0 health deficiencies
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Laurinburg, NC
5-star overall rating with 5-star inspections with 2 fire-safety deficiencies in the latest cycle
2200 Elm Drive, Laurinburg, NC
(910) 277-2000
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
58
Certified beds
Average residents
55
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1989-02-27
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
RN hours / resident day
0.78
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
1.43
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
3.35
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
5.56
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
2.21
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
4.89
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.28
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.95
CMS adjusted RN staffing hours
Adjusted total hours
6.77
CMS adjusted total nurse staffing hours
Case-mix index
1.12
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
45%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
839
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
63.09
Composite VBP score used to determine payment impact.
Payment multiplier
1.0179
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.22
Baseline 21.30% · Performance 18.55% · Measure score 6.22 · Achievement 6.22 · Improvement 5.95
Healthcare-associated infections
4.81
Baseline 7.56% · Performance 6.40% · Measure score 4.81 · Achievement 4.81 · Improvement 4.05
Total nurse turnover
4.2
Baseline 52.17% · Performance 46.51% · Measure score 4.2 · Achievement 4.2 · Improvement 1.57
Adjusted total nurse staffing
10
Baseline 6.30 hours · Performance 6.38 hours · Measure score 10 · Achievement 10 · Improvement 9
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.7% |
10.72%
2 pts better
|
No Different than the National Rate · Eligible stays 106 · Observed rate 2.83% · Lower 95% interval 5.67% |
| Discharge to community | 54.42% |
50.57%
3.9 pts better
|
No Different than the National Rate · Eligible stays 109 · Observed rate 55.05% · Lower 95% interval 47.83% |
| Medicare spending per beneficiary | 0.88 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 89.09% |
95.27%
6.2 pts worse
|
Numerator 49 · Denominator 55 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 55 |
| Discharge self-care score | 79.07% |
53.69%
25.4 pts better
|
Numerator 34 · Denominator 43 |
| Discharge mobility score | 46.51% |
50.94%
4.4 pts worse
|
Numerator 20 · Denominator 43 |
| Pressure ulcers or injuries, new or worsened | 3.64% |
2.29%
1.4 pts worse
|
Numerator 2 · Denominator 55 · Adjusted rate 5.1% |
| Healthcare-associated infections requiring hospitalization | 6.4% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 49 · Observed rate 2.04% · Lower 95% interval 3.53% |
| Staff COVID-19 vaccination coverage | 4.2% |
8.2%
4 pts worse
|
Numerator 5 · Denominator 119 |
| Staff flu vaccination coverage | 46.67% |
42%
4.7 pts better
|
Numerator 133 · Denominator 285 |
| Discharge function score | 76.74% |
56.45%
20.3 pts better
|
Numerator 33 · Denominator 43 |
| Transfer of health information to provider | 95.83% |
95.95%
0.1 pts worse
|
Numerator 23 · Denominator 24 |
| Transfer of health information to patient | 95% |
96.28%
1.3 pts worse
|
Numerator 19 · Denominator 20 |
| Resident COVID-19 vaccinations up to date | 40% |
25.2%
14.8 pts better
|
Numerator 12 · Denominator 30 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.8 |
1.8
1 pts worse
|
1.9
0.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.3 · Expected 1.6 · Used in QM five-star |
| 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 · Adjusted 1.5 · Observed 1.3 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.9% |
91.5%
7.4 pts better
|
93.4%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.8% · Q2 97.7% · Q3 100.0% · Q4 100.0% · 4Q avg 98.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.0% |
94.1%
3.9 pts better
|
95.5%
2.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.5% |
3.6%
1.9 pts worse
|
3.3%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.5% · Q3 6.7% · Q4 6.2% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.2% |
4.8%
3.6 pts better
|
11.4%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.6% · Q3 0.0% · Q4 2.1% · 4Q avg 1.2% |
| Percentage of long-stay residents who lose too much weight | 4.2% |
7.2%
3 pts better
|
5.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 2.9% · Q3 0.0% · Q4 10.3% · 4Q avg 4.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.2% |
21.6%
3.6 pts worse
|
19.6%
5.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.4% · Q2 30.6% · Q3 18.9% · Q4 20.0% · 4Q avg 25.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.6% |
15.0%
5.4 pts better
|
16.7%
7.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 11.8% · Q3 11.4% · Q4 2.9% · 4Q avg 9.6% · 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 | 10.6% |
21.5%
10.9 pts better
|
16.3%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 4.0% · Q3 0.0% · Q4 27.6% · 4Q avg 10.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.6% |
16.8%
2.2 pts better
|
14.9%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 14.3% · Q3 8.1% · Q4 22.5% · 4Q avg 14.6% · 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 | 1.7% |
2.6%
0.9 pts better
|
1.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.7% · Q3 2.3% · Q4 0.0% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.9% |
21.2%
3.3 pts better
|
19.8%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.7% · Q2 17.1% · Q3 16.0% · Q4 19.7% · 4Q avg 17.9% |
| Percentage of long-stay residents with pressure ulcers | 3.3% |
6.0%
2.7 pts better
|
5.1%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 2.4% · Q3 0.0% · Q4 4.1% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.5% |
79.9%
15.6 pts better
|
81.7%
13.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 93.1% · Q2 94.3% · Q3 100.0% · Q4 94.3% · 4Q avg 95.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 21.6% |
13.2%
8.4 pts worse
|
12.0%
9.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 21.6% · Observed 19.0% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.5%
0.6 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.7% |
78.1%
14.6 pts better
|
79.7%
13 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.0% |
22.9%
1.9 pts better
|
23.9%
2.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.0% · Observed 15.5% · Expected 17.6% · Used in QM five-star |
Survey summary
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Infection Control (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-01-15
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-01-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-10-31
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-06-30
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-06-30
Inspection history
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-11-22
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-11-22
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-22
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-05-27
Penalties and ownership
W-2 Managing Employee · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Contracted Managing Employee · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Nearby options
Laurinburg, NC
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Bennettsville, SC
1-star overall rating with 2-star inspections with $15,646 in total fines with 1 recent health deficiencies
Hamlet, NC
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Jump out