Cycle 1
Health 2025-12-11 · Fire 2024-10-02
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Asheboro, NC
Clapp's Convalescent Nursing Home Inc
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
500 Mountain Top Drive, Asheboro, NC
(336) 625-2074
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
96
Certified beds
Average residents
88
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
Hours and turnover
RN hours / resident day
0.29
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
0.87
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.60
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.76
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.16
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.46
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.21
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.33
CMS adjusted RN staffing hours
Adjusted total hours
4.34
CMS adjusted total nurse staffing hours
Case-mix index
1.19
Higher values indicate more complex resident acuity
RN turnover
14%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,404
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
56.90
Composite VBP score used to determine payment impact.
Payment multiplier
1.0120
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
7.95
Baseline 18.78% · Performance 17.75% · Measure score 7.95 · Achievement 7.95 · Improvement 5.40
Healthcare-associated infections
4.03
Baseline 5.97% · Performance 6.63% · Measure score 4.03 · Achievement 4.03 · Improvement 0
Total nurse turnover
7.42
Baseline 42.50% · Performance 33.33% · Measure score 7.42 · Achievement 7.42 · Improvement 4.69
Adjusted total nurse staffing
3.35
Baseline 3.99 hours · Performance 4.03 hours · Measure score 3.35 · Achievement 3.35 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.4% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 178 · Observed rate 8.43% · Lower 95% interval 7.62% |
| Discharge to community | 59.05% |
50.57%
8.5 pts better
|
Better than the National Rate · Eligible stays 177 · Observed rate 60.45% · Lower 95% interval 53.78% |
| Medicare spending per beneficiary | 0.74 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 90.43% |
95.27%
4.8 pts worse
|
Numerator 85 · Denominator 94 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 94 |
| Discharge self-care score | 75.64% |
53.69%
22 pts better
|
Numerator 59 · Denominator 78 |
| Discharge mobility score | 70.51% |
50.94%
19.6 pts better
|
Numerator 55 · Denominator 78 |
| Pressure ulcers or injuries, new or worsened | 2.15% |
2.29%
0.1 pts better
|
Numerator 2 · Denominator 93 · Adjusted rate 2.77% |
| Healthcare-associated infections requiring hospitalization | 6.63% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 96 · Observed rate 4.17% · Lower 95% interval 3.42% |
| Staff COVID-19 vaccination coverage | 0.61% |
8.2%
7.6 pts worse
|
Numerator 1 · Denominator 164 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 78.21% |
56.45%
21.8 pts better
|
Numerator 61 · Denominator 78 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 67 · Denominator 67 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 17.02% |
25.2%
8.2 pts worse
|
Numerator 8 · Denominator 47 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.1% |
91.5%
5.6 pts better
|
93.4%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 88.1% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 97.1% |
| 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 | 6.8% |
3.6%
3.2 pts worse
|
3.3%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 6.8% · Q3 5.9% · Q4 7.2% · 4Q avg 6.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
4.8%
4.8 pts better
|
11.4%
11.4 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 who lose too much weight | 2.4% |
7.2%
4.8 pts better
|
5.4%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 3.5% · Q3 2.2% · Q4 0.0% · 4Q avg 2.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.2% |
21.6%
2.6 pts worse
|
19.6%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.8% · Q2 26.3% · Q3 21.7% · Q4 20.0% · 4Q avg 24.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.3% |
15.0%
1.7 pts better
|
16.7%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 14.5% · Q3 13.0% · Q4 11.7% · 4Q avg 13.3% · 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 | 15.9% |
21.5%
5.6 pts better
|
16.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 14.3% · Q4 8.0% · 4Q avg 15.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.5% |
16.8%
5.3 pts better
|
14.9%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 12.7% · Q3 8.7% · Q4 18.0% · 4Q avg 11.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% |
0.9%
0.3 pts better
|
1.0%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 1.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.3% |
2.6%
1.7 pts worse
|
1.7%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 4.1% · Q3 2.9% · Q4 2.9% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.7% |
21.2%
10.5 pts worse
|
19.8%
11.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.8% · Q2 32.1% · Q3 42.2% · Q4 25.4% · 4Q avg 31.7% |
| 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 · Q1 5.8% · Q2 6.8% · Q3 7.1% · Q4 1.3% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.7% |
79.9%
14.8 pts better
|
81.7%
13 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 91.0% · Q2 93.6% · Q3 96.4% · Q4 98.0% · 4Q avg 94.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.3% |
13.2%
3.1 pts worse
|
12.0%
4.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.3% · Observed 13.5% · Expected 9.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.5%
0.5 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.0% · Q3 1.0% · Q4 0.9% · 4Q avg 1.0% · Used in QM five-star |
| 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 · 4Q avg 93.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.9% |
22.9%
3 pts worse
|
23.9%
2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.9% · Observed 20.3% · Expected 18.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-10-02 · Fire 2023-06-14
2 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2023-06-14 · Fire 2021-11-04
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
2024-10-02
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 2024-11-22
D · Potential for more than minimal harm
2024-10-02
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-22
E · Potential for more than minimal harm
2023-06-14
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-07-19
D · Potential for more than minimal harm
2023-06-14
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 2023-07-19
D · Potential for more than minimal harm
2023-06-14
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-19
D · Potential for more than minimal harm
2023-06-14
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-07-19
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-12-11
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 2025-12-12
D · Potential for more than minimal harm
2025-12-11
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 2025-12-12
E · Potential for more than minimal harm
2024-10-02
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-07-29
D · Potential for more than minimal harm
2024-10-02
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-11-05
Penalties and ownership
What sits behind the stars
Ownership
Hollowell, Danielle
5% Or Greater Direct Ownership Interest · Individual
Hollowell, Grant
5% Or Greater Direct Ownership Interest · Individual
Hollowell, Grant
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Alpine Health and Rehabilitation of Asheboro
Asheboro, NC
5-star overall rating with 5-star inspections
#2
Asheboro Rehabilitation and Healthcare Center
Asheboro, NC
3-star overall rating with 3-star inspections with $32,273 in total fines with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Ramseur Rehabilitation and Healthcare Center
Ramseur, NC
2-star overall rating with 2-star inspections with $117,925 in total fines with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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