Federal inspection record · CMS data as of October 1, 2026

Carolina Care Health and Rehabilitation

111 Harrelson Street, Cherryville, NC · (704) 435-4161

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
107
Residents per day
101
Ownership
For-Profit
Chain
Sanstone Health & Rehabilitation
Medicare / Medicaid
Medicare + Medicaid
Certified since
August 19, 1986

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change (already 5)

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among North Carolina homes

Carolina Care Health and Rehabilitation carries 5 inspection points. That is fewer than 88% of North Carolina's 415 rated homes.

5★4★3★2★1★+13 homes above 189.505102550100inspection points → fewer is better on the leftThis home · 5 pts · 5★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–4 pts
  • 4★ 4–15 pts
  • 3★ 15–35 pts
  • 2★ 35–73.5 pts
  • 1★ over 73.5 pts

Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

9 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 7 4 pts
E 1 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 1 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Rights2D
  1. D

    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.

    February 27, 2025 · Standard · F578 · Corrected March 22, 2025

  2. B

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

    February 27, 2025 · Standard · F623 · Corrected March 21, 2025

Resident Assessment and Care Planning2D
  1. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    February 27, 2025 · Standard · F644 · Corrected March 22, 2025

  2. D

    Ensure each resident receives an accurate assessment.

    January 5, 2024 · Standard · F641 · Corrected January 6, 2024

Pharmacy Service2D
  1. D

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

    February 27, 2025 · Standard · F756 · Corrected March 22, 2025

  2. D

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    February 27, 2025 · Standard · F758 · Corrected March 22, 2025

Quality of Life and Care1D
  1. D

    Provide appropriate foot care.

    February 27, 2025 · Standard · F687 · Corrected March 22, 2025

Nutrition and Dietary1E
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 5, 2024 · Standard · F812 · Corrected January 6, 2024

Administration1D
  1. D

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

    January 5, 2024 · Standard · F867 · Corrected January 6, 2024

Inspection history

  1. 2026-04-16

    0 health deficiencies · 1 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

  2. 2025-02-27

    6 health deficiencies · 3 fire-safety deficiencies

    Top issue: Pharmacy Service (2 deficiencies)

  3. 2024-01-05

    3 health deficiencies · 1 fire-safety deficiencies

    Top issue: Administration (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 4 h 13 min of nursing staff time a day, 28 min of it from a registered nurse.

This home

4 h 13 min

North Carolina average

3 h 52 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 41% of nursing staff and 43% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.5 pts worse2.21.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse2.41.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.3 pts better99.7%92.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.4 pts better95.1%94.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts better1.7%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms82.6 pts worse89.4%6.8%13.5%
Percentage of long-stay residents who lose too much weight4.4 pts better2.7%7.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication7.2 pts worse28.3%21.1%19.5%
Percentage of long-stay residents who received an antipsychotic medication8.2 pts better5.7%13.9%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened12 pts better4.6%16.6%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased11 pts better4.0%15.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better0.2%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection2.1 pts better0.0%2.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.3 pts better15.6%19.9%18.3%
Percentage of long-stay residents with pressure ulcers1.9 pts better3.5%5.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.3 pts better98.8%81.5%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit3.6 pts better9.1%12.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better0.0%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13 pts better94.1%81.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission6.6 pts better15.6%22.2%23.4%

·

Who owns and runs it

4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Alfaro, TravisW-2 Managing Employee · Individual0%1 facilities
Ardent Health And Rehabilitation Co5% Or Greater Direct Ownership Interest · Organization0%13 facilities
Carolina Care Healthcare Properties LLC5% Or Greater Mortgage Interest · Organization0%1 facilities
Sprenger, Christopher5% Or Greater Direct Ownership Interest · Individual0%16 facilities

·

Fire safety

5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke2D
  1. D

    Inspect, test, and maintain automatic sprinkler systems.

    April 16, 2026 · K353 · Corrected August 28, 2026

  2. D

    Inspect, test, and maintain automatic sprinkler systems.

    February 27, 2025 · K353 · Corrected March 26, 2025

Gas, Vacuum, and Electrical Systems2D
  1. D

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

    February 27, 2025 · K918 · Corrected March 26, 2025

  2. D

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

    January 5, 2024 · K918 · Corrected February 26, 2024

Construction1D
  1. D

    Use approved construction type or materials.

    February 27, 2025 · K161 · Corrected March 26, 2025

·

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