Cycle 1
Health 2026-01-15 · Fire 2024-11-15
8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Raleigh, NC
PruittHealth-Raleigh
3-star overall rating with 3-star inspections with $24,850 in total fines with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
2420 Lake Wheeler Road, Raleigh, NC
(919) 755-0226
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
Facility snapshot
Beds
150
Certified beds
Average residents
140
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Pruitthealth
Operator or chain grouping
Approved since
2006-03-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
95 facilities
Chain averages 3 overall / 3 health / 2 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
0.51
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
1.12
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.01
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.65
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.64
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.14
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.22
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.51
CMS adjusted RN staffing hours
Adjusted total hours
3.64
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
41%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,458
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
56.56
Composite VBP score used to determine payment impact.
Payment multiplier
1.0117
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 18.02% · Performance 15.57% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
3.09
Baseline 5.70% · Performance 6.91% · Measure score 3.09 · Achievement 3.09 · Improvement 0
Total nurse turnover
6.73
Baseline 69.70% · Performance 37.27% · Measure score 6.73 · Achievement 6.46 · Improvement 6.73
Adjusted total nurse staffing
2.81
Baseline 2.98 hours · Performance 3.88 hours · Measure score 2.81 · Achievement 2.81 · Improvement 2.69
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.92% |
10.72%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 228 · Observed rate 13.6% · Lower 95% interval 9.15% |
| Discharge to community | 58.33% |
50.57%
7.8 pts better
|
No Different than the National Rate · Eligible stays 189 · Observed rate 48.15% · Lower 95% interval 49.27% |
| Medicare spending per beneficiary | 0.82 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 97.69% |
95.27%
2.4 pts better
|
Numerator 127 · Denominator 130 |
| Falls with major injury | 0.77% |
0.77%
About the same
|
Numerator 1 · Denominator 130 |
| Discharge self-care score | 54.29% |
53.69%
0.6 pts better
|
Numerator 57 · Denominator 105 |
| Discharge mobility score | 44.76% |
50.94%
6.2 pts worse
|
Numerator 47 · Denominator 105 |
| Pressure ulcers or injuries, new or worsened | 5.38% |
2.29%
3.1 pts worse
|
Numerator 7 · Denominator 130 · Adjusted rate 4.61% |
| Healthcare-associated infections requiring hospitalization | 6.91% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 140 · Observed rate 7.14% · Lower 95% interval 4.22% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 181 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 55.24% |
56.45%
1.2 pts worse
|
Numerator 58 · Denominator 105 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 37 · Denominator 37 |
| Transfer of health information to patient | 98.55% |
96.28%
2.3 pts better
|
Numerator 68 · Denominator 69 |
| Resident COVID-19 vaccinations up to date | 4.41% |
25.2%
20.8 pts worse
|
Numerator 3 · Denominator 68 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.7 |
1.8
0.9 pts worse
|
1.9
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.1 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.3 |
1.8
0.5 pts worse
|
1.8
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 1.9 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.9% |
91.5%
1.4 pts better
|
93.4%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 84.3% · Q2 91.9% · Q3 96.1% · Q4 100.0% · 4Q avg 92.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.6% |
94.1%
1.5 pts worse
|
95.5%
2.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.2% |
3.6%
2.6 pts worse
|
3.3%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 5.4% · Q3 5.9% · Q4 5.9% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
4.8%
4.8 pts better
|
11.4%
11.4 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 who lose too much weight | 6.9% |
7.2%
0.3 pts better
|
5.4%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 8.8% · Q3 9.3% · Q4 4.3% · 4Q avg 6.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.5% |
21.6%
7.1 pts better
|
19.6%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.9% · Q2 16.7% · Q3 15.5% · Q4 10.6% · 4Q avg 14.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 20.6% |
15.0%
5.6 pts worse
|
16.7%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.1% · Q2 19.3% · Q3 21.2% · Q4 20.0% · 4Q avg 20.6% · 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 | 22.1% |
21.5%
0.6 pts worse
|
16.3%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 29.5% · Q3 12.9% · Q4 20.4% · 4Q avg 22.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.7% |
16.8%
6.9 pts worse
|
14.9%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.7% · Q2 25.0% · Q3 17.2% · Q4 19.1% · 4Q avg 23.7% · 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 · Q1 0.0% · 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 | 1.9% |
2.6%
0.7 pts better
|
1.7%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 1.8% · Q3 2.9% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.8% |
21.2%
0.6 pts worse
|
19.8%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.8% · Q2 27.9% · Q3 15.8% · Q4 23.3% · 4Q avg 21.8% |
| Percentage of long-stay residents with pressure ulcers | 6.0% |
6.0%
About the same
|
5.1%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 6.8% · Q3 2.6% · Q4 4.7% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 89.0% |
79.9%
9.1 pts better
|
81.7%
7.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 87.6% · Q2 88.8% · Q3 87.8% · Q4 91.5% · 4Q avg 89.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.3% |
13.2%
1.9 pts better
|
12.0%
0.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.3% · Observed 10.9% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.3% |
1.5%
0.2 pts better
|
1.6%
0.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.0% · Q3 1.4% · Q4 1.7% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.4% |
78.1%
11.3 pts better
|
79.7%
9.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.2% |
22.9%
7.7 pts better
|
23.9%
8.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.2% · Observed 14.8% · Expected 23.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-11-15 · Fire 2023-09-29
5 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2023-09-29 · Fire 2022-05-26
17 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-11-15
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-24
E · Potential for more than minimal harm
2024-11-15
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-02-24
E · Potential for more than minimal harm
2024-11-15
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-02-24
D · Potential for more than minimal harm
2024-11-15
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2025-02-24
D · Potential for more than minimal harm
2024-11-15
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-02-24
D · Potential for more than minimal harm
2024-11-15
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-02-24
F · Potential for more than minimal harm
2023-09-29
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-11-24
F · Potential for more than minimal harm
2023-09-29
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-11-24
F · Potential for more than minimal harm
2023-09-29
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-11-24
F · Potential for more than minimal harm
2023-09-29
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-24
D · Potential for more than minimal harm
2023-09-29
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-11-24
D · Potential for more than minimal harm
2023-09-29
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-11-24
D · Potential for more than minimal harm
2023-09-29
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-11-24
D · Potential for more than minimal harm
2022-05-26
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-08-07
D · Potential for more than minimal harm
2022-05-26
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-08-07
D · Potential for more than minimal harm
2022-05-26
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-08-07
D · Potential for more than minimal harm
2022-05-26
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-08-07
Inspection history
Recent health citations
D · Potential for more than minimal harm
2026-01-15
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-02-06
D · Potential for more than minimal harm
2026-01-15
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-02-06
D · Potential for more than minimal harm
2026-01-15
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2026-02-06
D · Potential for more than minimal harm
2025-06-25
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-01-23
D · Potential for more than minimal harm
2025-06-25
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-01-23
J · Immediate jeopardy
2025-05-08
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 2025-05-22
J · Immediate jeopardy
2025-05-08
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-22
J · Immediate jeopardy
2025-05-08
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-22
E · Potential for more than minimal harm
2024-11-15
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-12-13
D · Potential for more than minimal harm
2024-11-15
F553 · Resident Rights Deficiencies
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-12-13
D · Potential for more than minimal harm
2024-11-15
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-12-13
B · Minimal harm
2024-11-15
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2024-12-13
B · Minimal harm
2024-11-15
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-12-13
E · Potential for more than minimal harm
2023-09-29
F567 · Resident Rights Deficiencies
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2023-10-27
E · Potential for more than minimal harm
2023-09-29
F576 · Resident Rights Deficiencies
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2023-10-27
E · Potential for more than minimal harm
2023-09-29
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-27
E · Potential for more than minimal harm
2023-09-29
F809 · Nutrition and Dietary Deficiencies
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2023-10-27
E · Potential for more than minimal harm
2023-09-29
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-10-27
D · Potential for more than minimal harm
2023-09-29
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-10-27
D · Potential for more than minimal harm
2023-09-29
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-10-27
D · Potential for more than minimal harm
2023-09-29
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-10-27
D · Potential for more than minimal harm
2023-09-29
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-10-27
D · Potential for more than minimal harm
2023-09-29
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-10-27
D · Potential for more than minimal harm
2023-09-29
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2023-10-27
D · Potential for more than minimal harm
2023-09-29
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-10-27
D · Potential for more than minimal harm
2023-09-29
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 2023-10-27
D · Potential for more than minimal harm
2023-09-29
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-10-27
D · Potential for more than minimal harm
2023-09-29
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-10-27
C · Minimal harm
2023-09-29
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2023-10-27
B · Minimal harm
2023-09-29
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-10-27
Penalties and ownership
What sits behind the stars
$12,425
2025-05-08
Fine
Fine · fine $12,425
Fine
$12,425
2025-05-08
Fine
Fine · fine $12,425
Fine
Ownership
United Health Services Of North Carolina Inc
5% Or Greater Direct Ownership Interest · Organization
Hess-Campbell, Jill
W-2 Managing Employee · Individual
Holland, Elizabeth
W-2 Managing Employee · Individual
J Paige Pruitt Trust
5% Or Greater Indirect Ownership Interest · Organization
Jones, Kurtis
W-2 Managing Employee · Individual
Lapointe, Kimberly
W-2 Managing Employee · Individual
Lisa P Hamby Trust
5% Or Greater Indirect Ownership Interest · Organization
Neil L Pruitt Jr Trust
5% Or Greater Indirect Ownership Interest · Organization
Pruitt, Neil
Corporate Director · Individual
Pruitt, Neil
Corporate Officer · Individual
Uhs-Pruitt Holdings, Inc.
5% Or Greater Indirect Ownership Interest · Organization
United Health Services Inc
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Raleigh Rehabilitation Center
Raleigh, NC
2-star overall rating with 3-star inspections with $77,760 in total fines with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
The Laurels of Forest Glenn
Garner, NC
3-star overall rating with 2-star inspections with $182,083 in total fines with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Rex Rehab & Nursing Care Center
Raleigh, NC
4-star overall rating with 4-star inspections with $15,646 in total fines with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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