Cycle 1
Health 2025-06-19 · Fire 2024-06-05
4 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Pinehurst, NC
Inn at Quail Haven Village
2-star overall rating with 2-star inspections with abuse icon flag with $10,517 in total fines with 4 recent health deficiencies
155 Blake Boulevard, Pinehurst, NC
(910) 295-2294
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
35
Certified beds
Average residents
45
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Liberty Senior Living
Operator or chain grouping
Approved since
2002-09-12
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
35 facilities
Chain averages 3 overall / 3 health / 2 staffing / 3 quality stars
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
0.61
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
1.11
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.46
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.17
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.71
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.47
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.28
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.61
CMS adjusted RN staffing hours
Adjusted total hours
4.22
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,580
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
55.54
Composite VBP score used to determine payment impact.
Payment multiplier
1.0106
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.62
Baseline 24.05% · Performance 20.45% · Measure score 4.62 · Achievement 2.11 · Improvement 4.62
Healthcare-associated infections
6.34
Baseline 6.13% · Performance 5.94% · Measure score 6.34 · Achievement 6.34 · Improvement 1.18
Total nurse turnover
7.13
Baseline 30.19% · Performance 34.54% · Measure score 7.13 · Achievement 7.13 · Improvement 0
Adjusted total nurse staffing
4.12
Baseline 4.21 hours · Performance 4.25 hours · Measure score 4.12 · Achievement 4.12 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.77% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 223 · Observed rate 8.97% · Lower 95% interval 8.16% |
| Discharge to community | 57.36% |
50.57%
6.8 pts better
|
No Different than the National Rate · Eligible stays 206 · Observed rate 53.4% · Lower 95% interval 50.18% |
| Medicare spending per beneficiary | 0.93 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 123 · Denominator 123 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 123 |
| Discharge self-care score | 25.81% |
53.69%
27.9 pts worse
|
Numerator 24 · Denominator 93 |
| Discharge mobility score | 41.94% |
50.94%
9 pts worse
|
Numerator 39 · Denominator 93 |
| Pressure ulcers or injuries, new or worsened | 3.25% |
2.29%
1 pts worse
|
Numerator 4 · Denominator 123 · Adjusted rate 2.4% |
| Healthcare-associated infections requiring hospitalization | 5.94% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 123 · Observed rate 4.07% · Lower 95% interval 3.32% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 89 |
| Staff flu vaccination coverage | 39.29% |
42%
2.7 pts worse
|
Numerator 44 · Denominator 112 |
| Discharge function score | 36.56% |
56.45%
19.9 pts worse
|
Numerator 34 · Denominator 93 |
| Transfer of health information to provider | 98.46% |
95.95%
2.5 pts better
|
Numerator 64 · Denominator 65 |
| Transfer of health information to patient | 91.89% |
96.28%
4.4 pts worse
|
Numerator 34 · Denominator 37 |
| Resident COVID-19 vaccinations up to date | 12.28% |
25.2%
12.9 pts worse
|
Numerator 7 · Denominator 57 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.8
0.3 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.2 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
1.8
0.1 pts better
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.4 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.5%
8.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 10.6% |
3.6%
7 pts worse
|
3.3%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 14.7% · Q3 11.1% · Q4 10.0% · 4Q avg 10.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.8% |
4.8%
4 pts better
|
11.4%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% |
| 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 8.3% · Q2 16.7% · Q3 14.3% · Q4 8.3% · 4Q avg 12.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.6% |
21.6%
2 pts better
|
19.6%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 24.0% · Q2 20.0% · Q3 14.3% · Q4 20.8% · 4Q avg 19.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 25.6% |
15.0%
10.6 pts worse
|
16.7%
8.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 25.0% · Q3 24.0% · 4Q avg 25.6% · 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 | 27.2% |
21.5%
5.7 pts worse
|
16.3%
10.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 27.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.7% |
16.8%
1.9 pts worse
|
14.9%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.8% · Q2 23.8% · Q3 15.4% · Q4 4.5% · 4Q avg 18.7% · 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 | 3.8% |
2.6%
1.2 pts worse
|
1.7%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 9.1% · Q3 0.0% · Q4 6.7% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.8% |
21.2%
5.6 pts worse
|
19.8%
7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 32.7% · Q3 35.1% · Q4 21.2% · 4Q avg 26.8% |
| Percentage of long-stay residents with pressure ulcers | 5.4% |
6.0%
0.6 pts better
|
5.1%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 6.4% · Q3 7.1% · Q4 0.0% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
79.9%
19.9 pts better
|
81.7%
18.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 99.4% · 4Q avg 99.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.4% |
13.2%
2.2 pts worse
|
12.0%
3.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.4% · Observed 13.8% · Expected 10.0% · Used in QM five-star |
| 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 · Q1 1.5% · Q2 4.1% · Q3 1.0% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% |
78.1%
21.9 pts better
|
79.7%
20.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.3% |
22.9%
0.4 pts worse
|
23.9%
0.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.3% · Observed 19.3% · Expected 19.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-05 · Fire 2023-03-23
2 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-03-23 · Fire 2021-08-25
14 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-06-19
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 2025-07-07
D · Potential for more than minimal harm
2025-06-19
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-07-07
D · Potential for more than minimal harm
2025-06-19
F700 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2025-07-07
D · Potential for more than minimal harm
2025-06-19
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-07
D · Potential for more than minimal harm
2024-06-05
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-11-21
D · Potential for more than minimal harm
2024-06-05
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-06-13
G · Actual harm
2023-03-23
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 2023-04-11
F · Potential for more than minimal harm
2023-03-23
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 2023-04-11
E · Potential for more than minimal harm
2023-03-23
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2023-04-11
E · Potential for more than minimal harm
2023-03-23
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-04-11
D · Potential for more than minimal harm
2023-03-23
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 2023-04-11
D · Potential for more than minimal harm
2023-03-23
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-04-11
D · Potential for more than minimal harm
2023-03-23
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-04-11
D · Potential for more than minimal harm
2023-03-23
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-04-11
D · Potential for more than minimal harm
2023-03-23
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-04-11
D · Potential for more than minimal harm
2023-03-23
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 2023-04-11
D · Potential for more than minimal harm
2023-03-23
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-04-11
D · Potential for more than minimal harm
2023-03-23
F947 · Nursing and Physician Services Deficiencies
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2023-04-11
B · Minimal harm
2023-03-23
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-04-11
B · Minimal harm
2023-03-23
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-04-11
Penalties and ownership
What sits behind the stars
$4,963
2023-03-23
Fine
Fine · fine $4,963
Fine
$5,554
2023-03-23
Fine
Fine · fine $5,554
Fine
Ownership
Mcneill, John
5% Or Greater Direct Ownership Interest · Individual
Mcneill, Ronald
5% Or Greater Direct Ownership Interest · Individual
Bork, Matthew
Operational/Managerial Control · Individual
Calcutt, Joeseph V
Operational/Managerial Control · Individual
Hofstetter, Crystal
W-2 Managing Employee · Individual
Mcneill, Ronald
Operational/Managerial Control · Individual
Miller, Robert
Corporate Director · Individual
Purifoy, Penny
Corporate Director · Individual
Wilson, Jeffrey
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Pinehurst Healthcare & Rehabilitation Center
Pinehurst, NC
3-star overall rating with 3-star inspections with $9,620 in total fines with 4 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Saint Joseph of the Pines Health Center
Pinehurst, NC
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
The Greens at Pinehurst Rehabilitation & Living Ce
Pinehurst, NC
3-star overall rating with 3-star inspections with $41,844 in total fines with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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