Starfile

Starfile / North Carolina

Cleveland Pines

1404 N Lafayette Street, Shelby, NC 28150 · CCN 345282

Ratings

Overall
★★★☆☆ 3
Health inspection
★★★☆☆ 3
Quality measures
★★★★☆ 4
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Corporation
Certified beds
120
Avg residents/day
104.2
Phone
9804871500

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
12025-11-1865.69.5+0.4 worse
22024-07-1847.29.8-3.2 better
32023-03-2337.49.3-4.4 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care3
Resident assessment and care planning1
Pharmacy service1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.2835.5%
RN staffing (reported)0.4346.2%
Total nurse staffing (adjusted)3.48

Fines & penalties

Total fines
$5,000
Number of fines
1
Number of penalties
1
Payment denials
0

Chain

Chain
ATRIUM HEALTH
Facilities in chain
6
Chain avg overall
3.50 / 5

Inspection citations (13)

  1. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-11-18 · Health · corrected 2025-12-16

    Potential for more than minimal harm

  2. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-11-18 · Health · corrected 2025-12-16

    Potential for more than minimal harm

  3. EF0687Provide appropriate foot care.2025-11-18 · Health · corrected 2025-12-16

    Potential for more than minimal harm

  4. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-11-18 · Health · corrected 2025-12-16

    Potential for more than minimal harm

  5. EF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2025-11-18 · Health · corrected 2025-12-16

    Potential for more than minimal harm

  6. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-11-18 · Health · corrected 2025-12-16

    Potential for more than minimal harm

  7. 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.2024-07-18 · Health · corrected 2024-08-15

    Potential for more than minimal harm

  8. EF0679Provide activities to meet all resident's needs.2024-07-18 · Health · corrected 2024-08-30

    Potential for more than minimal harm

  9. 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.2024-07-18 · Health · corrected 2024-08-15

    Potential for more than minimal harm

  10. DF0880Provide and implement an infection prevention and control program.2024-07-18 · Health · corrected 2024-08-15

    Potential for more than minimal harm

  11. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-03-23 · Health · corrected 2023-04-30

    Potential for more than minimal harm

  12. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-03-23 · Health · corrected 2023-04-30

    Potential for more than minimal harm

  13. DF0880Provide and implement an infection prevention and control program.2023-03-23 · Health · corrected 2023-04-30

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITYOrganizationOPERATIONAL/MANAGERIAL CONTROL2020-02-01
BALL, RODNEYIndividualCORPORATE DIRECTOR2023-08-30
HAYNES, KENNETHIndividualCORPORATE DIRECTOR2019-06-21
RISSMILLER, SCOTTIndividualCORPORATE DIRECTOR2019-06-21
BALL, RODNEYIndividualCORPORATE OFFICER2023-02-01
HAYNES, KENNETHIndividualCORPORATE OFFICER2019-12-20
DOTSON, KATHRYNIndividualCONTRACTED MANAGING EMPLOYEE2020-02-01
MURRAY, ROBERTIndividualCONTRACTED MANAGING EMPLOYEE2024-01-16

Other facilities in Shelby

NameOverallBeds
Peak Resources- Shelby★★★☆☆100
White Oak Manor-Shelby★★☆☆☆160

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