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

Compare this facility

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

Staffing

Hours and turnover

RN hours / resident day

0.40

Registered nurse staffing

LPN hours / resident day

0.89

Licensed practical nurse staffing

Aide hours / resident day

2.29

Nurse aide staffing

Weekend hours

3.16

Weekend nurse staffing

RN turnover

40%

Annual RN turnover

Total nurse turnover

56%

Annual nurse turnover

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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

Survey summary

Recent inspection cycles

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.

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

100% 3 facilities 2013-04-30
Adams Farm Living Inc

5% Or Greater Direct Ownership Interest · Organization

0% 1 facilities 2007-04-01
Boyette, Barbara

Corporate Director · Individual

0% 9 facilities 2007-04-01
Century Care Management, Inc.

Operational/Managerial Control · Organization

0% 8 facilities 2007-04-01
Gilliam, Robert

Corporate Director · Individual

0% 9 facilities 2008-06-02
Gilliam, Robert

Corporate Officer · Individual

0% 9 facilities 2021-09-01
Gilliam, Robert

W-2 Managing Employee · Individual

0% 9 facilities 2008-06-02
Niles, Maria

W-2 Managing Employee · Individual

0% 2 facilities 2017-05-08
Schmidlin, James

Corporate Officer · Individual

0% 9 facilities 2021-09-01

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Health
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Staffing
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Fines
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#3

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Health
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Staffing
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Fines
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