7 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Mint Hill, NC
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
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
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
Chain footprint
44 facilities
Chain averages 3 overall / 3 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
0.69
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
0.88
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.63
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.19
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.56
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.76
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.37
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
0.80
CMS adjusted RN staffing hours
Adjusted total hours
4.91
CMS adjusted total nurse staffing hours
Case-mix index
1.17
Higher values indicate more complex resident acuity
RN turnover
67%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
57%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
5,825
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.90
Composite VBP score used to determine payment impact.
Payment multiplier
0.9887
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.16
Baseline 18.19% · Performance 19.97% · Measure score 3.16 · Achievement 3.16 · Improvement 0
Healthcare-associated infections
3.28
Baseline 5.34% · Performance 6.85% · Measure score 3.28 · Achievement 3.28 · Improvement 0
Total nurse turnover
3.17
Baseline 84.88% · Performance 62.83% · Measure score 3.17 · Achievement 0 · Improvement 3.17
Adjusted total nurse staffing
4.35
Baseline 3.50 hours · Performance 4.31 hours · Measure score 4.35 · Achievement 4.35 · Improvement 3.08
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.83% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 60 · Observed rate 6.67% · Lower 95% interval 6.58% |
| Discharge to community | 47.63% |
50.57%
2.9 pts worse
|
No Different than the National Rate · Eligible stays 51 · Observed rate 43.14% · Lower 95% interval 35.53% |
| Medicare spending per beneficiary | 1.17 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 51 · Denominator 51 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 51 |
| Discharge self-care score | 30.3% |
53.69%
23.4 pts worse
|
Numerator 10 · Denominator 33 |
| Discharge mobility score | 33.33% |
50.94%
17.6 pts worse
|
Numerator 11 · Denominator 33 |
| Pressure ulcers or injuries, new or worsened | 7.84% |
2.29%
5.5 pts worse
|
Numerator 4 · Denominator 51 · Adjusted rate 6.53% |
| Healthcare-associated infections requiring hospitalization | 6.85% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 36 · Observed rate 5.56% · Lower 95% interval 3.75% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 143 |
| Staff flu vaccination coverage | 8.68% |
42%
33.3 pts worse
|
Numerator 23 · Denominator 265 |
| Discharge function score | 39.39% |
56.45%
17.1 pts worse
|
Numerator 13 · Denominator 33 |
| Transfer of health information to provider | 66.67% |
95.95%
29.3 pts worse
|
Numerator 20 · Denominator 30 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 25% |
25.2%
0.2 pts worse
|
Numerator 6 · Denominator 24 |
Quality measures
| 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 · Adjusted 2.2 · Observed 2.6 · Expected 2.2 · Used in QM five-star |
| 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 · Adjusted 1.6 · Observed 1.8 · Expected 1.8 · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 99.0% · Q4 100.0% · 4Q avg 99.7% |
| 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 · 4Q avg 99.1% |
| 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 · Q1 5.6% · Q2 3.1% · Q3 2.1% · Q4 3.0% · 4Q avg 3.4% · 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 | 7.0% |
7.2%
0.2 pts better
|
5.4%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 5.5% · Q3 5.5% · Q4 12.0% · 4Q avg 7.0% |
| 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 · Q1 19.0% · Q2 20.3% · Q3 21.9% · Q4 15.8% · 4Q avg 19.2% |
| 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 · Q1 13.2% · Q2 21.5% · Q3 17.7% · Q4 12.5% · 4Q avg 16.2% · 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 | 9.7% |
21.5%
11.8 pts better
|
16.3%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 10.3% · Q3 9.4% · Q4 5.6% · 4Q avg 9.7% · Used in QM five-star |
| 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 · Q1 12.5% · Q2 19.4% · Q3 9.0% · Q4 8.7% · 4Q avg 12.4% · Used in QM five-star |
| 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 · Q1 2.4% · Q2 1.9% · Q3 0.8% · Q4 0.8% · 4Q avg 1.5% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| 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 · Q1 3.8% · Q2 9.5% · Q3 8.6% · Q4 8.2% · 4Q avg 7.6% |
| 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 · Q1 8.4% · Q2 4.0% · Q3 7.5% · Q4 2.6% · 4Q avg 5.5% · Used in QM five-star |
| 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 · Q1 93.2% · Q2 100.0% · Q3 96.9% · Q4 97.1% · 4Q avg 96.7% |
| 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 · Adjusted 15.7% · Observed 15.2% · Expected 10.8% · Used in QM five-star |
| 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 · Q1 7.7% · Q2 2.9% · Q3 0.0% · Q4 0.0% · 4Q avg 3.1% · Used in QM five-star |
| 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 · 4Q avg 90.5% |
| 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 · Adjusted 40.3% · Observed 37.0% · Expected 21.8% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Resident Rights (4 deficiencies)
3 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
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
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
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-05-23
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-05-23
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2024-04-13
Fire Safety
Have an externally vented heating system.
Corrected 2024-03-08
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
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
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-08-11
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-08-11
Inspection history
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2025-04-18
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
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-18
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-04-18
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
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-18
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2025-04-18
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
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-12-27
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-27
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2023-12-27
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-12-27
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2023-12-27
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-12-27
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
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2023-12-27
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
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
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-12-27
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
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-12-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-27
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
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
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
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
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-09-20
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-09-20
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
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-20
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
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
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
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2022-07-01
Health
Provide and implement an infection prevention and control program.
Corrected 2022-07-01
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-07-01
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
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
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
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
Fine · fine $16,801
Fine
Fine · fine $88,595
Fine
Payment Denial · denial start 2023-12-20 · 7 days
7 day denial
Fine · fine $178,611
Fine
Payment Denial · denial start 2023-08-11 · 40 days
40 day denial
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Operational/Managerial Control · Organization
Nearby options
Charlotte, NC
3-star overall rating with 3-star inspections with 10 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Charlotte, NC
2-star overall rating with 3-star inspections with $7,742 in total fines with 8 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Charlotte, NC
2-star overall rating with 2-star inspections with $53,176 in total fines with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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