Starfile

Starfile / North Carolina

Cedar Hills Center for Nursing and Rehabilitation

3905 Clemmons Road, Clemmons, NC 27012 · CCN 345131

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★★☆☆☆ 2
Quality measures
★☆☆☆☆ 1
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Limited Liability company
Certified beds
94
Avg residents/day
84.5
Phone
3367669158

Inspection history vs North Carolina & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityNorth Carolina avgNational avgvs state
12024-11-08125.69.5+6.4 worse
22023-11-17197.29.8+11.8 worse
32022-07-29147.49.3+6.6 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care3
Resident assessment and care planning2
Resident rights5
Environmental1
Administration1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.6367.1%
RN staffing (reported)0.2066.7%
Total nurse staffing (adjusted)3.65

Fines & penalties

Total fines
$70,269
Number of fines
2
Number of penalties
2
Payment denials
0

Chain

Chain
ALLIANCE HEALTH GROUP
Facilities in chain
10
Chain avg overall
1.30 / 5

Inspection citations (45)1 immediate jeopardy1 actual harm

  1. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-11-08 · Health · corrected 2024-12-10

    Potential for more than minimal harm

  2. CF0575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.2024-11-08 · Health · corrected 2024-12-10

    Potential for minimal harm

  3. DF0583Keep residents' personal and medical records private and confidential.2024-11-08 · Health · corrected 2024-12-10

    Potential for more than minimal harm

  4. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-11-08 · Health · corrected 2024-12-10

    Potential for more than minimal harm

  5. DF0624Prepare residents for a safe transfer or discharge from the nursing home.2024-11-08 · Health · corrected 2024-12-10

    Potential for more than minimal harm

  6. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-11-08 · Health · corrected 2024-12-10

    Potential for more than minimal harm

  7. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-11-08 · Health · corrected 2024-12-10

    Potential for more than minimal harm

  8. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2024-11-08 · Health · corrected 2024-12-10

    Potential for more than minimal harm

  9. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-08 · Health · corrected 2024-12-10

    Actual harm

  10. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-11-08 · Health · corrected 2024-12-10

    Potential for more than minimal harm

  11. DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-11-08 · Health · corrected 2024-12-10

    Potential for more than minimal harm

  12. DF0914Provide bedrooms that don't allow residents to see each other when privacy is needed.2024-11-08 · Health · corrected 2024-12-10

    Potential for more than minimal harm

  13. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-09-20 · Health · corrected 2024-10-11

    Potential for more than minimal harm

  14. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-09-20 · Health · corrected 2024-10-11

    Potential for more than minimal harm

  15. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-09-20 · Health · corrected 2024-10-11

    Potential for more than minimal harm

  16. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-09-20 · Health · corrected 2024-10-11

    Potential for more than minimal harm

  17. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-09-20 · Health · corrected 2024-10-11

    Potential for more than minimal harm

  18. EF0760Ensure that residents are free from significant medication errors.2024-09-20 · Health · corrected 2024-10-11

    Potential for more than minimal harm

  19. EF0558Reasonably accommodate the needs and preferences of each resident.2023-11-17 · Health · corrected 2023-12-15

    Potential for more than minimal harm

  20. BF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-11-17 · Health · corrected 2023-12-15

    Potential for minimal harm

  21. DF0641Ensure each resident receives an accurate assessment.2023-11-17 · Health · corrected 2023-12-15

    Potential for more than minimal harm

  22. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-17 · Health · corrected 2023-12-15

    Potential for more than minimal harm

  23. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-17 · Health · corrected 2023-12-15

    Potential for more than minimal harm

  24. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-17 · Health · corrected 2023-12-15

    Potential for more than minimal harm

  25. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-17 · Health · corrected 2023-12-15

    Potential for more than minimal harm

  26. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-11-17 · Health · corrected 2023-12-15

    Potential for more than minimal harm

  27. EF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-11-17 · Health · corrected 2023-12-15

    Potential for more than minimal harm

  28. DF0759Ensure medication error rates are not 5 percent or greater.2023-11-17 · Health · corrected 2023-12-15

    Potential for more than minimal harm

  29. EF0761Ensure 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.2023-11-17 · Health · corrected 2023-12-15

    Potential for more than minimal harm

  30. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-11-17 · Health · corrected 2023-12-15

    Potential for more than minimal harm

  31. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-11-17 · Health · corrected 2023-12-15

    Potential for more than minimal harm

  32. BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-04-27 · Health · corrected 2023-05-11

    Potential for minimal harm

  33. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-27 · Health · corrected 2023-05-11

    Immediate jeopardy

  34. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-07-29 · Health · corrected 2022-08-25

    Potential for more than minimal harm

  35. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2022-07-29 · Health · corrected 2022-08-25

    Potential for more than minimal harm

  36. DF0641Ensure each resident receives an accurate assessment.2022-07-29 · Health · corrected 2022-08-25

    Potential for more than minimal harm

  37. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-07-29 · Health · corrected 2022-08-25

    Potential for more than minimal harm

  38. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-07-29 · Health · corrected 2022-08-25

    Potential for more than minimal harm

  39. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2022-07-29 · Health · corrected 2022-08-25

    Potential for more than minimal harm

  40. DF0692Provide enough food/fluids to maintain a resident's health.2022-07-29 · Health · corrected 2022-08-25

    Potential for more than minimal harm

  41. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2022-07-29 · Health · corrected 2022-08-25

    Potential for more than minimal harm

  42. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-07-29 · Health · corrected 2022-08-25

    Potential for more than minimal harm

  43. DF0760Ensure that residents are free from significant medication errors.2022-07-29 · Health · corrected 2022-08-25

    Potential for more than minimal harm

  44. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-07-29 · Health · corrected 2022-08-25

    Potential for more than minimal harm

  45. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-07-29 · Health · corrected 2022-08-25

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
ALIGNMENT HOLDCO LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2024-08-01
COALITION GROUP LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-08-01
EMANUEL, YOSEFIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-08-01
STOVER, KRISTINIndividualOPERATIONAL/MANAGERIAL CONTROL2024-08-01
EMANUEL, YOSEFIndividualCORPORATE OFFICER2024-08-01

Other facilities in Clemmons

NameOverallBeds
Trinity Elms★★☆☆☆100

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.