Federal inspection record · CMS data as of October 1, 2026
Alamance Health Care Center
1987 Hilton Road, Burlington, NC · (336) 226-0848
- Cited for abuse (CMS abuse icon)
- Certified beds
- 180
- Residents per day
- 173
- Ownership
- For-Profit
- Chain
- Lifeworks Rehab
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 23, 1992
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among North Carolina homes
Alamance Health Care Center carries 66 inspection points. That is fewer than 25% of North Carolina's 415 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–4 pts
- 4★ 4–15 pts
- 3★ 15–35 pts
- 2★ 35–73.5 pts
- 1★ over 73.5 pts
Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
27 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care9E
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Assist a resident in gaining access to vision and hearing services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights5E
- E
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.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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.
Freedom from Abuse, Neglect, and Exploitation4D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Pharmacy Service3E
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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.
- D
Ensure that residents are free from significant medication errors.
Environmental2F
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Resident Assessment and Care Planning1D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration1E
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspection history
2026-05-04
13 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2025-05-01
7 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-04-23
7 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 14 min of nursing staff time a day, 18 min of it from a registered nurse.
This home
3 h 14 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 51% of nursing staff and 79% of registered nurses left in the past year, along with 3 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,034 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-11-20 | Fine | $8,034 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1 pts better | 0.7 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better | 0.9 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine9.4 pts worse | 83.0% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.7 pts worse | 88.0% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts better | 3.2% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.6 pts worse | 13.4% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.2 pts worse | 9.3% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.2 pts better | 18.9% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.2 pts worse | 15.1% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened14.1 pts better | 2.5% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased12.6 pts better | 2.4% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.1% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.6 pts better | 0.5% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8 pts better | 11.9% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts better | 4.6% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.5 pts worse | 66.0% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.6 pts better | 12.1% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts worse | 2.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.1 pts worse | 69.0% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.2 pts better | 17.0% | 22.2% | 23.4% |
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Who owns and runs it
18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Alamance Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Charles 1994 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 40 facilities |
| Ck 2008 Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 10 facilities |
| Drm South LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 10 facilities |
| Edward 1998 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 38 facilities |
| Lauren 2020 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Lauren 2020 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 10 facilities |
| Leps 2003 Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
| Norman 5571 & Family LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 10 facilities |
| Norman 5571 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Rl 2008 Family Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 10 facilities |
| Robin 2008 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Robin 2008 LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 10 facilities |
| Rsbrm South Manager LLC | Operational/Managerial Control · Organization | 0% | 10 facilities |
| Saul 2012 Family Grantor Trust | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 39 facilities |
| Springrock South LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 10 facilities |
| Staples, Howard | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Summer South LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 9 facilities |
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Fire safety
16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- F
Install an approved automatic sprinkler system.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Install a fire alarm system that can be heard throughout the facility.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems4F
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Meet requirements for the use of electrical equipment.
- F
Meet requirements for the use of electrical equipment.
- D
Have proper medical gas storage and administration areas.
Egress3D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Have exits that are accessible at all times.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
Construction1D
- D
Use approved construction type or materials.
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Other homes nearby
-
White Oak Manor - Burlington
Burlington, NC · National Healthcare Corporation
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 4 h 4 min
- Fines
- $137,472
-
Peak Resources - Alamance, Inc
Graham, NC · Peak Resources, Inc.
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 31 min
- Fines
- $13,870
-
Edgewood Place at the Village at Brookwood
Burlington, NC
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 14 min
- Fines
- $0