Mint Hill, NC

Clear Creek Nursing & Rehabilitation Center

1-star overall rating with 2-star inspections with $284,007 in total fines with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

10506 Clear Creek Commerce Drive, Mint Hill, NC

(704) 545-2377

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

111

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Principle Long Term Care

Operator or chain grouping

Approved since

2013-11-07

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.69

Registered nurse staffing

LPN hours / resident day

0.88

Licensed practical nurse staffing

Aide hours / resident day

2.63

Nurse aide staffing

Weekend hours

3.76

Weekend nurse staffing

RN turnover

67%

Annual RN turnover

Total nurse turnover

57%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.2
1.8
0.4 pts worse
1.9
0.3 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.6
1.8
0.2 pts better
1.8
0.2 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.7%
91.5%
8.2 pts better
93.4%
6.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 99.1%
94.1%
5 pts better
95.5%
3.6 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 3.4%
3.6%
0.2 pts better
3.3%
0.1 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents who lose too much weight 7.0%
7.2%
0.2 pts better
5.4%
1.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 19.2%
21.6%
2.4 pts better
19.6%
0.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 16.2%
15.0%
1.2 pts worse
16.7%
0.5 pts better
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 9.7%
21.5%
11.8 pts better
16.3%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 12.4%
16.8%
4.4 pts better
14.9%
2.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.5%
0.9%
0.6 pts worse
1.0%
0.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.3%
2.6%
2.3 pts better
1.7%
1.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 7.6%
21.2%
13.6 pts better
19.8%
12.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 5.5%
6.0%
0.5 pts better
5.1%
0.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.7%
79.9%
16.8 pts better
81.7%
15 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 15.7%
13.2%
2.5 pts worse
12.0%
3.7 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 3.1%
1.5%
1.6 pts worse
1.6%
1.5 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 90.5%
78.1%
12.4 pts better
79.7%
10.8 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 40.3%
22.9%
17.4 pts worse
23.9%
16.4 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-21 · Fire 2025-03-21

7 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2023-11-17 · Fire 2023-11-17

17 health deficiencies

Top issue: Resident Rights (4 deficiencies)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2022-05-26 · Fire 2022-05-26

16 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-03-21

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-03-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-03-21

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-05-23

J · Immediate jeopardy 2024-04-23

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2024-04-13

E · Potential for more than minimal harm 2023-11-17

K522 · Services Deficiencies

Fire Safety

Have an externally vented heating system.

Corrected 2024-03-08

D · Potential for more than minimal harm 2023-11-17

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 2024-03-08

D · Potential for more than minimal harm 2022-05-26

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 2022-08-11

D · Potential for more than minimal harm 2022-05-26

K521 · Services Deficiencies

Fire Safety

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

Corrected 2022-08-11

D · Potential for more than minimal harm 2022-05-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-08-11

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-03-21

F565 · Resident Rights Deficiencies

Health

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

Corrected 2025-04-18

E · Potential for more than minimal harm 2025-03-21

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-04-18

E · Potential for more than minimal harm 2025-03-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-03-21

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 2025-04-18

D · Potential for more than minimal harm 2025-03-21

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-03-21

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-03-21

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2025-04-18

G · Actual harm 2023-11-17

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 2023-12-27

F · Potential for more than minimal harm 2023-11-17

F867 · Administration Deficiencies

Health

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

Corrected 2023-12-27

F · Potential for more than minimal harm 2023-11-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-12-27

F · Potential for more than minimal harm 2023-11-17

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2023-12-27

E · Potential for more than minimal harm 2023-11-17

F554 · Resident Rights Deficiencies

Health

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

Corrected 2023-12-27

E · Potential for more than minimal harm 2023-11-17

F565 · Resident Rights Deficiencies

Health

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

Corrected 2023-12-27

E · Potential for more than minimal harm 2023-11-17

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-12-27

E · Potential for more than minimal harm 2023-11-17

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.

Corrected 2023-12-27

E · Potential for more than minimal harm 2023-11-17

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2023-12-27

D · Potential for more than minimal harm 2023-11-17

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 2023-12-27

D · Potential for more than minimal harm 2023-11-17

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2023-12-27

D · Potential for more than minimal harm 2023-11-17

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-12-27

D · Potential for more than minimal harm 2023-11-17

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 2023-12-27

D · Potential for more than minimal harm 2023-11-17

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-12-27

D · Potential for more than minimal harm 2023-11-17

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 2023-12-27

D · Potential for more than minimal harm 2023-11-17

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 2023-12-27

B · Minimal harm 2023-11-17

F807 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Corrected 2023-12-27

K · Immediate jeopardy 2023-08-11

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-09-20

G · Actual harm 2023-08-11

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 2023-09-20

G · Actual harm 2023-08-11

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-09-20

G · Actual harm 2023-07-13

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 2023-09-20

D · Potential for more than minimal harm 2023-07-13

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2023-09-20

D · Potential for more than minimal harm 2023-07-13

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-09-20

E · Potential for more than minimal harm 2022-05-26

F726 · Nursing and Physician Services Deficiencies

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 2022-07-01

E · Potential for more than minimal harm 2022-05-26

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 2022-07-01

E · Potential for more than minimal harm 2022-05-26

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 2022-07-01

E · Potential for more than minimal harm 2022-05-26

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2022-07-01

E · Potential for more than minimal harm 2022-05-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-07-01

D · Potential for more than minimal harm 2022-05-26

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-07-01

D · Potential for more than minimal harm 2022-05-26

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 2022-07-01

D · Potential for more than minimal harm 2022-05-26

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2022-07-01

D · Potential for more than minimal harm 2022-05-26

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2022-07-01

B · Minimal harm 2022-05-26

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 2022-06-15

Penalties and ownership

What sits behind the stars

$16,801 2024-04-23

Fine

Fine · fine $16,801

Fine

$88,595 2023-11-17

Fine

Fine · fine $88,595

Fine

$0 2023-11-17

Payment Denial

Payment Denial · denial start 2023-12-20 · 7 days

7 day denial

$178,611 2023-07-13

Fine

Fine · fine $178,611

Fine

$0 2023-07-13

Payment Denial

Payment Denial · denial start 2023-08-11 · 40 days

40 day denial

Ownership

Principle It Services, Inc.

5% Or Greater Direct Ownership Interest · Organization

50% 43 facilities 2013-09-19
Principle Long Term Care, Inc.

5% Or Greater Direct Ownership Interest · Organization

50% 44 facilities 2013-09-19
Hill, Robert

5% Or Greater Indirect Ownership Interest · Individual

21% 43 facilities 2013-09-13
Hill, Stephen

5% Or Greater Indirect Ownership Interest · Individual

20% 43 facilities 2013-09-19
Hill, Raymond

5% Or Greater Indirect Ownership Interest · Individual

18% 43 facilities 2013-09-19
Anderson, Coleen

Operational/Managerial Control · Individual

0% 1 facilities 2013-09-19
Anderson, Coleen

W-2 Managing Employee · Individual

0% 1 facilities 2013-09-19
Boice, Gale

Corporate Officer · Individual

0% 44 facilities 2018-03-05
Hill, Raymond

Operational/Managerial Control · Individual

0% 43 facilities 2013-09-19
Hill, Robert

Operational/Managerial Control · Individual

0% 43 facilities 2013-09-13
Hill, Stephen

Operational/Managerial Control · Individual

0% 43 facilities 2013-09-19
Hill, Stephen

Corporate Director · Individual

0% 43 facilities 2013-09-19
Johnson, Dianne

Corporate Officer · Individual

0% 43 facilities 2013-09-19
Johnson, Dianne

W-2 Managing Employee · Individual

0% 43 facilities 2013-09-19
Principle Long Term Care, Inc.

Operational/Managerial Control · Organization

0% 44 facilities 2013-09-19

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#3

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Overall
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Health
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Staffing
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Fines
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