Federal inspection record · CMS data as of October 1, 2026
Lenoir Health and Rehabilitation Center
322 Nuway Circle, Lenoir, NC · (828) 758-7326
- Certified beds
- 120
- Residents per day
- 113
- Ownership
- For-Profit
- Chain
- Lifeworks Rehab
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 1, 1977
1
How this home got 1 star
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Lenoir Health and Rehabilitation Center carries 105 inspection points. That is fewer than 12% of North Carolina's 415 rated homes.
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
35 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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.
Harm and immediate-jeopardy citations (3)
-
G
Ensure that residents are free from significant medication errors.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Everything else, by area of care
Resident Rights7D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Keep residents' personal and medical records private and confidential.
- B
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care6E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide activities to meet all resident's needs.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Freedom from Abuse, Neglect, and Exploitation5E
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- E
Protect each resident from the wrongful use of the resident's belongings or money.
Pharmacy Service3D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
- D
Ensure that residents are free from significant medication errors.
Resident Assessment and Care Planning3D
- D
Assess the resident when there is a significant change in condition
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services2F
- B
Post nurse staffing information every day.
- F
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.
Environmental1E
- E
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Administration1D
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspection history
2025-11-24
14 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2024-08-08
14 health deficiencies · 4 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
2023-04-19
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 33 min of nursing staff time a day, 40 min of it from a registered nurse.
This home
3 h 33 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 70% of nursing staff and 86% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$65,953 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-02-05 | Fine | $35,464 |
| 2025-07-08 | Fine | $9,620 |
| 2024-08-08 | Fine | $20,869 |
| 2024-08-08 | Payment Denial · 8 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.3 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better | 1.5 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine15.3 pts worse | 77.1% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine8.4 pts worse | 86.3% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts worse | 4.1% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms14.4 pts worse | 21.2% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.7 pts better | 1.4% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication15.1 pts worse | 36.2% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.7 pts worse | 17.6% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.5 pts better | 15.1% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.8 pts better | 10.2% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 1.3% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.6 pts worse | 26.5% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts better | 5.3% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.1 pts worse | 66.4% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visitAbout the same | 12.7% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts better | 0.4% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.3 pts worse | 71.8% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.3 pts better | 18.9% | 22.2% | 23.4% |
·
Who owns and runs it
19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 322 Nuway Circle LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Acs Pro Global Solutions | Adp Of The SNF · Organization | 0% | 8 facilities |
| Bridgewater Nc Holdings LLC | Adp Of The SNF · Organization | 0% | 5 facilities |
| Burton, Noah | Trustee Of The SNF · Individual | 0% | 11 facilities |
| Clark, Kevin | Adp Of The SNF · Individual | 0% | 3 facilities |
| Cyop Cyber Security LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Ellenbogen, Moss | Trustee Of The SNF · Individual | 0% | 30 facilities |
| Ib Mimi 2022 Family Trust | Direct Ownership Interest · Organization | 0% | 7 facilities |
| Ib Mimi 2022 Family Trust | Adp Of The SNF · Organization | 0% | 7 facilities |
| Lambert, Mirana | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lambert, Mirana | Adp Of The SNF · Individual | 0% | 1 facilities |
| Lenoir Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 0% | 1 facilities |
| Maher, Cindy | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Milano Family Holdings LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Ml Milano 2022 Family Trust | Adp Of The SNF · Organization | 0% | 7 facilities |
| Rubin, Eliezer | Trustee Of The SNF · Individual | 0% | 6 facilities |
| Weiss, Hillel | Trustee Of The SNF · Individual | 0% | 13 facilities |
| Wingate, Shonda | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wingate, Shonda | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems2D
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have generator or other power source capable of supplying service within 10 seconds.
Smoke2D
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
Construction1D
- D
Use approved construction type or materials.
Egress1D
- D
Provide rooms that can be unlocked from inside without a key.
·
Other homes nearby
-
Hibriten Mountain Nursing and Rehabilitation
Lenoir, NC · Avardis Health · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 1 min
- Fines
- $16,801
-
Shaire Nursing Center
Lenoir, NC
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 53 min
- Fines
- $0
-
Hickory Falls Health and Rehabilitation
Granite Falls, NC · Sanstone Health & Rehabilitation
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 41 min
- Fines
- $51,188