Cycle 1
Health 2024-10-31 · Fire 2024-10-31
0 health deficiencies
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Services (2 deficiencies)
Wadesboro, NC
Anson Health and Rehabilitation
5-star overall rating with 5-star inspections with 3 fire-safety deficiencies in the latest cycle
405 South Greene Street, Wadesboro, NC
(704) 695-3301
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
95
Certified beds
Average residents
66
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Sanstone Health & Rehabilitation
Operator or chain grouping
Approved since
1968-10-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
17 facilities
Chain averages 4 overall / 4 health / 3 staffing / 4 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
0.59
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
2.35
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.83
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.48
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.18
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.50
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
0.60
CMS adjusted RN staffing hours
Adjusted total hours
3.90
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
31%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,976
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
46.62
Composite VBP score used to determine payment impact.
Payment multiplier
1.0000
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.75
Baseline 20.02% · Performance 20.16% · Measure score 2.75 · Achievement 2.75 · Improvement 0
Healthcare-associated infections
3.32
Baseline 7.09% · Performance 6.84% · Measure score 3.32 · Achievement 3.32 · Improvement 0.71
Total nurse turnover
10
Baseline 30.14% · Performance 22.39% · Measure score 10 · Achievement 10 · Improvement 9
Adjusted total nurse staffing
2.58
Baseline 3.42 hours · Performance 3.81 hours · Measure score 2.58 · Achievement 2.58 · Improvement 1.16
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.56% |
10.72%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 122 · Observed rate 16.39% · Lower 95% interval 8.99% |
| Discharge to community | 59.81% |
50.57%
9.2 pts better
|
Better than the National Rate · Eligible stays 96 · Observed rate 53.13% · Lower 95% interval 50.61% |
| Medicare spending per beneficiary | 1.13 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 91 · Denominator 91 |
| Falls with major injury | 2.2% |
0.77%
1.4 pts worse
|
Numerator 2 · Denominator 91 |
| Discharge self-care score | 71.64% |
53.69%
18 pts better
|
Numerator 48 · Denominator 67 |
| Discharge mobility score | 58.21% |
50.94%
7.3 pts better
|
Numerator 39 · Denominator 67 |
| Pressure ulcers or injuries, new or worsened | 3.3% |
2.29%
1 pts worse
|
Numerator 3 · Denominator 91 · Adjusted rate 2.77% |
| Healthcare-associated infections requiring hospitalization | 6.84% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 76 · Observed rate 6.58% · Lower 95% interval 3.81% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 138 |
| Staff flu vaccination coverage | 1.54% |
42%
40.5 pts worse
|
Numerator 2 · Denominator 130 |
| Discharge function score | 74.63% |
56.45%
18.2 pts better
|
Numerator 50 · Denominator 67 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 24 · Denominator 24 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 52 · Denominator 52 |
| Resident COVID-19 vaccinations up to date | 37.25% |
25.2%
12.1 pts better
|
Numerator 19 · Denominator 51 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.5%
8.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 8.9% |
3.6%
5.3 pts worse
|
3.3%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 11.9% · Q3 9.4% · Q4 3.6% · 4Q avg 8.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.8% |
4.8%
2 pts better
|
11.4%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 1.7% · Q3 0.0% · Q4 3.8% · 4Q avg 2.8% |
| Percentage of long-stay residents who lose too much weight | 10.4% |
7.2%
3.2 pts worse
|
5.4%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 11.3% · Q3 13.0% · Q4 9.8% · 4Q avg 10.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.2% |
21.6%
6.6 pts worse
|
19.6%
8.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.5% · Q2 27.8% · Q3 32.6% · Q4 27.5% · 4Q avg 28.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.6% |
15.0%
0.4 pts better
|
16.7%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 18.4% · Q3 11.4% · Q4 10.3% · 4Q avg 14.6% · 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 | 20.0% |
21.5%
1.5 pts better
|
16.3%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.8% · Q2 15.2% · Q3 39.7% · 4Q avg 20.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.6% |
16.8%
4.2 pts better
|
14.9%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.9% · Q2 11.5% · Q3 4.7% · Q4 10.4% · 4Q avg 12.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
2.6%
1.3 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.7% · Q3 0.0% · Q4 1.8% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.5% |
21.2%
6.7 pts better
|
19.8%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 27.8% · Q2 12.3% · Q3 7.6% · Q4 9.1% · 4Q avg 14.5% |
| Percentage of long-stay residents with pressure ulcers | 3.0% |
6.0%
3 pts better
|
5.1%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 2.5% · Q3 3.3% · Q4 1.2% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
79.9%
19.5 pts better
|
81.7%
17.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.8% · Q3 100.0% · Q4 98.8% · 4Q avg 99.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.8% |
13.2%
1.6 pts worse
|
12.0%
2.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.8% · Observed 13.5% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.9% |
78.1%
20.8 pts better
|
79.7%
19.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.8% |
22.9%
2.1 pts better
|
23.9%
3.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.8% · Observed 17.6% · Expected 20.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-02 · Fire 2023-08-02
0 health deficiencies
No concentrated health issue counts in this cycle.
13 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Cycle 3
Health 2022-03-03 · Fire 2022-03-03
6 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-10-31
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-12-24
D · Potential for more than minimal harm
2024-10-31
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-12-24
D · Potential for more than minimal harm
2024-10-31
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-12-24
E · Potential for more than minimal harm
2023-08-02
K346 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-10-21
E · Potential for more than minimal harm
2023-08-02
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-21
E · Potential for more than minimal harm
2023-08-02
K354 · Smoke Deficiencies
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-10-21
D · Potential for more than minimal harm
2023-08-02
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2023-10-21
D · Potential for more than minimal harm
2023-08-02
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-10-21
D · Potential for more than minimal harm
2023-08-02
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 2023-10-21
D · Potential for more than minimal harm
2023-08-02
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-10-21
D · Potential for more than minimal harm
2023-08-02
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-10-21
D · Potential for more than minimal harm
2023-08-02
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-10-21
D · Potential for more than minimal harm
2023-08-02
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-10-21
D · Potential for more than minimal harm
2023-08-02
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-10-21
D · Potential for more than minimal harm
2023-08-02
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-10-21
D · Potential for more than minimal harm
2023-08-02
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-10-21
Inspection history
Recent health citations
D · Potential for more than minimal harm
2022-03-03
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2022-03-22
D · Potential for more than minimal harm
2022-03-03
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-03-22
D · Potential for more than minimal harm
2022-03-03
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-03-22
D · Potential for more than minimal harm
2022-03-03
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-03-22
D · Potential for more than minimal harm
2022-03-03
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-03-22
D · Potential for more than minimal harm
2022-03-03
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-03-22
Penalties and ownership
What sits behind the stars
Ownership
Ardent Health And Rehabilitation Co
5% Or Greater Direct Ownership Interest · Organization
Anson County Healthcare Properties, LLC
5% Or Greater Mortgage Interest · Organization
Mooneyham, Kim
W-2 Managing Employee · Individual
Sprenger, Christopher
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Wadesboro Health & Rehab Center
Wadesboro, NC
3-star overall rating with 3-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Autumn Care of Marshville
Marshville, NC
2-star overall rating with 1-star inspections with $52,836 in total fines with 3 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#3
PruittHealth-Rockingham
Rockingham, NC
2-star overall rating with 2-star inspections with 9 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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