Federal inspection record · CMS data as of October 1, 2026
Senior Citizens Home
2275 Ruin Creek Road, Henderson, NC · (252) 492-0066
- Certified beds
- 60
- Residents per day
- 54
- Ownership
- For-Profit
- Chain
- Alliance Health Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 3, 1990
1
How this home got 3 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
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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.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Senior Citizens Home carries 26 inspection points. That is fewer than 51% of North Carolina's 415 rated homes.
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
23 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Pharmacy Service6D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
- D
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.
- D
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.
Nutrition and Dietary3E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration3F
- F
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Infection Control3F
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Resident Assessment and Care Planning2E
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
Quality of Life and Care2D
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nursing and Physician Services2E
- C
Post nurse staffing information every day.
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Resident Rights2D
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- C
Ensure residents have reasonable access to and privacy in their use of communication methods.
Inspection history
2026-03-12
3 health deficiencies · 8 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2024-12-05
6 health deficiencies · 13 fire-safety deficiencies
Top issue: Administration (2 deficiencies)
2023-09-27
14 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 11 min of nursing staff time a day, 38 min of it from a registered nurse.
This home
3 h 11 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 66% of nursing staff and 40% 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
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts better | 0.9 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.7 pts worse | 3.4 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.7 pts better | 95.1% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.4 pts better | 96.1% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.4 pts better | 0.0% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5 pts better | 1.8% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.6 pts worse | 9.7% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.9 pts better | 19.2% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.7 pts better | 12.2% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened19 pts worse | 35.6% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased13.9 pts worse | 28.9% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.6% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 1.7% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence11.3 pts worse | 31.2% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts worse | 5.6% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine3.3 pts worse | 78.2% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.2 pts worse | 18.9% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse | 1.6% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.3 pts worse | 76.8% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.7 pts better | 19.5% | 22.2% | 23.4% |
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Fire safety
21 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Install an approved automatic sprinkler system.
- D
Install corridor and hallway doors that block smoke.
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install corridor and hallway doors that block smoke.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Egress4F
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Install emergency lighting that can last at least 1 1/2 hours.
- D
Have properly located and lighted "Exit" signs.
Services3F
- E
Have properly installed electrical wiring and gas equipment.
- F
Have properly installed electrical wiring and gas equipment.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Emergency Preparedness2F
- F
Establish an Emergency Preparedness Program (EP).
- F
Establish an Emergency Preparedness Program (EP).
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous1D
- D
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
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Other homes nearby
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
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Camellia Gardens Center for Nursing and Rehab
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-
Brantwood Nh & Retirement Center
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★★★★★- Worst citation, 3 yrs
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