3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Mocksville, NC
3-star overall rating with 3-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
498 Madison Road, Mocksville, NC
(336) 751-3535
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
96
Certified beds
Average residents
89
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Saber Healthcare Group
Operator or chain grouping
Approved since
1976-10-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
126 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
0.38
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
0.93
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.07
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.38
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.31
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.00
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.11
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.40
CMS adjusted RN staffing hours
Adjusted total hours
3.51
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
38%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
10,867
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
18.82
Composite VBP score used to determine payment impact.
Payment multiplier
0.9820
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 21.08% · Performance 22.26% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.55% · Performance 8.21% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.25
Baseline 62.74% · Performance 42.22% · Measure score 5.25 · Achievement 5.25 · Improvement 4.92
Adjusted total nurse staffing
2.28
Baseline 3.32 hours · Performance 3.73 hours · Measure score 2.28 · Achievement 2.28 · Improvement 1.15
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.92% |
10.72%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 135 · Observed rate 13.33% · Lower 95% interval 8.67% |
| Discharge to community | 51.04% |
50.57%
0.5 pts better
|
No Different than the National Rate · Eligible stays 143 · Observed rate 46.15% · Lower 95% interval 44.13% |
| Medicare spending per beneficiary | 0.95 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 97.14% |
95.27%
1.9 pts better
|
Numerator 102 · Denominator 105 |
| Falls with major injury | 1.9% |
0.77%
1.1 pts worse
|
Numerator 2 · Denominator 105 |
| Discharge self-care score | 49.35% |
53.69%
4.3 pts worse
|
Numerator 38 · Denominator 77 |
| Discharge mobility score | 25.97% |
50.94%
25 pts worse
|
Numerator 20 · Denominator 77 |
| Pressure ulcers or injuries, new or worsened | 2.88% |
2.29%
0.6 pts worse
|
Numerator 3 · Denominator 104 · Adjusted rate 3.01% |
| Healthcare-associated infections requiring hospitalization | 8.21% |
7.12%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 92 · Observed rate 9.78% · Lower 95% interval 5.31% |
| Staff COVID-19 vaccination coverage | 0.89% |
8.2%
7.3 pts worse
|
Numerator 1 · Denominator 112 |
| Staff flu vaccination coverage | 32.8% |
42%
9.2 pts worse
|
Numerator 41 · Denominator 125 |
| Discharge function score | 45.45% |
56.45%
11 pts worse
|
Numerator 35 · Denominator 77 |
| Transfer of health information to provider | 98.11% |
95.95%
2.2 pts better
|
Numerator 52 · Denominator 53 |
| Transfer of health information to patient | 97.3% |
96.28%
1 pts better
|
Numerator 36 · Denominator 37 |
| Resident COVID-19 vaccinations up to date | 37.31% |
25.2%
12.1 pts better
|
Numerator 25 · Denominator 67 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
91.5%
8.1 pts better
|
93.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.5% · Q3 100.0% · Q4 100.0% · 4Q avg 99.6% |
| 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 | 4.4% |
3.6%
0.8 pts worse
|
3.3%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 1.5% · Q3 6.1% · Q4 5.7% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.2% |
4.8%
3.6 pts better
|
11.4%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 1.6% · Q4 1.5% · 4Q avg 1.2% |
| Percentage of long-stay residents who lose too much weight | 8.3% |
7.2%
1.1 pts worse
|
5.4%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 10.9% · Q3 8.3% · Q4 6.6% · 4Q avg 8.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.0% |
21.6%
6.4 pts worse
|
19.6%
8.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.4% · Q2 26.8% · Q3 29.5% · Q4 27.4% · 4Q avg 28.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.8% |
15.0%
1.2 pts better
|
16.7%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.0% · Q2 17.0% · Q3 9.6% · Q4 11.1% · 4Q avg 13.8% · 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 | 25.9% |
21.5%
4.4 pts worse
|
16.3%
9.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.3% · Q2 24.0% · 4Q avg 25.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.3% |
16.8%
1.5 pts better
|
14.9%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 9.1% · Q3 24.1% · Q4 16.9% · 4Q avg 15.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.9%
0.6 pts better
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.9% |
2.6%
0.3 pts worse
|
1.7%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.5% · Q3 3.0% · Q4 4.3% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.9% |
21.2%
5.7 pts worse
|
19.8%
7.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.9% · Q2 25.8% · Q3 33.3% · Q4 23.9% · 4Q avg 26.9% |
| Percentage of long-stay residents with pressure ulcers | 3.9% |
6.0%
2.1 pts better
|
5.1%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 2.5% · Q3 4.8% · Q4 3.4% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.1% |
79.9%
13.2 pts better
|
81.7%
11.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 90.7% · Q2 94.0% · Q3 94.2% · Q4 93.0% · 4Q avg 93.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.0% |
13.2%
7.2 pts better
|
12.0%
6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.0% · Observed 5.9% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.3% |
1.5%
1.8 pts worse
|
1.6%
1.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 3.5% · Q3 3.6% · Q4 1.8% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.2% |
78.1%
17.1 pts better
|
79.7%
15.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.3% |
22.9%
5.6 pts better
|
23.9%
6.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.3% · Observed 16.7% · Expected 22.9% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Administration (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Administration (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-11
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-10-11
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 2023-06-01
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-01
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-03-09
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-11-25
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-11-25
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 2025-11-25
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-23
Health
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Corrected 2024-06-11
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-05-02
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-05-02
Penalties and ownership
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Security Interest · Organization
Operational/Managerial Control · Organization
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
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