · Fire 2024-08-21
6 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Jamestown, NC
Adams Farm Living & Rehabilitation
2-star overall rating with 2-star inspections with $37,310 in total fines with 6 recent health deficiencies
5100 Mackay Road, Jamestown, NC
(336) 855-5596
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
103
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Century Care Management
Operator or chain grouping
Approved since
2005-11-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 facilities
Chain averages 4 overall / 4 health / 3 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.40
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
0.89
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.29
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.58
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.29
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.16
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.25
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.39
CMS adjusted RN staffing hours
Adjusted total hours
3.50
CMS adjusted total nurse staffing hours
Case-mix index
1.40
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
56%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,598
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.32
Composite VBP score used to determine payment impact.
Payment multiplier
0.9854
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.13
Baseline 19.83% · Performance 20.45% · Measure score 2.13 · Achievement 2.13 · Improvement 0
Healthcare-associated infections
5.88
Baseline 9.12% · Performance 6.49% · Measure score 5.88 · Achievement 4.5 · Improvement 5.88
Total nurse turnover
2.30
Baseline 39.44% · Performance 54.29% · Measure score 2.30 · Achievement 2.30 · Improvement 0
Adjusted total nurse staffing
1.43
Baseline 3.19 hours · Performance 3.48 hours · Measure score 1.43 · Achievement 1.43 · Improvement 0.63
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.53% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 186 · Observed rate 9.14% · Lower 95% interval 7.68% |
| Discharge to community | 52% |
50.57%
1.4 pts better
|
No Different than the National Rate · Eligible stays 192 · Observed rate 48.96% · Lower 95% interval 46.78% |
| Medicare spending per beneficiary | 0.94 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 85.98% |
95.27%
9.3 pts worse
|
Numerator 92 · Denominator 107 |
| Falls with major injury | 2.8% |
0.77%
2 pts worse
|
Numerator 3 · Denominator 107 |
| Discharge self-care score | 63.29% |
53.69%
9.6 pts better
|
Numerator 50 · Denominator 79 |
| Discharge mobility score | 37.97% |
50.94%
13 pts worse
|
Numerator 30 · Denominator 79 |
| Pressure ulcers or injuries, new or worsened | 3.74% |
2.29%
1.5 pts worse
|
Numerator 4 · Denominator 107 · Adjusted rate 3.6% |
| Healthcare-associated infections requiring hospitalization | 6.49% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 116 · Observed rate 5.17% · Lower 95% interval 4.06% |
| Staff COVID-19 vaccination coverage | 4.08% |
8.2%
4.1 pts worse
|
Numerator 4 · Denominator 98 |
| Staff flu vaccination coverage | 29.89% |
42%
12.1 pts worse
|
Numerator 52 · Denominator 174 |
| Discharge function score | 46.84% |
56.45%
9.6 pts worse
|
Numerator 37 · Denominator 79 |
| Transfer of health information to provider | 95.83% |
95.95%
0.1 pts worse
|
Numerator 69 · Denominator 72 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 3.45% |
25.2%
21.8 pts worse
|
Numerator 2 · Denominator 58 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.8 |
1.8
1 pts worse
|
1.9
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 3.4 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.8
0.5 pts better
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.5% |
91.5%
3 pts worse
|
93.4%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 88.5% · Q2 87.7% · Q3 88.5% · Q4 89.5% · 4Q avg 88.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.1%
5.9 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.1% |
3.6%
0.5 pts better
|
3.3%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 3.7% · Q3 2.6% · Q4 1.3% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.3% |
4.8%
4.5 pts better
|
11.4%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.4% · 4Q avg 0.3% |
| Percentage of long-stay residents who lose too much weight | 10.3% |
7.2%
3.1 pts worse
|
5.4%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 11.9% · Q3 9.1% · Q4 9.1% · 4Q avg 10.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.6% |
21.6%
8 pts better
|
19.6%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 14.3% · Q3 12.1% · Q4 14.7% · 4Q avg 13.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.2% |
15.0%
1.8 pts better
|
16.7%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 11.7% · Q3 9.7% · Q4 17.2% · 4Q avg 13.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.6% |
0.0%
0.6 pts worse
|
0.1%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% |
| Percentage of long-stay residents whose ability to walk independently worsened | 41.0% |
21.5%
19.5 pts worse
|
16.3%
24.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 41.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.3% |
16.8%
3.5 pts better
|
14.9%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 20.6% · Q3 14.0% · Q4 8.3% · 4Q avg 13.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
0.9%
0.4 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 0.7% · Q4 0.7% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.0% |
2.6%
1.6 pts better
|
1.7%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.8% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.0% |
21.2%
4.2 pts better
|
19.8%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 18.4% · Q3 12.4% · Q4 15.9% · 4Q avg 17.0% |
| Percentage of long-stay residents with pressure ulcers | 7.8% |
6.0%
1.8 pts worse
|
5.1%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 8.7% · Q3 9.2% · Q4 5.3% · 4Q avg 7.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.1% |
79.9%
18.2 pts better
|
81.7%
16.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.5% · Q2 98.8% · Q3 97.7% · Q4 98.4% · 4Q avg 98.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.4% |
13.2%
0.2 pts worse
|
12.0%
1.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.4% · Observed 12.9% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.5%
0.8 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 1.9% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.4% |
78.1%
16.3 pts better
|
79.7%
14.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.9% |
22.9%
3 pts worse
|
23.9%
2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.9% · Observed 23.8% · Expected 21.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-21 · Fire 2023-10-13
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2023-10-13 · Fire 2022-04-14
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2023-10-13
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-02-14
E · Potential for more than minimal harm
2023-10-13
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-02-14
D · Potential for more than minimal harm
2023-10-13
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-02-14
D · Potential for more than minimal harm
2023-10-13
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-02-14
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-12-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-12-19
G · Actual harm
2025-05-01
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-04-12
G · Actual harm
2025-05-01
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-12
G · Actual harm
2025-05-01
F711 · Nursing and Physician Services Deficiencies
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2025-05-17
D · Potential for more than minimal harm
2025-05-01
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-05-17
D · Potential for more than minimal harm
2025-05-01
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-05-17
E · Potential for more than minimal harm
2024-08-21
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-09-18
E · Potential for more than minimal harm
2024-08-21
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-09-18
Penalties and ownership
What sits behind the stars
$37,310
2025-05-01
Fine
Fine · fine $37,310
Fine
Ownership
Noah K Duncan Mrtl Tr
5% Or Greater Direct Ownership Interest · Organization
Adams Farm Living Inc
5% Or Greater Direct Ownership Interest · Organization
Boyette, Barbara
Corporate Director · Individual
Century Care Management, Inc.
Operational/Managerial Control · Organization
Gilliam, Robert
Corporate Director · Individual
Gilliam, Robert
Corporate Officer · Individual
Gilliam, Robert
W-2 Managing Employee · Individual
Niles, Maria
W-2 Managing Employee · Individual
Schmidlin, James
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Camden Health and Rehabilitation
Greensboro, NC
4-star overall rating with 4-star inspections with 5 fire-safety deficiencies in the latest cycle
#2
The Shannon Gray Rehabilitation & Recovery Center
Jamestown, NC
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Maryfield Nursing Home
High Point, NC
4-star overall rating with 4-star inspections with 1 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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