Greensboro, NC

Guilford Health Care Center

1-star overall rating with 2-star inspections with 14 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

2041 Willow Road, Greensboro, NC

(336) 272-9700

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

110

Certified beds

Average residents

105

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Lifeworks Rehab

Operator or chain grouping

Approved since

1994-06-24

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

59 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

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

0.37

Registered nurse staffing · state 0.59 · national 0.68

LPN hours / resident day

1.05

Licensed practical nurse staffing · state 0.87 · national 0.87

Aide hours / resident day

2.06

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

3.48

All reported nurse hours · state 3.78 · national 3.89

Licensed hours

1.42

RN + LPN hours · state 1.45 · national 1.54

Weekend hours

3.16

Weekend nurse staffing · state 3.34 · national 3.43

Weekend RN hours

0.19

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

0.32

CMS adjusted RN staffing hours

Adjusted total hours

3.07

CMS adjusted total nurse staffing hours

Case-mix index

1.55

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 48% · national 45%

Total nurse turnover

54%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,473

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

29.65

Composite VBP score used to determine payment impact.

Payment multiplier

0.9856

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.57

Baseline 24.97% · Performance 19.36% · Measure score 6.57 · Achievement 4.47 · Improvement 6.57

Healthcare-associated infections

3.56

Baseline 8.05% · Performance 6.81% · Measure score 3.56 · Achievement 3.43 · Improvement 3.56

Total nurse turnover

1.73

Performance 56.60% · Measure score 1.73 · Achievement 1.73 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

Baseline 3.23 hours · Performance 3.08 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.45%	10.72% 0.7 pts worse	No Different than the National Rate · Eligible stays 118 · Observed rate 13.56% · Lower 95% interval 8.31%
Discharge to community	54.24%	50.57% 3.7 pts better	No Different than the National Rate · Eligible stays 127 · Observed rate 44.88% · Lower 95% interval 46.51%
Medicare spending per beneficiary	1.31	1.02 0.3 pts worse
Drug regimen review with follow-up	90.67%	95.27% 4.6 pts worse	Numerator 68 · Denominator 75
Falls with major injury	4%	0.77% 3.2 pts worse	Numerator 3 · Denominator 75
Discharge self-care score	55.1%	53.69% 1.4 pts better	Numerator 27 · Denominator 49
Discharge mobility score	67.35%	50.94% 16.4 pts better	Numerator 33 · Denominator 49
Pressure ulcers or injuries, new or worsened	1.33%	2.29% 1 pts better	Numerator 1 · Denominator 75 · Adjusted rate 1.14%
Healthcare-associated infections requiring hospitalization	6.81%	7.12% 0.3 pts better	No Different than the National Rate · Eligible stays 72 · Observed rate 6.94% · Lower 95% interval 3.83%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 124
Staff flu vaccination coverage	3.93%	42% 38.1 pts worse	Numerator 7 · Denominator 178
Discharge function score	69.39%	56.45% 12.9 pts better	Numerator 34 · Denominator 49
Transfer of health information to provider	52.08%	95.95% 43.9 pts worse	Numerator 25 · Denominator 48
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	29.73%	25.2% 4.5 pts better	Numerator 11 · Denominator 37

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	90.1%	91.5% 1.4 pts worse	93.4% 3.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 79.8% · Q2 93.8% · Q3 94.8% · Q4 92.8% · 4Q avg 90.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	93.3%	94.1% 0.8 pts worse	95.5% 2.2 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 93.3%
Percentage of long-stay residents experiencing one or more falls with major injury	4.6%	3.6% 1 pts worse	3.3% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 6.2% · Q3 5.2% · Q4 2.4% · 4Q avg 4.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	16.4%	4.8% 11.6 pts worse	11.4% 5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 12.9% · Q3 5.4% · Q4 34.2% · 4Q avg 16.4%
Percentage of long-stay residents who lose too much weight	12.0%	7.2% 4.8 pts worse	5.4% 6.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 5.7% · Q3 14.9% · Q4 17.6% · 4Q avg 12.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.4%	21.6% 1.2 pts better	19.6% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 22.5% · Q3 17.6% · Q4 17.3% · 4Q avg 20.4%
Percentage of long-stay residents who received an antipsychotic medication	6.1%	15.0% 8.9 pts better	16.7% 10.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 5.1% · Q3 7.4% · Q4 5.6% · 4Q avg 6.1% · 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	18.8%	21.5% 2.7 pts better	16.3% 2.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 18.2% · Q3 19.9% · Q4 25.0% · 4Q avg 18.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	15.8%	16.8% 1 pts better	14.9% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 12.3% · Q3 22.7% · Q4 18.9% · 4Q avg 15.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.9% 0.9 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.8%	2.6% 0.2 pts worse	1.7% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 1.3% · Q3 3.9% · Q4 3.7% · 4Q avg 2.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	19.8%	21.2% 1.4 pts better	19.8% About the same	Long Stay · 2024Q4-2025Q3 · Q1 19.1% · Q2 19.7% · Q3 19.4% · Q4 21.1% · 4Q avg 19.8%
Percentage of long-stay residents with pressure ulcers	4.2%	6.0% 1.8 pts better	5.1% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 3.0% · Q3 4.8% · Q4 4.8% · 4Q avg 4.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	77.2%	79.9% 2.7 pts worse	81.7% 4.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 91.2% · Q2 78.6% · Q3 71.7% · Q4 70.3% · 4Q avg 77.2%
Percentage of short-stay residents who had an outpatient emergency department visit	11.0%	13.2% 2.2 pts better	12.0% 1 pts better	Short Stay · 20240701-20250630 · Adjusted 11.0% · Observed 11.3% · Expected 11.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.4%	1.5% 0.1 pts better	1.6% 0.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 0.0% · Q3 1.1% · Q4 1.0% · 4Q avg 1.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	78.8%	78.1% 0.7 pts better	79.7% 0.9 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 78.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	20.7%	22.9% 2.2 pts better	23.9% 3.2 pts better	Short Stay · 20240701-20250630 · Adjusted 20.7% · Observed 24.5% · Expected 28.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-17 · Fire 2025-04-17

14 health deficiencies

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

2 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 2 Health 2024-01-24 · Fire 2024-01-24

7 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2022-12-08 · Fire 2022-12-08

12 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

1 fire-safety deficiencies

Top issue: Services (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-04-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-27

D · Potential for more than minimal harm 2025-04-17

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-12-27

F · Potential for more than minimal harm 2024-01-24

K321 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-04-03

F · Potential for more than minimal harm 2024-01-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-03

F · Potential for more than minimal harm 2024-01-24

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-04-03

E · Potential for more than minimal harm 2024-01-24

K111 · Construction Deficiencies

Fire Safety

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

Corrected 2024-04-03

D · Potential for more than minimal harm 2024-01-24

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-04-03

D · Potential for more than minimal harm 2024-01-24

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-04-03

D · Potential for more than minimal harm 2022-12-08

K521 · Services Deficiencies

Fire Safety

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

Corrected 2023-02-03

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-04-17

F809 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2025-05-15

E · Potential for more than minimal harm 2025-04-17

F565 · Resident Rights Deficiencies

Health

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

Corrected 2025-05-15

E · Potential for more than minimal harm 2025-04-17

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-06-01

E · Potential for more than minimal harm 2025-04-17

F803 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2025-05-15

D · Potential for more than minimal harm 2025-04-17

F567 · Resident Rights Deficiencies

Health

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

Corrected 2025-05-22

D · Potential for more than minimal harm 2025-04-17

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2025-06-01

D · Potential for more than minimal harm 2025-04-17

F624 · Resident Rights Deficiencies

Health

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

Corrected 2024-05-28

D · Potential for more than minimal harm 2025-04-17

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 2025-05-15

D · Potential for more than minimal harm 2025-04-17

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-05-15

D · Potential for more than minimal harm 2025-04-17

F655 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-05-22

D · Potential for more than minimal harm 2025-04-17

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 2025-05-15

D · Potential for more than minimal harm 2025-04-17

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 2025-05-15

D · Potential for more than minimal harm 2025-04-17

F693 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2025-05-15

D · Potential for more than minimal harm 2025-04-17

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-01

F · Potential for more than minimal harm 2024-01-24

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 2024-02-21

F · Potential for more than minimal harm 2024-01-24

F867 · Administration Deficiencies

Health

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

Corrected 2024-02-21

E · Potential for more than minimal harm 2024-01-24

F565 · Resident Rights Deficiencies

Health

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

Corrected 2024-02-21

E · Potential for more than minimal harm 2024-01-24

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 2024-02-21

E · Potential for more than minimal harm 2024-01-24

F806 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-02-21

D · Potential for more than minimal harm 2024-01-24

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 2024-02-21

D · Potential for more than minimal harm 2024-01-24

F805 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-02-21

D · Potential for more than minimal harm 2023-11-09

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-11-24

D · Potential for more than minimal harm 2023-06-15

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-07-14

D · Potential for more than minimal harm 2023-03-08

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 2023-03-24

D · Potential for more than minimal harm 2023-03-08

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-03-24

F · Potential for more than minimal harm 2022-12-08

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 2023-01-25

E · Potential for more than minimal harm 2022-12-08

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-01-25

E · Potential for more than minimal harm 2022-12-08

F761 · Pharmacy Service Deficiencies

Health

Corrected 2023-01-25

E · Potential for more than minimal harm 2022-12-08

F867 · Administration Deficiencies

Health

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

Corrected 2023-01-25

D · Potential for more than minimal harm 2022-12-08

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-01-25

D · Potential for more than minimal harm 2022-12-08

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2023-01-25

D · Potential for more than minimal harm 2022-12-08

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2023-01-25

D · Potential for more than minimal harm 2022-12-08

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-01-25

Penalties and ownership

What sits behind the stars

Ownership

Guilford Holdings Ill

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2021-05-28

Charles 1994 Family Grantor Trust