Cycle 1
Health 2025-07-24 · Fire 2024-05-16
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Garner, NC
Bellarose Nursing And Rehab
5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
200 Bellarose Lake Way, Garner, NC
(919) 985-8400
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
100
Certified beds
Average residents
89
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2018-03-29
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
Hours and turnover
RN hours / resident day
0.42
Registered nurse staffing
LPN hours / resident day
1.51
Licensed practical nurse staffing
Aide hours / resident day
2.70
Nurse aide staffing
Weekend hours
4.00
Weekend nurse staffing
RN turnover
39%
Annual RN turnover
Total nurse turnover
31%
Annual nurse turnover
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.6 |
1.8
0.8 pts worse
|
1.9
0.7 pts worse
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
1.8
About the same
|
1.8
About the same
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
91.5%
8.1 pts better
|
93.4%
6.2 pts better
|
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 | 2.2% |
3.6%
1.4 pts better
|
3.3%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
4.8%
4.8 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 10.6% |
7.2%
3.4 pts worse
|
5.4%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.5% |
21.6%
1.1 pts better
|
19.6%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 8.5% |
15.0%
6.5 pts better
|
16.7%
8.2 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 | 46.6% |
21.5%
25.1 pts worse
|
16.3%
30.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.6% |
16.8%
2.8 pts worse
|
14.9%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.5% |
0.9%
0.6 pts worse
|
1.0%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
2.6%
1.5 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.6% |
21.2%
4.4 pts worse
|
19.8%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 5.0% |
6.0%
1 pts better
|
5.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.9% |
79.9%
17 pts better
|
81.7%
15.2 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.4% |
13.2%
2.2 pts worse
|
12.0%
3.4 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
1.5%
0.2 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.0% |
78.1%
14.9 pts better
|
79.7%
13.3 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.7% |
22.9%
2.8 pts worse
|
23.9%
1.8 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-16 · Fire 2022-12-09
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Cycle 3
Health 2022-12-09 · Fire 2021-07-16
2 health deficiencies
Top issue: Resident Rights (2 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
2024-05-16
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-06-13
D · Potential for more than minimal harm
2022-12-09
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-01-16
Inspection history
Recent health citations
D · Potential for more than minimal harm
2022-12-09
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-01-05
B · Minimal harm
2022-12-09
F585 · Resident Rights Deficiencies
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-01-05
Penalties and ownership
What sits behind the stars
Ownership
Sherrill, Debbie
5% Or Greater Direct Ownership Interest · Individual
Evans, Kisa
5% Or Greater Direct Ownership Interest · Individual
Evans, Riley
5% Or Greater Direct Ownership Interest · Individual
Evans, Robert
5% Or Greater Direct Ownership Interest · Individual
Burroughs, William
Operational/Managerial Control · Individual
Burroughs, William
W-2 Managing Employee · Individual
Dixon, Justin
Operational/Managerial Control · Individual
Dixon, Justin
W-2 Managing Employee · Individual
Evans, Kisa
Operational/Managerial Control · Individual
Evans, Kisa
Corporate Officer · Individual
Evans, Kisa
W-2 Managing Employee · Individual
Evans, Riley
Corporate Officer · Individual
Evans, Robert
Operational/Managerial Control · Individual
Evans, Robert
Corporate Officer · Individual
Evans, Robert
W-2 Managing Employee · Individual
Evans, Toni
5% Or Greater Direct Ownership Interest · Individual
Evans, Toni
Corporate Officer · Individual
Miller, Rosemary
5% Or Greater Direct Ownership Interest · Individual
Miller, William
5% Or Greater Direct Ownership Interest · Individual
Richardson, Sandra
Operational/Managerial Control · Individual
Richardson, Sandra
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
The Laurels of Forest Glenn
Garner, NC
3-star overall rating with 2-star inspections with $182,083 in total fines with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
PruittHealth-Raleigh
Raleigh, NC
3-star overall rating with 3-star inspections with $24,850 in total fines with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Clayton Rehabilitation and Healthcare Center
Clayton, NC
1-star overall rating with 1-star inspections with $255,500 in total fines with 25 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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