Durham, NC

PruittHealth-Carolina Point

1-star overall rating with 2-star inspections with abuse icon flag with $52,901 in total fines with 8 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

5935 Mount Sinai Road, Durham, NC

(919) 402-2450

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

138

Certified beds

Average residents

104

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Pruitthealth

Operator or chain grouping

Approved since

2010-06-15

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.65

Registered nurse staffing

LPN hours / resident day

1.09

Licensed practical nurse staffing

Aide hours / resident day

2.18

Nurse aide staffing

Weekend hours

3.13

Weekend nurse staffing

RN turnover

95%

Annual RN turnover

Total nurse turnover

74%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.0
1.8
0.2 pts worse
1.9
0.1 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.5
1.8
0.3 pts better
1.8
0.3 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 71.2%
91.5%
20.3 pts worse
93.4%
22.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 85.5%
94.1%
8.6 pts worse
95.5%
10 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.5%
3.6%
1.1 pts better
3.3%
0.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 3.3%
4.8%
1.5 pts better
11.4%
8.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 7.4%
7.2%
0.2 pts worse
5.4%
2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 13.8%
21.6%
7.8 pts better
19.6%
5.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 16.1%
15.0%
1.1 pts worse
16.7%
0.6 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 35.2%
21.5%
13.7 pts worse
16.3%
18.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 21.3%
16.8%
4.5 pts worse
14.9%
6.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.4%
0.9%
0.5 pts better
1.0%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 2.5%
2.6%
0.1 pts better
1.7%
0.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 17.8%
21.2%
3.4 pts better
19.8%
2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 6.8%
6.0%
0.8 pts worse
5.1%
1.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 68.3%
79.9%
11.6 pts worse
81.7%
13.4 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 17.2%
13.2%
4 pts worse
12.0%
5.2 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 4.6%
1.5%
3.1 pts worse
1.6%
3 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 72.5%
78.1%
5.6 pts worse
79.7%
7.2 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 20.3%
22.9%
2.6 pts better
23.9%
3.6 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-17 · Fire 2024-10-17

8 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

8 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Cycle 2 Health 2023-07-13 · Fire 2023-07-13

7 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

4 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 3 Health 2022-07-13 · Fire 2022-07-13

12 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-10-17

K200 · Egress Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2025-02-07

D · Potential for more than minimal harm 2024-10-17

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-02-07

D · Potential for more than minimal harm 2024-10-17

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-02-07

D · Potential for more than minimal harm 2024-10-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-07

D · Potential for more than minimal harm 2024-10-17

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-02-07

D · Potential for more than minimal harm 2024-10-17

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-02-07

D · Potential for more than minimal harm 2024-10-17

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-02-07

D · Potential for more than minimal harm 2024-10-17

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-02-07

F · Potential for more than minimal harm 2023-07-13

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-11-05

F · Potential for more than minimal harm 2023-07-13

K321 · Smoke Deficiencies

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 2023-11-05

F · Potential for more than minimal harm 2023-07-13

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-11-05

D · Potential for more than minimal harm 2023-07-13

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-11-05

F · Potential for more than minimal harm 2022-07-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-09-16

F · Potential for more than minimal harm 2022-07-13

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-09-16

F · Potential for more than minimal harm 2022-07-13

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2022-09-16

E · Potential for more than minimal harm 2022-07-13

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-09-16

D · Potential for more than minimal harm 2022-07-13

K111 · Construction Deficiencies

Fire Safety

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

Corrected 2022-09-16

D · Potential for more than minimal harm 2022-07-13

K321 · Smoke Deficiencies

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 2022-09-16

D · Potential for more than minimal harm 2022-07-13

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-09-16

D · Potential for more than minimal harm 2022-07-13

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-09-16

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-04-24

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-04-20

J · Immediate jeopardy 2025-03-13

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-03-09

E · Potential for more than minimal harm 2024-10-17

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-11-07

E · Potential for more than minimal harm 2024-10-17

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 2024-11-07

D · Potential for more than minimal harm 2024-10-17

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-11-07

D · Potential for more than minimal harm 2024-10-17

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-11-07

D · Potential for more than minimal harm 2024-10-17

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-11-07

B · Minimal harm 2024-10-17

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2024-11-07

J · Immediate jeopardy 2024-04-18

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-05-02

D · Potential for more than minimal harm 2024-04-18

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2024-05-02

E · Potential for more than minimal harm 2023-07-13

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 2023-08-08

E · Potential for more than minimal harm 2023-07-13

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2023-08-08

D · Potential for more than minimal harm 2023-07-13

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-08-08

D · Potential for more than minimal harm 2023-07-13

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-08-08

D · Potential for more than minimal harm 2023-07-13

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-08-08

J · Immediate jeopardy 2022-07-13

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2022-09-07

E · Potential for more than minimal harm 2022-07-13

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 2022-09-07

E · Potential for more than minimal harm 2022-07-13

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 2022-09-21

E · Potential for more than minimal harm 2022-07-13

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2022-09-21

E · Potential for more than minimal harm 2022-07-13

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2022-09-07

E · Potential for more than minimal harm 2022-07-13

F886 · Infection Control Deficiencies

Health

Perform COVID19 testing on residents and staff.

Corrected 2022-09-07

E · Potential for more than minimal harm 2022-07-13

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2022-09-07

D · Potential for more than minimal harm 2022-07-13

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-09-07

D · Potential for more than minimal harm 2022-07-13

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-09-07

D · Potential for more than minimal harm 2022-07-13

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-09-07

D · Potential for more than minimal harm 2022-07-13

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 2022-09-07

D · Potential for more than minimal harm 2022-07-13

F888 · Infection Control Deficiencies

Health

Ensure staff are vaccinated for COVID-19

Corrected 2022-09-07

Penalties and ownership

What sits behind the stars

$17,345 2025-03-13

Fine

Fine · fine $17,345

Fine

$35,556 2024-04-18

Fine

Fine · fine $35,556

Fine

Ownership

United Health Services Of North Carolina Inc

5% Or Greater Direct Ownership Interest · Organization

99% 12 facilities 2008-10-28
J Paige Pruitt Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 86 facilities 2008-10-28
Keating-Burch, Kevin

Operational/Managerial Control · Individual

0% 1 facilities 2024-11-10
Lisa P Hamby Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 84 facilities 2008-10-28
Neil L Pruitt Jr Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 83 facilities 2020-08-12
O Brien, Patrick

Operational/Managerial Control · Individual

0% 10 facilities 2023-02-10
Pruitt, Nancy

Corporate Officer · Individual

0% 11 facilities 2013-11-27
Pruitt, Neil

Corporate Officer · Individual

0% 91 facilities 2008-10-28
Small, Philip

Corporate Director · Individual

0% 11 facilities 2013-11-27
Uhs- Pruitt Holdings Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 9 facilities 2008-10-28
United Health Services Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 88 facilities 2008-10-28

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#3

Durham Nursing & Rehabilitation Center

Durham, NC

2-star overall rating with 1-star inspections with $129,754 in total fines with 4 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

Overall
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Staffing
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Fines
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