Cycle 1
Health 2025-08-14 · Fire 2024-07-11
2 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Durham, NC
Croasdaile Village
5-star overall rating with 5-star inspections with $15,405 in total fines with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
2600 Croasdaile Farm Parkway, Durham, NC
(919) 384-2304
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
102
Certified beds
Average residents
82
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Life Care Services
Operator or chain grouping
Approved since
2000-01-03
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
20 facilities
Chain averages 4 overall / 4 health / 4 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.64
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
1.48
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
3.63
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
5.76
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
2.12
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
5.12
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.40
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.16
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.69
CMS adjusted RN staffing hours
Adjusted total hours
6.20
CMS adjusted total nurse staffing hours
Case-mix index
1.27
Higher values indicate more complex resident acuity
RN turnover
18%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
349
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
72.31
Composite VBP score used to determine payment impact.
Payment multiplier
1.0234
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
8.15
Baseline 17.57% · Performance 17.66% · Measure score 8.15 · Achievement 8.15 · Improvement 0
Healthcare-associated infections
9.06
Baseline 7.31% · Performance 5.13% · Measure score 9.06 · Achievement 9.06 · Improvement 8.94
Total nurse turnover
3.87
Baseline 44.44% · Performance 47.86% · Measure score 3.87 · Achievement 3.87 · Improvement 0
Adjusted total nurse staffing
7.84
Baseline 4.47 hours · Performance 5.31 hours · Measure score 7.84 · Achievement 7.84 · Improvement 5.90
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.09% |
10.72%
1.6 pts better
|
No Different than the National Rate · Eligible stays 265 · Observed rate 5.66% · Lower 95% interval 6.52% |
| Discharge to community | 62% |
50.57%
11.4 pts better
|
Better than the National Rate · Eligible stays 260 · Observed rate 62.69% · Lower 95% interval 57.01% |
| Medicare spending per beneficiary | 0.95 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 95.07% |
95.27%
0.2 pts worse
|
Numerator 135 · Denominator 142 |
| Falls with major injury | 2.82% |
0.77%
2 pts worse
|
Numerator 4 · Denominator 142 |
| Discharge self-care score | 32.14% |
53.69%
21.5 pts worse
|
Numerator 36 · Denominator 112 |
| Discharge mobility score | 33.93% |
50.94%
17 pts worse
|
Numerator 38 · Denominator 112 |
| Pressure ulcers or injuries, new or worsened | 2.82% |
2.29%
0.5 pts worse
|
Numerator 4 · Denominator 142 · Adjusted rate 3.33% |
| Healthcare-associated infections requiring hospitalization | 5.13% |
7.12%
2 pts better
|
No Different than the National Rate · Eligible stays 173 · Observed rate 1.73% · Lower 95% interval 2.82% |
| Staff COVID-19 vaccination coverage | 21.95% |
8.2%
13.8 pts better
|
Numerator 27 · Denominator 123 |
| Staff flu vaccination coverage | 21.71% |
42%
20.3 pts worse
|
Numerator 28 · Denominator 129 |
| Discharge function score | 39.29% |
56.45%
17.2 pts worse
|
Numerator 44 · Denominator 112 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 57 · Denominator 57 |
| Transfer of health information to patient | 98.39% |
96.28%
2.1 pts better
|
Numerator 61 · Denominator 62 |
| Resident COVID-19 vaccinations up to date | 54.12% |
25.2%
28.9 pts better
|
Numerator 46 · Denominator 85 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.8
0.7 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.8 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.8
1.3 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.4 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
91.5%
7.7 pts better
|
93.4%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.9% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.1% |
94.1%
3 pts better
|
95.5%
1.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.0% |
3.6%
2.4 pts worse
|
3.3%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 5.0% · Q3 7.9% · Q4 4.9% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.3% |
4.8%
3.5 pts better
|
11.4%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.8% · Q3 0.0% · Q4 1.7% · 4Q avg 1.3% |
| Percentage of long-stay residents who lose too much weight | 6.2% |
7.2%
1 pts better
|
5.4%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 4.3% · Q3 8.3% · Q4 4.3% · 4Q avg 6.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.6% |
21.6%
13 pts better
|
19.6%
11 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 8.5% · Q3 10.4% · Q4 10.9% · 4Q avg 8.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.4% |
15.0%
4.6 pts better
|
16.7%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 9.5% · Q3 10.5% · Q4 12.5% · 4Q avg 10.4% · 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 | 27.6% |
21.5%
6.1 pts worse
|
16.3%
11.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 31.5% · Q4 34.6% · 4Q avg 27.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 31.2% |
16.8%
14.4 pts worse
|
14.9%
16.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.7% · Q2 32.6% · Q3 29.5% · Q4 30.0% · 4Q avg 31.2% · 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 0.0% · Q2 0.0% · Q3 1.2% · Q4 1.4% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
2.6%
1.4 pts better
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 1.6% · Q4 1.7% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 1.8% |
21.2%
19.4 pts better
|
19.8%
18 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.9% · Q3 3.4% · Q4 0.0% · 4Q avg 1.8% |
| Percentage of long-stay residents with pressure ulcers | 4.3% |
6.0%
1.7 pts better
|
5.1%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 7.0% · Q3 2.6% · Q4 5.2% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.5% |
79.9%
17.6 pts better
|
81.7%
15.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.8% · Q2 97.5% · Q3 98.0% · Q4 97.7% · 4Q avg 97.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.2% |
13.2%
1 pts better
|
12.0%
0.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.2% · Observed 10.3% · Expected 9.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.4% |
1.5%
0.9 pts worse
|
1.6%
0.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 3.8% · Q3 1.9% · Q4 1.7% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.0% |
78.1%
18.9 pts better
|
79.7%
17.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.1% |
22.9%
0.8 pts better
|
23.9%
1.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.1% · Observed 16.1% · Expected 17.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-07-11 · Fire 2023-02-23
1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2023-02-23 · Fire 2021-11-04
2 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-07-11
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2024-08-28
D · Potential for more than minimal harm
2024-07-11
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-08-28
F · Potential for more than minimal harm
2023-02-23
K531 · Services Deficiencies
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-04-20
F · Potential for more than minimal harm
2023-02-23
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-04-20
D · Potential for more than minimal harm
2023-02-23
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-04-20
D · Potential for more than minimal harm
2021-11-04
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-12-10
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-08-14
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2025-09-10
B · Minimal harm
2025-08-14
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-09-10
B · Minimal harm
2024-07-11
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-07-31
E · Potential for more than minimal harm
2023-02-23
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-03-20
E · Potential for more than minimal harm
2023-02-23
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-03-20
Penalties and ownership
What sits behind the stars
$15,405
2024-08-30
Fine
Fine · fine $15,405
Fine
Ownership
The United Methodist Retirement Homes, Incorporated
5% Or Greater Direct Ownership Interest · Organization
Davison, John
Corporate Director · Individual
Dobson, Stacy
Corporate Officer · Individual
Erickson, Jonathan
Corporate Director · Individual
Erickson, Jonathan
Corporate Officer · Individual
Evans, Spence
Corporate Director · Individual
Harriss, William
Corporate Director · Individual
Harriss, William
Corporate Officer · Individual
Lee, Woo
Corporate Director · Individual
Life Care Services LLC
Operational/Managerial Control · Organization
Little, Nancy
Corporate Director · Individual
March, Heather
Operational/Managerial Control · Individual
Marion, Rebecca
Operational/Managerial Control · Individual
Martin, James
Corporate Director · Individual
Parker, Mack
Corporate Director · Individual
Parker, Mack
Corporate Officer · Individual
Patterson, Gaynelle
Corporate Director · Individual
Rizwan Alam, Sanya
Operational/Managerial Control · Individual
Sharda, Neema
Operational/Managerial Control · Individual
Southern, Harvey
Corporate Director · Individual
Southern, Harvey
Corporate Officer · Individual
Steinweg, Kenneth
Corporate Director · Individual
Taylor, Sheryl
Corporate Director · Individual
Us Bank National Association
5% Or Greater Security Interest · Organization
Van Antwerp, Nancy
Corporate Director · Individual
Van Antwerp, Nancy
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Durham Nursing & Rehabilitation Center
Durham, NC
2-star overall rating with 1-star inspections with $129,754 in total fines with 4 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#2
Accordius Health at Rose Manor LLC
Durham, NC
2-star overall rating with 2-star inspections with $16,801 in total fines with 12 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#3
Pruitthealth-Durham
Durham, NC
2-star overall rating with 2-star inspections with abuse icon flag with $30,303 in total fines with 10 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
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