Dunn, NC

The Carrolton of Dunn

1-star overall rating with 1-star inspections with $61,389 in total fines with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

711 Susan Tart Road, Dunn, NC

(910) 892-8843

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

Certified beds

Average residents

91

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Carrolton Nursing Homes

Operator or chain grouping

Approved since

1990-09-05

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.17

Registered nurse staffing

LPN hours / resident day

0.94

Licensed practical nurse staffing

Aide hours / resident day

2.01

Nurse aide staffing

Weekend hours

2.72

Weekend nurse staffing

RN turnover

80%

Annual RN turnover

Total nurse turnover

55%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 56.1%
91.5%
35.4 pts worse
93.4%
37.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 62.1%
94.1%
32 pts worse
95.5%
33.4 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 1.8%
3.6%
1.8 pts better
3.3%
1.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 2.1%
4.8%
2.7 pts better
11.4%
9.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 6.3%
7.2%
0.9 pts better
5.4%
0.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 18.7%
21.6%
2.9 pts better
19.6%
0.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 18.8%
15.0%
3.8 pts worse
16.7%
2.1 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 48.2%
21.5%
26.7 pts worse
16.3%
31.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 18.7%
16.8%
1.9 pts worse
14.9%
3.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.1%
0.9%
1.2 pts worse
1.0%
1.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.9%
2.6%
0.7 pts better
1.7%
0.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 25.5%
21.2%
4.3 pts worse
19.8%
5.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 12.8%
6.0%
6.8 pts worse
5.1%
7.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 46.1%
79.9%
33.8 pts worse
81.7%
35.6 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 17.2%
13.2%
4 pts worse
12.0%
5.2 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 4.6%
1.5%
3.1 pts worse
1.6%
3 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 50.0%
78.1%
28.1 pts worse
79.7%
29.7 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 32.6%
22.9%
9.7 pts worse
23.9%
8.7 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-11-18 · Fire 2024-10-08

8 health deficiencies

Top issue: Resident Rights (4 deficiencies)

2 fire-safety deficiencies

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

Cycle 2 Health 2024-10-08 · Fire 2023-06-02

15 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

2 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 3 Health 2023-06-02 · Fire 2022-02-17

14 health deficiencies

Top issue: Resident Rights (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2024-10-08

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-11-13

D · Potential for more than minimal harm 2024-10-08

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-11-13

D · Potential for more than minimal harm 2023-06-02

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-07-19

D · Potential for more than minimal harm 2023-06-02

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-07-19

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-11-18

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2025-12-03

E · Potential for more than minimal harm 2025-11-18

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-12-03

E · Potential for more than minimal harm 2025-11-18

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 2025-12-03

D · Potential for more than minimal harm 2025-11-18

F561 · Resident Rights Deficiencies

Health

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

Corrected 2025-12-05

D · Potential for more than minimal harm 2025-11-18

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 2025-12-03

D · Potential for more than minimal harm 2025-07-08

F550 · Resident Rights Deficiencies

Health

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

Corrected 2025-07-09

J · Immediate jeopardy 2025-06-10

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 2025-07-08

J · Immediate jeopardy 2025-06-10

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-07-08

J · Immediate jeopardy 2024-10-08

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 2024-10-31

J · Immediate jeopardy 2024-10-08

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 2024-10-31

E · Potential for more than minimal harm 2024-10-08

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2024-10-31

E · Potential for more than minimal harm 2024-10-08

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-31

D · Potential for more than minimal harm 2024-10-08

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 2024-10-31

D · Potential for more than minimal harm 2024-10-08

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2024-10-31

D · Potential for more than minimal harm 2024-10-08

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-10-31

D · Potential for more than minimal harm 2024-10-08

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-10-31

D · Potential for more than minimal harm 2024-10-08

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 2024-10-31

D · Potential for more than minimal harm 2024-10-08

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-10-31

D · Potential for more than minimal harm 2024-10-08

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2024-10-31

D · Potential for more than minimal harm 2024-10-08

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-10-31

D · Potential for more than minimal harm 2024-10-08

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 2024-10-31

E · Potential for more than minimal harm 2024-05-31

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-06-28

D · Potential for more than minimal harm 2024-05-31

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 2024-06-28

E · Potential for more than minimal harm 2023-06-02

F561 · Resident Rights Deficiencies

Health

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

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-06-02

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-06-02

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 2023-06-30

E · Potential for more than minimal harm 2023-06-02

F725 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-06-02

F690 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-06-02

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-06-02

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-06-02

F867 · Administration Deficiencies

Health

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

Corrected 2023-06-30

C · Minimal harm 2023-06-02

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2023-06-30

B · Minimal harm 2023-06-02

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 2023-06-30

B · Minimal harm 2023-06-02

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-06-30

B · Minimal harm 2023-06-02

F625 · Resident Rights Deficiencies

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 2023-06-30

B · Minimal harm 2023-06-02

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2023-06-30

B · Minimal harm 2023-06-02

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-06-30

Penalties and ownership

What sits behind the stars

$37,151 2025-06-10

Fine

Fine · fine $37,151

Fine

$0 2025-06-10

Payment Denial

Payment Denial · denial start 2025-07-02 · 7 days

7 day denial

$8,545 2024-10-08

Fine

Fine · fine $8,545

Fine

$8,545 2024-10-08

Fine

Fine · fine $8,545

Fine

$3,574 2023-06-02

Fine

Fine · fine $3,574

Fine

$3,574 2023-06-02

Fine

Fine · fine $3,574

Fine

Ownership

C. Saunders Roberson, Jr., As Trustee Of The Judith Roberson Dixon Irr

5% Or Greater Direct Ownership Interest · Organization

50% 5 facilities 2020-02-28
Figlewski, Deborah

5% Or Greater Direct Ownership Interest · Individual

13% 6 facilities 2020-02-28
Powell, Earl

5% Or Greater Direct Ownership Interest · Individual

13% 6 facilities 2020-02-28
Powell, John

5% Or Greater Direct Ownership Interest · Individual

13% 6 facilities 2020-02-28
Russell, Denise

5% Or Greater Direct Ownership Interest · Individual

13% 6 facilities 2020-02-28
Carrolton Facility Management, LLC

Operational/Managerial Control · Organization

0% 6 facilities 2020-10-01
Wrench, Alan

W-2 Managing Employee · Individual

0% 1 facilities 2020-10-01

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Health
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Staffing
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Fines
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2-star overall rating with 2-star inspections with $43,231 in total fines with 7 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

Overall
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Health
2 / 5
Staffing
2 / 5
Fines
$43,231

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