Federal inspection record · CMS data as of October 1, 2026
Piedmont Hills Center for Nursing and Rehab
109 S Holden Road, Greensboro, NC · (336) 522-5600
- Certified beds
- 126
- Residents per day
- 120
- Ownership
- For-Profit
- Chain
- Alliance Health Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 10, 1980
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
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Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 1)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Piedmont Hills Center for Nursing and Rehab carries 176.75 inspection points. That is fewer than 4% of North Carolina's 415 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–4 pts
- 4★ 4–15 pts
- 3★ 15–35 pts
- 2★ 35–73.5 pts
- 1★ over 73.5 pts
Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
52 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (7)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
K
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
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K
Provide and implement an infection prevention and control program.
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J
Provide safe, appropriate pain management for a resident who requires such services.
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G
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Everything else, by area of care
Resident Assessment and Care Planning12E
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- B
Assure that each resident’s assessment is updated at least once every 3 months.
- E
Ensure each resident receives an accurate assessment.
- D
Ensure a qualified health professional conducts resident assessments.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Plan the resident's discharge to meet the resident's goals and needs.
- B
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- B
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Rights11E
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- B
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.
- E
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- E
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
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.
- C
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Freedom from Abuse, Neglect, and Exploitation4D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Quality of Life and Care4E
- D
Provide appropriate foot care.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide or obtain dental services for each resident.
Pharmacy Service4E
- E
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.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
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.
- D
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.
Nutrition and Dietary3F
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nursing and Physician Services3E
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- C
Post nurse staffing information every day.
Administration2F
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- F
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Infection Control1D
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Environmental1D
- D
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Inspection history
2026-02-27
2 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2024-12-05
14 health deficiencies · 10 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
2023-12-04
36 health deficiencies · 18 fire-safety deficiencies
Top issue: Resident Rights (8 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 12 min of nursing staff time a day, 22 min of it from a registered nurse.
This home
3 h 12 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 42% of nursing staff and 67% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$217,827 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-10-23 | Fine | $50,505 |
| 2025-06-11 | Fine | $17,345 |
| 2024-12-05 | Fine | $18,086 |
| 2024-07-17 | Fine | $35,105 |
| 2023-12-04 | Fine | $96,786 |
| 2023-12-04 | Payment Denial · 2 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine12.7 pts worse | 79.7% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine16 pts worse | 78.7% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3 pts better | 0.4% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms8.8 pts worse | 15.6% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts better | 5.6% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.5 pts worse | 29.6% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.3 pts worse | 15.2% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened18.1 pts worse | 34.7% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.2 pts worse | 25.2% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts worse | 1.2% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts better | 1.1% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.5 pts worse | 26.4% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts worse | 5.8% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine49.3 pts worse | 32.2% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit13.8 pts worse | 26.5% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.7 pts worse | 3.1% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine58.9 pts worse | 22.2% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission18.4 pts worse | 40.6% | 22.2% | 23.4% |
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Who owns and runs it
7 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Alliance Health Group LLC | Operational/Managerial Control · Organization | 0% | 11 facilities |
| Alliance Health Group LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Coalition Group LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Emanuel, Yosef | Corporate Officer · Individual | 0% | 13 facilities |
| Reagan, Jennifer | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Reagan, Jennifer | Adp Of The SNF · Individual | 0% | 1 facilities |
| Tejan-Sie, Sheikh | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
40 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke16F
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Install corridor and hallway doors that block smoke.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Install corridor and hallway doors that block smoke.
- F
Have an enclosure around a vertical opening shaft.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- D
Install properly constructed windows in hallway walls or doors.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems8F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
Egress6F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Install emergency lighting that can last at least 1 1/2 hours.
- D
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- D
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services5F
- D
Have elevators that firefighters can control in the event of a fire.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have elevators that firefighters can control in the event of a fire.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have properly installed electrical wiring and gas equipment.
Construction3F
- F
Use approved construction type or materials.
- F
Meet other general requirements.
- F
Use approved construction type or materials.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
Have restrictions on the use of portable space heaters.
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Other homes nearby
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★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 4 h 22 min
- Fines
- $25,490
-
Camden Health and Rehabilitation
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-
Friends Homes at Guilford
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