Cycle 1
Health 2025-01-31 · Fire 2025-01-31
1 health deficiencies
Top issue: Administration (1 deficiency)
5 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
High Point, NC
Maryfield Nursing Home
4-star overall rating with 4-star inspections with 1 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
1315 Greensboro Road, High Point, NC
(336) 821-4000
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
115
Certified beds
Average residents
111
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1973-07-01
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
0.54
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
0.66
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.56
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.76
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.20
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.36
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.31
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.59
CMS adjusted RN staffing hours
Adjusted total hours
4.10
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
56%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
28%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
950
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
61.79
Composite VBP score used to determine payment impact.
Payment multiplier
1.0168
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.93
Baseline 18.39% · Performance 18.68% · Measure score 5.93 · Achievement 5.93 · Improvement 0
Healthcare-associated infections
8.27
Baseline 6.64% · Performance 5.36% · Measure score 8.27 · Achievement 8.27 · Improvement 7.26
Total nurse turnover
5.43
Baseline 32.90% · Performance 41.50% · Measure score 5.43 · Achievement 5.43 · Improvement 0
Adjusted total nurse staffing
5.09
Baseline 4.37 hours · Performance 4.52 hours · Measure score 5.09 · Achievement 5.09 · Improvement 0.59
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.4% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 159 · Observed rate 8.81% · Lower 95% interval 7.5% |
| Discharge to community | 51.06% |
50.57%
0.5 pts better
|
No Different than the National Rate · Eligible stays 148 · Observed rate 49.32% · Lower 95% interval 42.67% |
| Medicare spending per beneficiary | 0.65 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | 91.18% |
95.27%
4.1 pts worse
|
Numerator 93 · Denominator 102 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 102 |
| Discharge self-care score | 56.98% |
53.69%
3.3 pts better
|
Numerator 49 · Denominator 86 |
| Discharge mobility score | 27.91% |
50.94%
23 pts worse
|
Numerator 24 · Denominator 86 |
| Pressure ulcers or injuries, new or worsened | 0.98% |
2.29%
1.3 pts better
|
Numerator 1 · Denominator 102 · Adjusted rate 1.37% |
| Healthcare-associated infections requiring hospitalization | 5.36% |
7.12%
1.8 pts better
|
No Different than the National Rate · Eligible stays 90 · Observed rate 1.11% · Lower 95% interval 2.75% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 274 |
| Staff flu vaccination coverage | 19.35% |
42%
22.6 pts worse
|
Numerator 54 · Denominator 279 |
| Discharge function score | 52.33% |
56.45%
4.1 pts worse
|
Numerator 45 · Denominator 86 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 91.55% |
96.28%
4.7 pts worse
|
Numerator 65 · Denominator 71 |
| Resident COVID-19 vaccinations up to date | 56.86% |
25.2%
31.7 pts better
|
Numerator 29 · Denominator 51 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.8
0.7 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.8 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.8
1.3 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.4 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
91.5%
8.2 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.9% · Q4 100.0% · 4Q avg 99.7% |
| 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 | 4.5% |
3.6%
0.9 pts worse
|
3.3%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 3.3% · Q3 5.7% · Q4 5.4% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.8% |
4.8%
3 pts better
|
11.4%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 2.3% · Q3 2.5% · Q4 1.1% · 4Q avg 1.8% |
| Percentage of long-stay residents who lose too much weight | 7.9% |
7.2%
0.7 pts worse
|
5.4%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 7.5% · Q3 5.1% · Q4 11.0% · 4Q avg 7.9% |
| 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 14.6% · Q2 17.3% · Q3 22.0% · Q4 24.4% · 4Q avg 19.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.2% |
15.0%
3.8 pts better
|
16.7%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 12.3% · Q3 9.2% · Q4 14.1% · 4Q avg 11.2% · 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 | 12.6% |
21.5%
8.9 pts better
|
16.3%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 21.0% · Q3 0.0% · Q4 8.8% · 4Q avg 12.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.3% |
16.8%
0.5 pts better
|
14.9%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 13.2% · Q3 18.4% · Q4 10.4% · 4Q avg 16.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
0.9%
0.1 pts better
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · 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 4.9% · Q2 2.2% · Q3 4.8% · Q4 3.4% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.5% |
21.2%
0.7 pts better
|
19.8%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 23.4% · Q3 18.4% · Q4 19.0% · 4Q avg 20.5% |
| Percentage of long-stay residents with pressure ulcers | 3.1% |
6.0%
2.9 pts better
|
5.1%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 7.4% · Q3 0.0% · Q4 3.3% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 82.8% |
79.9%
2.9 pts better
|
81.7%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 93.5% · Q2 70.9% · Q3 75.9% · Q4 91.4% · 4Q avg 82.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.2% |
13.2%
2 pts better
|
12.0%
0.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.2% · Observed 10.0% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.4% |
1.5%
0.9 pts worse
|
1.6%
0.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 2.7% · Q4 3.9% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.7% |
78.1%
16.6 pts better
|
79.7%
15 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.5% |
22.9%
1.6 pts worse
|
23.9%
0.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.5% · Observed 22.0% · Expected 21.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-09-21 · Fire 2023-09-21
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-03-17 · Fire 2022-03-17
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-01-31
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-03-19
E · Potential for more than minimal harm
2025-01-31
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-03-19
D · Potential for more than minimal harm
2025-01-31
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-03-19
D · Potential for more than minimal harm
2025-01-31
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-03-19
D · Potential for more than minimal harm
2025-01-31
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-03-19
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-01-31
F851 · Administration Deficiencies
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2025-02-14
Penalties and ownership
What sits behind the stars
Ownership
Fly, Gary
Corporate Director · Individual
Franklin Resources Inc
5% Or Greater Security Interest · Organization
Hennessy, Lucy
Corporate Officer · Individual
Hollingsworth, Vonda
W-2 Managing Employee · Individual
Hughes, Joseph
Corporate Director · Individual
Maryfield, Inc.
Operational/Managerial Control · Organization
Newman, Richard
Corporate Officer · Individual
Poor Servants Of The Mother Of God Inc
Operational/Managerial Control · Organization
Shalek, Thaddeus
Corporate Officer · Individual
Terrell, Thomas
Corporate Director · Individual
Vanguard Group Inc
5% Or Greater Security Interest · Organization
Nearby options
Other facilities in reach
#1
The Shannon Gray Rehabilitation & Recovery Center
Jamestown, NC
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Meridian Center
High Point, NC
1-star overall rating with 2-star inspections with $118,162 in total fines with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Adams Farm Living & Rehabilitation
Jamestown, NC
2-star overall rating with 2-star inspections with $37,310 in total fines with 6 recent health deficiencies
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