Cycle 1
Health 2025-03-20 · Fire 2025-03-20
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Raleigh, NC
Hillcrest Raleigh at Crabtree Valley
3-star overall rating with 4-star inspections with $17,202 in total fines with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
3830 Blue Ridge Road, Raleigh, NC
(919) 781-4900
Overall
3 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
134
Certified beds
Average residents
96
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2012-11-08
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.98
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
1.02
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.83
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.83
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
2.00
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
4.27
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.73
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.22
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.91
CMS adjusted RN staffing hours
Adjusted total hours
4.46
CMS adjusted total nurse staffing hours
Case-mix index
1.48
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
51%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,513
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
11.88
Composite VBP score used to determine payment impact.
Payment multiplier
0.9810
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 18.89% · Performance 22.95% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.16% · Performance 8.73% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
1.14
Baseline 71.71% · Performance 64.03% · Measure score 1.14 · Achievement 0 · Improvement 1.14
Adjusted total nurse staffing
3.61
Baseline 3.04 hours · Performance 4.11 hours · Measure score 3.61 · Achievement 3.61 · Improvement 3.4
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.53% |
10.72%
1.2 pts better
|
No Different than the National Rate · Eligible stays 618 · Observed rate 8.09% · Lower 95% interval 7.57% |
| Discharge to community | 58.27% |
50.57%
7.7 pts better
|
Better than the National Rate · Eligible stays 684 · Observed rate 53.65% · Lower 95% interval 54.54% |
| Medicare spending per beneficiary | 0.93 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 98.19% |
95.27%
2.9 pts better
|
Numerator 379 · Denominator 386 |
| Falls with major injury | 1.3% |
0.77%
0.5 pts worse
|
Numerator 5 · Denominator 386 |
| Discharge self-care score | 35.25% |
53.69%
18.4 pts worse
|
Numerator 86 · Denominator 244 |
| Discharge mobility score | 39.34% |
50.94%
11.6 pts worse
|
Numerator 96 · Denominator 244 |
| Pressure ulcers or injuries, new or worsened | 2.85% |
2.29%
0.6 pts worse
|
Numerator 11 · Denominator 386 · Adjusted rate 2.77% |
| Healthcare-associated infections requiring hospitalization | 8.73% |
7.12%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 390 · Observed rate 8.21% · Lower 95% interval 6.5% |
| Staff COVID-19 vaccination coverage | 25.84% |
8.2%
17.6 pts better
|
Numerator 46 · Denominator 178 |
| Staff flu vaccination coverage | 26.53% |
42%
15.5 pts worse
|
Numerator 65 · Denominator 245 |
| Discharge function score | 38.52% |
56.45%
17.9 pts worse
|
Numerator 94 · Denominator 244 |
| Transfer of health information to provider | 99.4% |
95.95%
3.5 pts better
|
Numerator 167 · Denominator 168 |
| Transfer of health information to patient | 98.47% |
96.28%
2.2 pts better
|
Numerator 193 · Denominator 196 |
| Resident COVID-19 vaccinations up to date | 23.53% |
25.2%
1.7 pts worse
|
Numerator 48 · Denominator 204 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
1.8
0.9 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 3.1 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.8
0.4 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.5 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.5% |
91.5%
About the same
|
93.4%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 78.8% · Q2 100.0% · Q3 88.4% · Q4 100.0% · 4Q avg 91.5% |
| 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 | 2.6% |
3.6%
1 pts better
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 2.0% · Q3 4.7% · Q4 2.2% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.2% |
4.8%
1.6 pts better
|
11.4%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 9.4% · Q3 2.4% · Q4 2.4% · 4Q avg 3.2% |
| Percentage of long-stay residents who lose too much weight | 4.4% |
7.2%
2.8 pts better
|
5.4%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 4.4% · Q3 2.6% · Q4 0.0% · 4Q avg 4.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.9% |
21.6%
7.7 pts better
|
19.6%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 12.2% · Q3 22.0% · Q4 13.3% · 4Q avg 13.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.9% |
15.0%
4.1 pts better
|
16.7%
5.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 12.9% · Q3 9.4% · Q4 20.6% · 4Q avg 10.9% · 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 | 35.5% |
21.5%
14 pts worse
|
16.3%
19.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 35.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 31.9% |
16.8%
15.1 pts worse
|
14.9%
17 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.7% · Q2 38.6% · Q3 17.6% · Q4 24.3% · 4Q avg 31.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.7% |
0.9%
3.8 pts worse
|
1.0%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 3.9% · Q3 5.3% · Q4 2.7% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.8% |
2.6%
1.2 pts worse
|
1.7%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 12.5% · Q4 4.4% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.7% |
21.2%
5.5 pts worse
|
19.8%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.9% · Q2 15.9% · Q3 19.5% · Q4 27.4% · 4Q avg 26.7% |
| Percentage of long-stay residents with pressure ulcers | 6.8% |
6.0%
0.8 pts worse
|
5.1%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 6.1% · Q3 3.8% · Q4 11.3% · 4Q avg 6.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 80.9% |
79.9%
1 pts better
|
81.7%
0.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 62.1% · Q2 85.9% · Q3 88.0% · Q4 84.1% · 4Q avg 80.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.8% |
13.2%
1.4 pts better
|
12.0%
0.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.8% · Observed 11.2% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
1.5%
0.2 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.8% · Q3 0.7% · Q4 1.1% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 85.5% |
78.1%
7.4 pts better
|
79.7%
5.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 85.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.1% |
22.9%
7.2 pts worse
|
23.9%
6.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.1% · Observed 27.5% · Expected 21.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-12-15 · Fire 2023-12-15
4 health deficiencies
Top issue: Resident Rights (2 deficiencies)
12 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (5 deficiencies)
Cycle 3
Health 2022-09-16 · Fire 2022-09-16
8 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-03-20
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-05-16
F · Potential for more than minimal harm
2023-12-15
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-25
F · Potential for more than minimal harm
2023-12-15
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-02-25
F · Potential for more than minimal harm
2023-12-15
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-02-25
F · Potential for more than minimal harm
2023-12-15
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 2024-02-25
F · Potential for more than minimal harm
2023-12-15
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-02-25
E · Potential for more than minimal harm
2023-12-15
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-02-25
E · Potential for more than minimal harm
2023-12-15
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-02-25
D · Potential for more than minimal harm
2023-12-15
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 2024-02-25
D · Potential for more than minimal harm
2023-12-15
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-02-25
D · Potential for more than minimal harm
2023-12-15
K364 · Smoke Deficiencies
Fire Safety
Install properly constructed windows in hallway walls or doors.
Corrected 2024-02-25
D · Potential for more than minimal harm
2023-12-15
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2024-02-25
D · Potential for more than minimal harm
2023-12-15
K922 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2024-02-25
D · Potential for more than minimal harm
2022-09-16
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-11-25
D · Potential for more than minimal harm
2022-09-16
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-11-25
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-12-09
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.
Not marked corrected
G · Actual harm
2023-12-15
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-07
D · Potential for more than minimal harm
2023-12-15
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-01-07
D · Potential for more than minimal harm
2023-12-15
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 2024-01-07
B · Minimal harm
2023-12-15
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-01-07
E · Potential for more than minimal harm
2022-09-16
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2022-10-14
E · Potential for more than minimal harm
2022-09-16
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 2022-10-14
D · Potential for more than minimal harm
2022-09-16
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 2022-10-14
D · Potential for more than minimal harm
2022-09-16
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2022-10-14
D · Potential for more than minimal harm
2022-09-16
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 2022-10-14
D · Potential for more than minimal harm
2022-09-16
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2022-10-14
D · Potential for more than minimal harm
2022-09-16
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 2022-10-14
D · Potential for more than minimal harm
2022-09-16
F914 · Environmental Deficiencies
Health
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Corrected 2022-10-14
Penalties and ownership
What sits behind the stars
$17,202
2023-12-15
Fine
Fine · fine $17,202
Fine
Ownership
Hillcrest Convalescent Center, Inc.
5% Or Greater Direct Ownership Interest · Organization
Smith, Lenwood
5% Or Greater Indirect Ownership Interest · Individual
Smith, Thomas
5% Or Greater Indirect Ownership Interest · Individual
Hoover, William
5% Or Greater Indirect Ownership Interest · Individual
Tattersall, Crystal
5% Or Greater Indirect Ownership Interest · Individual
Branch Banking & Trust Company
5% Or Greater Security Interest · Organization
Branch Banking & Trust Company
5% Or Greater Mortgage Interest · Organization
Hoover, Nadine
Corporate Director · Individual
Hoover, William
Corporate Officer · Individual
Humayun, Dabiruddin
Operational/Managerial Control · Individual
Judd, Leslie
Operational/Managerial Control · Individual
Lee, Lisa
Operational/Managerial Control · Individual
Smith, Thomas
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Rex Rehab & Nursing Care Center
Raleigh, NC
4-star overall rating with 4-star inspections with $15,646 in total fines with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
The Cardinal at North Hills
Raleigh, NC
4-star overall rating with 4-star inspections with $7,901 in total fines with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Raleigh Rehabilitation Center
Raleigh, NC
2-star overall rating with 3-star inspections with $77,760 in total fines with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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