Federal inspection record · CMS data as of October 1, 2026

Guilford Health Care Center

2041 Willow Road, Greensboro, NC · (336) 272-9700

CMS overall rating

2 of 5

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Certified beds
110
Residents per day
104
Ownership
For-Profit
Chain
Lifeworks Rehab
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 24, 1994

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.

  2. Staffing

    −1 star

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among North Carolina homes

Guilford Health Care Center carries 45 inspection points. That is fewer than 37% of North Carolina's 415 rated homes.

5★4★3★2★1★+13 homes above 189.505102550100inspection points → fewer is better on the leftThis home · 45 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–4 pts
  • 4★ 4–15 pts
  • 3★ 15–35 pts
  • 2★ 35–73.5 pts
  • 1★ over 73.5 pts

Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

27 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 17 4 pts
E 6 8 pts
F 4 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Nutrition and Dietary6F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    March 18, 2026 · Standard · F812 · Corrected April 15, 2026

  2. F

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    April 17, 2025 · Standard · F809 · Corrected May 15, 2025

  3. E

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    April 17, 2025 · Complaint · F803 · Corrected May 15, 2025

  4. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 24, 2024 · Standard · F812 · Corrected February 21, 2024

  5. E

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    January 24, 2024 · Standard · F806 · Corrected February 21, 2024

  6. D

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    January 24, 2024 · Standard · F805 · Corrected February 21, 2024

Resident Rights6E
  1. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    March 18, 2026 · Standard · F628 · Corrected April 15, 2026

  2. E

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    April 17, 2025 · Standard · F565 · Corrected May 15, 2025

  3. D

    Honor the resident's right to manage his or her financial affairs.

    April 17, 2025 · Standard · F567 · Corrected May 22, 2025

  4. D

    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.

    April 17, 2025 · Standard · F578 · Corrected June 1, 2025

  5. D

    Prepare residents for a safe transfer or discharge from the nursing home.

    April 17, 2025 · Complaint · F624 · Corrected May 28, 2024

  6. E

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    January 24, 2024 · Standard · F565 · Corrected February 21, 2024

Quality of Life and Care6D
  1. D

    Provide safe and appropriate respiratory care for a resident when needed.

    March 18, 2026 · Standard · F695 · Corrected April 15, 2026

  2. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    April 17, 2025 · Complaint · F689 · Corrected May 15, 2025

  3. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    April 17, 2025 · Standard · F690 · Corrected May 15, 2025

  4. D

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    April 17, 2025 · Complaint · F693 · Corrected May 15, 2025

  5. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    April 17, 2025 · Standard · F698 · Corrected June 1, 2025

  6. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    January 24, 2024 · Standard · F690 · Corrected February 21, 2024

Resident Assessment and Care Planning4D
  1. D

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    April 17, 2025 · Standard · F636 · Corrected May 15, 2025

  2. D

    Ensure each resident receives an accurate assessment.

    April 17, 2025 · Standard · F641 · Corrected May 15, 2025

  3. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    April 17, 2025 · Complaint · F655 · Corrected May 22, 2025

  4. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    November 9, 2023 · Complaint · F842 · Corrected November 24, 2023

Pharmacy Service3E
  1. D

    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.

    March 18, 2026 · Standard · F761 · Corrected April 15, 2026

  2. E

    Ensure medication error rates are not 5 percent or greater.

    April 17, 2025 · Standard · F759 · Corrected June 1, 2025

  3. E

    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.

    January 24, 2024 · Standard · F761 · Corrected February 21, 2024

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    March 18, 2026 · Standard · F607 · Corrected April 15, 2026

Administration1F
  1. F

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    January 24, 2024 · Standard · F867 · Corrected February 21, 2024

Inspection history

  1. 2026-03-18

    5 health deficiencies · 3 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

  2. 2025-04-17

    14 health deficiencies · 2 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  3. 2024-01-24

    8 health deficiencies · 6 fire-safety deficiencies

    Top issue: Nutrition and Dietary (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 30 min of nursing staff time a day, 23 min of it from a registered nurse.

This home

3 h 30 min

North Carolina average

3 h 52 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 61% of nursing staff and 64% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days1 pts better0.71.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days1 pts better0.71.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.3 pts better96.7%92.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1 pts better95.7%94.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts better3.0%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms17.1 pts worse23.9%6.8%13.5%
Percentage of long-stay residents who lose too much weight4.8 pts worse11.9%7.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.6 pts better17.5%21.1%19.5%
Percentage of long-stay residents who received an antipsychotic medication9.3 pts better4.6%13.9%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened7.8 pts better8.8%16.6%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased5 pts better10.0%15.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better0.0%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection0.3 pts better1.8%2.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.2 pts worse22.1%19.9%18.3%
Percentage of long-stay residents with pressure ulcers2.3 pts better3.1%5.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.9 pts better89.4%81.5%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit6.5 pts better6.2%12.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better1.1%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.1 pts better95.2%81.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission3.4 pts worse25.6%22.2%23.4%

·

Who owns and runs it

18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Guilford Holdings Ill5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Charles 1994 Family Grantor Trust5% Or Greater Indirect Ownership Interest · Organization0%40 facilities
Ck 2008 Family Trust5% Or Greater Indirect Ownership Interest · Organization0%10 facilities
Drm South LLC5% Or Greater Indirect Ownership Interest · Organization0%10 facilities
Edward 1998 Family Grantor Trust5% Or Greater Indirect Ownership Interest · Organization0%38 facilities
Lauren 2020 LLC5% Or Greater Indirect Ownership Interest · Organization0%10 facilities
Leps 2003 Family Trust5% Or Greater Indirect Ownership Interest · Organization0%9 facilities
Norman 5571 & Family LLC5% Or Greater Indirect Ownership Interest · Organization0%10 facilities
Norman 5571 LLC5% Or Greater Indirect Ownership Interest · Organization0%8 facilities
Rajchenbach, MosheCorporate Officer · Individual0%10 facilities
Rl 2008 Family Trust5% Or Greater Indirect Ownership Interest · Organization0%10 facilities
Robin 2008 LLC5% Or Greater Indirect Ownership Interest · Organization0%10 facilities
Rsbrm South Manager LLCOperational/Managerial Control · Organization0%10 facilities
Saul 2012 Family Grantor Trust5% Or Greater Indirect Ownership Interest · Organization0%39 facilities
Spiegel, HindyCorporate Officer · Individual0%2 facilities
Springrock South LLC5% Or Greater Indirect Ownership Interest · Organization0%10 facilities
Summer South LLC5% Or Greater Indirect Ownership Interest · Organization0%9 facilities
Swanson, StephenOperational/Managerial Control · Individual0%1 facilities

·

Fire safety

11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke5F
  1. D

    Provide properly protected cooking facilities.

    March 18, 2026 · K324 · Corrected July 7, 2026

  2. D

    Inspect, test, and maintain automatic sprinkler systems.

    April 17, 2025 · K353 · Corrected December 27, 2024

  3. F

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    January 24, 2024 · K321 · Corrected April 3, 2024

  4. F

    Inspect, test, and maintain automatic sprinkler systems.

    January 24, 2024 · K353 · Corrected April 3, 2024

  5. D

    Install corridor and hallway doors that block smoke.

    January 24, 2024 · K363 · Corrected April 3, 2024

Gas, Vacuum, and Electrical Systems2F
  1. D

    Have generator or other power source capable of supplying service within 10 seconds.

    March 18, 2026 · K918 · Corrected July 16, 2026

  2. F

    Have proper medical gas storage and administration areas.

    January 24, 2024 · K923 · Corrected April 3, 2024

Services2D
  1. D

    Have properly installed electrical wiring and gas equipment.

    April 17, 2025 · K511 · Corrected December 27, 2024

  2. D

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    January 24, 2024 · K521 · Corrected April 3, 2024

Miscellaneous1D
  1. D

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    March 18, 2026 · K741 · Corrected July 17, 2026

Construction1E
  1. E

    Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

    January 24, 2024 · K111 · Corrected April 3, 2024

·

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