Wilson, NC

Wilson Rehabilitation and Nursing Center

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

Compare this facility

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

Facility snapshot

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

Hours and turnover

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

Value-based purchasing

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

How the VBP score is built

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

Medicare quality reporting measures

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

Resident outcomes and process scores

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

Recent inspection cycles

Cycle 1 Health 2025-02-13 · Fire 2025-02-13

0 health deficiencies

No concentrated health issue counts in this cycle.

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2024-02-22 · Fire 2024-02-22

0 health deficiencies

No concentrated health issue counts in this cycle.

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2023-02-02 · Fire 2023-02-02

1 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

1 fire-safety deficiencies

Top issue: Services (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-02-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-02-13

K222 · Egress Deficiencies

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

D · Potential for more than minimal harm 2025-02-13

K321 · Smoke Deficiencies

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

D · Potential for more than minimal harm 2025-02-13

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-02-13

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-05-30

D · Potential for more than minimal harm 2025-02-13

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-05-30

E · Potential for more than minimal harm 2024-02-22

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2024-04-19

D · Potential for more than minimal harm 2024-02-22

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-04-19

D · Potential for more than minimal harm 2024-02-22

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-04-19

D · Potential for more than minimal harm 2024-02-22

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-04-19

D · Potential for more than minimal harm 2024-02-22

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-04-19

D · Potential for more than minimal harm 2024-02-22

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-04-19

D · Potential for more than minimal harm 2023-02-02

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-03-25

Inspection history

Recent health citations

D · Potential for more than minimal harm 2023-02-02

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 2023-02-18

Penalties and ownership

What sits behind the stars

Ownership

Dlp Wilson Holding Company LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2014-03-01
Carter, James

Corporate Officer · Individual

0% 1 facilities 2018-11-16
Dlp Healthcare LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 2 facilities 2014-03-01
Dlp Partner LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2014-03-01
Dlp Partner LLC

Operational/Managerial Control · Organization

0% 3 facilities 2014-03-01
Dsb Acquisition LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 9 facilities 2018-11-16
Grooms, John

Corporate Officer · Individual

0% 9 facilities 2016-11-01
Historic Lifepoint Hospitals, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 7 facilities 2014-03-01
Lawrence, Charlotte

Corporate Officer · Individual

0% 9 facilities 2022-02-03
Legacy Lifepoint Health LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 8 facilities 2013-11-19
Lifepoint Health Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2018-11-16
Lifepoint Holdings 2 LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 7 facilities 2014-03-01
Lifepoint Hospitals Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 7 facilities 2014-03-01
Monte, Christopher

Corporate Officer · Individual

0% 9 facilities 2014-03-01
Morse, Deshae

Contracted Managing Employee · Individual

0% 1 facilities 2020-10-28
Polite, Elmer

Corporate Officer · Individual

0% 4 facilities 2020-12-14
Wilson Medical Center, Inc.

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2014-03-01

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Longleaf Neuro-Medical Treatment Center

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

Overall
3 / 5
Health
2 / 5
Staffing
5 / 5
Fines
$144,935
#2

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

Overall
4 / 5
Health
4 / 5
Staffing
2 / 5
Fines
$0
#3

Wilson Pines Nursing and Rehabilitation Center

Wilson, NC

5-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
4 / 5
Staffing
3 / 5
Fines
$0

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