Cycle 1
Health 2025-07-24 · Fire 2024-06-27
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
2 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Zebulon, NC
Zebulon Rehabilitation Center
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
509 West Gannon Avenue, Zebulon, NC
(919) 269-9621
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
60
Certified beds
Average residents
56
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Sovereign Healthcare Holdings
Operator or chain grouping
Approved since
1973-09-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
43 facilities
Chain averages 4 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
0.41
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
2.07
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.52
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.45
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.20
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.18
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.29
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.39
CMS adjusted RN staffing hours
Adjusted total hours
3.39
CMS adjusted total nurse staffing hours
Case-mix index
1.42
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,941
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
18.56
Composite VBP score used to determine payment impact.
Payment multiplier
0.9820
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 18.18% · Performance 23.21% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 5.76% · Performance 9.71% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
6.47
Baseline 36.36% · Performance 37.26% · Measure score 6.47 · Achievement 6.47 · Improvement 0
Adjusted total nurse staffing
0.96
Baseline 3.26 hours · Performance 3.35 hours · Measure score 0.96 · Achievement 0.96 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.22% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 173 · Observed rate 9.83% · Lower 95% interval 7.86% |
| Discharge to community | 62.08% |
50.57%
11.5 pts better
|
Better than the National Rate · Eligible stays 162 · Observed rate 57.41% · Lower 95% interval 53.98% |
| Medicare spending per beneficiary | 1.08 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 89.87% |
95.27%
5.4 pts worse
|
Numerator 142 · Denominator 158 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 158 |
| Discharge self-care score | 65.43% |
53.69%
11.7 pts better
|
Numerator 53 · Denominator 81 |
| Discharge mobility score | 48.15% |
50.94%
2.8 pts worse
|
Numerator 39 · Denominator 81 |
| Pressure ulcers or injuries, new or worsened | 1.27% |
2.29%
1 pts better
|
Numerator 2 · Denominator 158 · Adjusted rate 1.07% |
| Healthcare-associated infections requiring hospitalization | 9.71% |
7.12%
2.6 pts worse
|
No Different than the National Rate · Eligible stays 113 · Observed rate 12.39% · Lower 95% interval 6.01% |
| Staff COVID-19 vaccination coverage | 10.64% |
8.2%
2.4 pts better
|
Numerator 10 · Denominator 94 |
| Staff flu vaccination coverage | 35.04% |
42%
7 pts worse
|
Numerator 41 · Denominator 117 |
| Discharge function score | 65.43% |
56.45%
9 pts better
|
Numerator 53 · Denominator 81 |
| Transfer of health information to provider | 47.41% |
95.95%
48.5 pts worse
|
Numerator 55 · Denominator 116 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 38.46% |
25.2%
13.3 pts better
|
Numerator 35 · Denominator 91 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.2 |
1.8
1.4 pts worse
|
1.9
1.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 3.4 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.6 |
1.8
0.8 pts worse
|
1.8
0.8 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.5 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.5%
8.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 | 2.8% |
3.6%
0.8 pts better
|
3.3%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 2.7% · Q3 2.8% · Q4 2.6% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 15.8% |
4.8%
11 pts worse
|
11.4%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 11.1% · Q3 20.0% · Q4 23.5% · 4Q avg 15.8% |
| 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 3.2% · Q2 8.3% · Q3 16.7% · Q4 2.6% · 4Q avg 7.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.2% |
21.6%
10.4 pts better
|
19.6%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 8.1% · Q3 11.1% · Q4 15.8% · 4Q avg 11.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.9% |
15.0%
0.1 pts better
|
16.7%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 10.0% · Q3 18.8% · Q4 18.8% · 4Q avg 14.9% · 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 | 13.4% |
21.5%
8.1 pts better
|
16.3%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.4% |
16.8%
11.4 pts better
|
14.9%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 9.4% · Q3 3.0% · Q4 5.6% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
2.6%
1.2 pts better
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.8% · Q4 2.6% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.7% |
21.2%
6.5 pts worse
|
19.8%
7.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 28.3% · Q3 32.4% · Q4 21.1% · 4Q avg 27.7% |
| Percentage of long-stay residents with pressure ulcers | 12.7% |
6.0%
6.7 pts worse
|
5.1%
7.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 12.0% · Q3 19.9% · Q4 8.7% · 4Q avg 12.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
79.9%
19.2 pts better
|
81.7%
17.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 99.2% · Q3 100.0% · Q4 98.6% · 4Q avg 99.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.6% |
13.2%
0.6 pts better
|
12.0%
0.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.6% · Observed 12.9% · Expected 11.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.5%
1 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 1.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.4% |
78.1%
18.3 pts better
|
79.7%
16.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.6% |
22.9%
5.7 pts worse
|
23.9%
4.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.6% · Observed 31.8% · Expected 26.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-27 · Fire 2023-03-31
2 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2023-03-31 · Fire 2022-02-11
7 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-06-27
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2024-08-04
D · Potential for more than minimal harm
2024-06-27
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-08-04
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-07-24
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-08-07
D · Potential for more than minimal harm
2025-07-24
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 2025-08-07
D · Potential for more than minimal harm
2024-06-27
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2024-07-12
D · Potential for more than minimal harm
2024-06-27
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-07-12
E · Potential for more than minimal harm
2023-03-31
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 2023-04-27
D · Potential for more than minimal harm
2023-03-31
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-04-27
D · Potential for more than minimal harm
2023-03-31
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-04-27
D · Potential for more than minimal harm
2023-03-31
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 2023-04-27
D · Potential for more than minimal harm
2023-03-31
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-04-27
D · Potential for more than minimal harm
2023-03-31
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-04-27
C · Minimal harm
2023-03-31
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2023-04-27
Penalties and ownership
What sits behind the stars
Ownership
Cronquist, Royce
Operational/Managerial Control · Individual
Mangine, John
Operational/Managerial Control · Individual
Melton, Donald
Operational/Managerial Control · Individual
O Brien, Patrick
Operational/Managerial Control · Individual
Skillen, Gabriella
Operational/Managerial Control · Individual
Southern Healthcare Management LLC
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
#1
Wellington Rehabilitation and Healthcare
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
#2
Universal Health Care/North Raleigh
Raleigh, NC
0-star overall rating with 0-star inspections with Special Focus status with $326,170 in total fines with 6 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#3
Springbrook Nursing and Rehabilitation Center
Clayton, NC
2-star overall rating with 2-star inspections with abuse icon flag with $25,625 in total fines with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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