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

Ignite Medical Resort Shelby

1404 N Lafayette Street, Shelby, NC · (980) 487-1500

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
120
Residents per day
103
Ownership
For-Profit
Chain
Atrium Health
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 30, 1988

1

How this home got 4 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

    no change

    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

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among North Carolina homes

Ignite Medical Resort Shelby carries 29 inspection points. That is fewer than 47% 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 · 29 pts · 3★

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

13 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 9 4 pts
E 4 8 pts
F 0 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

Quality of Life and Care5E
  1. E

    Provide appropriate foot care.

    November 18, 2025 · Standard · F687 · Corrected December 16, 2025

  2. E

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    November 18, 2025 · Standard · F700 · Corrected December 16, 2025

  3. D

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

    November 18, 2025 · Standard · F695 · Corrected December 16, 2025

  4. E

    Provide activities to meet all resident's needs.

    July 18, 2024 · Standard · F679 · Corrected August 30, 2024

  5. D

    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.

    July 18, 2024 · Standard · F688 · Corrected August 15, 2024

Infection Control2D
  1. D

    Provide and implement an infection prevention and control program.

    July 18, 2024 · Standard · F880 · Corrected August 15, 2024

  2. D

    Provide and implement an infection prevention and control program.

    March 23, 2023 · Standard · F880 · Corrected April 30, 2023

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

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

    November 18, 2025 · Standard · F607 · Corrected December 16, 2025

Resident Assessment and Care Planning1D
  1. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    November 18, 2025 · Standard · F644 · Corrected December 16, 2025

Pharmacy Service1D
  1. D

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

    November 18, 2025 · Standard · F755 · Corrected December 16, 2025

Resident Rights1D
  1. 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.

    July 18, 2024 · Standard · F578 · Corrected August 15, 2024

Nutrition and Dietary1E
  1. E

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

    March 23, 2023 · Standard · F812 · Corrected April 30, 2023

Administration1D
  1. D

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

    March 23, 2023 · Standard · F867 · Corrected April 30, 2023

Inspection history

  1. 2025-11-18

    6 health deficiencies · 1 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  2. 2024-07-18

    4 health deficiencies · 3 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  3. 2023-03-23

    3 health deficiencies · 1 fire-safety deficiencies

    Top issue: Administration (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 6 min of nursing staff time a day, 22 min of it from a registered nurse.

This home

3 h 6 min

North Carolina average

3 h 52 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 47% of nursing staff and 50% 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 days0.5 pts better1.21.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts better0.61.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.6 pts better100.0%92.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.3 pts better99.0%94.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts better1.9%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms5.7 pts better1.1%6.8%13.5%
Percentage of long-stay residents who lose too much weight3.8 pts better3.3%7.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication5.4 pts worse26.5%21.1%19.5%
Percentage of long-stay residents who received an antipsychotic medication9.2 pts better4.7%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 worsened4.5 pts better12.1%16.6%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased6 pts worse21.0%15.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better0.3%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection0.2 pts better1.9%2.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.1 pts worse29.0%19.9%18.3%
Percentage of long-stay residents with pressure ulcers2.1 pts better3.3%5.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17 pts better98.5%81.5%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit3.9 pts better8.8%12.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better0.0%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.5 pts better92.6%81.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4 pts worse26.2%22.2%23.4%

·

Fire safety

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

Gas, Vacuum, and Electrical Systems2D
  1. D

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

    July 18, 2024 · K918 · Corrected September 27, 2024

  2. D

    Ensure electrical receptacles or cover plates have distinctive color or marking.

    March 23, 2023 · K917 · Corrected May 5, 2023

Smoke1D
  1. D

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    November 18, 2025 · K372 · Corrected January 30, 2026

Construction1D
  1. D

    Use approved construction type or materials.

    July 18, 2024 · K161 · Corrected September 27, 2024

Services1D
  1. D

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

    July 18, 2024 · K521 · Corrected September 27, 2024

·

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