Federal inspection record · CMS data as of October 1, 2026

PruittHealth-Elkin

560 Johnson Ridge Road, Elkin, NC · (336) 835-7802

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
100
Residents per day
93
Ownership
For-Profit
Chain
Pruitthealth
Medicare / Medicaid
Medicare + Medicaid
Certified since
September 12, 1974

1

How this home got 4 stars

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among North Carolina homes

PruittHealth-Elkin carries 33 inspection points. That is fewer than 44% of North Carolina's 415 rated homes.

5★4★3★2★1★+13 homes above 189.505102550100inspection points → fewer is better on the leftThis home · 33 pts · 3★

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

6 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 1 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 4 4 pts
E 0 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

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 (1)

  1. K

    Provide and implement an infection prevention and control program.

    July 5, 2024 · Complaint inspection · Infection Control · F880 · Corrected July 22, 2024

Everything else, by area of care

Resident Rights2D
  1. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    July 9, 2026 · Standard · F554 · Corrected August 6, 2026

  2. 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.

    March 14, 2024 · Standard · F575 · Corrected April 10, 2024

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    July 9, 2026 · Standard · F880 · Corrected August 6, 2026

Resident Assessment and Care Planning1D
  1. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    June 5, 2025 · Standard · F645 · Corrected June 23, 2025

Quality of Life and Care1D
  1. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    March 14, 2024 · Complaint · F689 · Corrected April 10, 2024

Inspection history

  1. 2026-07-09

    2 health deficiencies · 7 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

  2. 2025-06-05

    1 health deficiencies · 3 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (1 deficiency)

  3. 2024-03-14

    3 health deficiencies · 14 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 41 min of nursing staff time a day, 42 min of it from a registered nurse.

This home

3 h 41 min

North Carolina average

3 h 52 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 31% of nursing staff and 27% 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

$15,734 in federal fines on record over the past three years.

DatePenaltyAmount
2024-07-05Fine$15,734

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.5 pts better98.9%92.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.3 pts better100.0%94.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts better2.5%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms6.8 pts better0.0%6.8%13.5%
Percentage of long-stay residents who lose too much weight3.5 pts better3.6%7.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication4.8 pts worse25.9%21.1%19.5%
Percentage of long-stay residents who received an antipsychotic medication4.6 pts worse18.5%13.9%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened8.2 pts better8.4%16.6%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased8.8 pts better6.2%15.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better0.2%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection0.6 pts better1.5%2.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence15.7 pts better4.2%19.9%18.3%
Percentage of long-stay residents with pressure ulcers0.9 pts worse6.3%5.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.6 pts better98.1%81.5%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1 pts worse13.7%12.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better0.2%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15.9 pts better97.0%81.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.4 pts better19.8%22.2%23.4%

·

Who owns and runs it

3 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Pruitt, NeilCorporate Director · Individual0%91 facilities
Pruitt, NeilCorporate Officer · Individual0%91 facilities
Reece, LindaW-2 Managing Employee · Individual0%1 facilities

·

Fire safety

24 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke11F
  1. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    June 5, 2025 · K321 · Corrected September 6, 2025

  2. D

    Have approved installation, maintenance and testing program for fire alarm systems.

    June 5, 2025 · K345 · Corrected September 6, 2025

  3. D

    Inspect, test, and maintain automatic sprinkler systems.

    June 5, 2025 · K353 · Corrected September 6, 2025

  4. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    March 14, 2024 · K321 · Corrected April 30, 2024

  5. F

    Provide properly protected cooking facilities.

    January 11, 2023 · K324 · Corrected April 30, 2023

  6. F

    Install a fire alarm system that can be heard throughout the facility.

    January 11, 2023 · K341 · Corrected April 30, 2023

  7. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    January 11, 2023 · K345 · Corrected April 30, 2023

  8. F

    Inspect, test, and maintain automatic sprinkler systems.

    January 11, 2023 · K353 · Corrected April 30, 2023

  9. D

    Have an enclosure around a vertical opening shaft.

    January 11, 2023 · K311 · Corrected April 30, 2023

  10. D

    Properly install and monitor supervisory attachments on automatic sprinkler systems.

    January 11, 2023 · K352 · Corrected April 30, 2023

  11. D

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    January 11, 2023 · K374 · Corrected April 30, 2023

Gas, Vacuum, and Electrical Systems5F
  1. D

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    June 5, 2025 · K914 · Corrected September 6, 2025

  2. D

    Have generator or other power source capable of supplying service within 10 seconds.

    June 5, 2025 · K918 · Corrected September 6, 2025

  3. D

    Meet requirements for the installation and maintenance of electrical systems.

    March 14, 2024 · K911 · Corrected April 30, 2024

  4. F

    Meet requirements for the installation and maintenance of electrical systems.

    January 11, 2023 · K911 · Corrected April 30, 2023

  5. F

    Have generator or other power source capable of supplying service within 10 seconds.

    January 11, 2023 · K918 · Corrected April 30, 2023

Construction3D
  1. D

    Meet other general requirements.

    June 5, 2025 · K100 · Corrected September 6, 2025

  2. D

    Use approved construction type or materials.

    March 14, 2024 · K161 · Corrected April 30, 2024

  3. D

    Use approved construction type or materials.

    January 11, 2023 · K161 · Corrected April 30, 2023

Egress2D
  1. D

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    June 5, 2025 · K222 · Corrected September 6, 2025

  2. D

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

    January 11, 2023 · K291 · Corrected April 30, 2023

Services2D
  1. D

    Have properly installed electrical wiring and gas equipment.

    January 11, 2023 · K511 · Corrected April 30, 2023

  2. D

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

    January 11, 2023 · K521 · Corrected April 30, 2023

Miscellaneous1F
  1. F

    Have simulated fire drills held at unexpected times.

    January 11, 2023 · K712 · Corrected April 30, 2023

·

Other homes nearby

  1. Worst citation, 3 yrs
    none
    Nursing / resident / day
    3 h 22 min
    Fines
    $0
  2. Yadkin Nursing and Care Center

    Yadkinville, NC · Liberty Senior Living

    Worst citation, 3 yrs
    G
    Nursing / resident / day
    3 h 32 min
    Fines
    $8,018
  3. Willowbrook Rehabilitation and Care

    Yadkinville, NC · Avardis Health

    Worst citation, 3 yrs
    D
    Nursing / resident / day
    3 h 4 min
    Fines
    $0