Cycle 1
Health 2025-03-05 · Fire 2025-03-05
8 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Concord, NC
Five Oaks Rehabilitation and Care Center
1-star overall rating with 1-star inspections with $17,345 in total fines with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
413 Winecoff School Road, Concord, NC
(704) 788-2131
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
160
Certified beds
Average residents
146
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Venza Care Management
Operator or chain grouping
Approved since
1978-12-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
21 facilities
Chain averages 3 overall / 3 health / 4 staffing / 2 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
Hours and turnover
RN hours / resident day
0.27
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
1.13
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.53
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.93
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.40
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.51
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.12
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
0.26
CMS adjusted RN staffing hours
Adjusted total hours
3.74
CMS adjusted total nurse staffing hours
Case-mix index
1.44
Higher values indicate more complex resident acuity
RN turnover
58%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
58%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
13,604
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
3.05
Composite VBP score used to determine payment impact.
Payment multiplier
0.9804
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 21.89% · Performance 22.26% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.53% · Performance 8.30% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0
Baseline 62.25% · Performance 62.05% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
1.22
Baseline 3.86 hours · Performance 3.42 hours · Measure score 1.22 · Achievement 1.22 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.18% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 163 · Observed rate 10.43% · Lower 95% interval 7.16% |
| Discharge to community | 51.65% |
50.57%
1.1 pts better
|
No Different than the National Rate · Eligible stays 143 · Observed rate 42.66% · Lower 95% interval 42.45% |
| Medicare spending per beneficiary | 1.25 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 83.56% |
95.27%
11.7 pts worse
|
Numerator 122 · Denominator 146 |
| Falls with major injury | 1.37% |
0.77%
0.6 pts worse
|
Numerator 2 · Denominator 146 |
| Discharge self-care score | 31% |
53.69%
22.7 pts worse
|
Numerator 31 · Denominator 100 |
| Discharge mobility score | 18% |
50.94%
32.9 pts worse
|
Numerator 18 · Denominator 100 |
| Pressure ulcers or injuries, new or worsened | 2.74% |
2.29%
0.5 pts worse
|
Numerator 4 · Denominator 146 · Adjusted rate 2.47% |
| Healthcare-associated infections requiring hospitalization | 8.3% |
7.12%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 104 · Observed rate 10.58% · Lower 95% interval 5.67% |
| Staff COVID-19 vaccination coverage | 17.87% |
8.2%
9.7 pts better
|
Numerator 37 · Denominator 207 |
| Staff flu vaccination coverage | 26.23% |
42%
15.8 pts worse
|
Numerator 107 · Denominator 408 |
| Discharge function score | 27% |
56.45%
29.5 pts worse
|
Numerator 27 · Denominator 100 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 45 · Denominator 45 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 51 · Denominator 51 |
| Resident COVID-19 vaccinations up to date | 14.47% |
25.2%
10.7 pts worse
|
Numerator 11 · Denominator 76 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
1.8
0.1 pts worse
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.1 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.8
0.7 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.8% |
91.5%
2.3 pts better
|
93.4%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 87.1% · Q2 96.9% · Q3 96.7% · Q4 94.6% · 4Q avg 93.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.8% |
94.1%
3.7 pts better
|
95.5%
2.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.8% |
3.6%
0.2 pts worse
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 3.9% · Q3 4.9% · Q4 3.9% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.5% |
4.8%
3.3 pts better
|
11.4%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 1.6% · Q3 1.7% · Q4 1.6% · 4Q avg 1.5% |
| Percentage of long-stay residents who lose too much weight | 7.9% |
7.2%
0.7 pts worse
|
5.4%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 10.0% · Q3 7.6% · Q4 7.3% · 4Q avg 7.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.7% |
21.6%
1.1 pts worse
|
19.6%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 22.1% · Q3 23.7% · Q4 27.0% · 4Q avg 22.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.3% |
15.0%
3.7 pts better
|
16.7%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.6% · Q2 12.0% · Q3 9.6% · Q4 11.2% · 4Q avg 11.3% · 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 | 34.1% |
21.5%
12.6 pts worse
|
16.3%
17.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.6% · Q4 12.8% · 4Q avg 34.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 22.4% |
16.8%
5.6 pts worse
|
14.9%
7.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 31.0% · Q3 27.3% · Q4 10.8% · 4Q avg 22.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.8% |
0.9%
0.9 pts worse
|
1.0%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 3.2% · Q3 2.3% · Q4 0.4% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
2.6%
1.2 pts better
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 2.4% · Q3 0.0% · Q4 2.4% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.6% |
21.2%
0.4 pts worse
|
19.8%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 29.1% · Q3 32.0% · Q4 13.5% · 4Q avg 21.6% |
| Percentage of long-stay residents with pressure ulcers | 7.9% |
6.0%
1.9 pts worse
|
5.1%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 7.1% · Q3 8.5% · Q4 7.7% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 58.0% |
79.9%
21.9 pts worse
|
81.7%
23.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 46.3% · Q2 44.2% · Q3 63.8% · Q4 80.6% · 4Q avg 58.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.7% |
13.2%
6.5 pts better
|
12.0%
5.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.7% · Observed 7.6% · Expected 12.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.5%
About the same
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 2.3% · Q3 1.1% · Q4 1.4% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 44.3% |
78.1%
33.8 pts worse
|
79.7%
35.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 44.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.6% |
22.9%
4.3 pts better
|
23.9%
5.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.6% · Observed 21.0% · Expected 26.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-09-14 · Fire 2023-09-14
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
9 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Cycle 3
Health 2022-05-16 · Fire 2022-05-16
14 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-03-05
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-23
F · Potential for more than minimal harm
2023-09-14
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-01-03
F · Potential for more than minimal harm
2023-09-14
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-01-03
F · Potential for more than minimal harm
2023-09-14
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-01-03
F · Potential for more than minimal harm
2023-09-14
K700 · Miscellaneous Deficiencies
Fire Safety
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Corrected 2024-01-03
F · Potential for more than minimal harm
2023-09-14
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-01-03
D · Potential for more than minimal harm
2023-09-14
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-01-03
D · Potential for more than minimal harm
2023-09-14
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-01-03
D · Potential for more than minimal harm
2023-09-14
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-01-03
D · Potential for more than minimal harm
2023-09-14
K741 · Miscellaneous Deficiencies
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-01-03
E · Potential for more than minimal harm
2022-05-16
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-09-04
D · Potential for more than minimal harm
2022-05-16
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-09-04
D · Potential for more than minimal harm
2022-05-16
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2022-09-04
D · Potential for more than minimal harm
2022-05-16
K352 · Smoke Deficiencies
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2022-09-04
D · Potential for more than minimal harm
2022-05-16
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-09-04
D · Potential for more than minimal harm
2022-05-16
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-09-04
Inspection history
Recent health citations
J · Immediate jeopardy
2025-03-05
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 2025-03-25
G · Actual harm
2025-03-05
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-03-25
G · Actual harm
2025-03-05
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-03-25
E · Potential for more than minimal harm
2025-03-05
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 2025-03-25
D · Potential for more than minimal harm
2025-03-05
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-03-25
D · Potential for more than minimal harm
2025-03-05
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 2025-03-25
D · Potential for more than minimal harm
2025-03-05
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 2025-03-25
D · Potential for more than minimal harm
2025-03-05
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-25
D · Potential for more than minimal harm
2023-09-14
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2023-09-27
D · Potential for more than minimal harm
2023-09-14
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 2023-09-27
B · Minimal harm
2023-09-14
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-09-14
B · Minimal harm
2023-09-14
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-09-22
J · Immediate jeopardy
2023-05-16
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 2023-04-03
G · Actual harm
2023-03-15
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 2023-04-05
D · Potential for more than minimal harm
2023-03-15
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-04-05
J · Immediate jeopardy
2022-05-16
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 2022-07-20
E · Potential for more than minimal harm
2022-05-16
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-07-20
E · Potential for more than minimal harm
2022-05-16
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 2022-07-20
E · Potential for more than minimal harm
2022-05-16
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 2022-07-20
E · Potential for more than minimal harm
2022-05-16
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 2022-07-20
E · Potential for more than minimal harm
2022-05-16
F835 · Administration Deficiencies
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2022-07-20
D · Potential for more than minimal harm
2022-05-16
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2022-07-20
D · Potential for more than minimal harm
2022-05-16
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-06-09
D · Potential for more than minimal harm
2022-05-16
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 2022-07-20
D · Potential for more than minimal harm
2022-05-16
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 2022-07-20
D · Potential for more than minimal harm
2022-05-16
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-07-20
Penalties and ownership
What sits behind the stars
$17,345
2025-03-05
Fine
Fine · fine $17,345
Fine
Ownership
Fh SNF Operations Holding LLC
5% Or Greater Direct Ownership Interest · Organization
Cw Fh Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Ch Fh Holding LLC
5% Or Greater Indirect Ownership Interest · Organization
Goodman, Menucha
Operational/Managerial Control · Individual
Goodman, Menucha
Corporate Officer · Individual
Hall, George
Operational/Managerial Control · Individual
Herzka, Yisroel
5% Or Greater Indirect Ownership Interest · Individual
M Melb Opco LLC
5% Or Greater Indirect Ownership Interest · Organization
M Melb Opco Trust
5% Or Greater Indirect Ownership Interest · Organization
Melb Opco Manager LLC
Operational/Managerial Control · Organization
Ms Fh Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
S Melb Opco Trust
5% Or Greater Indirect Ownership Interest · Organization
Ss Fh Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Thomas, Jonathan
Operational/Managerial Control · Individual
Vertex Financial Services LLC
Operational/Managerial Control · Organization
Wolofsky, Chava
5% Or Greater Indirect Ownership Interest · Individual
Nearby options
Other facilities in reach
#1
The Greens at Cabarrus
Concord, NC
5-star overall rating with 4-star inspections with $15,269 in total fines with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Accordius Health at Concord
Concord, NC
1-star overall rating with 1-star inspections with abuse icon flag with $129,204 in total fines with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Kannapolis Health and Rehabilitation
Kannapolis, NC
1-star overall rating with 1-star inspections with $133,864 in total fines with 8 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
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