Cycle 1
Health 2025-05-12 · Fire 2025-05-12
5 health deficiencies
Top issue: Resident Rights (2 deficiencies)
4 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Monroe, NC
PruittHealth-Union Pointe
1-star overall rating with 1-star inspections with $197,532 in total fines with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
3510 West Highway 74, Monroe, NC
(704) 291-8500
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
90
Certified beds
Average residents
80
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Pruitthealth
Operator or chain grouping
Approved since
2014-11-25
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
0.84
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
0.99
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.29
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.13
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.83
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.50
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.61
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
0.91
CMS adjusted RN staffing hours
Adjusted total hours
4.49
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
57%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
59%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,947
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
21.96
Composite VBP score used to determine payment impact.
Payment multiplier
0.9827
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.92
Baseline 18.67% · Performance 21.00% · Measure score 0.92 · Achievement 0.92 · Improvement 0
Healthcare-associated infections
3.57
Baseline 7.41% · Performance 6.77% · Measure score 3.57 · Achievement 3.57 · Improvement 2.16
Total nurse turnover
0.82
Baseline 82.02% · Performance 74.49% · Measure score 0.82 · Achievement 0 · Improvement 0.82
Adjusted total nurse staffing
3.48
Baseline 3.86 hours · Performance 4.07 hours · Measure score 3.48 · Achievement 3.48 · Improvement 0.58
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.74% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 240 · Observed rate 10.83% · Lower 95% interval 7.46% |
| Discharge to community | 62.35% |
50.57%
11.8 pts better
|
Better than the National Rate · Eligible stays 231 · Observed rate 56.28% · Lower 95% interval 57.11% |
| Medicare spending per beneficiary | 0.93 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 98 · Denominator 98 |
| Falls with major injury | 3.06% |
0.77%
2.3 pts worse
|
Numerator 3 · Denominator 98 |
| Discharge self-care score | 43.1% |
53.69%
10.6 pts worse
|
Numerator 25 · Denominator 58 |
| Discharge mobility score | 46.55% |
50.94%
4.4 pts worse
|
Numerator 27 · Denominator 58 |
| Pressure ulcers or injuries, new or worsened | 9.18% |
2.29%
6.9 pts worse
|
Numerator 9 · Denominator 98 · Adjusted rate 8.35% |
| Healthcare-associated infections requiring hospitalization | 6.77% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 137 · Observed rate 6.57% · Lower 95% interval 4.49% |
| Staff COVID-19 vaccination coverage | 0.83% |
8.2%
7.4 pts worse
|
Numerator 1 · Denominator 120 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 48.28% |
56.45%
8.2 pts worse
|
Numerator 28 · Denominator 58 |
| Transfer of health information to provider | 94.74% |
95.95%
1.2 pts worse
|
Numerator 36 · Denominator 38 |
| Transfer of health information to patient | 93.02% |
96.28%
3.3 pts worse
|
Numerator 40 · Denominator 43 |
| Resident COVID-19 vaccinations up to date | 17.65% |
25.2%
7.6 pts worse
|
Numerator 9 · Denominator 51 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
1.8
0.6 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.8 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.8
0.6 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.2 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.1% |
91.5%
5.6 pts better
|
93.4%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.2% · Q2 98.5% · Q3 96.7% · Q4 94.8% · 4Q avg 97.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.6% |
94.1%
4.5 pts better
|
95.5%
3.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.7% |
3.6%
1.9 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 1.5% · Q3 1.6% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.4% |
4.8%
1.4 pts better
|
11.4%
8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 0.0% · Q4 12.3% · 4Q avg 3.4% |
| 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 8.7% · Q2 8.6% · Q3 6.9% · Q4 3.6% · 4Q avg 6.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.4% |
21.6%
9.2 pts better
|
19.6%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 13.8% · Q3 11.9% · Q4 10.9% · 4Q avg 12.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 13.7% |
15.0%
1.3 pts better
|
16.7%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 10.6% · Q3 15.4% · Q4 16.3% · 4Q avg 13.7% · 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 | 16.6% |
21.5%
4.9 pts better
|
16.3%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 9.2% · Q3 8.3% · Q4 27.4% · 4Q avg 16.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.3% |
16.8%
2.5 pts worse
|
14.9%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.3% · Q2 16.4% · Q3 12.5% · Q4 22.0% · 4Q avg 19.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.4% |
0.9%
3.5 pts worse
|
1.0%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 8.1% · Q3 0.0% · Q4 0.0% · 4Q avg 4.4% · 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 · Q1 7.4% · Q2 13.8% · Q3 5.0% · Q4 0.0% · 4Q avg 6.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.3% |
21.2%
1.9 pts better
|
19.8%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.5% · Q2 18.6% · Q3 12.3% · Q4 30.1% · 4Q avg 19.3% |
| Percentage of long-stay residents with pressure ulcers | 2.9% |
6.0%
3.1 pts better
|
5.1%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 4.4% · Q3 2.0% · Q4 1.8% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.9% |
79.9%
15 pts better
|
81.7%
13.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.8% · Q2 94.8% · Q3 95.9% · Q4 93.1% · 4Q avg 94.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.3% |
13.2%
1.1 pts worse
|
12.0%
2.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.3% · Observed 14.7% · Expected 11.5% · 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 0.0% · Q2 0.9% · Q3 1.8% · Q4 1.6% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.0% |
78.1%
11.9 pts better
|
79.7%
10.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.4% |
22.9%
6.5 pts worse
|
23.9%
5.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.4% · Observed 31.2% · Expected 25.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-02-16 · Fire 2024-02-16
20 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2022-06-30 · Fire 2022-06-30
6 health deficiencies
Top issue: Infection Control (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-05-12
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2025-07-11
D · Potential for more than minimal harm
2025-05-12
K222 · Egress Deficiencies
Fire Safety
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.
Corrected 2025-07-30
D · Potential for more than minimal harm
2025-05-12
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-11
D · Potential for more than minimal harm
2025-05-12
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-07-11
D · Potential for more than minimal harm
2024-02-16
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-06-02
D · Potential for more than minimal harm
2024-02-16
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-06-02
D · Potential for more than minimal harm
2024-02-16
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-06-02
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-05-12
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-06-13
E · Potential for more than minimal harm
2025-05-12
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 2025-06-13
E · Potential for more than minimal harm
2025-05-12
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-05-12
F553 · Resident Rights Deficiencies
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2025-05-03
D · Potential for more than minimal harm
2025-05-12
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 2025-06-13
J · Immediate jeopardy
2024-07-01
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 2024-07-19
J · Immediate jeopardy
2024-07-01
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-07-19
H · Actual harm
2024-02-16
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-03-11
H · Actual harm
2024-02-16
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 2024-03-11
G · Actual harm
2024-02-16
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 2024-03-11
E · Potential for more than minimal harm
2024-02-16
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 2024-03-11
E · Potential for more than minimal harm
2024-02-16
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 2024-03-11
E · Potential for more than minimal harm
2024-02-16
F802 · Nutrition and Dietary Deficiencies
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2024-03-11
E · Potential for more than minimal harm
2024-02-16
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-03-11
D · Potential for more than minimal harm
2024-02-16
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-03-11
D · Potential for more than minimal harm
2024-02-16
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 2024-03-11
D · Potential for more than minimal harm
2024-02-16
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-30
D · Potential for more than minimal harm
2024-02-16
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 2024-03-11
D · Potential for more than minimal harm
2024-02-16
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-11
D · Potential for more than minimal harm
2024-02-16
F777 · Administration Deficiencies
Health
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Corrected 2024-03-11
D · Potential for more than minimal harm
2024-02-16
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 2024-03-11
D · Potential for more than minimal harm
2024-02-16
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-03-11
D · Potential for more than minimal harm
2024-02-16
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 2024-03-11
B · Minimal harm
2024-02-16
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-03-11
B · Minimal harm
2024-02-16
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-03-11
D · Potential for more than minimal harm
2022-06-30
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2022-07-28
D · Potential for more than minimal harm
2022-06-30
F578 · Resident Rights Deficiencies
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 2022-07-28
D · Potential for more than minimal harm
2022-06-30
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 2022-07-28
D · Potential for more than minimal harm
2022-06-30
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-07-28
D · Potential for more than minimal harm
2022-06-30
F887 · Infection Control Deficiencies
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2022-07-28
B · Minimal harm
2022-06-30
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2022-07-28
Penalties and ownership
What sits behind the stars
$33,995
2024-07-01
Fine
Fine · fine $33,995
Fine
$163,537
2024-02-16
Fine
Fine · fine $163,537
Fine
$0
2024-02-16
Payment Denial
Payment Denial · denial start 2024-03-12 · 49 days
49 day denial
Ownership
J Paige Pruitt Trust
5% Or Greater Indirect Ownership Interest · Organization
Lisa P Hamby Trust
5% Or Greater Indirect Ownership Interest · Organization
Neil L Pruitt Jr Trust
5% Or Greater Indirect Ownership Interest · Organization
Nwp 2020 Chile Trust Fbo Neil L Pruitt Jr
5% Or Greater Indirect Ownership Interest · Organization
Olarte-Helbing, Marissa
W-2 Managing Employee · Individual
Pruitt, Neil
Corporate Director · Individual
Pruitt, Neil
Corporate Officer · Individual
Pruitthealth Inc
Operational/Managerial Control · Organization
Uhs-Pruitt Holdings, Inc.
5% Or Greater Indirect Ownership Interest · Organization
United Health Services Inc
5% Or Greater Indirect Ownership Interest · Organization
United Health Services Of North Carolina Inc
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Jesse Helms Nursing Center
Monroe, NC
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Monroe Rehabilitation Center
Monroe, NC
2-star overall rating with 2-star inspections with abuse icon flag with $76,381 in total fines with 13 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Accordius Health at Monroe
Monroe, NC
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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