0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Charlotte, NC
5-star overall rating with 5-star inspections
200 Hawthorne Lane, Charlotte, NC
(704) 384-4000
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
12
Certified beds
Average residents
11
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1994-10-31
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
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
RN hours / resident day
1.99
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
1.78
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.84
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
6.61
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
3.77
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
6.14
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
1.84
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.86
CMS adjusted RN staffing hours
Adjusted total hours
6.19
CMS adjusted total nurse staffing hours
Case-mix index
1.46
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
61%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
5,581
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
35.66
Composite VBP score used to determine payment impact.
Payment multiplier
0.9893
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.74
Performance 19.24% · Measure score 4.74 · Achievement 4.74 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
5.96
Performance 6.05% · Measure score 5.96 · Achievement 5.96 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
0
Performance 64.29% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.73% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 104 · Observed rate 8.65% · Lower 95% interval 7.68% |
| Discharge to community | 75.08% |
50.57%
24.5 pts better
|
Better than the National Rate · Eligible stays 97 · Observed rate 81.44% · Lower 95% interval 68.56% |
| Medicare spending per beneficiary | 0.71 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 88 · Denominator 88 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 88 |
| Discharge self-care score | 55% |
53.69%
1.3 pts better
|
Numerator 44 · Denominator 80 |
| Discharge mobility score | 70% |
50.94%
19.1 pts better
|
Numerator 56 · Denominator 80 |
| Pressure ulcers or injuries, new or worsened | 1.14% |
2.29%
1.2 pts better
|
Numerator 1 · Denominator 88 · Adjusted rate 2.22% |
| Healthcare-associated infections requiring hospitalization | 6.05% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 62 · Observed rate 1.61% · Lower 95% interval 4.19% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 44 |
| Staff flu vaccination coverage | 92.19% |
42%
50.2 pts better
|
Numerator 59 · Denominator 64 |
| Discharge function score | 70% |
56.45%
13.5 pts better
|
Numerator 56 · Denominator 80 |
| Transfer of health information to provider | 96.2% |
95.95%
0.2 pts better
|
Numerator 76 · Denominator 79 |
| 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 | 72.09% |
25.2%
46.9 pts better
|
Numerator 31 · Denominator 43 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.2% |
79.9%
19.3 pts better
|
81.7%
17.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.5% · Q4 98.6% · 4Q avg 99.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.8% |
13.2%
7.4 pts better
|
12.0%
6.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.8% · Observed 5.4% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.5%
0.8 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.5% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.2% |
78.1%
21.1 pts better
|
79.7%
19.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 99.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.6% |
22.9%
4.3 pts better
|
23.9%
5.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.6% · Observed 15.2% · Expected 19.5% · Used in QM five-star |
Survey summary
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Nutrition and Dietary (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2019-12-19
Fire Safety
Have exits that are accessible at all times.
Corrected 2019-12-19
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-12-19
Inspection history
Health
Dispose of garbage and refuse properly.
Corrected 2024-09-10
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-09-10
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-09-10
Health
Dispose of garbage and refuse properly.
Corrected 2023-05-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-16
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Nearby options
Charlotte, NC
1-star overall rating with 1-star inspections with $70,925 in total fines with 9 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Charlotte, NC
3-star overall rating with 3-star inspections with $14,069 in total fines with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Charlotte, NC
3-star overall rating with 2-star inspections with $40,250 in total fines with 10 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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