Pittsboro, NC

The Arbor

4-star overall rating with 4-star inspections with $6,350 in total fines with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

300 Clynelish Close, Pittsboro, NC

(919) 545-2690

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

16

Certified beds

Average residents

11

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2006-09-28

CMS approved date

Coverage

Medicare

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.00

Registered nurse staffing

LPN hours / resident day

1.36

Licensed practical nurse staffing

Aide hours / resident day

2.14

Nurse aide staffing

Weekend hours

5.10

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
79.9%
20.1 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 15.9%
13.2%
2.7 pts worse
12.0%
3.9 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 4.0%
1.5%
2.5 pts worse
1.6%
2.4 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 95.7%
78.1%
17.6 pts better
79.7%
16 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 22.6%
22.9%
0.3 pts better
23.9%
1.3 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-12 · Fire 2025-03-12

1 health deficiencies

Top issue: Administration (1 deficiency)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-01-10 · Fire 2024-01-10

5 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

3 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2022-08-30 · Fire 2022-08-30

0 health deficiencies

No concentrated health issue counts in this cycle.

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-03-12

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-06-17

D · Potential for more than minimal harm 2025-03-12

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2025-06-17

F · Potential for more than minimal harm 2024-01-10

E1 · Emergency Preparedness Deficiencies

Fire Safety

Establish an Emergency Preparedness Program (EP).

Corrected 2024-02-07

D · Potential for more than minimal harm 2024-01-10

K321 · Smoke Deficiencies

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 2024-03-07

D · Potential for more than minimal harm 2024-01-10

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-03-07

D · Potential for more than minimal harm 2022-08-30

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-11-12

D · Potential for more than minimal harm 2022-08-30

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2022-11-12

D · Potential for more than minimal harm 2022-08-30

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2022-11-12

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-03-12

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2024-11-14

E · Potential for more than minimal harm 2024-01-10

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-02-07

D · Potential for more than minimal harm 2024-01-10

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-02-07

D · Potential for more than minimal harm 2024-01-10

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 2024-02-07

D · Potential for more than minimal harm 2024-01-10

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2024-02-07

B · Minimal harm 2024-01-10

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-02-07

Penalties and ownership

What sits behind the stars

$2,117 2023-10-02

Fine

Fine · fine $2,117

Fine

$4,233 2023-09-11

Fine

Fine · fine $4,233

Fine

Ownership

Boylan-Walker, Dana

Operational/Managerial Control · Individual

0% 1 facilities 2022-05-24
Boylan-Walker, Dana

Corporate Officer · Individual

0% 1 facilities 2022-05-24
Cannon, Rob

Operational/Managerial Control · Individual

0% 1 facilities 2024-01-01
Cannon, Rob

Corporate Director · Individual

0% 1 facilities 2024-01-01
Chapman, Lisa

Operational/Managerial Control · Individual

0% 1 facilities 2022-01-01
Chapman, Lisa

Corporate Director · Individual

0% 1 facilities 2022-01-01
De St. Aubin, Denis

Operational/Managerial Control · Individual

0% 1 facilities 2023-01-01
De St. Aubin, Denis

Corporate Director · Individual

0% 1 facilities 2023-01-01
Kahler, H. Richard

Operational/Managerial Control · Individual

0% 1 facilities 2024-09-01
Kahler, H. Richard

Corporate Director · Individual

0% 1 facilities 2024-09-01
Kendra, Victoria

Operational/Managerial Control · Individual

0% 1 facilities 2017-03-01
Marshall, Robert

Operational/Managerial Control · Individual

0% 1 facilities 2023-01-01
Marshall, Robert

Corporate Director · Individual

0% 1 facilities 2023-01-01
Mckenna, Gary

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-01
Mckenna, Gary

Corporate Director · Individual

0% 1 facilities 2025-01-01
Meyer Austin, Leah

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-01
Meyer Austin, Leah

Corporate Director · Individual

0% 1 facilities 2025-01-01
Perry, David

Operational/Managerial Control · Individual

0% 3 facilities 2020-01-01
Perry, David

Corporate Director · Individual

0% 3 facilities 2020-01-01
Rimer, Alan

Operational/Managerial Control · Individual

0% 1 facilities 2024-01-01
Rimer, Alan

Corporate Director · Individual

0% 1 facilities 2024-01-01
Wilson, Stan

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-01
Wilson, Stan

Corporate Director · Individual

0% 1 facilities 2025-01-01
Winter, Christina

Corporate Director · Individual

0% 1 facilities 2024-01-01
Zimmer, Robert

Operational/Managerial Control · Individual

0% 1 facilities 2011-12-06
Zimmer, Robert

Corporate Director · Individual

0% 1 facilities 2011-12-06

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#3

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