Federal inspection record · CMS data as of October 1, 2026

Surry Community Health Center by Harborview

542 Allred Mill Road, Mount Airy, NC · (336) 789-5076

CMS overall rating

1 of 5

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Certified beds
120
Residents per day
108
Ownership
For-Profit
Chain
Harborview Health Systems
Medicare / Medicaid
Medicare + Medicaid
Certified since
May 1, 1981

1

How this home got 1 star

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among North Carolina homes

Surry Community Health Center by Harborview carries 151 inspection points. That is fewer than 7% of North Carolina's 415 rated homes.

5★4★3★2★1★+13 homes above 189.505102550100inspection points → fewer is better on the leftThis home · 151 pts · 1★

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

28 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 2 50 pts
K 6 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 14 4 pts
E 2 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 1 0 pts
C 1 0 pts

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.

Harm and immediate-jeopardy citations (9)

  1. K

    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.

    March 27, 2024 · Standard inspection · Resident Rights · F585 · Corrected April 24, 2024

  2. K

    Protect each resident from the wrongful use of the resident's belongings or money.

    March 27, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F602 · Corrected April 24, 2024

  3. K

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    March 27, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F607 · Corrected April 24, 2024

  4. K

    Provide safe, appropriate pain management for a resident who requires such services.

    March 27, 2024 · Standard inspection · Quality of Life and Care · F697 · Corrected April 24, 2024

  5. K

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    March 27, 2024 · Complaint inspection · Pharmacy Service · F755 · Corrected April 24, 2024

  6. K

    Provide and implement an infection prevention and control program.

    March 27, 2024 · Standard inspection · Infection Control · F880 · Corrected April 24, 2024

  7. J

    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

    March 27, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F603 · Corrected April 24, 2024

  8. J

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    March 27, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F604 · Corrected April 24, 2024

  9. G

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    March 27, 2024 · Complaint inspection · Resident Rights · F550 · Corrected April 24, 2024

Everything else, by area of care

Pharmacy Service5D
  1. D

    Ensure medication error rates are not 5 percent or greater.

    August 6, 2026 · Standard · F759 · Corrected September 2, 2026

  2. D

    Ensure that residents are free from significant medication errors.

    August 6, 2026 · Standard · F760 · Corrected September 2, 2026

  3. D

    Ensure medication error rates are not 5 percent or greater.

    June 11, 2025 · Complaint · F759 · Corrected July 14, 2025

  4. D

    Ensure that residents are free from significant medication errors.

    March 27, 2024 · Complaint · F760 · Corrected April 24, 2024

  5. 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.

    March 27, 2024 · Complaint · F761 · Corrected April 24, 2024

Quality of Life and Care4E
  1. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    June 11, 2025 · Complaint · F689 · Corrected July 14, 2025

  2. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    March 27, 2024 · Complaint · F677 · Corrected April 24, 2024

  3. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    March 27, 2024 · Standard · F690 · Corrected April 24, 2024

  4. D

    Provide enough food/fluids to maintain a resident's health.

    March 27, 2024 · Complaint · F692 · Corrected April 24, 2024

Resident Assessment and Care Planning3D
  1. D

    Ensure each resident receives an accurate assessment.

    June 11, 2025 · Standard · F641 · Corrected July 14, 2025

  2. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    March 27, 2024 · Complaint · F842 · Corrected April 24, 2024

  3. B

    Ensure each resident receives an accurate assessment.

    March 27, 2024 · Standard · F641 · Corrected April 24, 2024

Resident Rights2D
  1. D

    Ensure that residents are fully informed and understand their health status, care and treatments.

    June 11, 2025 · Standard · F552 · Corrected July 14, 2025

  2. D

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    March 27, 2024 · Complaint · F561 · Corrected April 24, 2024

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    June 11, 2025 · Standard · F605 · Corrected July 14, 2025

  2. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    March 27, 2024 · Complaint · F600 · Corrected April 24, 2024

Nursing and Physician Services2E
  1. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    March 27, 2024 · Complaint · F725 · Corrected April 24, 2024

  2. C

    Post nurse staffing information every day.

    March 27, 2024 · Standard · F732 · Corrected April 24, 2024

Administration1F
  1. F

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    March 27, 2024 · Standard · F867 · Corrected April 24, 2024

Inspection history

  1. 2026-08-06

    2 health deficiencies · 1 fire-safety deficiencies

    Top issue: Pharmacy Service (2 deficiencies)

  2. 2025-06-11

    5 health deficiencies · 2 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

  3. 2024-03-27

    21 health deficiencies · 0 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 11 min of nursing staff time a day, 19 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: 36% of nursing staff and 22% 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

Fines and payment denials

$145,262 in federal fines on record over the past three years.

DatePenaltyAmount
2024-03-27Fine$145,262

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.3 pts better1.41.71.8
Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same1.71.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine13.2 pts worse79.2%92.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.7 pts worse88.0%94.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.6 pts worse6.0%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms5.5 pts better1.3%6.8%13.5%
Percentage of long-stay residents who lose too much weight2.5 pts better4.6%7.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication12.2 pts worse33.3%21.1%19.5%
Percentage of long-stay residents who received an antipsychotic medication2.6 pts better11.3%13.9%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened8.1 pts worse24.7%16.6%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased5.5 pts worse20.5%15.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts worse1.1%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection0.3 pts worse2.4%2.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.9 pts worse24.8%19.9%18.3%
Percentage of long-stay residents with pressure ulcers2.4 pts better3.0%5.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine44.1 pts worse37.4%81.5%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit6.8 pts better5.9%12.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1 pts worse2.4%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine43 pts worse38.1%81.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission3 pts better19.2%22.2%23.4%

·

Who owns and runs it

35 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Ga Nc 14, LLC5% Or Greater Direct Ownership Interest · Organization100%14 facilities
Blackburn, MaryOperational/Managerial Control · Individual0%1 facilities
Blackburn, MaryAdp Of The SNF · Individual0%1 facilities
Blaxton, BrandiOperational/Managerial Control · Individual0%10 facilities
Blaxton, BrandiAdp Of The SNF · Individual0%10 facilities
Borisevich, MariaOperational/Managerial Control · Individual0%12 facilities
Borisevich, MariaAdp Of The SNF · Individual0%12 facilities
Easter, CrystalOperational/Managerial Control · Individual0%1 facilities
Easter, CrystalAdp Of The SNF · Individual0%1 facilities
Englander, DavidManaging Control - Governing Body · Individual0%19 facilities
Englander, DavidOperational/Managerial Control · Individual0%19 facilities
Englander, DavidAdp Of The SNF · Individual0%19 facilities
Fendrich, WarrenOperational/Managerial Control · Individual0%10 facilities
Fendrich, WarrenAdp Of The SNF · Individual0%10 facilities
Fink, PaulOperational/Managerial Control · Individual0%1 facilities
Fink, PaulAdp Of The SNF · Individual0%1 facilities
Hiatt, BaileyOperational/Managerial Control · Individual0%1 facilities
Hiatt, BaileyAdp Of The SNF · Individual0%1 facilities
Howlett, WandaOperational/Managerial Control · Individual0%1 facilities
Howlett, WandaAdp Of The SNF · Individual0%1 facilities
Hunt, HeatherOperational/Managerial Control · Individual0%10 facilities
Hunt, HeatherAdp Of The SNF · Individual0%10 facilities
Leggett, HaleyOperational/Managerial Control · Individual0%3 facilities
Leggett, HaleyAdp Of The SNF · Individual0%3 facilities
Leibowitz, ChaimManaging Control - Governing Body · Individual0%21 facilities
Leibowitz, ChaimOperational/Managerial Control · Individual0%21 facilities
Leibowitz, ChaimAdp Of The SNF · Individual0%21 facilities
Majure, DavidOperational/Managerial Control · Individual0%1 facilities
Majure, DavidAdp Of The SNF · Individual0%1 facilities
Manganaan, RebeccaOperational/Managerial Control · Individual0%1 facilities
Manganaan, RebeccaAdp Of The SNF · Individual0%1 facilities
Pinewood Ltc Management LLCOperational/Managerial Control · Organization0%2 facilities
Pinewood Ltc Management LLCAdp Of The SNF · Organization0%2 facilities
Rogers, ArtOperational/Managerial Control · Individual0%10 facilities
Rogers, ArtAdp Of The SNF · Individual0%10 facilities

·

Fire safety

3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Gas, Vacuum, and Electrical Systems1D
  1. D

    Have generator or other power source capable of supplying service within 10 seconds.

    June 11, 2025 · K918 · Corrected August 29, 2025

Emergency Preparedness1F
  1. F

    Conduct testing and exercise requirements.

    March 27, 2024 · E39 · Corrected April 24, 2024

Smoke1D
  1. D

    Inspect, test, and maintain automatic sprinkler systems.

    March 27, 2024 · K353 · Corrected June 28, 2024

·

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