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

Compare this facility

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

Staffing

Hours and turnover

RN hours / resident day

0.27

Registered nurse staffing

LPN hours / resident day

1.13

Licensed practical nurse staffing

Aide hours / resident day

2.53

Nurse aide staffing

Weekend hours

3.51

Weekend nurse staffing

RN turnover

58%

Annual RN turnover

Total nurse turnover

58%

Annual nurse turnover

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
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
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
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
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
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
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
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
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
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 34.1%
21.5%
12.6 pts worse
16.3%
17.8 pts worse
Long Stay · 2024Q4-2025Q3
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
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
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
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
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
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
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
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
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
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

Survey summary

Recent inspection cycles

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)

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

100% 2 facilities 2021-12-31
Cw Fh Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

22% 1 facilities 2021-12-31
Ch Fh Holding LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 2 facilities 2021-12-31
Goodman, Menucha

Operational/Managerial Control · Individual

0% 12 facilities 2025-12-01
Goodman, Menucha

Corporate Officer · Individual

0% 12 facilities 2025-12-01
Hall, George

Operational/Managerial Control · Individual

0% 3 facilities 2021-12-31
Herzka, Yisroel

5% Or Greater Indirect Ownership Interest · Individual

0% 82 facilities 2021-12-31
M Melb Opco LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2025-12-01
M Melb Opco Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2025-12-01
Melb Opco Manager LLC

Operational/Managerial Control · Organization

0% 11 facilities 2025-12-01
Ms Fh Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 2 facilities 2021-12-31
S Melb Opco Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2025-12-01
Ss Fh Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 2 facilities 2021-12-31
Thomas, Jonathan

Operational/Managerial Control · Individual

0% 1 facilities 2023-07-12
Vertex Financial Services LLC

Operational/Managerial Control · Organization

0% 10 facilities 2025-01-01
Wolofsky, Chava

5% Or Greater Indirect Ownership Interest · Individual

0% 22 facilities 2021-12-31

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