Eastover, NC

Bethesda Health Care Facility

4-star overall rating with 4-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

3532 Dunn Road, Eastover, NC

(910) 323-3223

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

85

Certified beds

Average residents

84

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1981-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.31

Registered nurse staffing

LPN hours / resident day

0.53

Licensed practical nurse staffing

Aide hours / resident day

2.09

Nurse aide staffing

Weekend hours

2.68

Weekend nurse staffing

RN turnover

29%

Annual RN turnover

Total nurse turnover

46%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.0
1.8
0.2 pts worse
1.9
0.1 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.3
1.8
0.5 pts better
1.8
0.5 pts better
Long Stay · 20240701-20250630
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
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93.2%
94.1%
0.9 pts worse
95.5%
2.3 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 3.5%
3.6%
0.1 pts better
3.3%
0.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 25.7%
4.8%
20.9 pts worse
11.4%
14.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 8.3%
7.2%
1.1 pts worse
5.4%
2.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 23.3%
21.6%
1.7 pts worse
19.6%
3.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 15.4%
15.0%
0.4 pts worse
16.7%
1.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 1.4%
0.0%
1.4 pts worse
0.1%
1.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 27.5%
21.5%
6 pts worse
16.3%
11.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 31.5%
16.8%
14.7 pts worse
14.9%
16.6 pts worse
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 3.2%
2.6%
0.6 pts worse
1.7%
1.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 10.2%
21.2%
11 pts better
19.8%
9.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 6.1%
6.0%
0.1 pts worse
5.1%
1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
79.9%
20.1 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 4.0%
13.2%
9.2 pts better
12.0%
8 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 2.4%
1.5%
0.9 pts worse
1.6%
0.8 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 93.1%
78.1%
15 pts better
79.7%
13.4 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 18.7%
22.9%
4.2 pts better
23.9%
5.2 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-02-12 · Fire 2024-11-01

3 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-11-01 · Fire 2023-08-18

1 health deficiencies

Top issue: Resident Rights (1 deficiency)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-08-18 · Fire 2022-03-04

0 health deficiencies

No concentrated health issue counts in this cycle.

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 2024-11-01

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-12-06

D · Potential for more than minimal harm 2023-08-18

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-10-23

D · Potential for more than minimal harm 2023-08-18

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-10-23

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-02-12

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Not marked corrected

D · Potential for more than minimal harm 2026-02-12

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.

Not marked corrected

D · Potential for more than minimal harm 2026-02-12

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.

Not marked corrected

D · Potential for more than minimal harm 2024-11-01

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-11-14

Penalties and ownership

What sits behind the stars

Ownership

Gatewood, Elizabeth

5% Or Greater Direct Ownership Interest · Individual

0% 1 facilities 1986-10-01
Gatewood, Thomas

5% Or Greater Direct Ownership Interest · Individual

0% 4 facilities 1986-10-01
Horne, Caroline

Corporate Director · Individual

0% 1 facilities 2006-10-01
Horne, Caroline

W-2 Managing Employee · Individual

0% 1 facilities 2006-10-01

Nearby options

Other facilities in reach

#1

Whispering Pines Nursing & Rehab Center

Fayetteville, NC

5-star overall rating with 5-star inspections with $8,512 in total fines with 6 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
5 / 5
Staffing
4 / 5
Fines
$8,512
#2

Woodlands Nursing & Rehabilitation Center

Fayetteville, NC

4-star overall rating with 4-star inspections with $4,709 in total fines with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
4 / 5
Staffing
3 / 5
Fines
$4,709

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