Starfile / North Carolina

Lotus Village Center for Nursing and Rehabilitatio

179 Combs Street, Sparta, NC 28675 · CCN 345261

Inspection history vs North Carolina & national averages

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

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$418,422

Number of fines

4

Number of penalties

5

Payment denials

1

Chain

Chain

SIMCHA HYMAN & NAFTALI ZANZIPER

Facilities in chain

94

Chain avg overall

2.30 / 5

Inspection citations (55)8 immediate jeopardy5 actual harm

1. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2025-05-22 · Health · corrected 2025-06-13

   Potential for more than minimal harm

2. DF0637Assess the resident when there is a significant change in condition2025-05-22 · Health · corrected 2025-06-13

   Potential for more than minimal harm

3. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2025-05-22 · Health · corrected 2025-06-13

   Potential for more than minimal harm

4. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-05-22 · Health · corrected 2025-06-13

   Potential for more than minimal harm

5. 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.2025-05-22 · Health · corrected 2025-06-13

   Potential for more than minimal harm

6. DF0880Provide and implement an infection prevention and control program.2025-05-22 · Health · corrected 2025-06-13

   Potential for more than minimal harm

7. GF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-04-10 · Health · corrected 2025-05-22

   Actual harm

8. DF0641Ensure each resident receives an accurate assessment.2025-04-10 · Health · corrected 2025-05-22

   Potential for more than minimal harm

9. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-10 · Health · corrected 2025-05-22

   Potential for more than minimal harm

10. GF0760Ensure that residents are free from significant medication errors.2025-04-10 · Health · corrected 2025-05-22

    Actual harm

11. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-10-24 · Health · corrected 2024-10-25

    Potential for more than minimal harm

12. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-27 · Health · corrected 2024-09-20

    Immediate jeopardy

13. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-08-07 · Health · corrected 2024-08-29

    Potential for more than minimal harm

14. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-08-07 · Health · corrected 2024-08-29

    Potential for more than minimal harm

15. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-07 · Health · corrected 2024-08-29

    Potential for more than minimal harm

16. JF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-04-08 · Health · corrected 2024-05-04

    Immediate jeopardy

17. KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-04-08 · Health · corrected 2024-05-04

    Immediate jeopardy

18. KF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-08 · Health · corrected 2024-05-04

    Immediate jeopardy

19. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-04-08 · Health · corrected 2024-05-04

    Potential for more than minimal harm

20. EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-02-22 · Health · corrected 2024-05-04

    Potential for more than minimal harm

21. FF0578Honor 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.2024-02-22 · Health · corrected 2024-05-04

    Potential for more than minimal harm

22. 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.2024-02-22 · Health · corrected 2024-05-04

    Potential for more than minimal harm

23. DF0641Ensure each resident receives an accurate assessment.2024-02-22 · Health · corrected 2024-05-04

    Potential for more than minimal harm

24. BF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-02-22 · Health · corrected 2024-05-04

    Potential for minimal harm

25. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-22 · Health · corrected 2024-05-04

    Potential for more than minimal harm

26. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-22 · Health · corrected 2024-05-04

    Potential for more than minimal harm

27. 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.2024-02-22 · Health · corrected 2024-05-04

    Potential for more than minimal harm

28. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-02-22 · Health · corrected 2024-05-04

    Potential for more than minimal harm

29. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-02-22 · Health · corrected 2024-05-04

    Potential for more than minimal harm

30. DF0700Try 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.2024-02-22 · Health · corrected 2024-05-04

    Potential for more than minimal harm

31. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-02-22 · Health · corrected 2024-05-04

    Potential for more than minimal harm

32. DF0761Ensure 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.2024-02-22 · Health · corrected 2024-05-04

    Potential for more than minimal harm

33. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-02-22 · Health · corrected 2024-05-04

    Potential for more than minimal harm

34. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-02-22 · Health · corrected 2024-05-04

    Potential for more than minimal harm

35. EF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2024-02-22 · Health · corrected 2024-05-04

    Potential for more than minimal harm

36. JF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-07-12 · Health · corrected 2023-08-03

    Immediate jeopardy

37. KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-07-12 · Health · corrected 2023-08-03

    Immediate jeopardy

38. KF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-07-12 · Health · corrected 2023-08-03

    Immediate jeopardy

39. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-07-12 · Health · corrected 2023-08-03

    Potential for more than minimal harm

40. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-09-14 · Health · corrected 2022-10-28

    Potential for more than minimal harm

41. DF0641Ensure each resident receives an accurate assessment.2022-09-14 · Health · corrected 2022-10-28

    Potential for more than minimal harm

42. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-09-14 · Health · corrected 2022-10-28

    Potential for more than minimal harm

43. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-09-14 · Health · corrected 2022-10-28

    Actual harm

44. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-09-14 · Health · corrected 2022-10-28

    Potential for more than minimal harm

45. 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.2022-09-14 · Health · corrected 2022-10-28

    Potential for more than minimal harm

46. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-09-14 · Health · corrected 2022-10-28

    Actual harm

47. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-09-14 · Health · corrected 2022-10-28

    Potential for more than minimal harm

48. EF0695Provide safe and appropriate respiratory care for a resident when needed.2022-09-14 · Health · corrected 2022-10-28

    Potential for more than minimal harm

49. EF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2022-09-14 · Health · corrected 2022-10-28

    Potential for more than minimal harm

50. 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.2022-09-14 · Health · corrected 2022-10-28

    Potential for more than minimal harm

51. DF0760Ensure that residents are free from significant medication errors.2022-09-14 · Health · corrected 2022-10-28

    Potential for more than minimal harm

52. 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.2022-09-14 · Health · corrected 2022-10-28

    Potential for more than minimal harm

53. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-09-14 · Health · corrected 2022-10-28

    Potential for more than minimal harm

54. GF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2022-09-14 · Health · corrected 2022-10-28

    Actual harm

55. KF0880Provide and implement an infection prevention and control program.2022-09-14 · Health · corrected 2022-10-28

    Immediate jeopardy

Ownership

Other facilities in Sparta

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