Starfile / North Carolina

Raleigh Rehabilitation Center

616 Wade Avenue, Raleigh, NC 27605 · CCN 345049

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

$77,760

Number of fines

3

Number of penalties

3

Payment denials

0

Chain

Chain

SOVEREIGN HEALTHCARE HOLDINGS

Facilities in chain

43

Chain avg overall

3.50 / 5

Inspection citations (26)1 immediate jeopardy3 actual harm

1. DF0641Ensure each resident receives an accurate assessment.2024-12-19 · Health · corrected 2025-01-10

   Potential for more than minimal harm

2. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-12-19 · Health · corrected 2025-01-10

   Potential for more than minimal harm

3. 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.2024-12-19 · Health · corrected 2025-01-10

   Potential for more than minimal harm

4. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2023-10-12 · Health · corrected 2023-11-07

   Potential for more than minimal harm

5. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-10-12 · Health · corrected 2023-11-07

   Potential for more than minimal harm

6. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-10-12 · Health · corrected 2023-11-07

   Potential for more than minimal harm

7. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-12 · Health · corrected 2023-11-07

   Potential for more than minimal harm

8. EF0679Provide activities to meet all resident's needs.2023-10-12 · Health · corrected 2023-11-07

   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.2023-10-12 · Health · corrected 2023-07-26

   Actual harm

10. CF0732Post nurse staffing information every day.2023-10-12 · Health · corrected 2023-11-07

    Potential for minimal harm

11. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

12. FF0814Dispose of garbage and refuse properly.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

13. GF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-10-12 · Health · corrected 2023-11-07

    Actual harm

14. DF0880Provide and implement an infection prevention and control program.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

15. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-10-12 · Health · corrected 2023-11-07

    Potential for more than minimal harm

16. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-18 · Health · corrected 2023-07-15

    Immediate jeopardy

17. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-22 · Health · corrected 2023-03-17

    Actual harm

18. DF0641Ensure each resident receives an accurate assessment.2022-06-23 · Health · corrected 2022-08-25

    Potential for more than minimal harm

19. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-06-23 · Health · corrected 2022-08-25

    Potential for more than minimal harm

20. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-06-23 · Health · corrected 2022-08-25

    Potential for more than minimal harm

21. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2022-06-23 · Health · corrected 2022-08-25

    Potential for more than minimal harm

22. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-06-23 · Health · corrected 2022-08-25

    Potential for more than minimal harm

23. 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.2022-06-23 · Health · corrected 2022-08-25

    Potential for more than minimal harm

24. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-06-23 · Health · corrected 2022-08-25

    Potential for more than minimal harm

25. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-06-23 · Health · corrected 2022-07-15

    Potential for more than minimal harm

26. FF0880Provide and implement an infection prevention and control program.2022-06-23 · Health · corrected 2022-08-25

    Potential for more than minimal harm

Ownership

Other facilities in Raleigh

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