Wilmington, NC
2-star overall rating with 2-star inspections with $7,901 in total fines with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
3015 Enterprise Drive, Wilmington, NC
(910) 791-3451
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
140
Certified beds
Average residents
125
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Principle Long Term Care
Operator or chain grouping
Approved since
1979-08-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
44 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 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
RN hours / resident day
0.69
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
1.03
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
1.94
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.66
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.72
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.20
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.52
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.74
CMS adjusted RN staffing hours
Adjusted total hours
3.91
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
24%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
36%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
8,123
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.73
Composite VBP score used to determine payment impact.
Payment multiplier
0.9847
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 19.05% · Performance 21.40% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
1.53
Baseline 7.39% · Performance 7.38% · Measure score 1.53 · Achievement 1.53 · Improvement 0
Total nurse turnover
7.19
Baseline 57.50% · Performance 34.29% · Measure score 7.19 · Achievement 7.19 · Improvement 6.61
Adjusted total nurse staffing
2.37
Baseline 4.12 hours · Performance 3.75 hours · Measure score 2.37 · Achievement 2.37 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.3% |
10.72%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 218 · Observed rate 13.76% · Lower 95% interval 8.56% |
| Discharge to community | 57.17% |
50.57%
6.6 pts better
|
Better than the National Rate · Eligible stays 196 · Observed rate 48.47% · Lower 95% interval 50.72% |
| Medicare spending per beneficiary | 1.05 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 184 · Denominator 184 |
| Falls with major injury | 1.09% |
0.77%
0.3 pts worse
|
Numerator 2 · Denominator 184 |
| Discharge self-care score | 61.65% |
53.69%
8 pts better
|
Numerator 82 · Denominator 133 |
| Discharge mobility score | 58.65% |
50.94%
7.7 pts better
|
Numerator 78 · Denominator 133 |
| Pressure ulcers or injuries, new or worsened | 2.72% |
2.29%
0.4 pts worse
|
Numerator 5 · Denominator 184 · Adjusted rate 2.82% |
| Healthcare-associated infections requiring hospitalization | 7.38% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 149 · Observed rate 8.05% · Lower 95% interval 4.59% |
| Staff COVID-19 vaccination coverage | 0.61% |
8.2%
7.6 pts worse
|
Numerator 1 · Denominator 163 |
| Staff flu vaccination coverage | 15.05% |
42%
26.9 pts worse
|
Numerator 31 · Denominator 206 |
| Discharge function score | 69.17% |
56.45%
12.7 pts better
|
Numerator 92 · Denominator 133 |
| Transfer of health information to provider | 93.65% |
95.95%
2.3 pts worse
|
Numerator 118 · Denominator 126 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 5.15% |
25.2%
20 pts worse
|
Numerator 5 · Denominator 97 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
1.8
0.5 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 3.0 · Expected 2.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
1.8
0.3 pts worse
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.5 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 79.0% |
91.5%
12.5 pts worse
|
93.4%
14.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 77.5% · Q2 74.0% · Q3 77.3% · Q4 86.8% · 4Q avg 79.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.6% |
94.1%
0.5 pts worse
|
95.5%
1.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.7% |
3.6%
0.1 pts worse
|
3.3%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 4.0% · Q3 3.1% · Q4 1.9% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.3% |
4.8%
3.5 pts better
|
11.4%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 1.1% · Q4 2.0% · 4Q avg 1.3% |
| Percentage of long-stay residents who lose too much weight | 13.7% |
7.2%
6.5 pts worse
|
5.4%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 13.8% · Q3 14.0% · Q4 11.1% · 4Q avg 13.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.6% |
21.6%
3 pts better
|
19.6%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 20.8% · Q3 17.0% · Q4 14.1% · 4Q avg 18.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.5% |
15.0%
5.5 pts worse
|
16.7%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 16.0% · Q3 21.4% · Q4 29.2% · 4Q avg 20.5% · 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 | 14.5% |
21.5%
7 pts better
|
16.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 16.1% · Q3 20.4% · Q4 12.3% · 4Q avg 14.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.4% |
16.8%
3.4 pts better
|
14.9%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 14.3% · Q3 16.3% · Q4 13.5% · 4Q avg 13.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
0.9%
0.4 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 0.0% · Q4 1.2% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.3% |
2.6%
0.3 pts better
|
1.7%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 3.1% · Q3 2.1% · Q4 1.9% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.9% |
21.2%
12.3 pts better
|
19.8%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 9.1% · Q3 10.5% · Q4 8.9% · 4Q avg 8.9% |
| Percentage of long-stay residents with pressure ulcers | 6.2% |
6.0%
0.2 pts worse
|
5.1%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 3.9% · Q3 5.7% · Q4 6.9% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.0% |
79.9%
9.1 pts better
|
81.7%
7.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 79.2% · Q2 87.3% · Q3 94.0% · Q4 94.7% · 4Q avg 89.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.1% |
13.2%
1.9 pts worse
|
12.0%
3.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.1% · Observed 16.4% · Expected 12.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.5%
0.9 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 0.8% · Q4 0.9% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.8% |
78.1%
9.7 pts better
|
79.7%
8.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.0% |
22.9%
3.1 pts worse
|
23.9%
2.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.0% · Observed 29.9% · Expected 27.4% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-07-31
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-07-31
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-07-31
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2024-07-31
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-02-13
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-04-07
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-04-07
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-04-07
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-04-07
Inspection history
Health
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.
Corrected 2025-07-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-28
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-07-28
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-07-28
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-07-28
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-07-28
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-06-09
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-07-28
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-06-24
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-06-24
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-06-24
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-06-24
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-06-24
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-06-24
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-06-24
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-06-24
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-06-24
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-06-24
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-06-24
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-06-24
Health
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.
Corrected 2024-06-24
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-24
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-02
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-13
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-02-13
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-02-13
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-02-13
Penalties and ownership
Fine · fine $7,901
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Nearby options
Wilmington, NC
3-star overall rating with 3-star inspections with $5,244 in total fines with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Wilmington, NC
2-star overall rating with 2-star inspections with abuse icon flag with $20,988 in total fines with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Wilmington, NC
5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
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