0 health deficiencies
No concentrated health issue counts in this cycle.
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Greensboro, NC
4-star overall rating with 4-star inspections with 5 fire-safety deficiencies in the latest cycle
1 Marithe Court, Greensboro, NC
(336) 852-9700
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
135
Certified beds
Average residents
123
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Sanstone Health & Rehabilitation
Operator or chain grouping
Approved since
2009-08-26
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
RN hours / resident day
0.36
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
0.74
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.64
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.74
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.09
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.36
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.26
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.36
CMS adjusted RN staffing hours
Adjusted total hours
3.75
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
12,540
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
11.78
Composite VBP score used to determine payment impact.
Payment multiplier
0.9810
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 17.54% · Performance 21.87% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.35% · Performance 8.17% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.67
Baseline 57.14% · Performance 52.78% · Measure score 2.67 · Achievement 2.67 · Improvement 0.85
Adjusted total nurse staffing
2.05
Baseline 3.41 hours · Performance 3.66 hours · Measure score 2.05 · Achievement 2.05 · Improvement 0.56
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.84% |
10.72%
1.9 pts better
|
No Different than the National Rate · Eligible stays 175 · Observed rate 6.29% · Lower 95% interval 6.57% |
| Discharge to community | 60.49% |
50.57%
9.9 pts better
|
Better than the National Rate · Eligible stays 183 · Observed rate 53.55% · Lower 95% interval 52.79% |
| Medicare spending per beneficiary | 1.25 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 99.18% |
95.27%
3.9 pts better
|
Numerator 121 · Denominator 122 |
| Falls with major injury | 1.64% |
0.77%
0.9 pts worse
|
Numerator 2 · Denominator 122 |
| Discharge self-care score | 76.14% |
53.69%
22.5 pts better
|
Numerator 67 · Denominator 88 |
| Discharge mobility score | 67.05% |
50.94%
16.1 pts better
|
Numerator 59 · Denominator 88 |
| Pressure ulcers or injuries, new or worsened | 2.46% |
2.29%
0.2 pts worse
|
Numerator 3 · Denominator 122 · Adjusted rate 3.1% |
| Healthcare-associated infections requiring hospitalization | 8.17% |
7.12%
1 pts worse
|
No Different than the National Rate · Eligible stays 122 · Observed rate 9.84% · Lower 95% interval 5.57% |
| Staff COVID-19 vaccination coverage | 4.66% |
8.2%
3.5 pts worse
|
Numerator 9 · Denominator 193 |
| Staff flu vaccination coverage | 16.49% |
42%
25.5 pts worse
|
Numerator 31 · Denominator 188 |
| Discharge function score | 81.82% |
56.45%
25.4 pts better
|
Numerator 72 · Denominator 88 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 34 · Denominator 34 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 62 · Denominator 62 |
| Resident COVID-19 vaccinations up to date | 26.32% |
25.2%
1.1 pts better
|
Numerator 15 · Denominator 57 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.0 |
1.8
1.2 pts worse
|
1.9
1.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 3.2 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.8 |
1.8
1 pts worse
|
1.8
1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.8 · Expected 1.7 · Used in QM five-star |
| 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 | 4.8% |
3.6%
1.2 pts worse
|
3.3%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 3.8% · Q3 6.8% · Q4 5.5% · 4Q avg 4.8% · 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 2.1% · Q2 3.1% · Q3 1.0% · Q4 4.8% · 4Q avg 2.8% |
| Percentage of long-stay residents who lose too much weight | 3.7% |
7.2%
3.5 pts better
|
5.4%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.0% · Q3 8.8% · Q4 4.3% · 4Q avg 3.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 33.2% |
21.6%
11.6 pts worse
|
19.6%
13.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.5% · Q2 28.6% · Q3 33.0% · Q4 42.1% · 4Q avg 33.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.4% |
15.0%
7.6 pts better
|
16.7%
9.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 9.5% · Q3 5.3% · Q4 5.1% · 4Q avg 7.4% · 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 | 12.7% |
21.5%
8.8 pts better
|
16.3%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 15.4% · Q3 8.8% · Q4 12.1% · 4Q avg 12.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.6% |
16.8%
11.2 pts better
|
14.9%
9.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 3.3% · Q3 10.3% · Q4 5.5% · 4Q avg 5.6% · 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 | 0.2% |
2.6%
2.4 pts better
|
1.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.5% |
21.2%
3.7 pts better
|
19.8%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 22.0% · Q3 16.8% · Q4 18.5% · 4Q avg 17.5% |
| Percentage of long-stay residents with pressure ulcers | 6.9% |
6.0%
0.9 pts worse
|
5.1%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 10.3% · Q3 5.5% · Q4 5.3% · 4Q avg 6.9% · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.5% |
13.2%
2.3 pts worse
|
12.0%
3.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.5% · Observed 14.2% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.5%
1.2 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.2% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
78.1%
21.9 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.5% |
22.9%
7.6 pts worse
|
23.9%
6.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.5% · Observed 30.0% · Expected 23.5% · Used in QM five-star |
Survey summary
No concentrated health issue counts in this cycle.
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Administration (1 deficiency)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Top issue: Nursing and Physician Services (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-05-07
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-05-07
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-07
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-05-07
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-07
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-02-13
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-02-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-06-07
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-27
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-03-29
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-03-28
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-04-13
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-03-24
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-03-24
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2023-01-23
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2023-01-23
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2023-01-23
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-12-06
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2022-12-09
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Nearby options
Greensboro, NC
3-star overall rating with 3-star inspections with $25,490 in total fines with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Greensboro, NC
1-star overall rating with 1-star inspections with abuse icon flag with $249,761 in total fines with 14 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
Jamestown, NC
2-star overall rating with 2-star inspections with $37,310 in total fines with 6 recent health deficiencies
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