Federal inspection record · CMS data as of October 1, 2026
Longleaf Neuro-Medical Treatment Center
4761 Ward Boulevard, Wilson, NC · (252) 399-2112
- Certified beds
- 248
- Residents per day
- 81
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 8, 1979
1
How this home got 3 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
-
Staffing
★★★★★+1 star
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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Longleaf Neuro-Medical Treatment Center carries 75.25 inspection points. That is fewer than 18% 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
21 health citations on record since 2022. 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 (6)
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
K
Respond appropriately to all alleged violations.
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J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
K
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Everything else, by area of care
Administration3E
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- C
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Resident Assessment and Care Planning3D
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care2D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service2E
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
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.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Nutrition and Dietary1D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services1D
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspection history
2025-06-18
4 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-03-14
5 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2022-09-09
12 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 9 h 11 min of nursing staff time a day, 1 h 42 min of it from a registered nurse.
This home
9 h 11 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 41% of nursing staff and 39% 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
Fines and payment denials
$170,749 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-05-14 | Fine | $13,286 |
| 2026-05-14 | Fine | $19,500 |
| 2026-05-14 | Payment Denial · 24 day denial | $0 |
| 2025-12-08 | Fine | $12,948 |
| 2025-12-08 | Payment Denial · 6 day denial | $0 |
| 2024-03-14 | Fine | $125,015 |
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 days0.7 pts worse | 2.4 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.4 pts worse | 3.1 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.2 pts better | 92.6% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.9 pts better | 96.6% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1 pts better | 2.4% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.2 pts better | 1.6% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.6 pts worse | 7.7% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication9 pts worse | 30.1% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication63.4 pts worse | 77.3% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.6 pts worse | 0.6% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.8 pts worse | 21.4% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.9 pts worse | 21.9% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.7% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts better | 1.2% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.2 pts better | 16.7% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.3 pts better | 2.1% | 5.4% | 4.5% |
·
Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress2D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Smoke2D
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems2D
- D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Have proper medical gas storage and administration areas.
Services1D
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
·
Other homes nearby
-
Wilson Rehabilitation and Nursing Center
Wilson, NC · Lifepoint Health
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 12 min
- Fines
- $0
-
Wilson Healthcare and Rehabilitation Center
Wilson, NC · Simcha Hyman & Naftali Zanziper
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 28 min
- Fines
- $0
-
Wilson Pines Nursing and Rehabilitation Center
Wilson, NC · Principle Long Term Care
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 35 min
- Fines
- $13,870