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

The Cardinal at North Hills

311 Garden at North Hills Street, Raleigh, NC · (984) 204-8444

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
15
Residents per day
10
Ownership
For-Profit
Chain
Kisco Senior Living
Medicare / Medicaid
Medicare
Certified since
June 28, 2017

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.

  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

    −1 star

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

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among North Carolina homes

The Cardinal at North Hills carries 15 inspection points. That is fewer than 67% 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 · 15 pts · 4★

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

4 health citations on record since 2023. 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 0 50 pts
K 0 100 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 1 4 pts
E 0 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 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 (1)

  1. G

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

    September 21, 2023 · Standard inspection · Quality of Life and Care · F689 · Corrected October 16, 2023

Everything else, by area of care

Nutrition and Dietary1F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    September 10, 2025 · Standard · F812 · Corrected October 8, 2025

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    September 10, 2025 · Complaint · F609 · Corrected October 8, 2025

Administration1F
  1. F

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

    September 21, 2023 · Standard · F851 · Corrected October 13, 2023

Inspection history

  1. 2025-09-10

    2 health deficiencies · 2 fire-safety deficiencies

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

  2. 2024-09-19

    0 health deficiencies · 6 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

  3. 2023-09-21

    2 health deficiencies · 0 fire-safety deficiencies

    Top issue: Administration (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 7 h 23 min of nursing staff time a day, 1 h 1 min of it from a registered nurse.

This home

7 h 23 min

North Carolina average

3 h 52 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

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.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine32.4 pts worse60.0%92.4%93.7%
Percentage of long-stay residents experiencing one or more falls with major injury8.6 pts worse12.0%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms6.8 pts better0.0%6.8%13.5%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better0.0%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection2.1 pts better0.0%2.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.5 pts worse27.4%19.9%18.3%
Percentage of long-stay residents with pressure ulcers5.4 pts better0.0%5.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine61.1 pts worse20.4%81.5%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit16.4 pts worse29.1%12.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication3 pts worse4.4%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine37.9 pts worse43.2%81.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission8.4 pts worse30.6%22.2%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Austin, BreckW-2 Managing Employee · Individual0%1 facilities
Austin, BreckCorporate Officer · Individual0%1 facilities
Kohlberg, Scott5% Or Greater Direct Ownership Interest · Individual0%2 facilities
Pacheco, JaimeW-2 Managing Employee · Individual0%1 facilities
Ritschel, MitchellCorporate Officer · Individual0%1 facilities

·

Fire safety

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

Gas, Vacuum, and Electrical Systems3F
  1. D

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

    September 19, 2024 · K918 · Corrected November 8, 2024

  2. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    September 21, 2023 · K914 · Corrected November 17, 2023

  3. F

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

    September 21, 2023 · K918 · Corrected November 17, 2023

Smoke3D
  1. D

    Install a fire alarm system that can be heard throughout the facility.

    September 21, 2023 · K341 · Corrected November 17, 2023

  2. D

    Install corridor and hallway doors that block smoke.

    September 21, 2023 · K363 · Corrected November 17, 2023

  3. D

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    September 21, 2023 · K372 · Corrected November 17, 2023

Services2F
  1. D

    Have properly installed electrical wiring and gas equipment.

    September 19, 2024 · K511 · Corrected November 8, 2024

  2. F

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

    September 21, 2023 · K521 · Corrected November 17, 2023

·

Other homes nearby

  1. Not rated
    Worst citation, 3 yrs
    none
    Nursing / resident / day
    9 h 28 min
    Fines
    $0
  2. Worst citation, 3 yrs
    G
    Nursing / resident / day
    5 h 13 min
    Fines
    $0
  3. Raleigh Rehabilitation Center

    Raleigh, NC · Sovereign Healthcare Holdings

    Worst citation, 3 yrs
    G
    Nursing / resident / day
    3 h 27 min
    Fines
    $0