5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Salisbury, NC
3-star overall rating with 3-star inspections with $8,512 in total fines with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
610 West Fisher Street, Salisbury, NC
(704) 633-2781
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
58
Certified beds
Average residents
43
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Saber Healthcare Group
Operator or chain grouping
Approved since
1975-03-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
126 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
0.44
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
1.01
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.35
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.79
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.44
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.49
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.35
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.46
CMS adjusted RN staffing hours
Adjusted total hours
3.99
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
67%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
34%
Annual nurse turnover · state 50% · national 46%
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 11 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 5 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | 94.59% |
95.27%
0.7 pts worse
|
Numerator 35 · Denominator 37 |
| Falls with major injury | 2.7% |
0.77%
1.9 pts worse
|
Numerator 1 · Denominator 37 |
| Discharge self-care score | 57.14% |
53.69%
3.5 pts better
|
Numerator 12 · Denominator 21 |
| Discharge mobility score | 42.86% |
50.94%
8.1 pts worse
|
Numerator 9 · Denominator 21 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 37 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 7 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 33 |
| Staff flu vaccination coverage | 76.67% |
42%
34.7 pts better
|
Numerator 46 · Denominator 60 |
| Discharge function score | 57.14% |
56.45%
0.7 pts better
|
Numerator 12 · Denominator 21 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 30.3% |
25.2%
5.1 pts better
|
Numerator 10 · Denominator 33 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.3% |
91.5%
2.2 pts worse
|
93.4%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 87.5% · Q3 85.7% · Q4 93.8% · 4Q avg 89.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.3% |
94.1%
1.8 pts worse
|
95.5%
3.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.9% |
3.6%
0.3 pts worse
|
3.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 4.2% · Q3 3.6% · Q4 3.1% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.8% |
4.8%
6 pts worse
|
11.4%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 20.0% · Q3 15.4% · Q4 3.3% · 4Q avg 10.8% |
| Percentage of long-stay residents who lose too much weight | 8.2% |
7.2%
1 pts worse
|
5.4%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 8.7% · Q3 3.7% · Q4 16.7% · 4Q avg 8.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.8% |
21.6%
5.2 pts worse
|
19.6%
7.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 34.8% · Q3 22.2% · Q4 20.0% · 4Q avg 26.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.5% |
15.0%
11.5 pts better
|
16.7%
13.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 4.0% · Q4 7.7% · 4Q avg 3.5% · 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 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 26.5% |
21.5%
5 pts worse
|
16.3%
10.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 26.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 22.4% |
16.8%
5.6 pts worse
|
14.9%
7.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 15.0% · Q3 22.7% · Q4 13.8% · 4Q avg 22.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 6.8% |
2.6%
4.2 pts worse
|
1.7%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 4.2% · Q3 3.6% · Q4 6.2% · 4Q avg 6.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.9% |
21.2%
1.7 pts worse
|
19.8%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 19.9% · Q3 26.6% · Q4 21.2% · 4Q avg 22.9% |
| 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 · Q2 3.2% · Q3 3.2% · Q4 7.2% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 56.5% |
79.9%
23.4 pts worse
|
81.7%
25.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 46.9% · Q2 45.7% · Q3 58.5% · Q4 82.9% · 4Q avg 56.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.9% |
13.2%
2.3 pts better
|
12.0%
1.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.9% · Observed 9.8% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
1.5%
0.4 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.2% · Q3 1.2% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 50.4% |
78.1%
27.7 pts worse
|
79.7%
29.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 50.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.0% |
22.9%
2.1 pts worse
|
23.9%
1.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.0% · Observed 23.5% · Expected 22.4% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-09-09
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-09
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-09-09
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 2023-11-03
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-11-03
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-08-05
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-08-05
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-08-05
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-08-05
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-10-09
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-10-09
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2025-10-09
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-10-09
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-10-09
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-21
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-03-29
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-03-29
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-25
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-10-19
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-07-01
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-07-20
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-31
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-14
Penalties and ownership
Fine · fine $8,512
Fine
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Security Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Nearby options
Salisbury, NC
1-star overall rating with 1-star inspections with $53,664 in total fines with 17 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Salisbury, NC
3-star overall rating with 2-star inspections with $19,145 in total fines with 12 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Salisbury, NC
3-star overall rating with 3-star inspections with $8,738 in total fines with 11 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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