10 health deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Knightdale, NC
2-star overall rating with 2-star inspections with $15,642 in total fines with 10 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
1000 Tandal Place, Knightdale, NC
(919) 266-7744
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
80
Certified beds
Average residents
68
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care
Operator or chain grouping
Approved since
1993-04-27
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
36 facilities
Chain averages 2 overall / 2 health / 3 staffing / 3 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
RN hours / resident day
0.43
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
1.04
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.02
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.49
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.47
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.02
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.20
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.41
CMS adjusted RN staffing hours
Adjusted total hours
3.28
CMS adjusted total nurse staffing hours
Case-mix index
1.45
Higher values indicate more complex resident acuity
RN turnover
63%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
9,591
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23.18
Composite VBP score used to determine payment impact.
Payment multiplier
0.9831
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.49
Baseline 18.61% · Performance 19.82% · Measure score 3.49 · Achievement 3.49 · Improvement 0
Healthcare-associated infections
1.70
Baseline 6.58% · Performance 7.33% · Measure score 1.70 · Achievement 1.70 · Improvement 0
Total nurse turnover
4.09
Baseline 64.29% · Performance 46.97% · Measure score 4.09 · Achievement 4.09 · Improvement 3.89
Adjusted total nurse staffing
0
Baseline 3.26 hours · Performance 3.05 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.13% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 88 · Observed rate 10.23% · Lower 95% interval 6.85% |
| Discharge to community | 50.85% |
50.57%
0.3 pts better
|
No Different than the National Rate · Eligible stays 88 · Observed rate 40.91% · Lower 95% interval 39.57% |
| Medicare spending per beneficiary | 1.05 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 49 · Denominator 49 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 49 |
| Discharge self-care score | 44% |
53.69%
9.7 pts worse
|
Numerator 11 · Denominator 25 |
| Discharge mobility score | 52% |
50.94%
1.1 pts better
|
Numerator 13 · Denominator 25 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 49 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.33% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 51 · Observed rate 9.8% · Lower 95% interval 3.78% |
| Staff COVID-19 vaccination coverage | 100% |
8.2%
91.8 pts better
|
Numerator 87 · Denominator 87 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 56% |
56.45%
0.5 pts worse
|
Numerator 14 · Denominator 25 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 28 · Denominator 28 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 27 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.7 |
1.8
1.1 pts better
|
1.9
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.7 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.2 |
1.8
1.6 pts better
|
1.8
1.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.2 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 63.6% |
91.5%
27.9 pts worse
|
93.4%
29.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 47.5% · Q2 53.7% · Q3 73.1% · Q4 82.7% · 4Q avg 63.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 87.5% |
94.1%
6.6 pts worse
|
95.5%
8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 87.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.4% |
3.6%
2.2 pts better
|
3.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 0.0% · Q3 0.0% · Q4 1.9% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 22.1% |
4.8%
17.3 pts worse
|
11.4%
10.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 29.4% · Q3 30.0% · Q4 9.8% · 4Q avg 22.1% |
| Percentage of long-stay residents who lose too much weight | 7.5% |
7.2%
0.3 pts worse
|
5.4%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 3.9% · Q3 6.1% · Q4 4.3% · 4Q avg 7.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.9% |
21.6%
12.7 pts better
|
19.6%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 11.8% · Q3 8.2% · Q4 4.1% · 4Q avg 8.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.1% |
15.0%
0.1 pts worse
|
16.7%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 15.0% · Q3 15.4% · Q4 14.3% · 4Q avg 15.1% · 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 need for help with daily activities has increased | 15.1% |
16.8%
1.7 pts better
|
14.9%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 11.1% · Q3 15.6% · Q4 19.6% · 4Q avg 15.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.4% |
0.9%
0.5 pts worse
|
1.0%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 2.6% · Q4 1.4% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.8% |
2.6%
0.2 pts worse
|
1.7%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.7% · Q3 5.8% · Q4 2.0% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.2% |
21.2%
4 pts worse
|
19.8%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 23.3% · Q3 21.0% · Q4 32.9% · 4Q avg 25.2% |
| Percentage of long-stay residents with pressure ulcers | 4.9% |
6.0%
1.1 pts better
|
5.1%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 3.7% · Q3 6.3% · Q4 3.7% · 4Q avg 4.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 42.2% |
79.9%
37.7 pts worse
|
81.7%
39.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 44.0% · Q2 45.0% · Q3 41.9% · Q4 38.3% · 4Q avg 42.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.6% |
13.2%
2.4 pts worse
|
12.0%
3.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.6% · Observed 16.7% · Expected 12.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.5%
0.1 pts better
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 1.9% · Q4 1.2% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 54.6% |
78.1%
23.5 pts worse
|
79.7%
25.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 54.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.4% |
22.9%
7.5 pts worse
|
23.9%
6.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.4% · Observed 33.3% · Expected 26.1% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (5 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Pharmacy Service (2 deficiencies)
5 fire-safety deficiencies
Top issue: Services (2 deficiencies)
Top issue: Administration (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-01-13
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-01-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-13
Fire Safety
Use approved construction type or materials.
Corrected 2025-01-13
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-01-13
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-01-13
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-01-13
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2025-01-13
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-10-25
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-10-25
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-25
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-10-25
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-10-25
Inspection history
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-12-01
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-11-25
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-04-04
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-12-01
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 2025-12-01
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-12-01
Health
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.
Corrected 2025-12-01
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-12-01
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2025-12-06
Health
Provide and implement an infection prevention and control program.
Corrected 2025-12-01
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-10-30
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-09-21
Health
Assess the resident when there is a significant change in condition
Corrected 2024-09-21
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-09-21
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-09-21
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 2024-09-21
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-21
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-02-22
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-02-22
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-02-22
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-02-22
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2024-02-22
Health
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected 2023-08-08
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2023-08-08
Penalties and ownership
Fine · fine $15,642
Fine
Operational/Managerial Control · Individual
5% Or Greater Security Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Nearby options
Raleigh, NC
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Raleigh, NC
2-star overall rating with 2-star inspections with $15,593 in total fines with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Raleigh, NC
2-star overall rating with 2-star inspections with $72,855 in total fines with 2 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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