Cycle 1
Health 2025-02-14 · Fire 2025-02-14
2 health deficiencies
Top issue: Resident Rights (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Thomasville, NC
Piedmont Crossing
5-star overall rating with 5-star inspections with 2 recent health deficiencies
100 Hedrick Drive, Thomasville, NC
(336) 472-2017
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
104
Certified beds
Average residents
76
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Everyage Senior Living
Operator or chain grouping
Approved since
1989-11-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
4 facilities
Chain averages 5 overall / 5 health / 5 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
Hours and turnover
RN hours / resident day
0.67
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
3.11
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.81
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.70
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
4.13
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.30
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.82
CMS adjusted RN staffing hours
Adjusted total hours
5.89
CMS adjusted total nurse staffing hours
Case-mix index
1.12
Higher values indicate more complex resident acuity
RN turnover
39%
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
830
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
63.18
Composite VBP score used to determine payment impact.
Payment multiplier
1.0180
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.23
Baseline 17.22% · Performance 19.93% · Measure score 3.23 · Achievement 3.23 · Improvement 0
Healthcare-associated infections
5.46
Baseline 5.07% · Performance 6.20% · Measure score 5.46 · Achievement 5.46 · Improvement 0
Total nurse turnover
7.77
Baseline 27.91% · Performance 31.91% · Measure score 7.77 · Achievement 7.77 · Improvement 0
Adjusted total nurse staffing
8.81
Baseline 5.47 hours · Performance 5.59 hours · Measure score 8.81 · Achievement 8.81 · Improvement 3.28
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.9% |
10.72%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 131 · Observed rate 10.69% · Lower 95% interval 8.57% |
| Discharge to community | 54.08% |
50.57%
3.5 pts better
|
No Different than the National Rate · Eligible stays 134 · Observed rate 52.24% · Lower 95% interval 46.62% |
| Medicare spending per beneficiary | 0.96 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 68 · Denominator 68 |
| Falls with major injury | 1.47% |
0.77%
0.7 pts worse
|
Numerator 1 · Denominator 68 |
| Discharge self-care score | 70.18% |
53.69%
16.5 pts better
|
Numerator 40 · Denominator 57 |
| Discharge mobility score | 64.91% |
50.94%
14 pts better
|
Numerator 37 · Denominator 57 |
| Pressure ulcers or injuries, new or worsened | 7.35% |
2.29%
5.1 pts worse
|
Numerator 5 · Denominator 68 · Adjusted rate 9.98% |
| Healthcare-associated infections requiring hospitalization | 6.2% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 89 · Observed rate 3.37% · Lower 95% interval 3.15% |
| Staff COVID-19 vaccination coverage | 3.59% |
8.2%
4.6 pts worse
|
Numerator 8 · Denominator 223 |
| Staff flu vaccination coverage | 27.38% |
42%
14.6 pts worse
|
Numerator 72 · Denominator 263 |
| Discharge function score | 71.93% |
56.45%
15.5 pts better
|
Numerator 41 · Denominator 57 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 46 · Denominator 46 |
| 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 | 50% |
25.2%
24.8 pts better
|
Numerator 17 · Denominator 34 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
1.8
0.6 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.2 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
1.8
0.2 pts better
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.4 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.5%
8.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.7% |
94.1%
3.4 pts worse
|
95.5%
4.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.9% |
3.6%
1.7 pts better
|
3.3%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.5% · Q3 1.6% · Q4 2.9% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.2% |
4.8%
0.6 pts better
|
11.4%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 1.7% · Q3 1.8% · Q4 5.1% · 4Q avg 4.2% |
| Percentage of long-stay residents who lose too much weight | 7.2% |
7.2%
About the same
|
5.4%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 8.5% · Q3 6.9% · Q4 3.2% · 4Q avg 7.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.3% |
21.6%
0.3 pts better
|
19.6%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.3% · Q2 21.3% · Q3 20.7% · Q4 21.9% · 4Q avg 21.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.0% |
15.0%
3 pts better
|
16.7%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 11.8% · Q3 10.0% · Q4 12.3% · 4Q avg 12.0% · 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 | 23.7% |
21.5%
2.2 pts worse
|
16.3%
7.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.3% · Q2 30.9% · Q3 19.7% · Q4 17.2% · 4Q avg 23.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.1% |
16.8%
7.3 pts worse
|
14.9%
9.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.0% · Q2 21.6% · Q3 30.8% · Q4 22.0% · 4Q avg 24.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
0.9%
0.2 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.3% · Q4 1.6% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
2.6%
1.4 pts better
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 3.2% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.4% |
21.2%
1.2 pts worse
|
19.8%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 20.9% · Q3 24.1% · Q4 22.3% · 4Q avg 22.4% |
| Percentage of long-stay residents with pressure ulcers | 3.9% |
6.0%
2.1 pts better
|
5.1%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 5.8% · Q3 2.4% · Q4 3.9% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% |
79.9%
18.8 pts better
|
81.7%
17 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.8% · Q3 98.7% · Q4 97.4% · 4Q avg 98.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.0% |
13.2%
7.2 pts better
|
12.0%
6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.0% · Observed 5.5% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.5%
1 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.5% |
78.1%
17.4 pts better
|
79.7%
15.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.4% |
22.9%
5.5 pts better
|
23.9%
6.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.4% · Observed 14.5% · Expected 19.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-10-13 · Fire 2023-10-13
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2022-09-09 · Fire 2022-09-09
8 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2023-10-13
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-11-28
D · Potential for more than minimal harm
2022-09-09
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2022-11-17
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-02-14
F626 · Resident Rights Deficiencies
Health
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2025-03-07
B · Minimal harm
2025-02-14
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2025-03-07
E · Potential for more than minimal harm
2023-10-13
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-31
E · Potential for more than minimal harm
2022-09-09
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2022-09-09
D · Potential for more than minimal harm
2022-09-09
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-09-28
D · Potential for more than minimal harm
2022-09-09
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2022-09-28
D · Potential for more than minimal harm
2022-09-09
F761 · Pharmacy Service Deficiencies
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 2022-09-28
D · Potential for more than minimal harm
2022-09-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-10-10
B · Minimal harm
2022-09-09
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-09-28
B · Minimal harm
2022-09-09
F657 · Resident Assessment and Care Planning Deficiencies
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 2022-09-28
B · Minimal harm
2022-09-09
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-09-28
Penalties and ownership
What sits behind the stars
Ownership
Abernethy, Julius
Corporate Director · Individual
Alcorn, Gregory
Corporate Director · Individual
Bolick, Lawrence
Corporate Director · Individual
Branch, Anthony
Corporate Director · Individual
Clapp, Kenneth
Corporate Director · Individual
Erdman, Charles
Corporate Director · Individual
Gilliam, Jeffrey J
Corporate Director · Individual
Gray, Paul
Corporate Director · Individual
Horton, Michelle
Corporate Director · Individual
Howell, Parker
Corporate Director · Individual
Jones, Tammy
Corporate Officer · Individual
Maddox, Lamont
Corporate Director · Individual
March, Mills
Corporate Director · Individual
Reimann, Aimee
Corporate Officer · Individual
Sloan, Heather
Corporate Officer · Individual
Smith, Shane
Corporate Director · Individual
Stone, Susan
Corporate Director · Individual
Street, Jody
Corporate Director · Individual
Sullivan, Diana
Corporate Director · Individual
Syria, Lee
Operational/Managerial Control · Individual
Syria, Lee
Corporate Officer · Individual
Thie, Ronald
Corporate Director · Individual
Tobin, Cory
Corporate Director · Individual
Wiley, Margaret
Corporate Director · Individual
Wood, Kathy
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Pine Ridge Health and Rehabilitation Center
Thomasville, NC
4-star overall rating with 3-star inspections with 7 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#2
Magnolia Gardens Center for Nursing and Rehabilita
Thomasville, NC
2-star overall rating with 2-star inspections with $16,153 in total fines with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Abbotts Creek Center
Lexington, NC
3-star overall rating with 4-star inspections with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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