Cycle 1
Health 2025-04-10 · Fire 2025-04-10
8 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Durham, NC
Southpoint Rehabilitation and Healthcare Center
1-star overall rating with 1-star inspections with abuse icon flag with $48,523 in total fines with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
6000 Fayetteville Road, Durham, NC
(919) 544-9021
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
140
Certified beds
Average residents
124
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Simcha Hyman & Naftali Zanziper
Operator or chain grouping
Approved since
1991-11-06
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
94 facilities
Chain averages 2 overall / 3 health / 2 staffing / 3 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
0.49
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
1.07
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
1.83
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.38
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.56
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.01
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.36
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.22
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.50
CMS adjusted RN staffing hours
Adjusted total hours
3.47
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
56%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
72%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,628
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
11.37
Composite VBP score used to determine payment impact.
Payment multiplier
0.9810
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.46
Baseline 19.24% · Performance 19.83% · Measure score 3.46 · Achievement 3.46 · Improvement 0
Healthcare-associated infections
0
Baseline 5.13% · Performance 8.47% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0
Baseline 48.98% · Performance 78.68% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
1.09
Baseline 3.54 hours · Performance 3.39 hours · Measure score 1.09 · Achievement 1.09 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.02% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 347 · Observed rate 10.09% · Lower 95% interval 7.9% |
| Discharge to community | 56.01% |
50.57%
5.4 pts better
|
No Different than the National Rate · Eligible stays 389 · Observed rate 46.27% · Lower 95% interval 48.77% |
| Medicare spending per beneficiary | 1.05 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.43% |
95.27%
4.2 pts better
|
Numerator 173 · Denominator 174 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 174 |
| Discharge self-care score | 58.12% |
53.69%
4.4 pts better
|
Numerator 68 · Denominator 117 |
| Discharge mobility score | 63.25% |
50.94%
12.3 pts better
|
Numerator 74 · Denominator 117 |
| Pressure ulcers or injuries, new or worsened | 3.45% |
2.29%
1.2 pts worse
|
Numerator 6 · Denominator 174 · Adjusted rate 2.88% |
| Healthcare-associated infections requiring hospitalization | 8.47% |
7.12%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 190 · Observed rate 10.53% · Lower 95% interval 5.99% |
| Staff COVID-19 vaccination coverage | 10.56% |
8.2%
2.4 pts better
|
Numerator 15 · Denominator 142 |
| Staff flu vaccination coverage | 65.93% |
42%
23.9 pts better
|
Numerator 89 · Denominator 135 |
| Discharge function score | 66.67% |
56.45%
10.2 pts better
|
Numerator 78 · Denominator 117 |
| Transfer of health information to provider | 90.2% |
95.95%
5.8 pts worse
|
Numerator 46 · Denominator 51 |
| Transfer of health information to patient | 95.45% |
96.28%
0.8 pts worse
|
Numerator 84 · Denominator 88 |
| Resident COVID-19 vaccinations up to date | 20.48% |
25.2%
4.7 pts worse
|
Numerator 17 · Denominator 83 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.8
0.4 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 2.1 · Expected 2.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
1.8
About the same
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 2.0 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.8% |
91.5%
3.3 pts better
|
93.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 90.5% · Q2 94.3% · Q3 96.6% · Q4 97.8% · 4Q avg 94.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.2% |
94.1%
1.9 pts worse
|
95.5%
3.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.3% |
3.6%
1.3 pts better
|
3.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 3.4% · Q3 1.1% · Q4 0.0% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.9% |
4.8%
6.1 pts worse
|
11.4%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 13.3% · Q3 10.8% · Q4 14.1% · 4Q avg 10.9% |
| Percentage of long-stay residents who lose too much weight | 12.6% |
7.2%
5.4 pts worse
|
5.4%
7.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 12.5% · Q3 7.0% · Q4 14.5% · 4Q avg 12.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.0% |
21.6%
16.6 pts better
|
19.6%
14.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 3.4% · Q3 4.7% · Q4 3.6% · 4Q avg 5.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.9% |
15.0%
6.1 pts better
|
16.7%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 13.3% · Q3 6.1% · Q4 3.5% · 4Q avg 8.9% · 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 | 32.4% |
21.5%
10.9 pts worse
|
16.3%
16.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.3% · Q2 39.2% · Q3 24.4% · Q4 34.0% · 4Q avg 32.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 22.5% |
16.8%
5.7 pts worse
|
14.9%
7.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 29.8% · Q3 20.0% · Q4 24.4% · 4Q avg 22.5% · 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 | 3.7% |
2.6%
1.1 pts worse
|
1.7%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 2.3% · Q3 3.4% · Q4 4.4% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.7% |
21.2%
3.5 pts worse
|
19.8%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 21.8% · Q3 28.9% · Q4 28.1% · 4Q avg 24.7% |
| Percentage of long-stay residents with pressure ulcers | 9.0% |
6.0%
3 pts worse
|
5.1%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 9.8% · Q3 5.9% · Q4 9.6% · 4Q avg 9.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.9% |
79.9%
14 pts better
|
81.7%
12.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 88.3% · Q2 93.7% · Q3 96.7% · Q4 97.9% · 4Q avg 93.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.4% |
13.2%
0.2 pts worse
|
12.0%
1.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.4% · Observed 13.8% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.8% |
1.5%
0.7 pts better
|
1.6%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.0% · Q3 1.0% · Q4 2.1% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.1% |
78.1%
14 pts better
|
79.7%
12.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.0% |
22.9%
7.9 pts better
|
23.9%
8.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.0% · Observed 15.9% · Expected 25.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-04-05 · Fire 2024-04-05
19 health deficiencies
Top issue: Resident Rights (4 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2023-01-10 · Fire 2023-01-10
12 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-04-10
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-06-27
D · Potential for more than minimal harm
2025-04-10
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-06-27
D · Potential for more than minimal harm
2025-04-10
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-08-01
D · Potential for more than minimal harm
2024-04-05
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2024-04-05
D · Potential for more than minimal harm
2024-04-05
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-04-05
D · Potential for more than minimal harm
2024-04-05
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-04-05
D · Potential for more than minimal harm
2024-04-05
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-04-05
D · Potential for more than minimal harm
2024-04-05
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 2024-04-05
F · Potential for more than minimal harm
2023-01-10
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-05-15
F · Potential for more than minimal harm
2023-01-10
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-15
D · Potential for more than minimal harm
2023-01-10
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-05-15
D · Potential for more than minimal harm
2023-01-10
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-05-15
D · Potential for more than minimal harm
2023-01-10
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-05-15
D · Potential for more than minimal harm
2023-01-10
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-15
D · Potential for more than minimal harm
2023-01-10
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-05-15
D · Potential for more than minimal harm
2023-01-10
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-05-15
D · Potential for more than minimal harm
2023-01-10
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-05-15
D · Potential for more than minimal harm
2023-01-10
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-05-15
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-04-10
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-05-06
D · Potential for more than minimal harm
2025-04-10
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-05-06
D · Potential for more than minimal harm
2025-04-10
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-05-06
D · Potential for more than minimal harm
2025-04-10
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 2025-05-06
D · Potential for more than minimal harm
2025-04-10
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-05-06
D · Potential for more than minimal harm
2025-04-10
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-06
D · Potential for more than minimal harm
2025-04-10
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 2025-05-06
D · Potential for more than minimal harm
2025-04-10
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 2025-05-06
D · Potential for more than minimal harm
2024-11-19
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-29
E · Potential for more than minimal harm
2024-05-24
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 2024-06-07
J · Immediate jeopardy
2024-04-05
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 2024-05-24
J · Immediate jeopardy
2024-04-05
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-24
J · Immediate jeopardy
2024-04-05
F726 · Nursing and Physician Services Deficiencies
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 2024-05-24
E · Potential for more than minimal harm
2024-04-05
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 2024-05-24
E · Potential for more than minimal harm
2024-04-05
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 2024-05-24
E · Potential for more than minimal harm
2024-04-05
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 2024-05-24
E · Potential for more than minimal harm
2024-04-05
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-24
E · Potential for more than minimal harm
2024-04-05
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-05-24
D · Potential for more than minimal harm
2024-04-05
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-05-24
D · Potential for more than minimal harm
2024-04-05
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 2024-05-24
D · Potential for more than minimal harm
2024-04-05
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 2024-05-24
D · Potential for more than minimal harm
2024-04-05
F585 · Resident Rights Deficiencies
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-05-24
D · Potential for more than minimal harm
2024-04-05
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-05-24
D · Potential for more than minimal harm
2024-04-05
F660 · Resident Assessment and Care Planning Deficiencies
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-05-24
D · Potential for more than minimal harm
2024-04-05
F661 · Resident Assessment and Care Planning Deficiencies
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-05-24
D · Potential for more than minimal harm
2024-04-05
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2024-05-24
D · Potential for more than minimal harm
2024-04-05
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-05-24
E · Potential for more than minimal harm
2023-11-20
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-12-18
D · Potential for more than minimal harm
2023-11-20
F745 · Quality of Life and Care Deficiencies
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2023-12-18
D · Potential for more than minimal harm
2023-08-18
F660 · Resident Assessment and Care Planning Deficiencies
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2023-09-13
J · Immediate jeopardy
2023-03-17
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 2023-01-30
J · Immediate jeopardy
2023-01-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-01-30
H · Actual harm
2023-01-10
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-01-30
F · Potential for more than minimal harm
2023-01-10
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-01-30
E · Potential for more than minimal harm
2023-01-10
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 2023-01-30
D · Potential for more than minimal harm
2023-01-10
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 2023-01-30
D · Potential for more than minimal harm
2023-01-10
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 2023-01-30
D · Potential for more than minimal harm
2023-01-10
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-01-30
B · Minimal harm
2023-01-10
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2023-02-10
Penalties and ownership
What sits behind the stars
$48,523
2024-04-05
Fine
Fine · fine $48,523
Fine
$0
2024-04-05
Payment Denial
Payment Denial · denial start 2024-05-04 · 34 days
34 day denial
Ownership
Nc East Holding LLC
5% Or Greater Direct Ownership Interest · Organization
Alter, Tzvi
5% Or Greater Indirect Ownership Interest · Individual
Hc Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Zanziper Family Trust
5% Or Greater Indirect Ownership Interest · Organization
Alter, Tzvi
Corporate Director · Individual
Alter, Tzvi
Corporate Officer · Individual
Joseph, Donald
W-2 Managing Employee · Individual
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#3
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