Charlotte, NC

Brookdale Carriage Club Providence

4-star overall rating with 3-star inspections with 3 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

5804 Old Providence Road, Charlotte, NC

(704) 365-8551

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

0 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

14

Certified beds

Average residents

6

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Brookdale Senior Living

Operator or chain grouping

Approved since

1997-04-03

CMS approved date

Coverage

Medicare

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Weekend hours

0.00

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 91.3%
79.9%
11.4 pts better
81.7%
9.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 3.3%
13.2%
9.9 pts better
12.0%
8.7 pts better
Short Stay · 20240701-20250630
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
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 83.0%
78.1%
4.9 pts better
79.7%
3.3 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 6.5%
22.9%
16.4 pts better
23.9%
17.4 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-07 · Fire 2025-04-07

3 health deficiencies

Top issue: Resident Rights (2 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-02-21 · Fire 2024-02-21

7 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

12 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2022-09-14 · Fire 2022-09-14

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-04-07

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-04-07

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-04-07

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-04-07

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-04-07

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-04-07

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-04-07

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-06-30

D · Potential for more than minimal harm 2025-04-07

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-06-30

D · Potential for more than minimal harm 2024-02-21

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-06-14

D · Potential for more than minimal harm 2024-02-21

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2024-06-14

D · Potential for more than minimal harm 2024-02-21

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-06-14

D · Potential for more than minimal harm 2024-02-21

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-06-14

D · Potential for more than minimal harm 2024-02-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-14

D · Potential for more than minimal harm 2024-02-21

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2024-06-14

D · Potential for more than minimal harm 2024-02-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-06-14

D · Potential for more than minimal harm 2024-02-21

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-06-14

D · Potential for more than minimal harm 2024-02-21

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-06-14

D · Potential for more than minimal harm 2024-02-21

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-06-14

D · Potential for more than minimal harm 2024-02-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-06-14

D · Potential for more than minimal harm 2024-02-21

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-06-14

F · Potential for more than minimal harm 2022-09-14

E1 · Emergency Preparedness Deficiencies

Fire Safety

Establish an Emergency Preparedness Program (EP).

Corrected 2022-10-12

F · Potential for more than minimal harm 2022-09-14

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2022-10-12

E · Potential for more than minimal harm 2022-09-14

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-01-09

E · Potential for more than minimal harm 2022-09-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-01-09

E · Potential for more than minimal harm 2022-09-14

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-01-09

E · Potential for more than minimal harm 2022-09-14

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-01-09

C · Minimal harm 2022-09-14

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 2023-01-09

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-04-07

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.

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-04-07

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-04-07

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2025-05-01

F · Potential for more than minimal harm 2024-02-21

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.

Corrected 2024-03-15

F · Potential for more than minimal harm 2024-02-21

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2024-03-15

E · Potential for more than minimal harm 2024-02-21

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-02-21

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-02-21

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-15

D · Potential for more than minimal harm 2024-02-21

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-03-15

C · Minimal harm 2024-02-21

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-03-15

E · Potential for more than minimal harm 2022-09-14

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.

Corrected 2022-10-12

Penalties and ownership

What sits behind the stars

Ownership

Bkd Fm Holding Company LLC

5% Or Greater Direct Ownership Interest · Organization

100% 2 facilities 2011-07-29
Arc Managment LLC

Operational/Managerial Control · Organization

0% 1 facilities 2007-04-01
Clontz, Stephanie

Operational/Managerial Control · Individual

0% 1 facilities 2025-06-13
Hall, George

Operational/Managerial Control · Individual

0% 3 facilities 2025-08-26
Jones Lang Lasalle Multifamily LLC

5% Or Greater Security Interest · Organization

0% 2 facilities 2017-08-31
Kaestner, Henry

Operational/Managerial Control · Individual

0% 5 facilities 2022-03-01
Kussow, Dawn

Operational/Managerial Control · Individual

0% 13 facilities 2024-07-23
La Marre, Kevin

Operational/Managerial Control · Individual

0% 14 facilities 2017-01-22
Lewis, Laura

Operational/Managerial Control · Individual

0% 1 facilities 2025-07-22
Munoz, Anna

Operational/Managerial Control · Individual

0% 14 facilities 2024-02-15
Rutter, Doug

Operational/Managerial Control · Individual

0% 1 facilities 2025-07-22
Stengle, Nikolas

Operational/Managerial Control · Individual

0% 12 facilities 2025-11-08
White, Chadwick

Operational/Managerial Control · Individual

0% 14 facilities 2018-03-09

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#3

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