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

Warsaw Rehabilitation and Healthcare Center

214 Lanefield Road, Warsaw, NC · (910) 293-3144

CMS overall rating

1 of 5

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Certified beds
100
Residents per day
85
Ownership
For-Profit
Chain
Yad Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
October 23, 1986

1

How this home got 1 star

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

    −1 star

    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

    no change

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

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among North Carolina homes

Warsaw Rehabilitation and Healthcare Center carries 60.75 inspection points. That is fewer than 26% 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 · 60.75 pts · 2★

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

19 health citations on record since 2024. 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 2 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 12 4 pts
E 4 8 pts
F 0 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 (3)

  1. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    March 21, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected April 4, 2025

  2. J

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

    December 9, 2024 · Complaint inspection · Quality of Life and Care · F684 · Corrected January 9, 2025

  3. J

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

    December 9, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected November 18, 2024

Everything else, by area of care

Resident Assessment and Care Planning4E
  1. E

    Ensure each resident receives an accurate assessment.

    June 22, 2026 · Standard · F641 · Corrected July 3, 2026

  2. D

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

    June 22, 2026 · Standard · F636 · Corrected July 3, 2026

  3. D

    Ensure each resident receives an accurate assessment.

    March 21, 2025 · Standard · F641 · Corrected April 4, 2025

  4. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    January 9, 2025 · Complaint · F657 · Corrected January 17, 2025

Resident Rights3E
  1. D

    Keep residents' personal and medical records private and confidential.

    June 22, 2026 · Standard · F583 · Corrected July 3, 2026

  2. E

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    March 21, 2025 · Standard · F565 · Corrected April 4, 2025

  3. D

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

    March 21, 2025 · Standard · F582 · Corrected April 4, 2025

Quality of Life and Care3D
  1. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    June 22, 2026 · Complaint · F677 · Corrected July 3, 2026

  2. D

    Provide appropriate foot care.

    June 22, 2026 · Standard · F687 · Corrected July 3, 2026

  3. D

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    March 21, 2025 · Standard · F688 · Corrected April 4, 2025

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    March 21, 2025 · Complaint · F607 · Corrected April 4, 2025

  2. D

    Protect each resident from the wrongful use of the resident's belongings or money.

    January 9, 2025 · Complaint · F602 · Corrected January 17, 2025

Pharmacy Service2D
  1. D

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    March 21, 2025 · Standard · F758 · Corrected April 4, 2025

  2. 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.

    January 9, 2025 · Complaint · F761 · Corrected January 17, 2025

Nutrition and Dietary2E
  1. E

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    April 22, 2024 · Complaint · F803 · Corrected May 17, 2024

  2. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    April 22, 2024 · Complaint · F804 · Corrected May 17, 2024

Inspection history

  1. 2026-06-22

    5 health deficiencies · 7 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

  2. 2025-03-21

    12 health deficiencies · 2 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

  3. 2024-04-22

    2 health deficiencies · 2 fire-safety deficiencies

    Top issue: Nutrition and Dietary (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 12 min of nursing staff time a day, 32 min of it from a registered nurse.

This home

3 h 12 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

Fines and payment denials

$43,924 in federal fines on record over the past three years.

DatePenaltyAmount
2025-03-21Fine$26,078
2024-12-09Fine$3,413
2024-12-09Fine$7,216
2024-12-09Fine$7,217
2024-12-09Payment Denial · 10 day denial$0

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident daysAbout the same1.71.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days2.2 pts worse3.91.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.7 pts worse87.7%92.4%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine11.6 pts worse83.1%94.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.1 pts better1.3%3.4%3.2%
Percentage of long-stay residents who have depressive symptoms1.8 pts worse8.6%6.8%13.5%
Percentage of long-stay residents who lose too much weight2 pts worse9.1%7.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1.5 pts better19.6%21.1%19.5%
Percentage of long-stay residents who received an antipsychotic medication1 pts worse14.9%13.9%15.4%
Percentage of long-stay residents who were physically restrainedAbout the same0.0%0.0%0.1%
Percentage of long-stay residents whose ability to walk independently worsened8.7 pts worse25.3%16.6%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.9 pts better12.1%15.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better0.2%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection1.8 pts better0.3%2.1%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.3 pts worse22.2%19.9%18.3%
Percentage of long-stay residents with pressure ulcers2.1 pts worse7.5%5.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine53 pts worse28.5%81.5%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit18.8 pts worse31.5%12.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts worse1.8%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine56.1 pts worse25.0%81.1%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.3 pts worse27.5%22.2%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Warsaw Holdco LLC5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Alter, Tzvi5% Or Greater Indirect Ownership Interest · Individual80%23 facilities
Braun, Joseph5% Or Greater Indirect Ownership Interest · Individual20%3 facilities
Afrede, MominOperational/Managerial Control · Individual0%1 facilities
Afrede, MominAdp Of The SNF · Individual0%1 facilities
Caquias Gonzalez, EileenOperational/Managerial Control · Individual0%3 facilities
Caquias Gonzalez, EileenAdp Of The SNF · Individual0%3 facilities

·

Fire safety

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

Smoke6E
  1. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    June 22, 2026 · K321 · Corrected September 25, 2026

  2. E

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

    June 22, 2026 · K374 · Corrected September 25, 2026

  3. D

    Install corridor and hallway doors that block smoke.

    June 22, 2026 · K363 · Corrected September 25, 2026

  4. D

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

    June 22, 2026 · K372 · Corrected September 25, 2026

  5. D

    Have approved installation, maintenance and testing program for fire alarm systems.

    March 21, 2025 · K345 · Corrected May 2, 2025

  6. D

    Inspect, test, and maintain automatic sprinkler systems.

    March 21, 2025 · K353 · Corrected May 2, 2025

Egress2E
  1. E

    Have properly located and lighted "Exit" signs.

    June 22, 2026 · K293 · Corrected September 25, 2026

  2. D

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    April 22, 2024 · K223 · Corrected July 5, 2024

Miscellaneous1D
  1. D

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    June 22, 2026 · K761 · Corrected September 25, 2026

Gas, Vacuum, and Electrical Systems1D
  1. D

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

    June 22, 2026 · K918 · Corrected September 25, 2026

Construction1D
  1. D

    Use approved construction type or materials.

    April 22, 2024 · K161 · Corrected July 5, 2024

·

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