Raeford, NC

Autumn Care of Raeford

2-star overall rating with 3-star inspections with $41,776 in total fines with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

1206 N Fulton Street, Raeford, NC

(910) 875-4280

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

132

Certified beds

Average residents

125

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Saber Healthcare Group

Operator or chain grouping

Approved since

1988-06-16

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.30

Registered nurse staffing

LPN hours / resident day

0.73

Licensed practical nurse staffing

Aide hours / resident day

2.00

Nurse aide staffing

Weekend hours

2.81

Weekend nurse staffing

RN turnover

55%

Annual RN turnover

Total nurse turnover

52%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.7
1.8
1.1 pts better
1.9
1.2 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.6
1.8
0.2 pts better
1.8
0.2 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.6%
91.5%
5.1 pts better
93.4%
3.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.2%
94.1%
5.1 pts better
95.5%
3.7 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 5.0%
3.6%
1.4 pts worse
3.3%
1.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 1.6%
4.8%
3.2 pts better
11.4%
9.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 6.8%
7.2%
0.4 pts better
5.4%
1.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 22.3%
21.6%
0.7 pts worse
19.6%
2.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 6.3%
15.0%
8.7 pts better
16.7%
10.4 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 22.1%
21.5%
0.6 pts worse
16.3%
5.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 13.0%
16.8%
3.8 pts better
14.9%
1.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.2%
0.9%
0.7 pts better
1.0%
0.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.4%
2.6%
1.2 pts better
1.7%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 21.8%
21.2%
0.6 pts worse
19.8%
2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.8%
6.0%
3.2 pts better
5.1%
2.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 84.4%
79.9%
4.5 pts better
81.7%
2.7 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 8.9%
13.2%
4.3 pts better
12.0%
3.1 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.9%
1.5%
0.6 pts better
1.6%
0.7 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 88.2%
78.1%
10.1 pts better
79.7%
8.5 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 22.9%
22.9%
About the same
23.9%
1 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-18 · Fire 2024-10-18

2 health deficiencies

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

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 2 Health 2023-09-01 · Fire 2023-09-01

1 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

5 fire-safety deficiencies

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

Cycle 3 Health 2022-04-28 · Fire 2022-04-28

3 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

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 2024-10-18

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-12-12

E · Potential for more than minimal harm 2024-10-18

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-12-12

D · Potential for more than minimal harm 2024-10-18

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2024-12-12

D · Potential for more than minimal harm 2024-10-18

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-12-12

D · Potential for more than minimal harm 2024-10-18

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-12-12

E · Potential for more than minimal harm 2023-09-01

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-10-31

E · Potential for more than minimal harm 2023-09-01

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-10-31

D · Potential for more than minimal harm 2023-09-01

K341 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-10-31

D · Potential for more than minimal harm 2023-09-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-10-31

D · Potential for more than minimal harm 2023-09-01

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-10-31

Inspection history

Recent health citations

J · Immediate jeopardy 2025-09-29

F684 · Quality of Life and Care Deficiencies

Health

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

Not marked corrected

D · Potential for more than minimal harm 2024-10-18

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 2024-10-25

J · Immediate jeopardy 2024-04-16

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 2024-04-02

D · Potential for more than minimal harm 2022-04-28

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-05-13

D · Potential for more than minimal harm 2022-04-28

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2022-05-13

D · Potential for more than minimal harm 2022-04-28

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2022-05-13

Penalties and ownership

What sits behind the stars

$26,130 2025-09-29

Fine

Fine · fine $26,130

Fine

$15,646 2024-04-16

Fine

Fine · fine $15,646

Fine

Ownership

Shg Autumn, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 25 facilities 2016-03-01
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020)

5% Or Greater Indirect Ownership Interest · Organization

0% 116 facilities 2023-01-01
Bnv Dynasty LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 116 facilities 2023-01-01
Bryant, Lalister

Operational/Managerial Control · Individual

0% 1 facilities 2017-04-17
Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020

5% Or Greater Indirect Ownership Interest · Organization

0% 116 facilities 2023-01-01
Nicoluzakis, Gregory

Corporate Officer · Individual

0% 117 facilities 2019-03-01
Ohi Asset (Nc) Raeford, LP

5% Or Greater Security Interest · Organization

0% 1 facilities 2016-03-01
Saber Healthcare Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 116 facilities 2016-03-01
Shg Management LLC

Operational/Managerial Control · Organization

0% 86 facilities 2019-09-01
Sullivan, Melissa

Operational/Managerial Control · Individual

0% 6 facilities 2023-12-17
Volpe, Benjamin

Corporate Director · Individual

0% 122 facilities 2019-03-01
Volpe, Benjamin

Corporate Officer · Individual

0% 122 facilities 2019-03-01
Weisberg, William

Corporate Director · Individual

0% 123 facilities 2019-03-01
Weisberg, William

Corporate Officer · Individual

0% 123 facilities 2019-03-01
Wiw Dynasty LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 116 facilities 2023-01-01

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