Greensboro, NC

Whitestone a Masonic and Eastern Star Community

3-star overall rating with 3-star inspections with $25,490 in total fines with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

700 South Holden Road, Greensboro, NC

(336) 299-0031

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

52

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2000-10-26

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.80

Registered nurse staffing

LPN hours / resident day

0.74

Licensed practical nurse staffing

Aide hours / resident day

2.61

Nurse aide staffing

Weekend hours

3.65

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

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 68.9%
91.5%
22.6 pts worse
93.4%
24.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 76.9%
94.1%
17.2 pts worse
95.5%
18.6 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 8.7%
3.6%
5.1 pts worse
3.3%
5.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 1.0%
4.8%
3.8 pts better
11.4%
10.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 2.9%
7.2%
4.3 pts better
5.4%
2.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 23.9%
21.6%
2.3 pts worse
19.6%
4.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 9.1%
15.0%
5.9 pts better
16.7%
7.6 pts better
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 35.1%
21.5%
13.6 pts worse
16.3%
18.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 28.1%
16.8%
11.3 pts worse
14.9%
13.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.0%
0.9%
0.1 pts worse
1.0%
About the same
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
2.6%
2.6 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 27.6%
21.2%
6.4 pts worse
19.8%
7.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 7.8%
6.0%
1.8 pts worse
5.1%
2.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 33.9%
79.9%
46 pts worse
81.7%
47.8 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 15.7%
13.2%
2.5 pts worse
12.0%
3.7 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 1.7%
1.5%
0.2 pts worse
1.6%
0.1 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 28.3%
78.1%
49.8 pts worse
79.7%
51.4 pts worse
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 29.1%
22.9%
6.2 pts worse
23.9%
5.2 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-17 · Fire 2025-04-17

6 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2023-12-21 · Fire 2023-12-21

0 health deficiencies

No concentrated health issue counts in this cycle.

8 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2022-08-05 · Fire 2022-08-05

3 health deficiencies

Top issue: Infection Control (1 deficiency)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-04-17

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2025-07-18

D · Potential for more than minimal harm 2025-04-17

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-07-18

F · Potential for more than minimal harm 2023-12-21

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-02-29

F · Potential for more than minimal harm 2023-12-21

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-02-29

F · Potential for more than minimal harm 2023-12-21

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-02-29

E · Potential for more than minimal harm 2023-12-21

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-02-29

D · Potential for more than minimal harm 2023-12-21

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-02-29

D · Potential for more than minimal harm 2023-12-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-02-29

D · Potential for more than minimal harm 2023-12-21

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-02-29

D · Potential for more than minimal harm 2023-12-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-02-29

D · Potential for more than minimal harm 2022-08-05

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-09-19

D · Potential for more than minimal harm 2022-08-05

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2022-09-19

D · Potential for more than minimal harm 2022-08-05

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-09-19

D · Potential for more than minimal harm 2022-08-05

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2022-09-19

D · Potential for more than minimal harm 2022-08-05

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-09-19

D · Potential for more than minimal harm 2022-08-05

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-09-19

Inspection history

Recent health citations

G · Actual harm 2025-04-17

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-07

E · Potential for more than minimal harm 2025-04-17

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-05-07

E · Potential for more than minimal harm 2025-04-17

F836 · Administration Deficiencies

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 2025-05-07

D · Potential for more than minimal harm 2025-04-17

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2025-05-07

D · Potential for more than minimal harm 2025-04-17

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-10-29

D · Potential for more than minimal harm 2025-04-17

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-05-07

K · Immediate jeopardy 2022-08-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-08-26

D · Potential for more than minimal harm 2022-08-05

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 2022-08-25

D · Potential for more than minimal harm 2022-08-05

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2022-08-17

Penalties and ownership

What sits behind the stars

$25,490 2025-04-17

Fine

Fine · fine $25,490

Fine

Ownership

Masonic And Eastern Star Home Of North Carolina, Incorporated

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 1966-11-01
Amin, Saad

Operational/Managerial Control · Individual

0% 1 facilities 2025-03-06
Bailey, Gilbert

Corporate Director · Individual

0% 1 facilities 2025-02-14
Browning, Jerry

Corporate Director · Individual

0% 1 facilities 2020-01-01
Burris, Linda

Corporate Director · Individual

0% 1 facilities 2020-06-14
Edwards, Dennis

Corporate Director · Individual

0% 1 facilities 2023-06-14
Edwards, Dennis

Corporate Officer · Individual

0% 1 facilities 2023-06-14
Fischer, Amy -Jo

Corporate Director · Individual

0% 1 facilities 2023-06-14
Fischer, Amy -Jo

Corporate Officer · Individual

0% 1 facilities 2023-06-14
Griffith, David

Corporate Director · Individual

0% 1 facilities 2020-02-01
Hillegass, Joshua

Operational/Managerial Control · Individual

0% 1 facilities 2025-03-03
Hughes, James

Corporate Director · Individual

0% 1 facilities 2019-06-14
Jernigan, Gene

Corporate Director · Individual

0% 1 facilities 2011-06-28
Jernigan, Gene

Corporate Officer · Individual

0% 1 facilities 2011-06-28
Johnson, Edward

Corporate Director · Individual

0% 2 facilities 2021-09-18
Lewis, Mark

Operational/Managerial Control · Individual

0% 1 facilities 2018-03-15
Life Care Services LLC

Operational/Managerial Control · Organization

0% 61 facilities 2021-09-01
Mills, Tommy

Corporate Director · Individual

0% 1 facilities 2024-12-14
Norris, Steve

Corporate Director · Individual

0% 1 facilities 2024-02-14
Owen, Debra

Corporate Director · Individual

0% 1 facilities 2024-06-11
Patton, Carl

Corporate Director · Individual

0% 1 facilities 2023-01-14
Public Finance Authority

5% Or Greater Security Interest · Organization

0% 1 facilities 2020-09-01
Public Finance Authority

5% Or Greater Mortgage Interest · Organization

0% 1 facilities 2020-09-01
Rideout, Robert

Corporate Director · Individual

0% 1 facilities 2023-02-14
Sawyer, David

Corporate Director · Individual

0% 1 facilities 2022-02-04
Transou, Joseph

Corporate Director · Individual

0% 1 facilities 2022-02-01
Underwood, Norma

Corporate Director · Individual

0% 1 facilities 2024-06-12
Webster, Bryant

Corporate Director · Individual

0% 1 facilities 2002-12-14
Wells, Edward

Corporate Director · Individual

0% 1 facilities 2024-01-01

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