Federal inspection record · CMS data as of October 1, 2026
The Carrolton of Fayetteville
2461 Legion Road, Fayetteville, NC · (910) 424-9417
- Certified beds
- 120
- Residents per day
- 117
- Ownership
- For-Profit
- Chain
- Carrolton Nursing Homes
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 13, 1991
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
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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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
The Carrolton of Fayetteville carries 34 inspection points. That is fewer than 44% of North Carolina's 415 rated homes.
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
26 health citations on record since 2018. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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 (3)
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Provide safe and appropriate respiratory care for a resident when needed.
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G
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Everything else, by area of care
Resident Assessment and Care Planning6D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
Pharmacy Service5D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure medication error rates are not 5 percent or greater.
- 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.
Resident Rights3D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
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.
- B
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care3E
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Honor each resident's preferences, choices, values and beliefs.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary2F
- F
Dispose of garbage and refuse properly.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Administration1F
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Environmental1F
- F
Keep all essential equipment working safely.
Inspection history
2025-09-12
5 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2024-06-14
2 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
2018-07-03
19 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 25 min of nursing staff time a day, 19 min of it from a registered nurse.
This home
3 h 25 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 41% of nursing staff and 55% 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
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts better | 1.5 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better | 1.6 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine51.1 pts worse | 41.3% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine22 pts worse | 72.7% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts better | 2.5% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.4 pts better | 4.4% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weightAbout the same | 7.1% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.9 pts better | 18.2% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.6 pts worse | 17.5% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.4 pts better | 8.2% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.4 pts better | 7.6% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts worse | 0.8% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.3 pts better | 1.8% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence14.4 pts worse | 34.3% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.9 pts worse | 7.3% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine35.8 pts worse | 45.7% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.6 pts worse | 14.3% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts worse | 1.8% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.7 pts worse | 68.4% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.3 pts better | 17.9% | 22.2% | 23.4% |
·
Who owns and runs it
13 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| C. Saunders Roberson, Jr., As Trustee Of The Judith Roberson Dixon Irr | 5% Or Greater Direct Ownership Interest · Organization | 50% | 5 facilities |
| Figlewski, Deborah | 5% Or Greater Direct Ownership Interest · Individual | 13% | 6 facilities |
| Powell, Earl | 5% Or Greater Direct Ownership Interest · Individual | 13% | 6 facilities |
| Powell, John | 5% Or Greater Direct Ownership Interest · Individual | 13% | 6 facilities |
| Russell, Denise | 5% Or Greater Direct Ownership Interest · Individual | 13% | 6 facilities |
| Carrolton Facility Management, LLC | Operational/Managerial Control · Organization | 0% | 6 facilities |
| Carrolton Facility Management, LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Khurana, Rajesh | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Khurana, Rajesh | Adp Of The SNF · Individual | 0% | 2 facilities |
| Roberson, Carrol | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Roberson, Carrol | Adp Of The SNF · Individual | 0% | 6 facilities |
| Rozier, Sonya | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Rozier, Sonya | Adp Of The SNF · Individual | 0% | 6 facilities |
·
Fire safety
16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- D
Have an enclosure around a vertical opening shaft.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Properly install and monitor supervisory attachments on automatic sprinkler systems.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems4F
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Construction2E
- E
Use approved construction type or materials.
- E
Use approved construction type or materials.
Egress2F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Have properly located and lighted "Exit" signs.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
Village Green Health and Rehabilitation
Fayetteville, NC · Sanstone Health & Rehabilitation
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 27 min
- Fines
- $0
-
Carolina Rehab Center of Cumberland
Fayetteville, NC · Lifeworks Rehab
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 56 min
- Fines
- $97,936
-
Haymount Rehabilitation & Nursing Center, Inc.
Fayetteville, NC · Century Care Management
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 28 min
- Fines
- $0