Cycle 1
Health 2025-04-10 · Fire 2025-04-10
3 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Wilson, NC
Wilson Pines Nursing and Rehabilitation Center
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
403 Crestview Avenue, Wilson, NC
(252) 237-0724
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
108
Certified beds
Average residents
97
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Principle Long Term Care
Operator or chain grouping
Approved since
1991-05-23
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
44 facilities
Chain averages 3 overall / 3 health / 3 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
0.21
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
1.18
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.39
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.79
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.39
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.13
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.11
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.22
CMS adjusted RN staffing hours
Adjusted total hours
3.91
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
29%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,673
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
48.37
Composite VBP score used to determine payment impact.
Payment multiplier
1.0021
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.14
Baseline 25.64% · Performance 19.93% · Measure score 6.14 · Achievement 3.25 · Improvement 6.14
Healthcare-associated infections
1.90
Baseline 9.71% · Performance 8.58% · Measure score 1.90 · Achievement 0 · Improvement 1.90
Total nurse turnover
7.63
Baseline 56.45% · Performance 32.50% · Measure score 7.63 · Achievement 7.63 · Improvement 7.08
Adjusted total nurse staffing
3.68
Baseline 4.07 hours · Performance 4.12 hours · Measure score 3.68 · Achievement 3.68 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.09% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 184 · Observed rate 11.96% · Lower 95% interval 8.43% |
| Discharge to community | 61.82% |
50.57%
11.2 pts better
|
Better than the National Rate · Eligible stays 172 · Observed rate 55.81% · Lower 95% interval 54.65% |
| Medicare spending per beneficiary | 1.05 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 90% |
95.27%
5.3 pts worse
|
Numerator 99 · Denominator 110 |
| Falls with major injury | 2.73% |
0.77%
2 pts worse
|
Numerator 3 · Denominator 110 |
| Discharge self-care score | 56% |
53.69%
2.3 pts better
|
Numerator 42 · Denominator 75 |
| Discharge mobility score | 58.67% |
50.94%
7.7 pts better
|
Numerator 44 · Denominator 75 |
| Pressure ulcers or injuries, new or worsened | 6.42% |
2.29%
4.1 pts worse
|
Numerator 7 · Denominator 109 · Adjusted rate 6.41% |
| Healthcare-associated infections requiring hospitalization | 8.58% |
7.12%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 118 · Observed rate 10.17% · Lower 95% interval 4.98% |
| Staff COVID-19 vaccination coverage | 0.68% |
8.2%
7.5 pts worse
|
Numerator 1 · Denominator 147 |
| Staff flu vaccination coverage | 31.41% |
42%
10.6 pts worse
|
Numerator 60 · Denominator 191 |
| Discharge function score | 66.67% |
56.45%
10.2 pts better
|
Numerator 50 · Denominator 75 |
| Transfer of health information to provider | 96.88% |
95.95%
0.9 pts better
|
Numerator 31 · Denominator 32 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 56 · Denominator 56 |
| Resident COVID-19 vaccinations up to date | 17.54% |
25.2%
7.7 pts worse
|
Numerator 10 · Denominator 57 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.2 |
1.8
0.6 pts better
|
1.9
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.3 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.2 |
1.8
0.4 pts worse
|
1.8
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.1 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
91.5%
7.9 pts better
|
93.4%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 100.0% · Q3 98.7% · Q4 100.0% · 4Q avg 99.4% |
| 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 | 1.6% |
3.6%
2 pts better
|
3.3%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 1.2% · Q3 1.3% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 6.5% |
4.8%
1.7 pts worse
|
11.4%
4.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 8.1% · Q3 4.3% · Q4 12.2% · 4Q avg 6.5% |
| Percentage of long-stay residents who lose too much weight | 4.3% |
7.2%
2.9 pts better
|
5.4%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.8% · Q3 2.9% · Q4 10.1% · 4Q avg 4.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.4% |
21.6%
3.2 pts better
|
19.6%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 19.7% · Q3 15.9% · Q4 17.4% · 4Q avg 18.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.7% |
15.0%
10.3 pts better
|
16.7%
12 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 4.9% · Q3 4.8% · Q4 4.7% · 4Q avg 4.7% · 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 | 21.1% |
21.5%
0.4 pts better
|
16.3%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q4 21.0% · 4Q avg 21.1% · Used in QM five-star |
| 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 20.3% · Q2 16.7% · Q3 9.5% · Q4 13.8% · 4Q avg 15.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
0.9%
0.2 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.8% · Q3 1.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.3% |
2.6%
1.3 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.2% · Q3 1.3% · Q4 1.3% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.7% |
21.2%
10.5 pts better
|
19.8%
9.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 11.4% · Q3 13.3% · Q4 11.2% · 4Q avg 10.7% |
| Percentage of long-stay residents with pressure ulcers | 9.3% |
6.0%
3.3 pts worse
|
5.1%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 8.4% · Q3 9.3% · Q4 8.0% · 4Q avg 9.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.5% |
79.9%
14.6 pts better
|
81.7%
12.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 87.5% · Q2 95.0% · Q3 96.3% · Q4 97.1% · 4Q avg 94.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.9% |
13.2%
1.3 pts better
|
12.0%
0.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.9% · Observed 11.8% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.5%
0.9 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 0.0% · Q4 1.2% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.4% |
78.1%
16.3 pts better
|
79.7%
14.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.3% |
22.9%
4.6 pts better
|
23.9%
5.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.3% · Observed 19.4% · Expected 25.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-03-06 · Fire 2024-03-06
3 health deficiencies
Top issue: Administration (1 deficiency)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Cycle 3
Health 2023-02-16 · Fire 2023-02-16
8 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-04-10
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-05-14
D · Potential for more than minimal harm
2025-04-10
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-05-14
D · Potential for more than minimal harm
2024-03-06
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-05-06
D · Potential for more than minimal harm
2024-03-06
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-05-06
F · Potential for more than minimal harm
2023-02-16
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-04-28
D · Potential for more than minimal harm
2023-02-16
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2023-04-28
D · Potential for more than minimal harm
2023-02-16
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-04-28
D · Potential for more than minimal harm
2023-02-16
K361 · Smoke Deficiencies
Fire Safety
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Corrected 2023-04-28
D · Potential for more than minimal harm
2023-02-16
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-04-28
D · Potential for more than minimal harm
2023-02-16
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-04-28
D · Potential for more than minimal harm
2023-02-16
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-04-28
D · Potential for more than minimal harm
2023-02-16
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-04-28
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-04-10
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-04-26
D · Potential for more than minimal harm
2025-04-10
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-04-26
D · Potential for more than minimal harm
2025-04-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-26
E · Potential for more than minimal harm
2024-03-06
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-12
E · Potential for more than minimal harm
2024-03-06
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-03-12
D · Potential for more than minimal harm
2024-03-06
F657 · Resident Assessment and Care Planning Deficiencies
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 2024-03-12
F · Potential for more than minimal harm
2023-02-16
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-03-16
F · Potential for more than minimal harm
2023-02-16
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-03-16
D · Potential for more than minimal harm
2023-02-16
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-03-16
D · Potential for more than minimal harm
2023-02-16
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-03-16
D · Potential for more than minimal harm
2023-02-16
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-03-16
D · Potential for more than minimal harm
2023-02-16
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 2023-03-16
D · Potential for more than minimal harm
2023-02-16
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-03-16
D · Potential for more than minimal harm
2023-02-16
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 2023-03-16
Penalties and ownership
What sits behind the stars
Ownership
Principle It Services, Inc.
5% Or Greater Direct Ownership Interest · Organization
Principle Long Term Care, Inc.
5% Or Greater Direct Ownership Interest · Organization
Hill, Robert
5% Or Greater Indirect Ownership Interest · Individual
Hill, Stephen
5% Or Greater Indirect Ownership Interest · Individual
Hill, Raymond
5% Or Greater Indirect Ownership Interest · Individual
Boice, Gale
Corporate Officer · Individual
Johnson, Dianne
Corporate Officer · Individual
Kelly, Michael
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Wilson Healthcare and Rehabilitation Center
Wilson, NC
4-star overall rating with 4-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Harmony Park at Wilson
Wilson, NC
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Wilson Rehabilitation and Nursing Center
Wilson, NC
5-star overall rating with 5-star inspections with 6 fire-safety deficiencies in the latest cycle
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