0 health deficiencies
No concentrated health issue counts in this cycle.
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Wilson, NC
5-star overall rating with 5-star inspections with 6 fire-safety deficiencies in the latest cycle
1705 South Tarboro Street, Wilson, NC
(252) 399-8998
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
90
Certified beds
Average residents
72
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Lifepoint Health
Operator or chain grouping
Approved since
1992-05-07
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 4 overall / 4 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
RN hours / resident day
0.71
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
0.82
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.09
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.61
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.53
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.11
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.24
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.77
CMS adjusted RN staffing hours
Adjusted total hours
3.94
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
2,605
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
48.78
Composite VBP score used to determine payment impact.
Payment multiplier
1.0026
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.68
Baseline 19.01% · Performance 18.33% · Measure score 6.68 · Achievement 6.68 · Improvement 2.91
Healthcare-associated infections
4.35
Baseline 9.35% · Performance 7.23% · Measure score 4.35 · Achievement 2.01 · Improvement 4.35
Total nurse turnover
4.83
Performance 43.94% · Measure score 4.83 · Achievement 4.83 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
3.64
Baseline 3.05 hours · Performance 4.11 hours · Measure score 3.64 · Achievement 3.64 · Improvement 3.40
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.41% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 199 · Observed rate 9.55% · Lower 95% interval 7.49% |
| Discharge to community | 57.61% |
50.57%
7 pts better
|
Better than the National Rate · Eligible stays 193 · Observed rate 52.85% · Lower 95% interval 51.67% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 107 · Denominator 107 |
| Falls with major injury | 0.93% |
0.77%
0.2 pts worse
|
Numerator 1 · Denominator 107 |
| Discharge self-care score | 48.24% |
53.69%
5.4 pts worse
|
Numerator 41 · Denominator 85 |
| Discharge mobility score | 60% |
50.94%
9.1 pts better
|
Numerator 51 · Denominator 85 |
| Pressure ulcers or injuries, new or worsened | 1.87% |
2.29%
0.4 pts better
|
Numerator 2 · Denominator 107 · Adjusted rate 2.11% |
| Healthcare-associated infections requiring hospitalization | 7.23% |
7.12%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 112 · Observed rate 6.25% · Lower 95% interval 4.51% |
| Staff COVID-19 vaccination coverage | 1.41% |
8.2%
6.8 pts worse
|
Numerator 1 · Denominator 71 |
| Staff flu vaccination coverage | 73.24% |
42%
31.2 pts better
|
Numerator 52 · Denominator 71 |
| Discharge function score | 58.82% |
56.45%
2.4 pts better
|
Numerator 50 · Denominator 85 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 20 · Denominator 20 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 70 · Denominator 70 |
| Resident COVID-19 vaccinations up to date | 16.98% |
25.2%
8.2 pts worse
|
Numerator 9 · Denominator 53 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.8
0.2 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.7 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
1.8
0.2 pts better
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.4 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.5% |
91.5%
6 pts better
|
93.4%
4.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.4% · Q3 96.5% · Q4 95.1% · 4Q avg 97.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.8% |
94.1%
2.7 pts better
|
95.5%
1.3 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.5% |
3.6%
1.1 pts better
|
3.3%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 3.5% · Q4 4.9% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.9% |
4.8%
3.9 pts better
|
11.4%
10.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% |
| Percentage of long-stay residents who lose too much weight | 7.8% |
7.2%
0.6 pts worse
|
5.4%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 9.4% · Q3 12.8% · Q4 4.0% · 4Q avg 7.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.8% |
21.6%
3.8 pts better
|
19.6%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 16.1% · Q3 16.0% · Q4 23.1% · 4Q avg 17.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.9% |
15.0%
6.1 pts better
|
16.7%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 15.4% · Q3 9.3% · Q4 6.8% · 4Q avg 8.9% · 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 | 12.4% |
21.5%
9.1 pts better
|
16.3%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 14.7% · 4Q avg 12.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.6% |
16.8%
5.2 pts better
|
14.9%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 10.9% · Q3 14.3% · Q4 12.0% · 4Q avg 11.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
0.9%
0.3 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.4% · Q3 1.1% · Q4 1.1% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 6.5% |
2.6%
3.9 pts worse
|
1.7%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 6.9% · Q3 7.4% · Q4 6.7% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.0% |
21.2%
1.2 pts better
|
19.8%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.2% · Q2 19.9% · Q3 13.2% · Q4 17.2% · 4Q avg 20.0% |
| Percentage of long-stay residents with pressure ulcers | 8.8% |
6.0%
2.8 pts worse
|
5.1%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 10.6% · Q3 8.4% · Q4 7.4% · 4Q avg 8.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% |
79.9%
18.8 pts better
|
81.7%
17 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 100.0% · Q3 100.0% · Q4 96.3% · 4Q avg 98.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 3.2% |
13.2%
10 pts better
|
12.0%
8.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 3.2% · Observed 2.9% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.5%
About the same
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 2.9% · Q4 1.4% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.2% |
78.1%
16.1 pts better
|
79.7%
14.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.5% |
22.9%
3.4 pts better
|
23.9%
4.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.5% · Observed 17.1% · Expected 20.9% · Used in QM five-star |
Survey summary
No concentrated health issue counts in this cycle.
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
No concentrated health issue counts in this cycle.
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Pharmacy Service (1 deficiency)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-30
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-05-30
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 2025-05-30
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-05-30
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-05-30
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-05-30
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2024-04-19
Fire Safety
Use approved construction type or materials.
Corrected 2024-04-19
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-04-19
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-04-19
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-04-19
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-04-19
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-03-25
Inspection history
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 2023-02-18
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
Contracted Managing Employee · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Wilson, NC
3-star overall rating with 2-star inspections with $144,935 in total fines with 1 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Wilson, NC
4-star overall rating with 4-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Wilson, NC
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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