Burlington, NC

Alamance Health Care Center

2-star overall rating with 2-star inspections with $157,560 in total fines with 6 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

1987 Hilton Road, Burlington, NC

(336) 226-0848

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

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

180

Certified beds

Average residents

174

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Lifeworks Rehab

Operator or chain grouping

Approved since

1992-04-23

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

59 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

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

0.30

Registered nurse staffing · state 0.59 · national 0.68

LPN hours / resident day

1.09

Licensed practical nurse staffing · state 0.87 · national 0.87

Aide hours / resident day

1.94

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

3.33

All reported nurse hours · state 3.78 · national 3.89

Licensed hours

1.39

RN + LPN hours · state 1.45 · national 1.54

Weekend hours

2.89

Weekend nurse staffing · state 3.34 · national 3.43

Weekend RN hours

0.16

Weekend registered nurse coverage · state 0.38 · national 0.47

Physical therapist

0.09

Reported PT staffing · state 0.09 · national 0.07

Adjusted RN hours

0.31

CMS adjusted RN staffing hours

Adjusted total hours

3.44

CMS adjusted total nurse staffing hours

Case-mix index

1.33

Higher values indicate more complex resident acuity

RN turnover

47%

Annual RN turnover · state 48% · national 45%

Total nurse turnover

53%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,898

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

42.22

Composite VBP score used to determine payment impact.

Payment multiplier

0.9951

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

7.26

Baseline 20.44% · Performance 18.07% · Measure score 7.26 · Achievement 7.26 · Improvement 6.45

Healthcare-associated infections

4.89

Baseline 7.78% · Performance 6.37% · Measure score 4.89 · Achievement 4.89 · Improvement 4.56

Total nurse turnover

3.26

Performance 50.37% · Measure score 3.26 · Achievement 3.26 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

1.48

Baseline 3.45 hours · Performance 3.5 hours · Measure score 1.48 · Achievement 1.48 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.03%	10.72% 0.7 pts better	No Different than the National Rate · Eligible stays 65 · Observed rate 9.23% · Lower 95% interval 7.06%
Discharge to community	48.49%	50.57% 2.1 pts worse	No Different than the National Rate · Eligible stays 70 · Observed rate 38.57% · Lower 95% interval 38.26%
Medicare spending per beneficiary	1.15	1.02 0.1 pts worse
Drug regimen review with follow-up	98.97%	95.27% 3.7 pts better	Numerator 96 · Denominator 97
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 97
Discharge self-care score	47.06%	53.69% 6.6 pts worse	Numerator 32 · Denominator 68
Discharge mobility score	52.94%	50.94% 2 pts better	Numerator 36 · Denominator 68
Pressure ulcers or injuries, new or worsened	4.12%	2.29% 1.8 pts worse	Numerator 4 · Denominator 97 · Adjusted rate 2.98%
Healthcare-associated infections requiring hospitalization	6.37%	7.12% 0.8 pts better	No Different than the National Rate · Eligible stays 58 · Observed rate 5.17% · Lower 95% interval 3.67%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 135
Staff flu vaccination coverage	9.96%	42% 32 pts worse	Numerator 23 · Denominator 231
Discharge function score	52.94%	56.45% 3.5 pts worse	Numerator 36 · Denominator 68
Transfer of health information to provider	98.15%	95.95% 2.2 pts better	Numerator 53 · Denominator 54
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	18.18%	25.2% 7 pts worse	Numerator 10 · Denominator 55

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.2	1.8 0.6 pts better	1.9 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 2.5 · Expected 4.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.5	1.8 1.3 pts better	1.8 1.3 pts better	Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.7 · Expected 2.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	82.2%	91.5% 9.3 pts worse	93.4% 11.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 75.0% · Q2 84.7% · Q3 84.1% · Q4 85.1% · 4Q avg 82.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	84.5%	94.1% 9.6 pts worse	95.5% 11 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 84.5%
Percentage of long-stay residents experiencing one or more falls with major injury	3.0%	3.6% 0.6 pts better	3.3% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.7% · Q3 2.1% · Q4 4.5% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	6.5%	4.8% 1.7 pts worse	11.4% 4.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 6.2% · Q3 7.5% · Q4 5.7% · 4Q avg 6.5%
Percentage of long-stay residents who lose too much weight	9.6%	7.2% 2.4 pts worse	5.4% 4.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 12.6% · Q3 7.9% · Q4 7.2% · 4Q avg 9.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.0%	21.6% 1.6 pts better	19.6% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 19.0% · Q3 20.9% · Q4 20.7% · 4Q avg 20.0%
Percentage of long-stay residents who received an antipsychotic medication	17.6%	15.0% 2.6 pts worse	16.7% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.2% · Q2 17.9% · Q3 16.8% · Q4 15.2% · 4Q avg 17.6% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	13.2%	21.5% 8.3 pts better	16.3% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.1% · Q2 15.5% · Q3 14.8% · Q4 8.5% · 4Q avg 13.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.5%	16.8% 10.3 pts better	14.9% 8.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 10.0% · Q3 4.8% · Q4 4.3% · 4Q avg 6.5% · 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 0.5% · Q2 0.0% · Q3 1.4% · Q4 0.3% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.7%	2.6% 1.9 pts better	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 1.4% · Q3 0.7% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	13.9%	21.2% 7.3 pts better	19.8% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 14.4% · Q3 13.4% · Q4 17.2% · 4Q avg 13.9%
Percentage of long-stay residents with pressure ulcers	8.8%	6.0% 2.8 pts worse	5.1% 3.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 10.7% · Q3 8.6% · Q4 6.4% · 4Q avg 8.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	49.3%	79.9% 30.6 pts worse	81.7% 32.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 61.4% · Q2 39.9% · Q3 41.7% · Q4 57.4% · 4Q avg 49.3%
Percentage of short-stay residents who had an outpatient emergency department visit	12.9%	13.2% 0.3 pts better	12.0% 0.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 12.9% · Observed 14.6% · Expected 12.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.0%	1.5% 0.5 pts better	1.6% 0.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 2.7% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	52.7%	78.1% 25.4 pts worse	79.7% 27 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 52.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	16.2%	22.9% 6.7 pts better	23.9% 7.7 pts better	Short Stay · 20240701-20250630 · Adjusted 16.2% · Observed 17.1% · Expected 25.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-01 · Fire 2025-05-01

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

10 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Cycle 2 Health 2024-04-23 · Fire 2024-04-23

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2023-11-02 · Fire 2023-11-02

14 health deficiencies

Top issue: Pharmacy Service (6 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-01

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-07-04

E · Potential for more than minimal harm 2025-05-01

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-07-04

D · Potential for more than minimal harm 2025-05-01

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2025-07-04

D · Potential for more than minimal harm 2025-05-01

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-07-04

D · Potential for more than minimal harm 2025-05-01

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-07-04

D · Potential for more than minimal harm 2025-05-01

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-07-04

D · Potential for more than minimal harm 2025-05-01

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2025-07-04

D · Potential for more than minimal harm 2025-05-01

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-07-04

D · Potential for more than minimal harm 2025-05-01

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-07-04

D · Potential for more than minimal harm 2025-05-01

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2025-07-04

F · Potential for more than minimal harm 2024-04-23

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2024-05-25

D · Potential for more than minimal harm 2024-04-23

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-05-25

D · Potential for more than minimal harm 2024-04-23

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-05-25

D · Potential for more than minimal harm 2024-04-23

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-05-25

F · Potential for more than minimal harm 2023-11-02

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-02-10

E · Potential for more than minimal harm 2023-11-02

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-02-10

E · Potential for more than minimal harm 2023-11-02

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-02-10

D · Potential for more than minimal harm 2023-11-02

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-02-10

D · Potential for more than minimal harm 2023-11-02

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-02-10

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-05-01

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-05-27

E · Potential for more than minimal harm 2025-05-01

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-05-27

E · Potential for more than minimal harm 2025-05-01

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2025-05-27

E · Potential for more than minimal harm 2025-05-01

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 2025-05-27

D · Potential for more than minimal harm 2025-05-01

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-05-27

D · Potential for more than minimal harm 2025-05-01

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-05-27

D · Potential for more than minimal harm 2024-11-20

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-11-08

E · Potential for more than minimal harm 2024-04-23

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 2024-05-07

E · Potential for more than minimal harm 2024-04-23

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2024-05-07

D · Potential for more than minimal harm 2024-04-23

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2024-05-07

D · Potential for more than minimal harm 2024-04-23

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-05-07

D · Potential for more than minimal harm 2024-04-23

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-05-07

E · Potential for more than minimal harm 2023-11-02

F761 · Pharmacy Service Deficiencies

Health

Corrected 2023-11-22

E · Potential for more than minimal harm 2023-11-02

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 2023-11-22

E · Potential for more than minimal harm 2023-11-02

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2023-11-22

D · Potential for more than minimal harm 2023-11-02

F646 · Resident Assessment and Care Planning Deficiencies

Health

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Corrected 2023-11-22

D · Potential for more than minimal harm 2023-11-02

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-10-16

D · Potential for more than minimal harm 2023-11-02

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-11-22

D · Potential for more than minimal harm 2023-11-02

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 2023-11-22

D · Potential for more than minimal harm 2023-08-02

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-09-12

J · Immediate jeopardy 2023-07-06

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-08-26

J · Immediate jeopardy 2023-07-06

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-08-26

E · Potential for more than minimal harm 2023-07-06

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-08-26

D · Potential for more than minimal harm 2023-07-06

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-08-26

D · Potential for more than minimal harm 2023-07-06

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 2023-08-26

D · Potential for more than minimal harm 2023-04-27

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2023-07-06

Penalties and ownership

What sits behind the stars

$8,034 2024-11-20

Fine

Fine · fine $8,034

Fine

$149,526 2023-04-27

Fine

Fine · fine $149,526

Fine

$0 2023-04-27

Payment Denial

Payment Denial · denial start 2023-07-27 · 47 days

47 day denial

Ownership

Alamance Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2021-05-28

Charles 1994 Family Grantor Trust