0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Charlotte, NC
4-star overall rating with 4-star inspections
5100 Sharon Road, Charlotte, NC
(704) 553-1670
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
0 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
19
Certified beds
Average residents
6
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2014-08-04
CMS approved date
Coverage
Medicare
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
0.00
Registered nurse staffing
LPN hours / resident day
0.00
Licensed practical nurse staffing
Aide hours / resident day
0.00
Nurse aide staffing
Total nurse hours
0.00
All reported nurse hours
Licensed hours
0.00
RN + LPN hours
Weekend hours
0.00
Weekend nurse staffing
Weekend RN hours
0.00
Weekend registered nurse coverage
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.00
CMS adjusted RN staffing hours
Adjusted total hours
0.00
CMS adjusted total nurse staffing hours
Case-mix index
0.00
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Program rank
255
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
75.51
Composite VBP score used to determine payment impact.
Payment multiplier
1.0246
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.31
Baseline 16.42% · Performance 18.51% · Measure score 6.31 · Achievement 6.31 · Improvement 0
Healthcare-associated infections
8.79
Baseline 5.00% · Performance 5.21% · Measure score 8.79 · Achievement 8.79 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.15% |
10.72%
1.6 pts better
|
No Different than the National Rate · Eligible stays 237 · Observed rate 5.91% · Lower 95% interval 6.43% |
| Discharge to community | 53.88% |
50.57%
3.3 pts better
|
No Different than the National Rate · Eligible stays 238 · Observed rate 51.68% · Lower 95% interval 47.8% |
| Medicare spending per beneficiary | 0.72 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 196 · Denominator 196 |
| Falls with major injury | 2.04% |
0.77%
1.3 pts worse
|
Numerator 4 · Denominator 196 |
| Discharge self-care score | 58.18% |
53.69%
4.5 pts better
|
Numerator 96 · Denominator 165 |
| Discharge mobility score | 26.67% |
50.94%
24.3 pts worse
|
Numerator 44 · Denominator 165 |
| Pressure ulcers or injuries, new or worsened | 2.55% |
2.29%
0.3 pts worse
|
Numerator 5 · Denominator 196 · Adjusted rate 3.84% |
| Healthcare-associated infections requiring hospitalization | 5.21% |
7.12%
1.9 pts better
|
No Different than the National Rate · Eligible stays 177 · Observed rate 2.26% · Lower 95% interval 3.08% |
| Staff COVID-19 vaccination coverage | 11.11% |
8.2%
2.9 pts better
|
Numerator 5 · Denominator 45 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 54.55% |
56.45%
1.9 pts worse
|
Numerator 90 · Denominator 165 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 50 · Denominator 50 |
| Transfer of health information to patient | 99.31% |
96.28%
3 pts better
|
Numerator 143 · Denominator 144 |
| Resident COVID-19 vaccinations up to date | 43.82% |
25.2%
18.6 pts better
|
Numerator 39 · Denominator 89 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
79.9%
19.5 pts better
|
81.7%
17.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.3% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.9% |
13.2%
0.7 pts worse
|
12.0%
1.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.9% · Observed 11.6% · Expected 9.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.9% |
78.1%
19.8 pts better
|
79.7%
18.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.0% |
22.9%
0.9 pts better
|
23.9%
1.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.0% · Observed 15.8% · Expected 17.1% · Used in QM five-star |
Survey summary
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Nutrition and Dietary (2 deficiencies)
1 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Fire safety
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-11-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-11-30
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-11-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-11-30
Fire Safety
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Corrected 2022-07-05
Inspection history
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-11-07
Health
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected 2024-11-07
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-11-27
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-07
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-11-29
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-11-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-26
Health
Dispose of garbage and refuse properly.
Corrected 2023-10-26
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-26
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 2023-10-26
Penalties and ownership
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Nearby options
Charlotte, NC
4-star overall rating with 3-star inspections with $8,606 in total fines with 2 recent health deficiencies
Charlotte, NC
1-star overall rating with 2-star inspections with $83,517 in total fines with 2 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Charlotte, NC
4-star overall rating with 4-star inspections with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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