Henderson, NC

Camellia Gardens Center for Nursing and Rehab

1-star overall rating with 1-star inspections with $74,576 in total fines with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

280 South Beckford Drive, Henderson, NC

(252) 438-6141

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

78

Certified beds

Average residents

62

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Alliance Health Group

Operator or chain grouping

Approved since

1991-01-08

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.12

Registered nurse staffing

LPN hours / resident day

1.01

Licensed practical nurse staffing

Aide hours / resident day

2.01

Nurse aide staffing

Weekend hours

2.84

Weekend nurse staffing

RN turnover

83%

Annual RN turnover

Total nurse turnover

50%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.6
1.8
0.2 pts better
1.9
0.3 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 3.0
1.8
1.2 pts worse
1.8
1.2 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 85.1%
91.5%
6.4 pts worse
93.4%
8.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 76.5%
94.1%
17.6 pts worse
95.5%
19 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 0.0%
3.6%
3.6 pts better
3.3%
3.3 pts better
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 14.2%
7.2%
7 pts worse
5.4%
8.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 23.8%
21.6%
2.2 pts worse
19.6%
4.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 25.0%
15.0%
10 pts worse
16.7%
8.3 pts worse
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 31.9%
21.5%
10.4 pts worse
16.3%
15.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 27.1%
16.8%
10.3 pts worse
14.9%
12.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.4%
0.9%
0.5 pts worse
1.0%
0.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 2.2%
2.6%
0.4 pts better
1.7%
0.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.1%
21.2%
1.1 pts better
19.8%
0.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 5.3%
6.0%
0.7 pts better
5.1%
0.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 31.1%
79.9%
48.8 pts worse
81.7%
50.6 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 16.9%
13.2%
3.7 pts worse
12.0%
4.9 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 7.9%
1.5%
6.4 pts worse
1.6%
6.3 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 34.5%
78.1%
43.6 pts worse
79.7%
45.2 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 9.8%
22.9%
13.1 pts better
23.9%
14.1 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-30 · Fire 2024-08-29

7 health deficiencies

Top issue: Resident Rights (2 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-08-29 · Fire 2023-06-29

24 health deficiencies

Top issue: Resident Rights (7 deficiencies)

13 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2023-06-29 · Fire 2022-04-28

7 health deficiencies

Top issue: Resident Rights (4 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-08-29

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-11-29

D · Potential for more than minimal harm 2024-08-29

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-11-29

D · Potential for more than minimal harm 2024-08-29

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 2024-11-29

D · Potential for more than minimal harm 2024-08-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-29

D · Potential for more than minimal harm 2024-08-29

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-11-29

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

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-02-23

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

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-04-12

F · Potential for more than minimal harm 2023-06-29

E1 · Emergency Preparedness Deficiencies

Fire Safety

Establish an Emergency Preparedness Program (EP).

Corrected 2023-07-25

E · Potential for more than minimal harm 2023-06-29

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-10-16

E · Potential for more than minimal harm 2023-06-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-10-16

E · Potential for more than minimal harm 2023-06-29

K521 · Services Deficiencies

Fire Safety

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

Corrected 2023-10-16

D · Potential for more than minimal harm 2023-06-29

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-10-16

D · Potential for more than minimal harm 2023-06-29

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-10-16

D · Potential for more than minimal harm 2023-06-29

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 2023-10-16

D · Potential for more than minimal harm 2023-06-29

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-10-16

D · Potential for more than minimal harm 2023-06-29

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-10-16

D · Potential for more than minimal harm 2023-06-29

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-10-16

D · Potential for more than minimal harm 2023-06-29

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2023-10-16

D · Potential for more than minimal harm 2023-06-29

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-10-16

D · Potential for more than minimal harm 2023-06-29

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-10-16

Inspection history

Recent health citations

F · Potential for more than minimal harm 2026-01-30

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Not marked corrected

F · Potential for more than minimal harm 2026-01-30

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Not marked corrected

D · Potential for more than minimal harm 2026-01-30

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Not marked corrected

B · Minimal harm 2026-01-30

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Not marked corrected

J · Immediate jeopardy 2025-12-03

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-01-30

D · Potential for more than minimal harm 2025-12-03

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-12-21

D · Potential for more than minimal harm 2025-12-03

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-01-30

G · Actual harm 2025-02-19

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 2025-03-20

E · Potential for more than minimal harm 2025-02-19

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-03-21

E · Potential for more than minimal harm 2025-02-19

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-03-20

E · Potential for more than minimal harm 2025-02-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-20

D · Potential for more than minimal harm 2025-02-19

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 2025-03-20

D · Potential for more than minimal harm 2025-02-19

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 2025-03-20

D · Potential for more than minimal harm 2025-02-19

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-03-20

D · Potential for more than minimal harm 2025-02-19

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-03-20

D · Potential for more than minimal harm 2025-02-19

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-03-20

D · Potential for more than minimal harm 2025-02-19

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-03-20

F · Potential for more than minimal harm 2024-08-29

F727 · Nursing and Physician Services Deficiencies

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 2024-09-25

E · Potential for more than minimal harm 2024-08-29

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2024-09-25

E · Potential for more than minimal harm 2024-08-29

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 2024-09-25

E · Potential for more than minimal harm 2024-08-29

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-09-25

E · Potential for more than minimal harm 2024-08-29

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-09-25

E · Potential for more than minimal harm 2024-08-29

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-09-25

D · Potential for more than minimal harm 2024-08-29

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-09-25

D · Potential for more than minimal harm 2024-08-29

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-09-25

D · Potential for more than minimal harm 2024-08-29

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-09-25

D · Potential for more than minimal harm 2024-08-29

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-09-25

D · Potential for more than minimal harm 2024-08-29

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-09-25

D · Potential for more than minimal harm 2024-08-29

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-09-25

D · Potential for more than minimal harm 2024-08-29

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2024-09-25

C · Minimal harm 2024-08-29

F576 · Resident Rights Deficiencies

Health

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2024-09-25

E · Potential for more than minimal harm 2023-06-29

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-07-25

E · Potential for more than minimal harm 2023-06-29

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-07-25

D · Potential for more than minimal harm 2023-06-29

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2023-07-25

D · Potential for more than minimal harm 2023-06-29

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-07-25

D · Potential for more than minimal harm 2023-06-29

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 2023-07-25

D · Potential for more than minimal harm 2023-06-29

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 2023-08-08

C · Minimal harm 2023-06-29

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2023-07-25

Penalties and ownership

What sits behind the stars

$33,640 2025-12-03

Fine

Fine · fine $33,640

Fine

$36,855 2025-02-19

Fine

Fine · fine $36,855

Fine

$0 2025-02-19

Payment Denial

Payment Denial · denial start 2025-03-14 · 7 days

7 day denial

$4,081 2024-02-02

Fine

Fine · fine $4,081

Fine

Ownership

Alignment Holdco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 9 facilities 2024-08-01
Alliance Health Group LLC

Operational/Managerial Control · Organization

0% 10 facilities 2024-08-01
Coalition Group LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2024-08-01
Desty, Natalie

Operational/Managerial Control · Individual

0% 1 facilities 2024-08-01
Emanuel, Yosef

5% Or Greater Indirect Ownership Interest · Individual

0% 11 facilities 2024-08-01
Emanuel, Yosef

Corporate Officer · Individual

0% 11 facilities 2024-08-01
Prather, Trina

Operational/Managerial Control · Individual

0% 3 facilities 2024-08-01

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Health
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Staffing
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Fines
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#2

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2-star overall rating with 2-star inspections with $55,760 in total fines with 6 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
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Staffing
3 / 5
Fines
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#3

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4-star overall rating with 4-star inspections with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
4 / 5
Staffing
2 / 5
Fines
$0

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