Cycle 1
Health 2025-07-24 · Fire 2024-05-23
2 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Concord, NC
The Greens at Cabarrus
5-star overall rating with 4-star inspections with $15,269 in total fines with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
250 Bishop Lane, Concord, NC
(704) 788-6400
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
90
Certified beds
Average residents
82
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Cch Healthcare
Operator or chain grouping
Approved since
1991-04-30
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
32 facilities
Chain averages 3 overall / 2 health / 2 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.43
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
1.00
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
1.88
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.31
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.43
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
2.78
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.38
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.13
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.44
CMS adjusted RN staffing hours
Adjusted total hours
3.38
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
30%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,613
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.26
Composite VBP score used to determine payment impact.
Payment multiplier
0.9854
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.15
Baseline 17.96% · Performance 20.44% · Measure score 2.15 · Achievement 2.15 · Improvement 0
Healthcare-associated infections
4.86
Baseline 4.95% · Performance 6.38% · Measure score 4.86 · Achievement 4.86 · Improvement 0
Total nurse turnover
4.69
Baseline 78.72% · Performance 50.75% · Measure score 4.69 · Achievement 3.16 · Improvement 4.69
Adjusted total nurse staffing
0
Baseline 3.54 hours · Performance 3.18 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.55% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 223 · Observed rate 10.31% · Lower 95% interval 7.66% |
| Discharge to community | 65.96% |
50.57%
15.4 pts better
|
Better than the National Rate · Eligible stays 219 · Observed rate 59.82% · Lower 95% interval 58.86% |
| Medicare spending per beneficiary | 0.91 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 99.15% |
95.27%
3.9 pts better
|
Numerator 117 · Denominator 118 |
| Falls with major injury | 0.85% |
0.77%
0.1 pts worse
|
Numerator 1 · Denominator 118 |
| Discharge self-care score | 53.68% |
53.69%
About the same
|
Numerator 51 · Denominator 95 |
| Discharge mobility score | 41.05% |
50.94%
9.9 pts worse
|
Numerator 39 · Denominator 95 |
| Pressure ulcers or injuries, new or worsened | 0.85% |
2.29%
1.4 pts better
|
Numerator 1 · Denominator 118 · Adjusted rate 0.66% |
| Healthcare-associated infections requiring hospitalization | 6.38% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 121 · Observed rate 4.96% · Lower 95% interval 3.8% |
| Staff COVID-19 vaccination coverage | 1.35% |
8.2%
6.8 pts worse
|
Numerator 1 · Denominator 74 |
| Staff flu vaccination coverage | 34.69% |
42%
7.3 pts worse
|
Numerator 34 · Denominator 98 |
| Discharge function score | 49.47% |
56.45%
7 pts worse
|
Numerator 47 · Denominator 95 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 92.96% |
96.28%
3.3 pts worse
|
Numerator 66 · Denominator 71 |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 57 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.8
0.3 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.4 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.8
1.3 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.5 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.5%
8.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.1%
5.9 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.3% |
3.6%
1.3 pts better
|
3.3%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 3.7% · Q3 1.8% · Q4 0.0% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.0% |
4.8%
2.8 pts better
|
11.4%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.0% · Q4 4.2% · 4Q avg 2.0% |
| Percentage of long-stay residents who lose too much weight | 14.6% |
7.2%
7.4 pts worse
|
5.4%
9.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 16.0% · Q3 15.7% · Q4 14.0% · 4Q avg 14.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.2% |
21.6%
5.6 pts worse
|
19.6%
7.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 30.0% · Q3 33.3% · Q4 26.0% · 4Q avg 27.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.8% |
15.0%
11.2 pts better
|
16.7%
12.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.5% · Q3 5.3% · Q4 5.4% · 4Q avg 3.8% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 24.4% |
21.5%
2.9 pts worse
|
16.3%
8.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 29.2% · Q3 26.1% · 4Q avg 24.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.8% |
16.8%
6 pts better
|
14.9%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 10.9% · Q3 4.4% · Q4 13.6% · 4Q avg 10.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.8% |
2.6%
0.8 pts better
|
1.7%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 1.9% · Q3 0.0% · Q4 1.9% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.5% |
21.2%
2.3 pts worse
|
19.8%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.8% · Q2 15.9% · Q3 30.5% · Q4 21.2% · 4Q avg 23.5% |
| Percentage of long-stay residents with pressure ulcers | 0.4% |
6.0%
5.6 pts better
|
5.1%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.8% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.9% |
79.9%
16 pts better
|
81.7%
14.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.5% · Q2 98.0% · Q3 98.2% · Q4 93.4% · 4Q avg 95.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.1% |
13.2%
6.1 pts better
|
12.0%
4.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.1% · Observed 6.7% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.1% |
78.1%
14 pts better
|
79.7%
12.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.7% |
22.9%
1.8 pts worse
|
23.9%
0.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.7% · Observed 21.9% · Expected 21.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-05-23 · Fire 2023-02-09
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Cycle 3
Health 2023-02-09 · Fire 2021-05-13
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-05-23
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-07-31
D · Potential for more than minimal harm
2024-05-23
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-07-31
D · Potential for more than minimal harm
2023-02-09
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2023-03-24
D · Potential for more than minimal harm
2021-05-13
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-06-18
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-11-14
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-11-15
D · Potential for more than minimal harm
2025-07-24
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-08-21
J · Immediate jeopardy
2023-07-25
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-07-13
E · Potential for more than minimal harm
2023-02-09
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 2023-02-24
D · Potential for more than minimal harm
2023-02-09
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2023-02-24
D · Potential for more than minimal harm
2023-02-09
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-02-24
Penalties and ownership
What sits behind the stars
$15,269
2023-07-25
Fine
Fine · fine $15,269
Fine
Ownership
Bync Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
10-26 Nationwide Tr
5% Or Greater Indirect Ownership Interest · Organization
Capital Holdings Trust
5% Or Greater Indirect Ownership Interest · Organization
Jeremias, Baruch
5% Or Greater Indirect Ownership Interest · Individual
Jeremias, Baruch
Corporate Director · Individual
Pittman, Cynthia
W-2 Managing Employee · Individual
Starlight Healthcare LLC
5% Or Greater Indirect Ownership Interest · Organization
Stern, Jacob
5% Or Greater Indirect Ownership Interest · Individual
Stern, Jacob
Corporate Director · Individual
Stern, Jacob
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Accordius Health at Concord
Concord, NC
1-star overall rating with 1-star inspections with abuse icon flag with $129,204 in total fines with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Kannapolis Health and Rehabilitation
Kannapolis, NC
1-star overall rating with 1-star inspections with $133,864 in total fines with 8 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
#3
Five Oaks Rehabilitation and Care Center
Concord, NC
1-star overall rating with 1-star inspections with $17,345 in total fines with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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