Listing of Facilities with Penalties

This is a listing of penalties that have been imposed for adult care home and family care home violations in accordance with G.S. § 131D-34 within the last 36 months. Click on the link to access the inspection report related to the penalty. For any penalty where there is no link, please send an email to [email protected] to obtain a copy of the inspection report.

Alamance County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
A Vision Come True HAL-001-103 12/8/2020 10A NCAC 13F .0601 (a) Management Of Facilities; G.S. 131D-21(4) Declaration of Resident's Rights A2 1500 8/31/2021 Paid in Full
A Vision Come True HAL-001-103 12/8/2020 10A NCAC 13F .1801 (a) (b) Infection Prevention & Control Program (Emer); G.S. 131D-21(4) Declaration of Resident's Rights A2 1000 8/31/2021 Paid in Full
Above and Beyond Family Care II (Closed) FCL-001-139 4/1/2019 10A NCAC 13G .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A2 1000 7/21/2021 Not Paid - Referred to Controller's Office
Above and Beyond Family Care II (Closed) FCL-001-139 4/1/2019 10A NCAC 13G .1206 Health Care Personnel Registry; G.S. 131D-21(4) Declaration of Resident's Rights A2 1000 7/21/2021 Not Paid - Referred to Controller's Office
Above and Beyond Family Care II (Closed) FCL-001-139 4/1/2019 10A NCAC 13G .1701 (c) Infection Prevention & Control Program (temp); G.S. 131D-21(4) Declaration of Resident's Rights A1 2000 7/21/2021 Not Paid - Referred to Controller's Office
Alamance House HAL-001-148 1/24/2022 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 29000 9/21/2022 Settlement Agreement
Alamance House HAL-001-148 4/12/2022 10A NCAC 13F .1004(a) Medication Administration G.S. 131D-21(2) Declaration of Resident's Rights A2 1000 5/31/2023 Paid in Full
Alamance House HAL-001-148 6/20/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A2 2000 3/8/2023 Settlement Agreement
Alamance House HAL-001-148 6/20/2022 10A NCAC 13F .0902(b) Health Care A2 2000 3/8/2023 Settlement Agreement
Alamance House HAL-001-148 6/20/2022 10A NCAC 13F .1004(a) Medication Administration Unabated A2 60000 3/8/2023 Settlement Agreement
Alamance House HAL-001-148 6/20/2022 10A NCAC 13F .1308(a) Special Care Unit Staff A2 2000 3/8/2023 Settlement Agreement
Bethany Tender Love and Care FCL-001-047 6/25/2021 10A NCAC 13G .1701 (c) Infection Prevention & Control Program (temp); Unabated B 9400 4/20/2022 Paid in Full
Ephron Family Care Home (Closed) FCL-001-178 4/12/2023 10A NCAC 13G .1004(a) Medication Administration A2 2000 7/7/2023 Not Paid - Referred to Controller's Office
Golden Years Assisted Living (Closed) HAL-001-026 10/20/2021 10A NCAC 13F .1801 (c) Infection Prevention & Control Program (temp); G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 8/17/2022 Paid in Full
Homeplace of Burlington HAL-001-141 8/2/2023 10A NCAC 13F .1004(a) Medication Administration Unabated B 16000 1/31/2024
Moher Family Care (Closed) FCL-001-107 8/14/2020 10A NCAC 13G .0601(a) Management and Other Staff; G.S. 131D-21(2) Declaration of Resident's Rights A1 7000 7/7/2021 Not Paid - Referred to Controller's Office
Moher Family Care (Closed) FCL-001-107 8/14/2020 10A NCAC 13G .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A1 7000 7/7/2021 Not Paid - Referred to Controller's Office
Moher Family Care (Closed) FCL-001-107 8/14/2020 10A NCAC 13G .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A2 3500 7/7/2021 Not Paid - Referred to Controller's Office
Moher Family Care (Closed) FCL-001-107 8/14/2020 10A NCAC 13G .0909 Residents' Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 3500 7/7/2021 Not Paid - Referred to Controller's Office
We Care Family Care FCL-001-113 7/6/2023 10A NCAC 13G .0403(a) Qualifications of Medication Staff Unabated B 3900 1/31/2024

Alexander County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
A New Outlook of Taylorsville (Closed) HAL-002-007 9/11/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 12000 8/31/2021 Settlement Agreement

Anson County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Meadowview Terrace of Wadesboro HAL-004-003 8/11/2020 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 12000 8/31/2021 Settlement Agreement

Ashe County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Forest Ridge HAL-005-016 8/4/2022 10A NCAC 13F .0901(c) Personal Care and Supervision G.S. 131D-21(4) Declaration of Resident's Rights A1 3500 2/15/2023 Paid in Full

Avery County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Cranberry House HAL-006-007 11/17/2020 10A NCAC 13F .1801 (a) (b) Infection Prevention & Control Program (Emer); G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 8/31/2021 Paid in Full
Cranberry House HAL-006-007 12/19/2022 10A NCAC 13F .0902(b) Health Care A1 2000 5/12/2023 Paid in Full
Cranberry House HAL-006-007 12/19/2022 10A NCAC 13F .0909 Resident Rights A2 1000 5/12/2023 Paid in Full
Cranberry House HAL-006-007 12/19/2022 10A NCAC 13F .1004(a) Medication Administration A2 2000 5/12/2023 Paid in Full
Cranberry House HAL-006-007 12/19/2022 10A NCAC 13F .1212(d) Reporting of Accidents and Incidents A2 1000 5/12/2023 Paid in Full
The Heritage of Sugar Mountain HAL-006-005 5/4/2021 10A NCAC 13F .0311(d) Other Requirements; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 2/4/2022 Settlement Agreement

Beaufort County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Pantego Rest Home (Closed) HAL-007-015 8/26/2020 10A NCAC 13F .0601 (a) Management Of Facilities; G.S. 131D-21(2) Declaration of Resident's Rights A2 4000 8/31/2021 Settlement Agreement
Pantego Rest Home (Closed) HAL-007-015 8/26/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 4000 8/31/2021 Settlement Agreement

Bertie County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Pathways FCL-008-030 6/22/2021 10A NCAC 13G .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 750 4/20/2022 Paid in Full
Virginia's Place FCL-008-029 12/29/2022 10A NCAC 13G .0902(b) Health Care A2 1000 6/16/2023 Paid in Full
Windsor House HAL-008-034 1/5/2023 10A NCAC 13F .1004(a) Medication Administration Unabated B 11300 6/16/2023 Settlement Agreement
Winston Gardens HAL-008-042 1/13/2023 10A NCAC 13F .0901(b) Personal Care and Supervision A2 1500 6/16/2023 Appealed
Winston Gardens HAL-008-042 1/13/2023 10A NCAC 13F .0901(c) Personal Care and Supervision A1 14000 6/16/2023 Appealed
Winston Gardens HAL-008-042 1/13/2023 10A NCAC 13F .0902(b) Health Care A1 16000 6/16/2023 Appealed
Winston Gardens HAL-008-042 1/13/2023 10A NCAC 13F .1801(b) Infection Prevention & Control Policies & Pro A2 1500 6/16/2023 Appealed

Bladen County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Comfort Living Family Care Home FCL-009-022 3/5/2020 10A NCAC 13G .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A2 375 5/4/2021 Paid in Full
Oak Grove Family Care Home FCL-009-028 6/6/2019 10A NCAC 13G .0312(g) Outside Entrance And Exits; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 15600 7/21/2021 Settlement Agreement
West Bladen Assisted Living HAL-009-025 10/22/2021 10A NCAC 13F .0901(a) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 500 8/31/2022 Paid in Full
West Bladen Assisted Living HAL-009-025 10/22/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A2 1000 8/31/2022 Paid in Full

Brunswick County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Ocean Isle Operations HAL-010-011 8/2/2020 10A NCAC 13F .0901(c) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A2 1000 8/26/2021 Paid in Full
TerraBella Southport HAL-010-010 11/2/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 5250 8/17/2022 Paid in Full
TerraBella Southport HAL-010-010 1/12/2022 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 7000 9/21/2022 Paid in Full
TerraBella Southport HAL-010-010 4/12/2023 10A NCAC 13F .0901(c) Personal Care and Supervision A1 7000 8/2/2023 Paid in Full
The Bluefields (formerly named Leland House) HAL-010-007 10/15/2020 10A NCAC 13F .0801(c)(1) Resident Assessment; G.S. 131D-21(4) Declaration of Resident's Rights A2 9000 8/31/2021 Settlement Agreement
The Bluefields (formerly named Leland House) HAL-010-007 10/15/2020 10A NCAC 13F .0901(a) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A2 9000 8/31/2021 Settlement Agreement
The Bluefields (formerly named Leland House) HAL-010-007 10/15/2020 10A NCAC 13F .0901(c) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 13000 8/31/2021 Settlement Agreement
The Bluefields (formerly named Leland House) HAL-010-007 10/15/2020 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 13000 8/31/2021 Settlement Agreement
The Bluefields (formerly named Leland House) HAL-010-007 10/15/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A1 13000 8/31/2021 Settlement Agreement
The Bluefields (formerly named Leland House) HAL-010-007 10/15/2020 10A NCAC 13F .1308(a) Special Care Unit Staff; G.S. 131D-21(2) Declaration of Resident's Rights A2 9000 8/31/2021 Settlement Agreement
The Bluefields (formerly named Leland House) HAL-010-007 10/15/2020 10A NCAC 13F .1308(b) Special Care Unit Staffing; G.S. 131D-21(2) Declaration of Resident's Rights A2 9000 8/31/2021 Settlement Agreement
The Bluefields (formerly named Leland House) HAL-010-007 10/15/2020 G.S. § 131D-25 Implementation; G.S. 131D-21(2) Declaration of Resident's Rights A1 13000 8/31/2021 Settlement Agreement
The Bluefields (formerly named Leland House) HAL-010-007 7/27/2021 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 20000 8/31/2022 Settlement Agreement
The Bluefields (formerly named Leland House) HAL-010-007 7/27/2021 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(4) Declaration of Resident's Rights A1 15000 8/31/2022 Settlement Agreement
The Landings of Oak Island HAL-010-013 5/5/2023 10A NCAC 13F .1004(a) Medication Administration A2 1000 1/31/2024
The Landings of Oak Island HAL-010-013 5/17/2023 10A NCAC 13F .1004(a) Medication Administration A1 4000 1/31/2024

Buncombe County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Brooks-Howell Home NH0017 10/14/2022 10A NCAC 13D .2208(e) Safety A2 10000 11/8/2022 Paid in Full
Chunn's Cove Assisted Living HAL-011-262 5/23/2022 10A NCAC 13F .0901(b) Personal Care and Supervision G.S. 131D-21(4) Declaration of Resident's Rights A1 2000 2/15/2023 Paid in Full
Chunn's Cove Assisted Living HAL-011-262 7/26/2023 10A NCAC 13F .0904(e)(4) Nutrition and Food Service Unabated B 12900 11/21/2023 Appealed
Fairview Family Care #2 (Closed) FCL-011-023 4/22/2022 10A NCAC 13G .0909 Residents' Rights G.S. 131D-21(4) Declaration of Resident's Rights A1 6000 2/15/2023 Not Paid - Referred to Controller's Office
Fairview Family Care #3 (Closed) FCL-011-024 4/22/2022 10A NCAC 13G .0909 Residents' Rights G.S. 131D-21(4) Declaration of Resident's Rights A1 6000 2/15/2023 Not Paid - Referred to Controller's Office
Fairview Family Care Home #1(Closed) FCL-011-024 3/2/2021 10A NCAC 13G .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights A2 1000 3/16/2022 Not Paid - Referred to Controller's Office
Fairview Family Care Home #1(Closed) FCL-011-022 5/3/2021 10A NCAC 13G .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 3500 4/20/2022 Not Paid - Referred to Controller's Office
Fairview Family Care Home #1(Closed) FCL-011-022 5/3/2021 10A NCAC 13G .0909 Residents' Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 2000 4/20/2022 Not Paid - Referred to Controller's Office
Fairview Family Care Home #1(Closed) FCL-011-022 5/3/2021 10A NCAC 13G .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights Unabated A2 25125 4/20/2022 Not Paid - Referred to Controller's Office
Fairview Family Care Home #1(Closed) FCL-011-022 6/25/2021 10A NCAC 13G .0601(a) Management and Other Staff; G.S. 131D-21(2) Declaration of Resident's Rights A1 7000 5/16/2022 Not Paid - Referred to Controller's Office
Fairview Family Care Home #1(Closed) FCL-011-022 6/25/2021 10A NCAC 13G .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 13500 5/16/2022 Not Paid - Referred to Controller's Office
Fairview Family Care Home #1(Closed) FCL-011-022 6/25/2021 10A NCAC 13G .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights Unabated A1 11500 5/16/2022 Not Paid - Referred to Controller's Office
Fairview Family Care Home #2 (Closed) FCL-011-023 6/22/2021 10A NCAC 13G .0901(a) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 500 5/16/2022 Not Paid - Referred to Controller's Office
Fairview Family Care Home #2 (Closed) FCL-011-023 6/22/2021 10A NCAC 13G .1004(a) Medication Administration; G.S. 131D-21(4) Declaration of Resident's Rights A2 500 5/16/2022 Not Paid - Referred to Controller's Office
Fairview Family Care Home #4 (Closed) FCL-011-025 1/13/2021 10A NCAC 13G .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A2 1000 3/16/2022 Not Paid - Referred to Controller's Office
Fairview Family Care Home #4 (Closed) FCL-011-025 3/18/2021 10A NCAC 13G .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 1300 3/16/2022 Not Paid - Referred to Controller's Office
Heather Glen at Ardenwoods (Closed) HAL-011-371 8/20/2020 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A1 4500 8/26/2021 Paid in Full
Richmond Hill Assisted Living #4 HAL-011-373 8/31/2023 10A NCAC 13F .0902(b) Health Care A2 4000 1/31/2024
Richmond Hill Assisted Living #4 HAL-011-373 8/31/2023 10A NCAC 13F .1004(a) Medication Administration A2 4000 1/31/2024
Richmond Hill Rest Home #1 HAL-011-376 6/2/2021 10A NCAC 13F .0601 (a) Management Of Facilities; G.S. 131D-21(4) Declaration of Resident's Rights A1 4000 5/16/2022 Settlement Agreement
Richmond Hill Rest Home #1 HAL-011-376 6/2/2021 10A NCAC 13F .0601 (b) Management Of Facilities With A Capacity Or; G.S. 131D-21(4) Declaration of Resident's Rights A1 4000 5/16/2022 Settlement Agreement
Richmond Hill Rest Home #1 HAL-011-376 10/13/2021 10A NCAC 13F .1801 (c) Infection Prevention & Control Program (temp); G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 21200 9/21/2022 Settlement Agreement
Richmond Hill Rest Home #2 HAL-011-375 6/2/2021 10A NCAC 13F .0601 (a) Management Of Facilities; G.S. 131D-21(4) Declaration of Resident's Rights A1 4000 5/16/2022 Settlement Agreement
Richmond Hill Rest Home #2 HAL-011-375 6/2/2021 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A1 3000 5/16/2022 Settlement Agreement
Richmond Hill Rest Home #2 HAL-011-375 4/1/2022 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 12000 12/21/2022 Appealed
Richmond Hill Rest Home #2 HAL-011-375 4/1/2022 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(4) Declaration of Resident's Rights A2 4000 12/21/2022 Appealed
Richmond Hill Rest Home #3 HAL-011-374 6/1/2021 10A NCAC 13F .0601 (a) Management Of Facilities; G.S. 131D-21(4) Declaration of Resident's Rights A1 7000 6/10/2022 Settlement Agreement
Richmond Hill Rest Home #3 HAL-011-374 6/1/2021 10A NCAC 13F .0601 (b) Management Of Facilities With A Capacity Or; G.S. 131D-21(4) Declaration of Resident's Rights A1 7000 6/10/2022 Settlement Agreement
Richmond Hill Rest Home #4 HAL-011-373 6/1/2021 10A NCAC 13F .0601 (a) Management Of Facilities; G.S. 131D-21(4) Declaration of Resident's Rights A1 4000 6/10/2022 Settlement Agreement
Richmond Hill Rest Home #4 HAL-011-373 6/1/2021 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A1 3000 6/10/2022 Settlement Agreement
Richmond Hill Rest Home #5 HAL-011-372 6/1/2021 10A NCAC 13F .0601 (a) Management Of Facilities; G.S. 131D-21(4) Declaration of Resident's Rights A1 4000 6/10/2022 Settlement Agreement
Richmond Hill Rest Home #5 HAL-011-372 6/1/2021 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 6/10/2022 Settlement Agreement
Richmond Hill Rest Home #5 HAL-011-372 8/25/2021 G.S. 131D-4.4A (b) ACH Infection Prevention Requirements; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 36000 6/10/2022 Settlement Agreement
Richmond Hill Rest Home #5 HAL-011-372 10/8/2021 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 20000 9/21/2022 Settlement Agreement
Richmond Hill Rest Home #5 HAL-011-372 4/5/2022 10A NCAC 13F .0901(c) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 5500 12/21/2022 Appealed
Richmond Hill Rest Home #5 HAL-011-372 4/5/2022 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 5500 12/21/2022 Appealed
Richmond Hill Rest Home #5 HAL-011-372 4/5/2022 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(4) Declaration of Resident's Rights A1 5500 12/21/2022 Appealed
St. Mary Rosa's Family Care Home FCL-011-326 1/5/2022 10A NCAC 13G .1701 (c) Infection Prevention & Control Program (temp); G.S. 131D-21(4) Declaration of Resident's Rights A1 3000 8/31/2022 Settlement Agreement

Burke County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Clara's Cottage #1 FCL-012-042 11/24/2020 10A NCAC 13G .1701 (a) (b) Infection Prevention & Control Program (emer); G.S. 131D-21(2) Declaration of Resident's Rights A2 1000 12/17/2021 Paid in Full
Morganton Long Term Care, Southview Facility HAL-012-007 3/3/2022 10A NCAC 13F .0604(e) Personal Care And Other Staffing; G.S. 131D-21(4) Declaration of Resident's Rights A2 7000 12/21/2022 Not Paid - Referred to Controller's Office
Morganton Long Term Care, Southview Facility HAL-012-007 10/27/2021 G.S. 131D-21(1) Declaration of Resident's Rights Unabated B 2700 4/20/2022 Paid in Full
Morganton Long Term Care, Southview Facility HAL-012-007 10/27/2021 10A NCAC 13F .0407(a)(7) Other Staff Qualifications; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 3700 4/20/2022 Paid in Full
Morganton Long Term Care, Southview Facility HAL-012-007 10/27/2021 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights Unabated B 2325 4/20/2022 Paid in Full

Cabarrus County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
The Living Center of Concord HAL-013-044 9/30/2020 10A NCAC 13F .0901(a) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 12000 8/31/2021 Settlement Agreement
The Living Center of Concord HAL-013-044 9/30/2020 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 12000 8/31/2021 Settlement Agreement
The Living Center of Concord HAL-013-044 9/30/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 7000 8/31/2021 Settlement Agreement
The Living Center of Concord HAL-013-044 9/30/2020 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights A2 4000 8/31/2021 Settlement Agreement
The Living Center of Concord HAL-013-044 9/30/2020 G.S. § 131D-25 Implementation; G.S. 131D-21(2) Declaration of Resident's Rights A1 12000 8/31/2021 Settlement Agreement
Concord Place (Closed) HAL-013-045 10/13/2022 10A NCAC 13F .0901(c) Personal Care and Supervision A1 3500 2/15/2023 Paid in Full

Caldwell County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Brockford Inn HAL-014-014 2/13/2020 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A1 12000 10/19/2021 Paid in Full
Brockford Inn HAL-014-014 7/9/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 3000 8/26/2021 Paid in Full
Grandview Villa Assisted Living HAL-014-015 7/16/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 1000 8/26/2021 Paid in Full

Carteret County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Carteret House HAL-016-018 1/29/2021 10A NCAC 13F .0604(e)(1)(E) Personal Care and Other Staffing; G.S. 131D-21(4) Declaration of Resident's Rights A2 1000 3/16/2022 Paid in Full
Carteret House HAL-016-018 1/29/2021 10A NCAC 13F .0901(a) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A2 1000 3/16/2022 Paid in Full
Carteret House HAL-016-018 5/17/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 3/16/2022 Paid in Full
Carteret House HAL-016-018 4/20/2023 10A NCAC 13F .0902(b) Health Care A2 4000 8/2/2023 Paid in Full
Carteret Landing HAL-016-022 6/29/2020 10A NCAC 13F .0306(a)(5) Housekeeping and Furnishings; G.S. 131D-21(4) Declaration of Resident's Rights A1 500 8/26/2021 Paid in Full

Caswell County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Caswell House HAL-017-054 3/13/2023 10A NCAC 13F .0902(b) Health Care A1 7000 7/7/2023 Appealed
Higher Standard Assisted Living FCL-017-061 7/25/2023 10A NCAC 13G .1004(a) Medication Administration Unabated B 10800 1/31/2024
Humphrey Family Care Home FCL-017-052 10/8/2021 10A NCAC 13G .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 5300 6/10/2022 Paid in Full
Humphrey Family Care Home FCL-017-052 10/8/2021 10A NCAC 13G .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 5300 6/10/2022 Paid in Full
Taylor Family Care Home #2 (closed) FCL-017-058 7/2/2021 10A NCAC 13G .0902(c)(3)(4) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 6700 6/10/2022 Settlement Agreement
Taylor Family Care Home #2 (closed) FCL-017-058 7/2/2021 10A NCAC 13G .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 6700 6/10/2022 Settlement Agreement
Taylor Family Care Home #2 (closed) FCL-017-058 7/2/2021 G.S. § 131D-4.5B (b) ACH Medication Aides;Training and Competency; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 5025 6/10/2022 Settlement Agreement
Taylor Family Care Home #2 (closed) FCL-017-058 8/21/2023 10A NCAC 13G .0601 (b)(1) Management And Other Staff A1 4000 1/31/2024
Taylor Family Care Home #2 (closed) FCL-017-058 8/21/2023 10A NCAC 13G .0601(a) Management and Other Staff A1 8000 1/31/2024
Taylor Family Care Home #2 (closed) FCL-017-058 8/21/2023 10A NCAC 13G .0904 (c-7) Nutrition And Food Service A1 7000 1/31/2024
Taylor Family Care Home #2 (closed) FCL-017-058 8/21/2023 10A NCAC 13G .1004(a) Medication Administration A2 3500 1/31/2024

Catawba County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Austin Adult Care HAL-018-023 2/26/2021 10A NCAC 13F .0702 (f) Discharge Of Residents; G.S. 131D-21(2) Declaration of Resident's Rights A2 1500 3/16/2022 Paid in Full
Springs of Catawba HAL-018-032 2/10/2023 10A NCAC 13F .0902(b) Health Care A2 1000 5/31/2023 Paid in Full
TerraBella Newton HAL-018-036 4/22/2022 10A NCAC 13F .0901(b) Personal Care and Supervision G.S. 131D-21(4) Declaration of Resident's Rights A1 5250 2/15/2023 Paid in Full
TerraBella Newton HAL-018-036 4/22/2022 10A NCAC 13F .0902(b) Health Care G.S. 131D-21(4) Declaration of Resident's Rights A2 750 2/15/2023 Paid in Full
TerraBella Newton HAL-018-036 4/22/2022 10A NCAC 13F .1004(a) Medication Administration G.S. 131D-21(2) Declaration of Resident's Rights A2 750 2/15/2023 Paid in Full

Chatham County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Chatham Ridge Assisted Living (CHOW) HAL-019-021 3/12/2021 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A1 4000 2/4/2022 Paid in Full

Cherokee County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Carolina Care Home #2 (Closed) HAL-020-002 5/12/2021 10A NCAC 13F .0402 Qualifications Of Administrator-In-Charge; G.S. 131D-21(4) Declaration of Resident's Rights A1 6000 9/30/2021 Settlement Agreement
Carolina Care Home #2 (Closed) HAL-020-002 5/12/2021 10A NCAC 13F .0601 (b) Management Of Facilities With A Capacity Or; G.S. 131D-21(4) Declaration of Resident's Rights A1 6000 9/30/2021 Settlement Agreement
Carolina Care Home #2 (Closed) HAL-020-002 5/12/2021 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A1 3500 9/30/2021 Settlement Agreement
Carolina Care Home #2 (Closed) HAL-020-002 5/12/2021 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 9/30/2021 Settlement Agreement
Carolina Care Home #2 (Closed) HAL-020-002 5/12/2021 10A NCAC 13F .1205 Health Care Personnel Registry; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 9/30/2021 Settlement Agreement
Elaine's Care #2 FCL-020-016 5/3/2021 10A NCAC 13G .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A2 3500 2/4/2022 Paid in Full
L and N Family Care Home FCL-020-011 10/28/2021 10A NCAC 13G .1701 (c) Infection Prevention & Control Program (temp); G.S. 131D-21(4) Declaration of Resident's Rights A1 6000 8/5/2022 Paid in Full

Cleveland County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Cleveland House HAL-023-045 1/31/2020 10A NCAC 13F .0901(a) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 18000 8/31/2021 Settlement Agreement
Cleveland House HAL-023-045 1/31/2020 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A2 4000 8/31/2021 Settlement Agreement
Cleveland House HAL-023-045 1/31/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 8400 8/31/2021 Settlement Agreement
Lean's 3 Family Care Home (Closed) FCL-023-049 9/4/2020 10A NCAC 13G .0909 Residents' Rights; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 8/31/2021 Not Paid - Referred to Controller's Office
Serenity Living #4 FCL-023-052 5/7/2021 10A NCAC 13G .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A2 500 3/16/2022 Paid in Full
Cleveland House HAL-023-045 1/31/2020 G.S. § 131D-25 Implementation; G.S. 131D-21(2) Declaration of Resident's Rights A1 7000 8/31/2021 Settlement Agreement
Cleveland House HAL-023-045 1/31/2020 G.S. 131D-4.4A (b) ACH Infection Prevention Requirements; G.S. 131D-21(2) Declaration of Resident's Rights A2 4000 8/31/2021 Settlement Agreement
TerraBella Shelby (Formerly named Elmcroft of Shelby) HAL-023-048 9/14/2020 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A1 7000 8/31/2021 Paid in Full

Columbus County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Robin's Nest Family Care Home FCL-024-017 2/14/2023 10A NCAC 13G .0315(a)(5) Housekeeping and Furnishings A2 2000 5/26/2023 Paid in Full
Robin's Nest Family Care Home FCL-024-017 2/14/2023 10A NCAC 13G .0317(d) Building Service Equipment A2 2000 5/26/2023 Paid in Full
Robin's Nest Family Care Home FCL-024-017 2/14/2023 10A NCAC 13G .0601(a) Management and Other Staff A2 2000 5/26/2023 Paid in Full
Robin's Nest Family Care Home FCL-024-017 2/14/2023 10A NCAC 13G .0902(b) Health Care A2 2000 5/26/2023 Paid in Full

Craven County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Croatan Village HAL-025-037 7/17/2019 10A NCAC 13F .0309 (d) Plan For Evacuation; G.S. 131D-21(4) Declaration of Resident's Rights A1 2000 5/3/2021 Paid in Full
Croatan Village HAL-025-037 9/16/2022 10A NCAC 13F .0901(b) Personal Care and Supervision G.S. 131D-21(4) Declaration of Resident's Rights A2 1500 2/15/2023 Paid in Full
Croatan Village HAL-025-037 12/15/2022 10A NCAC 13F .0909 Resident Rights A1 7000 5/31/2023 Appealed
Croatan Village HAL-025-037 12/15/2022 10A NCAC 13F .1004 (i) Medication Administration Unabated B 30000 5/31/2023 Appealed
Croatan Village HAL-025-037 12/15/2022 10A NCAC 13F .1004(a) Medication Administration Unabated B 100400 5/31/2023 Appealed
Croatan Village HAL-025-037 2/24/2023 10A NCAC 13F .0901(b) Personal Care and Supervision A2 4000 5/31/2023 Appealed
Croatan Village HAL-025-037 2/24/2023 10A NCAC 13F .0909 Resident Rights A2 4000 5/31/2023 Appealed
Croatan Village HAL-025-037 2/24/2023 10A NCAC 13F .1004(a) Medication Administration A1 12000 5/31/2023 Appealed
Good Shepard Home for the Aged (Closed) HAL-025-023 11/19/2019 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A1 12000 9/8/2021 Settlement Agreement
Riverstone HAL-025-026 2/5/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A2 750 9/8/2021 Paid in Full
The Gardens of Trent HAL-025-035 10/16/2019 10A NCAC 13F .0306(a)(5) Housekeeping and Furnishings; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 24800 7/21/2021 Settlement Agreement
The Gardens of Trent HAL-025-035 1/6/2023 10A NCAC 13F .0901(b) Personal Care and Supervision A2 1000 7/7/2023 Paid in Full
Truewood by Merrill New Bern MC HAL-025-040 4/21/2022 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 500 12/21/2022 Paid in Full

Cumberland County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Cardinal Care of Hope Mills HAL-026-069 2/1/2023 10A NCAC 13F .0901(b) Personal Care and Supervision A2 1000 7/7/2023 Paid in Full
Cumberland Village Assisted Living (Closed) HAL-026-062 2/17/2023 10A NCAC 13F .0901(b) Personal Care and Supervision A2 2000 5/26/2023 Paid in Full
Fayetteville Manor HAL-026-054 2/24/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 1000 2/4/2022 Paid in Full
Forest Hill Group Home (Closed) FCL-026-031 8/13/2019 10A NCAC 13G .0302 (b) Design And Construction; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 15100 7/21/2021 Not Paid - Referred to Controller's Office
Leach's Family Care Home (Closed) FCL-026-037 5/8/2020 10A NCAC 13G .0909 Residents' Rights; G.S. 131D-21(4) Declaration of Resident's Rights A1 3500 7/21/2021 Not Paid - Referred to Controller's Office
Pine Valley Adult Care HAL-026-048 1/8/2021 10A NCAC 13F .0601 (a) Management Of Facilities; G.S. 131D-21(4) Declaration of Resident's Rights A1 7000 8/26/2021 Settlement Agreement
Pine Valley Adult Care HAL-026-048 1/8/2021 10A NCAC 13F .1801 (a) Infection Prevention & Control Program (temp); G.S. 131D-21(4) Declaration of Resident's Rights A2 4000 8/26/2021 Settlement Agreement
Pine Valley Adult Care HAL-026-048 1/8/2021 10A NCAC 13F .1802 (b) Report & Notification of a Outbreak (temp); G.S. 131D-21(4) Declaration of Resident's Rights A1 7000 8/26/2021 Settlement Agreement
The Addison of Fayetteville HAL-026-068 12/15/2021 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 9400 8/31/2022 Settlement Agreement

Currituck County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Currituck House HAL-027-003 1/6/2022 10A NCAC 13F .0602 Management Of Facilities WIth A Capacity Or; A1 4000 8/31/2022 Settlement Agreement
Currituck House HAL-027-003 1/6/2022 10A NCAC 13F .0901(b) Personal Care and Supervision; A1 3500 8/31/2022 Settlement Agreement
Currituck House HAL-027-003 1/6/2022 10A NCAC 13F .0902(b) Health Care; A2 2000 8/31/2022 Settlement Agreement
Currituck House HAL-027-003 1/6/2022 G.S. 131D-21(1) Declaration of Residents' Rights; A2 2000 8/31/2022 Settlement Agreement
Currituck House HAL-027-003 1/6/2022 G.S. 131D-21(4) Declaration of Residents' Rights; A2 2000 8/31/2022 Settlement Agreement
Currituck House HAL-027-003 1/6/2022 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 8300 8/31/2022 Settlement Agreement
Currituck House HAL-027-003 11/5/2018 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 2000 7/21/2021 Paid in Full

Davidson County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Grayson Creek of Welcome HAL-029-010 8/7/2020 10A NCAC 13F .0604(e) Personal Care And Other Staffing; G.S. 131D-21(4) Declaration of Resident's Rights A1 1000 7/21/2021 Paid in Full
Grayson Creek of Welcome HAL-029-010 8/7/2020 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 8000 7/21/2021 Paid in Full
Grayson Creek of Welcome HAL-029-010 8/7/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 2000 7/21/2021 Paid in Full
Grayson Creek of Welcome HAL-029-010 8/7/2020 10A NCAC 13F .1501(a) Use Of Physical Restraints And Alternatives; G.S. 131D-21(4) Declaration of Resident's Rights A1 8000 7/21/2021 Paid in Full
Grayson Creek of Welcome HAL-029-010 8/7/2020 G.S. § 131D-25 Implementation; G.S. 131D-21(4) Declaration of Resident's Rights A1 8000 7/21/2021 Paid in Full
Grayson Creek of Welcome HAL-029-010 3/18/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A1 16000 2/4/2022 Settlement Agreement
The Clinard House (Closed) FCL-029-012 11/5/2020 10A NCAC 13G .0507 Training on Cardio-Pulmonary Resuscitation; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 4300 12/17/2021 Not Paid - Referred to Controller's Office
The Clinard House (Closed) FCL-029-012 11/5/2020 10A NCAC 13G .0601(a) Management and Other Staff; G.S. 131D-21(4) Declaration of Resident's Rights A2 2000 12/17/2021 Not Paid - Referred to Controller's Office
The Clinard House (Closed) FCL-029-012 11/5/2020 10A NCAC 13G .0909 Residents' Rights; G.S. 131D-21(4) Declaration of Resident's Rights Unabated B 4300 12/17/2021 Not Paid - Referred to Controller's Office
The Clinard House (Closed) FCL-029-012 11/5/2020 10A NCAC 13G .1701 (a) (b) Infection Prevention & Control Program (emer); G.S. 131D-21(4) Declaration of Resident's Rights A2 2000 12/17/2021 Not Paid - Referred to Controller's Office
The Clinard House (Closed) FCL-029-012 2/11/2021 10A NCAC 13G .0601(a) Management and Other Staff; G.S. 131D-21(2) Declaration of Resident's Rights Unabated A2 33375 12/17/2021 Not Paid - Referred to Controller's Office
The Clinard House (Closed) FCL-029-012 2/11/2021 10A NCAC 13G .1701 (c) Infection Prevention & Control Program (temp); G.S. 131D-21(2) Declaration of Resident's Rights Unabated A2 33375 12/17/2021 Not Paid - Referred to Controller's Office
The Clinard House (Closed) FCL-029-012 3/4/2021 10A NCAC 13G .0601(a) Management and Other Staff; G.S. 131D-21(4) Declaration of Resident's Rights A2 8000 12/17/2021 Not Paid - Referred to Controller's Office
The Clinard House (Closed) FCL-029-012 3/4/2021 10A NCAC 13G .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A2 8000 12/17/2021 Not Paid - Referred to Controller's Office
The Lyman House (Closed) FCL-029-011 11/5/2020 10A NCAC 13G .0507 Training on Cardio-Pulmonary Resuscitation; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 4300 8/31/2021 Not Paid - Referred to Controller's Office
The Lyman House (Closed) FCL-029-011 11/5/2020 10A NCAC 13G .0601(a) Management and Other Staff; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 8/31/2021 Not Paid - Referred to Controller's Office
The Lyman House (Closed) FCL-029-011 11/5/2020 10A NCAC 13G .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 8/31/2021 Not Paid - Referred to Controller's Office
The Lyman House (Closed) FCL-029-011 11/5/2020 10A NCAC 13G .1701 (a) (b) Infection Prevention & Control Program (emer); G.S. 131D-21(4) Declaration of Resident's Rights A2 2000 8/31/2021 Not Paid - Referred to Controller's Office
The Lyman House (Closed) FCL-029-011 2/19/2021 10A NCAC 13G .0601(a) Management and Other Staff; G.S. 131D-21(2) Declaration of Resident's Rights A1 8000 12/17/2021 Not Paid - Referred to Controller's Office
The Lyman House (Closed) FCL-029-011 2/19/2021 10A NCAC 13G .0601(a) Management and Other Staff; G.S. 131D-21(4) Declaration of Resident's Rights A1 8000 12/17/2021 Not Paid - Referred to Controller's Office
The Lyman House (Closed) FCL-029-011 2/19/2021 10A NCAC 13G .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A1 10000 12/17/2021 Not Paid - Referred to Controller's Office
The Lyman House (Closed) FCL-029-011 2/19/2021 10A NCAC 13G .1004(a) Medication Administration; G.S. 131D-21(4) Declaration of Resident's Rights Continued Unabated Type B 13100 12/17/2021 Not Paid - Referred to Controller's Office
The Lyman House (Closed) FCL-029-011 2/19/2021 10A NCAC 13G .1701 (a) (b) Infection Prevention & Control Program (emer); G.S. 131D-21(4) Declaration of Resident's Rights Unabated A2 33375 12/17/2021 Not Paid - Referred to Controller's Office
The Lyman House (Closed) FCL-029-011 3/4/2021 10A NCAC 13G .0909 Residents' Rights; G.S. 131D-21(4) Declaration of Resident's Rights A1 8000 12/17/2021 Not Paid - Referred to Controller's Office
The Perryman House (Closed) FCL-029-009 11/5/2020 10A NCAC 13G .0507 Training on Cardio-Pulmonary Resuscitation; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 4300 8/31/2021 Not Paid - Referred to Controller's Office
The Perryman House (Closed) FCL-029-009 11/5/2020 10A NCAC 13G .0601(a) Management and Other Staff; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 8/31/2021 Not Paid - Referred to Controller's Office
The Perryman House (Closed) FCL-029-009 11/5/2020 10A NCAC 13G .1701 (a) (b) Infection Prevention & Control Program (emer); G.S. 131D-21(4) Declaration of Resident's Rights A2 2000 8/31/2021 Not Paid - Referred to Controller's Office

Davie County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Mocksville Senior Living and Memory Care HAL-030-009 5/1/2020 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A1 8000 5/3/2021 Settlement Agreement
Mocksville Senior Living and Memory Care HAL-030-009 2/3/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 1000 2/4/2022 Paid in Full
Mocksville Senior Living and Memory Care HAL-030-009 11/9/2020 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 8/31/2021 Paid in Full
PS Senior Living of Mocksville HAL-030-010 5/10/2023 10A NCAC 13F .1004(a) Medication Administration A2 2000 8/2/2023 Paid in Full
Somerset Court of Mocksville HAL-030-008 10/27/2022 10A NCAC 13F .1004(a) Medication Administration A1 1750 5/31/2023 Paid in Full

Duplin County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Autumn Village HAL-031-018 12/6/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A1 4000 5/12/2023 Appealed
Autumn Village HAL-031-018 12/6/2022 10A NCAC 13F .1004(a) Medication Administration A2 2000 5/12/2023 Appealed
Autumn Village HAL-031-018 12/6/2022 G.S. § 131D-25 Implementation A1 4000 5/12/2023 Appealed
Wallace Gardens HAL-031-016 5/18/2022 10A NCAC 13F .0305(h)(4) Physical Environment G.S. 131D-21(2) Declaration of Resident's Rights A2 1000 2/15/2023 Paid in Full
Wellington Park (Closed) HAL-031-006 6/16/2020 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A2 3500 8/26/2021 Settlement Agreement
Wellington Park (Closed) HAL-031-006 6/16/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A1 12000 8/26/2021 Settlement Agreement
Wellington Park (Closed) HAL-031-006 6/16/2020 G.S. § 131D-25 Implementation; G.S. 131D-21(4) Declaration of Resident's Rights A1 8000 8/26/2021 Settlement Agreement
Wellington Park (Closed) HAL-031-006 12/21/2020 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 16000 8/26/2021 Settlement Agreement
Wellington Park (Closed) HAL-031-006 12/21/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A1 8000 8/26/2021 Settlement Agreement

Durham County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
B.J.'s Family Care Home FCL-032-062 9/30/2021 10A NCAC 13G .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 5700 9/21/2022 Paid in Full
Brookdale Durham HAL-032-065 12/2/2022 10A NCAC 13F .1004(a) Medication Administration Unabated B 23200 5/26/2023 Appealed
Camellia Gardens HAL-032-071 1/24/2022 10A NCAC 13F .0305(h)(4) Physical Environment; G.S. 131D-21(2) Declaration of Resident's Rights A1 10500 8/5/2022 Paid in Full
Carolina Care Homes (Closed) FCL-032-170 12/21/2021 10A NCAC 13G .0601(d) Management and Other Staff; G.S. 131D-21(2) Declaration of Resident's Rights A2 375 6/10/2022 Paid in Full
Durham Ridge Assisted Living HAL-032-091 5/20/2020 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 12000 7/7/2021 Paid in Full
Durham Ridge Assisted Living HAL-032-091 11/17/2020 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 12000 7/7/2021 Paid in Full
Durham Ridge Assisted Living HAL-032-091 11/17/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 3000 7/7/2021 Paid in Full
Durham Ridge Assisted Living HAL-032-091 11/17/2020 10A NCAC 13F .1801 (a) (b) Infection Prevention & Control Program (Emer); G.S. 131D-21(2) Declaration of Resident's Rights A2 3000 7/7/2021 Paid in Full
Durham Ridge Assisted Living HAL-032-091 2/25/2021 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(4) Declaration of Resident's Rights A2 4000 2/4/2022 Paid in Full
Elsie-Doris Family Care (Closed) FCL-032-088 4/30/2021 10A NCAC 13G .1004(a) Medication Administration; G.S. 131D-21(4) Declaration of Resident's Rights A2 500 3/16/2022 Paid in Full
Eno Pointe Assisted Living HAL-032-001 8/25/2022 10A NCAC 13F .1004(a) Medication Administration A1 2000 3/8/2023 Paid in Full
Our Promise Care Homes FCL-032-178 4/18/2023 10A NCAC 13G .0302 (b) Design And Construction A2 1000 7/7/2023 Appealed
Pleasant Living Family Care (closed) FCL-032-150 5/11/2023 10A NCAC 13G .0302 (b) Design And Construction Unabated B 5400 9/27/2023 Appealed

Edgecombe County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Almarch Family Care FCL-033-018 11/22/2022 10A NCAC 13G .1006 (g) Medication Storage A2 2000 4/5/2023 Paid in Full
Almarch Family Care FCL-033-018 2/8/2023 10A NCAC 13G .0403(a) Qualifications of Medication Staff Unabated B 5200 5/26/2023 Paid in Full
Almarch Family Care FCL-033-018 2/8/2023 10A NCAC 13G .0507 Training on Cardio-Pulmonary Resuscitation A1 3500 5/26/2023 Paid in Full
Almarch Family Care FCL-033-018 2/8/2023 10A NCAC 13G .0902(b) Health Care A1 6000 5/26/2023 Paid in Full
Heritage Care of Rocky Mount HAL-033-005 9/4/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 4000 8/26/2021 Settlement Agreement
Heritage Care of Rocky Mount HAL-033-005 9/1/2022 10A NCAC 13F .0901(c) Personal Care and Supervision A1 8000 3/8/2023 Settlement Agreement
The Bridges of Hendricks Creek HAL-033-006 12/8/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A1 2000 5/12/2023 Paid in Full
The Bridges of Hendricks Creek HAL-033-006 6/1/2023 10A NCAC 13F .1004(a) Medication Administration A1 2000 11/21/2023

Forsyth County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
C.R.T. Golden Lamb HAL-034-019 5/31/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A2 2000 3/8/2023 Paid in Full
Forest Heights Senior Living Community HAL-034-087 8/31/2023 10A NCAC 13F .1004(a) Medication Administration Unabated B 21000 1/31/2024
Grand Villa Assisted Living at Winston (Formerly Salem Terrace Assisted Living and Memory Care) HAL-034-116 5/3/2023 10A NCAC 13F .1004(a) Medication Administration A2 1500 9/27/2023 Paid in Full
Harmony at Brookberry Farm HAL-034-112 2/23/2023 10A NCAC 13F .0901(b) Personal Care and Supervision A2 500 5/26/2023 Paid in Full
Salem Terrace (Closed) HAL-034-098 7/19/2019 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 19000 8/26/2021 Paid in Full
Salem Terrace (Closed) HAL-034-098 10/18/2019 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A1 14000 2/4/2022 Paid in Full
Salem Terrace (Closed) HAL-034-098 8/5/2022 10A NCAC 13F .0902(b) Health Care Unabated B 25200 5/31/2023 Paid in Full
Shuler Health Care/Record Villa HAL-034-108 5/24/2023 10A NCAC 13F .0902(b) Health Care A2 2000 9/27/2023 Appealed
Shuler Health Care/Record Villa HAL-034-108 5/24/2023 10A NCAC 13F .1004(a) Medication Administration A2 2000 9/27/2023 Appealed
Shuler Health Care/Storey Villa HAL-034-107 2/17/2023 10A NCAC 13F .1004(a) Medication Administration A2 1500 5/31/2023 Paid in Full
The Bradford Village of Kernersville - West HAL-034-069 10/23/2020 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 6000 7/7/2021 Paid in Full
The Bradford Village of Kernersville - West HAL-034-069 10/23/2020 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 7/7/2021 Paid in Full
The Bradford Village of Kernersville - West HAL-034-069 3/19/2021 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights Unabated A2 24800 2/4/2022 Paid in Full
The Bradford Village of Kernersville - West HAL-034-069 10/12/2021 G.S. 131D-4.4A (b) ACH Infection Prevention Requirements; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 16800 8/31/2022 Settlement Agreement
The Bradford Village of Kernersville - West HAL-034-069 4/7/2022 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A2 12000 12/21/2022 Paid in Full
The Bradford Village of Kernersville - West HAL-034-069 7/8/2022 10A NCAC 13F .1004(a) Medication Administration G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 13200 2/15/2023 Settlement Agreement
The Ivy at Clemmons (Closed) HAL-034-105 2/11/2020 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(4) Declaration of Resident's Rights A2 2000 7/21/2021 Paid in Full
The Ivy at Clemmons (Closed) HAL-034-105 2/11/2020 G.S. § 131D-25 Implementation; G.S. 131D-21(2) Declaration of Resident's Rights A1 4000 7/21/2021 Paid in Full
The Ivy at Clemmons (Closed) HAL-034-105 5/7/2020 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights Unabated A1 66000 7/7/2021 Settlement Agreement
The Ivy at Clemmons (Closed) HAL-034-105 5/7/2020 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(4) Declaration of Resident's Rights A1 12000 7/7/2021 Settlement Agreement
The Ivy at Clemmons (Closed) HAL-034-105 5/7/2020 G.S. § 131D-25 Implementation; G.S. 131D-21(2) Declaration of Resident's Rights Unabated A1 66000 7/7/2021 Settlement Agreement
The Ivy at Clemmons (Closed) HAL-034-105 10/1/2020 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(4) Declaration of Resident's Rights Unabated A2 55000 7/7/2021 Settlement Agreement
The Ivy at Clemmons (Closed) HAL-034-105 1/13/2021 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A1 20000 3/16/2022 Settlement Agreement
The Ivy at Clemmons (Closed) HAL-034-105 4/20/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 18000 4/20/2022 Settlement Agreement
The Ivy at Clemmons (Closed) HAL-034-105 4/20/2021 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights A2 13500 4/20/2022 Settlement Agreement
The Ivy at Clemmons (Closed) HAL-034-105 4/20/2021 G.S. § 131D-25 Implementation; G.S. 131D-21(2) Declaration of Resident's Rights A2 18000 4/20/2022 Settlement Agreement
The Ivy at Clemmons (Closed) HAL-034-105 5/17/2022 10A NCAC 13F .0901(a) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A2 15000 12/21/2022 Settlement Agreement
The Ivy at Clemmons (Closed) HAL-034-105 5/17/2022 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 15000 12/21/2022 Settlement Agreement
The Ivy at Clemmons (Closed) HAL-034-105 5/17/2022 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 15000 12/21/2022 Settlement Agreement
The Ivy at Clemmons (Closed) HAL-034-105 5/17/2022 10A NCAC 13F .0902(c)(3-4) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A2 15000 12/21/2022 Settlement Agreement
The Ivy at Clemmons (Closed) HAL-034-105 5/17/2022 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights A2 15000 12/21/2022 Settlement Agreement
Tranquility Care HAL-034-104 5/17/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A1 16000 3/8/2023 Settlement Agreement

Franklin County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Alston Family Care Home FCL-035-008 10/20/2022 10A NCAC 13G .0302 (b) Design And Construction Unabated B 900 2/15/2023 Paid in Full
Franklin Manor Assisted Living Center HAL-035-024 12/8/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights Unabated A2 22000 8/5/2022 Settlement Agreement
Heart to Heart Family Care Home FCL-035-033 7/31/2020 10A NCAC 13G .0909 Residents' Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 500 8/26/2021 Paid in Full
Louisburg Healthcare & Rehabilitation Center NH0264 10A NCAC 13G .0904 (c-7) Nutrition And Food Service; A1 20000 7/15/2022 Paid in Full
Southern Living for Seniors of Louisburg, NC (Closed) HAL-035-031 8/14/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 2000 12/10/2021 Paid in Full
Southern Living for Seniors of Louisburg, NC (Closed) HAL-035-031 8/4/2021 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(2) Declaration of Resident's Rights A2 12000 5/16/2022 Paid in Full
Southern Living for Seniors of Louisburg, NC (Closed) HAL-035-031 4/29/2022 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A2 2000 12/21/2022 Not Paid - Referred to Controller's Office
Southern Living for Seniors of Louisburg, NC (Closed) HAL-035-031 12/8/2022 10A NCAC 13F .0904(a)(4) Nutrition And Food Service A1 14000 5/12/2023 Not Paid - Referred to Controller's Office
Southern Living for Seniors of Louisburg, NC (Closed) HAL-035-031 2/10/2023 10A NCAC 13F .0904(a)(4) Nutrition And Food Service Unabated A1 5100 5/31/2023 Not Paid - Referred to Controller's Office
Southern Living for Seniors of Louisburg, NC (Closed) HAL-035-031 2/10/2023 10A NCAC 13F .0904(c)(3) Nutrition And Food Service Unabated B 7400 5/31/2023 Not Paid - Referred to Controller's Office
Southern Living for Seniors of Louisburg, NC (Closed) HAL-035-031 2/10/2023 10A NCAC 13F .0904(d)(1) Nutrition And Food Service Unabated B 7400 5/31/2023 Not Paid - Referred to Controller's Office
Southern Living for Seniors of Louisburg, NC (Closed) HAL-035-031 2/10/2023 10A NCAC 13F .1104 (f) Accounting For Resident's Personal Funds Unabated B 7400 5/31/2023 Not Paid - Referred to Controller's Office

Gaston County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Country Time Inn HAL-036-018 4/8/2020 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(4) Declaration of Resident's Rights A2 2000 8/26/2021 Paid in Full
Magnolia Gardens (Closed) HAL-036-036 1/17/2023 10A NCAC 13F .0602 Management Of Facilities WIth A Capacity Or A1 14000 5/26/2023 Appealed
Magnolia Gardens (Closed) HAL-036-036 1/17/2023 10A NCAC 13F .0606 Staffing Chart A2 14000 5/26/2023 Appealed
Magnolia Gardens (Closed) HAL-036-036 1/17/2023 10A NCAC 13F .0902(b) Health Care A1 7000 5/26/2023 Appealed
Magnolia Gardens (Closed) HAL-036-036 1/17/2023 10A NCAC 13F .0909 Resident Rights A2 7000 5/26/2023 Appealed
Magnolia Gardens (Closed) HAL-036-036 3/23/2023 10A NCAC 13F .0904(e)(4) Nutrition and Food Service Unabated Type B 21600 8/2/2023 Appealed
Rosewood Assisted Living HAL-036-004 9/7/2022 10A NCAC 13F .0305(h)(3) Physical Environment G.S. 131D-21(4) Declaration of Resident's Rights A2 1500 2/15/2023 Paid in Full
TerraBella Cramer Mountain HAL-036-039 7/7/2022 10A NCAC 13F .0904(e)(4) Nutrition and Food Service Unabated B 13800 3/8/2023 Paid in Full
Woodlawn Haven HAL-036-006 5/19/2020 10A NCAC 13F .0901(a) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 10500 8/26/2021 Paid in Full
Wellington House HAL-036-031 10/12/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 3500 8/26/2021 Settlement Agreement

Gates County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Gates House HAL-037-001 2/10/2023 10A NCAC 13F .0902(b) Health Care A2 2000 7/7/2023 Paid in Full
Gates House HAL-037-001 2/10/2023 10A NCAC 13F .0904(e)(4) Nutrition and Food Service A2 1000 7/7/2023 Paid in Full

Granville County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Toney Rest Home HAL-039-017 12/30/2020 10A NCAC 13F .1801 (a) (b) Infection Prevention & Control Program (Emer); G.S. 131D-21(4) Declaration of Resident's Rights A1 12000 9/9/2021 Settlement Agreement
Toney Rest Home HAL-039-017 6/17/2021 G.S. 131D-4.4A (b) ACH Infection Prevention Requirements; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 9000 4/20/2022 Paid in Full

Greene County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
A Safe Place (Closed) FCL-040-011 2/18/2022 10A NCAC 13G .0901(a) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 2000 8/5/2022 Not Paid - Referred to Controller's Office
A Safe Place (Closed) FCL-040-011 2/18/2022 10A NCAC 13G .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A2 2000 8/5/2022 Not Paid - Referred to Controller's Office

Guilford County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Agape Care Family Homes #1 FCL-041-084 6/28/2023 10A NCAC 13G .0909 Residents' Rights A1 2000 1/31/2024
Agape Care Family Homes #2 FCL-041-085 6/26/2023 10A NCAC 13G .0909 Residents' Rights A1 2000 1/31/2024
Agape Care Family Homes (Closed) FCL-041-078 8/25/2020 10A NCAC 13G .0909 Residents' Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 1000 7/21/2021 Paid in Full
Alpha Concord of Greensboro HAL-041-082 3/29/2021 10A NCAC 13F .0901(c) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 15000 9/29/2021 Settlement Agreement
Brookdale High Point HAL-041-030 9/16/2022 10A NCAC 13F .0902(b) Health Care A2 1000 3/8/2023 Paid in Full
Brookdale High Point North HAL-041-033 10/20/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A2 1000 2/15/2023 Paid in Full
Brookdale High Point North AL (NC) HAL-041-039 1/14/2020 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights A2 3000 7/21/2021 Paid in Full
Brookdale Lawndale Park HAL-041-062 8/10/2018 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 700 9/23/2021 Paid in Full
Brookdale Lawndale Park HAL-041-062 11/7/2022 10A NCAC 13F .0904(e)(4) Nutrition and Food Service A1 14000 3/8/2023 Appealed
Carriage House Senior Living Community HAL-041-065 7/20/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A1 12000 6/10/2022 Paid in Full
Carriage House Senior Living Community HAL-041-065 7/20/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A1 7000 6/10/2022 Paid in Full
Carriage House Senior Living Community HAL-041-065 1/17/2023 10A NCAC 13F .0901(c) Personal Care and Supervision A2 2000 5/31/2023 Not Paid - Referred to Controller's Office
Carriage House Senior Living Community HAL-041-065 3/17/2023 10A NCAC 13F .1004(a) Medication Administration A2 4000 7/7/2023 Paid in Full
Guilford House HAL-041-077 12/6/2019 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 6400 6/14/2021 Settlement Agreement
Guilford House HAL-041-077 8/11/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 16000 6/10/2022 Settlement Agreement
Liggins Family Care Woodmere Center (CLOSED) FCL-041-071 3/29/2019 10A NCAC 13G .0507 Training on Cardio-Pulmonary Resuscitation; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 30800 2/4/2022 Settlement Agreement
Liggins Family Care Woodmere Center (CLOSED) FCL-041-071 3/29/2019 10A NCAC 13G .0909 Residents' Rights; G.S. 131D-21(4) Declaration of Resident's Rights Unabated B 14200 2/4/2022 Settlement Agreement
Liggins Family Care Woodmere Center (CLOSED) FCL-041-071 3/29/2019 G.S. § 131D-4.5B (b) ACH Medication Aides;Training and Competency; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 30800 2/4/2022 Settlement Agreement
Liggins Family Care Woodmere Center (CLOSED) FCL-041-071 7/21/2020 10A NCAC 13G .0601(a) Management and Other Staff; G.S. 131D-21(2) Declaration of Resident's Rights A2 3500 7/7/2021 Paid in Full
Liggins Family Care Woodmere Center (CLOSED) FCL-041-071 7/21/2020 10A NCAC 13G .0909 Residents' Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 3500 7/7/2021 Not Paid - Referred to Controller's Office
Morningview at Irving Park HAL-041-052 2/21/2022 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 8/31/2022 Paid in Full
Morningview at Irving Park HAL-041-052 2/21/2022 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 13400 8/31/2022 Paid in Full
Piedmont Christian Home HAL-041-010 7/10/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A1 9000 8/26/2021 Paid in Full
Piedmont Christian Home HAL-041-010 7/10/2020 G.S. § 131D-25 Implementation; G.S. 131D-21(4) Declaration of Resident's Rights A1 9000 8/26/2021 Paid in Full
Piedmont Christian Home HAL-041-010 3/4/2022 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 1000 9/21/2022 Paid in Full
Piedmont Christian Home HAL-041-010 3/4/2022 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 9/21/2022 Paid in Full
St. Gales Estates (Closed) HAL-041-023 3/16/2022 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights A2 4000 8/5/2022 Settlement Agreement
St. Gales Estates (Closed) HAL-041-023 3/16/2022 10A NCAC 13F .1008(a) Controlled Substances; G.S. 131D-21(2) Declaration of Resident's Rights A2 4000 8/5/2022 Settlement Agreement
St. Gales Estates (Closed) HAL-041-023 7/28/2022 10A NCAC 13F .0902(b) Health Care ; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 22400 2/7/2023 Settlement Agreement
St. Gales Estates (Closed) HAL-041-023 7/28/2022 10A NCAC 13F .0904(e)(4) Nutrition and Food Service; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 22400 2/7/2023 Settlement Agreement
St. Gales Estates (Closed) HAL-041-023 7/28/2022 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(4) Declaration of Resident's Rights Unabated A2 129000 2/7/2023 Settlement Agreement
St. Gales Estates (Closed) HAL-041-023 9/13/2022 10A NCAC 13F .0604(e) Personal Care And Other Staffing ; G.S. 131D-21(4) Declaration of Resident's Rights A2 12000 2/7/2023 Settlement Agreement
St. Gales Estates (Closed) HAL-041-023 9/13/2022 10A NCAC 13F .0901(b) Personal Care and Supervision ; G.S. 131D-21(4) Declaration of Resident's Rights A2 7000 2/7/2023 Settlement Agreement
St. Gales Estates (Closed) HAL-041-023 9/13/2022 10A NCAC 13F .0901(c) Personal Care and Supervision ; G.S. 131D-21(4) Declaration of Resident's Rights A1 20000 2/7/2023 Settlement Agreement
St. Gales Estates (Closed) HAL-041-023 11/23/2022 10A NCAC 13F .0702 (f) Discharge Of Residents A2 16000 2/7/2023 Settlement Agreement
Wellington Oaks HAL-041-072 8/19/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A1 2000 3/8/2023 Paid in Full

Halifax County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Carolina Rest Home HAL-042-005 6/24/2022 10A NCAC 13F .0909 Resident Rights A1 7000 3/8/2023 Settlement Agreement
Carolina Rest Home HAL-042-005 6/24/2022 10A NCAC 13F .1205 Health Care Personnel Registry A2 3500 3/8/2023 Settlement Agreement
Carolina Rest Home HAL-042-005 6/24/2022 G.S. § 131D-25 Implementation A1 7000 3/8/2023 Settlement Agreement

Harnett County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Arc of Dunn (Closed) HAL-043-033 10/6/2020 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A2 6000 8/26/2021 Not Paid - Referred to Controller's Office
Arc of Dunn (Closed) HAL-043-033 8/23/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 7000 5/11/2022 Not Paid - Referred to Controller's Office
Arc of Dunn (Closed) HAL-043-033 11/19/2021 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A1 7000 5/11/2022 Not Paid - Referred to Controller's Office
Arc of Dunn (Closed) HAL-043-033 11/23/2021 10A NCAC 13F .0306(a)(5) Housekeeping and Furnishings; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 6000 5/11/2022 Not Paid - Referred to Controller's Office
Green Leaf Care Center HAL-043-027 1/15/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 3000 12/17/2021 Paid in Full
Johnson Better Care (Closed) HAL-043-003 11/25/2019 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights A2 4000 12/17/2021 Paid in Full
Johnson Better Care (Closed) HAL-043-003 11/25/2019 G.S. § 131D-25 Implementation; G.S. 131D-21(2) Declaration of Resident's Rights A2 4000 12/17/2021 Paid in Full
Oak Hill Living Center HAL-043-015 1/22/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 7000 3/16/2022 Settlement Agreement
Senter's Rest Home HAL-043-024 6/26/2020 10A NCAC 13F .0305(h)(4) Physical Environment; G.S. 131D-21(4) Declaration of Resident's Rights A2 9000 8/26/2021 Settlement Agreement

Haywood County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Chestnut Park Retirement Center HAL-044-022 9/15/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 1000 8/31/2021 Paid in Full
Haywood House HAL-044-042 3/16/2023 10A NCAC 13F .0602 (b) Management Of Facilities with a Capacity of A1 12000 6/16/2023 Appealed
Haywood House HAL-044-042 3/16/2023 10A NCAC 13F .0901(b) Personal Care and Supervision A1 7000 6/16/2023 Appealed
Haywood House HAL-044-042 3/16/2023 10A NCAC 13F .0901(c) Personal Care and Supervision A2 2000 6/16/2023 Appealed
Haywood House HAL-044-042 3/16/2023 10A NCAC 13F .0902(b) Health Care A2 2000 6/16/2023 Appealed
Haywood House HAL-044-042 3/16/2023 10A NCAC 13F .0909 Resident Rights A1 12000 6/16/2023 Appealed
Haywood House HAL-044-042 3/16/2023 10A NCAC 13F .1205 Health Care Personnel Registry A2 4000 6/16/2023 Appealed
Haywood Lodge and Retirment Center HAL-044-009 7/20/2023 10A NCAC 13F .0909 Resident Rights A1 2000 11/21/2023
McCracken Rest Home (Closed) HAL-044-046 2/2/2021 10A NCAC 13F .0311(b) Other Requirements; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 5/16/2022 Paid in Full
McCracken Rest Home (Closed) HAL-044-046 6/2/2023 10A NCAC 13F .0909 Resident Rights A1 7000 9/27/2023 Not Paid - Referred to Controller's Office
McCracken Rest Home (Closed) HAL-044-046 6/2/2023 10A NCAC 13F .1104(b) Accounting For Resident's Personal Funds A1 7000 9/27/2023 Not Paid - Referred to Controller's Office
Spicewood Cottages Oaks HAL-044-040 11/30/2022 10A NCAC 13F .0604 (d) Personal Care And Other Staffing Unabated B 23400 5/31/2023 Paid in Full
Spicewood Cottages Oaks HAL-044-040 7/7/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A1 2000 5/16/2022 Paid in Full
Spicewood Cottages Willows HAL-044-041 11/17/2022 10A NCAC 13F .0604 (d) Personal Care And Other Staffing Unabated B 19400 5/31/2023 Paid in Full

Henderson County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Carolina Reserve of Hendersonville HAL-045-125 5/13/2022 10A NCAC 13F .0901(c) Personal Care and Supervision A1 12000 3/8/2023 Paid in Full
The Gardens of Hendersonville HAL-045-129 5/14/2021 10A NCAC 13F .0306(a)(5) Housekeeping and Furnishings; G.S. 131D-21(2) Declaration of Resident's Rights A1 1000 3/16/2022 Paid in Full

Hertford County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Carver Manor (Closed) FCL-046-002 12/23/2020 10A NCAC 13G .1701 (a) (b) Infection Prevention & Control Program (emer); G.S. 131D-21(4) Declaration of Resident's Rights A2 4000 8/31/2021 Paid in Full
Carver Manor (Closed) FCL-046-002 4/28/2021 10A NCAC 13G .0302 (b) Design And Construction; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 2500 3/16/2022 Not Paid - Referred to Controller's Office
Carver Manor (Closed) FCL-046-002 6/30/2021 10A NCAC 13G .0601(d) Management and Other Staff; G.S. 131D-21(2) Declaration of Resident's Rights A2 4000 3/16/2022 Not Paid - Referred to Controller's Office
Twin Oaks and Twins Adult Home (closed) HAL-046-018 2/12/2020 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 7000 3/16/2022 Not Paid - Referred to Controller's Office
Twin Oaks and Twins Adult Home (closed) HAL-046-018 2/12/2020 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 7000 3/16/2022 Not Paid - Referred to Controller's Office
Twin Oaks and Twins Adult Home (closed) HAL-046-018 2/12/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A1 7000 3/16/2022 Paid in Full
Weaver's Pineview Home FCL-046-013 8/11/2023 10A NCAC 13G .0315(a)(5) Housekeeping and Furnishings A2 1000 1/31/2024
Weaver's Pineview Home FCL-046-013 8/11/2023 10A NCAC 13G .0904(a)(2) Nutrition and Food Service A2 1000 1/31/2024
Weaver's Pineview Home FCL-046-013 8/11/2023 10A NCAC 13G .0909 Residents' Rights A1 2000 1/31/2024
Weaver's Pineview Home FCL-046-013 10/19/2023 10A NCAC 13G .1004(a) Medication Administration A2 2000 1/31/2024

Hoke County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Open Arms Retirement Center HAL-047-014 6/14/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A2 1000 5/16/2022 Paid in Full
The Crossings at Wayside (Closed) HAL-047-011 8/15/2019 10A NCAC 13F .0901(a) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 3500 7/21/2021 Paid in Full
The Crossings at Wayside (Closed) HAL-047-011 8/15/2019 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 3500 8/30/2021 Paid in Full
The Crossings at Wayside (Closed) HAL-047-011 8/15/2019 G.S. § 131D-25 Implementation; G.S. 131D-21(2) Declaration of Resident's Rights A2 7000 7/21/2021 Paid in Full
Wickshire Creek Crossing HAL-047-015 5/30/2023 10A NCAC 13F .0901(b) Personal Care and Supervision A2 2000 9/27/2023 Paid in Full
Wickshire Creek Crossing HAL-047-015 8/29/2023 10A NCAC 13F .0901(c) Personal Care and Supervision A1 12000 1/31/2024
Wickshire Creek Crossing HAL-047-015 9/8/2023 10A NCAC 13F .1212(g) Reporting of Accidents and Incidents A2 7000 1/31/2024
Wickshire Creeks Crossing (Formerly The Crossings at Wayside) HAL-047-015 3/4/2022 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 750 8/5/2022 Paid in Full

Iredell County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Brookdale Peachtree Memory Care HAL-049-021 11/15/2019 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A1 12000 7/21/2021 Paid in Full
Meadow Lakes of Statesville (formerly Heritage Place) HAL-049-036 6/21/2023 10A NCAC 13F .0909 Resident Rights A1 8000 11/21/2023 Appealed

Jackson County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Morningstar Assisted Living HAL-050-016 2/1/2022 10A NCAC 13F .1801 (c) Infection Prevention & Control Program (temp); G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 9/21/2022 Settlement Agreement
Morningstar Assisted Living HAL-050-016 6/23/2022 10A NCAC 13F .0902(b) Health Care G.S. 131D-21(2) Declaration of Resident's Rights A2 500 2/15/2023 Paid in Full
The Hermitage HAL-050-017 12/15/2020 10A NCAC 13F .1801 (a) (b) Infection Prevention & Control Program (Emer); G.S. 131D-21(4) Declaration of Resident's Rights A2 1000 8/31/2021 Paid in Full
The Hermitage HAL-050-017 3/29/2022 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A1 4000 12/21/2022 Settlement Agreement
The Hermitage HAL-050-017 9/28/2022 10A NCAC 13F .0902(b) Health Care A2 1500 3/8/2023 Paid in Full

Johnston County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Classic Care Homes #1 (Closed) HAL-051-062 6/15/2023 10A NCAC 13F .1004(a) Medication Administration A1 4000 11/21/2023
Classic Care Homes #2 (Closed) HAL-051-064 6/22/2023 10A NCAC 13F .1004(a) Medication Administration A2 2000 11/21/2023
Classic Care Homes #3 (Closed) HAL-051-063 9/10/2019 10A NCAC 13F .0507 Training On Cardio-Pulmonary Resuscitation; G.S. 131D-21(2) Declaration of Resident's Rights Continuing Unabated B 18000 9/8/2021 Settlement Agreement
Clayton House HAL-051-041 4/1/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 1000 3/16/2022 Paid in Full
Clayton House HAL-051-041 10/26/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A2 1500 5/26/2023 Paid in Full
Four Oaks Senior Living HAL-051-060 8/11/2020 10A NCAC 13F .0311(d) Other Requirements; G.S. 131D-21(4) Declaration of Resident's Rights A1 12000 8/26/2021 Settlement Agreement
Four Oaks Senior Living HAL-051-060 5/11/2023 10A NCAC 13F .0901(c) Personal Care and Supervision A2 2000 9/27/2023 Paid in Full
Freedom Care Services #1 (closed) FCL-051-070 7/2/2020 10A NCAC 13G .0601(a) Management and Other Staff; G.S. 131D-21(4) Declaration of Resident's Rights A2 2000 12/17/2021 Paid in Full
Freedom Care Services #1 (closed) FCL-051-070 7/2/2020 10A NCAC 13G .0909 Residents' Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 2000 12/17/2021 Paid in Full
Shining Star Adult Care Home (Closed) FCL-051-082 3/10/2023 10A NCAC 13G .0202 The License A2 500 8/2/2023 Not Paid - Referred to Controller's Office
The Villas @ Benson I FCL-051-056 12/2/2020 10A NCAC 13G .0601(d) Management and Other Staff; G.S. 131D-21(4) Declaration of Resident's Rights A2 1000 8/26/2021 Paid in Full
The Villas @ Benson I FCL-051-056 2/9/2021 10A NCAC 13G .0302 (b) Design And Construction; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 1250 9/23/2021 Paid in Full
The Villas at Benson VI (Closed) FCL-051-079 7/22/2022 10A NCAC 13G .0312(g) Outside Entrance And Exits G.S. 131D-21(2) Declaration of Resident's Rights A2 750 2/15/2023 Paid in Full
The Villas at Benson VI (Closed) FCL-051-079 7/22/2022 10A NCAC 13G .0901(b) Personal Care and Supervision G.S. 131D-21(4) Declaration of Resident's Rights A2 750 2/15/2023 Paid in Full
The Villas at Benson VI (Closed) FCL-051-079 7/22/2022 10A NCAC 13G .0902(b) Health Care G.S. 131D-21(4) Declaration of Resident's Rights A2 750 2/15/2023 Paid in Full

Lee County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Magnolia House Retirement Center (Closed) HAL-053-029 5/6/2020 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 7000 8/31/2021 Not Paid - Referred to Controller's Office
Sanford Manor HAL-053-030 10/26/2021 10A NCAC 13F .0901(c) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 8000 8/17/2022 Paid in Full
Sanford Senior Living HAL-053-031 5/5/2022 10A NCAC 13F .0601 (a) Management Of Facilities A1 7000 3/8/2023 Appealed
Sanford Senior Living HAL-053-031 5/5/2022 10A NCAC 13F .0901(a) Personal Care and Supervision A2 2000 3/8/2023 Appealed
Sanford Senior Living HAL-053-031 5/5/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A1 4000 3/8/2023 Appealed
Sanford Senior Living HAL-053-031 5/5/2022 10A NCAC 13F .0902(b) Health Care A2 2000 3/8/2023 Appealed
Sanford Senior Living HAL-053-031 8/11/2022 10A NCAC 13F .0601 (a) Management Of Facilities A2 3500 3/8/2023 Appealed
Sanford Senior Living HAL-053-031 8/11/2022 10A NCAC 13F .0901(a) Personal Care and Supervision Unabated A2 38250 3/8/2023 Appealed
Sanford Senior Living HAL-053-031 8/11/2022 10A NCAC 13F .0902(b) Health Care Unabated A2 38250 3/8/2023 Appealed

Lenoir County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Lenoir Assisted Living HAL-054-068 2/1/2023 10A NCAC 13F .0306(a)(5) Housekeeping and Furnishings Unabated B 12300 7/7/2023 Appealed
Lenoir Assisted Living HAL-054-068 2/1/2023 10A NCAC 13F .0902(b) Health Care Unabated B 12300 7/7/2023 Appealed

Lincoln County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Heath House HAL-055-013 2/4/2022 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A2 1000 8/31/2022 Paid in Full
The Addison of Lincolnton HAL-055-009 11/5/2021 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights A2 3000 8/17/2022 Paid in Full
The Addison of Lincolnton HAL-055-009 8/31/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A1 13500 7/21/2021 Paid in Full

Macon County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Franklin House HAL-056-006 8/24/2021 10A NCAC 13F .0306(a)(5) Housekeeping and Furnishings; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 4800 5/16/2022 Settlement Agreement

Martin County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Fields Foundation FCL-058-008 5/8/2023 10A NCAC 13G .1004(a) Medication Administration A2 1000 8/2/2023 Paid in Full
Vintage Inn Retirement Community HAL-058-010 10/16/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 16000 8/26/2021 Settlement Agreement
Vintage Inn Retirement Community HAL-058-010 3/5/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A1 15000 2/4/2022 Settlement Agreement
Vintage Inn Retirement Community HAL-058-010 4/8/2022 10A NCAC 13F .0901(a) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 8000 12/21/2022 Settlement Agreement
Vintage Inn Retirement Community HAL-058-010 4/8/2022 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 5250 12/21/2022 Settlement Agreement
Vintage Inn Retirement Community HAL-058-010 4/8/2022 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(4) Declaration of Resident's Rights A1 7000 12/21/2022 Settlement Agreement
Vintage Inn Retirement Community HAL-058-010 5/11/2023 10A NCAC 13F .0901(b) Personal Care and Supervision A1 12000 8/2/2023 Appealed
Vintage Inn Retirement Community HAL-058-010 5/11/2023 10A NCAC 13F .0902(b) Health Care A1 15000 8/2/2023 Appealed
Williamston House HAL-058-011 5/26/2022 10A NCAC 13F .0902(b) Health Care A1 7000 3/8/2023 Settlement Agreement
Williamston House HAL-058-011 5/26/2022 10A NCAC 13F .1004(a) Medication Administration A1 7000 3/8/2023 Settlement Agreement

McDowell County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Cedarbrook Residential Facility HAL-059-021 8/12/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A2 2000 3/8/2023 Appealed
Cedarbrook Residential Facility HAL-059-021 8/12/2022 10A NCAC 13F .0902(b) Health Care A1 7000 3/8/2023 Appealed
Cedarbrook Residential Facility HAL-059-021 8/12/2022 10A NCAC 13F .1212(g) Reporting of Accidents and Incidents A2 2000 3/8/2023 Appealed

Mecklenburg County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Arbor Ridge at Huntersville HAL-060-170 8/23/2022 10A NCAC 13F .0901(b) Personal Care and Supervision G.S. 131D-21(4) Declaration of Resident's Rights A1 3500 2/15/2023 Appealed
Arbor Ridge at Huntersville HAL-060-170 8/23/2022 10A NCAC 13F .0902(b) Health Care G.S. 131D-21(4) Declaration of Resident's Rights A1 7000 2/15/2023 Appealed
Brighton Gardens of Charlotte HAL-060-019 11/25/2020 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(4) Declaration of Resident's Rights A1 12000 8/31/2021 Paid in Full
Brookdale Carriage Club Providence I HAL-060-016 11/18/2022 10A NCAC 13F .0901(c) Personal Care and Supervision 10500 3/8/2023 Appealed
Brookdale Carriage Club Providence II HAL-060-049 5/14/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 3/16/2022 Paid in Full
Brookdale Carriage Club Providence II HAL-060-049 4/1/2022 10A NCAC 13F .0901(a) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 2000 12/21/2022 Paid in Full
Brookdale Carriage Club Providence II HAL-060-049 4/1/2022 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A2 7000 12/21/2022 Paid in Full
Brookdale Carriage Club Providence II HAL-060-049 6/16/2020 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 1000 8/31/2021 Paid in Full
Brookdale Carriage Club Providence II HAL-060-049 11/6/2020 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 8/31/2021 Paid in Full
Brookdale South Charlotte HAL-060-101 8/19/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 1500 8/31/2021 Paid in Full
Brookdale South Charlotte HAL-060-101 6/3/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 1000 3/16/2022 Paid in Full
Brookdale South Charlotte HAL-060-101 6/3/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A1 2000 3/16/2022 Paid in Full
Brookdale Weddington Park HAL-060-042 10/20/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A2 750 3/8/2023 Paid in Full
Cadence Huntersville HAL-060-160 5/20/2022 10A NCAC 13F .1004(a) Medication Administration G.S. 131D-21(4) Declaration of Resident's Rights A2 2000 2/15/2023 Paid in Full
Cadence Senior Living at Mint Hill HAL-060-159 10/8/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 1000 8/5/2022 Paid in Full
Cadence Senior Living at Mint Hill HAL-060-159 2/21/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A2 2000 3/8/2023 Paid in Full
Charlotte Square (Closed) HAL-060-087 8/17/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A1 15000 8/31/2021 Paid in Full
Charlotte Square (Closed) HAL-060-087 8/17/2020 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(4) Declaration of Resident's Rights A1 2000 8/31/2021 Paid in Full
Charlotte Square (Closed) HAL-060-087 4/1/2021 10A NCAC 13F .0901(a) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A2 7000 9/30/2021 Paid in Full
Charlotte Square (Closed) HAL-060-087 4/1/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A2 7000 9/30/2021 Paid in Full
Charlotte Square (Closed) HAL-060-087 4/1/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 14000 9/30/2021 Paid in Full
Charter Senior Living of Charlotte HAL-060-171 3/17/2023 10A NCAC 13F .0902(c)(3-4) Health Care A2 2000 5/26/2023 Paid in Full
Charter Senior Living of Charlotte HAL-060-171 8/3/2023 10A NCAC 13F .0902(b) Health Care A1 8000 1/31/2024
Cuthbertson Village at Aldersgate HAL-060-059 2/10/2023 10A NCAC 13F .0902(b) Health Care A2 1000 8/2/2023 Paid in Full
East Towne HAL-060-149 7/15/2020 10A NCAC 13F .0901(c) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 15000 2/4/2022 Settlement Agreement
East Towne HAL-060-149 7/15/2020 10A NCAC 13F .0901(c) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A1 15000 2/4/2022 Settlement Agreement
East Towne HAL-060-149 7/15/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A1 20000 2/4/2022 Settlement Agreement
East Towne HAL-060-149 7/15/2020 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights A2 15000 2/4/2022 Settlement Agreement
East Towne HAL-060-149 9/22/2022 10A NCAC 13F .0902(b) Health Care G.S. 131D-21(4) Declaration of Resident's Rights A2 3000 2/15/2023 Paid in Full
House of Peace FCL-060-153 4/6/2022 10A NCAC 13G .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A1 2000 12/21/2022 Paid in Full
Legacy Heights Senior Living Community HAL-060-152 11/22/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 500 8/5/2022 Paid in Full
McClain's Family Care Home #1 FCL-060-123 9/4/2020 10A NCAC 13G .0601(a) Management and Other Staff; G.S. 131D-21(4) Declaration of Resident's Rights A2 1000 7/21/2021 Paid in Full
McClain's Family Care Home #1 FCL-060-123 9/4/2020 10A NCAC 13G .0909 Residents' Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 1000 7/21/2021 Paid in Full
Merrywood on Park HAL-060-155 2/23/2023 10A NCAC 13F .0604 (a-b-c) Personal Care And Other Staffing SA - paid in full A1 7000 5/26/2023 Settlement Agreement
Merrywood on Park HAL-060-155 2/23/2023 10A NCAC 13F .0901(a) Personal Care and Supervision SA - paid in full A1 4000 5/26/2023 Settlement Agreement
Merrywood on Park HAL-060-155 2/23/2023 10A NCAC 13F .0901(b) Personal Care and Supervision SA - paid in full A1 4000 5/26/2023 Settlement Agreement
Mint Hill Senior Living HAL-060-136 7/2/2020 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 9000 8/26/2021 Settlement Agreement
Mint Hill Senior Living HAL-060-136 1/30/2020 10A NCAC 13F .0902(c)(3-4) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A1 3500 6/14/2021 Settlement Agreement
Mint Hill Senior Living HAL-060-136 12/11/2020 10A NCAC 13F .0311(a) Other Requirements; G.S. 131D-21(4) Declaration of Resident's Rights A2 3000 9/8/2021 Settlement Agreement
Northlake House HAL-060-150 6/16/2020 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 500 7/21/2021 Paid in Full
Queen City Assisted Living HAL-060-126 2/20/2020 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights A2 5250 8/26/2021 Settlement Agreement
Senior Retreat at Stonehaven FCL-060-159 5/11/2021 10A NCAC 13G .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 500 3/16/2022 Paid in Full
Sunrise on Providence HAL-060-165 7/28/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 4000 8/26/2021 Paid in Full
Sunrise on Providence HAL-060-165 9/23/2020 10A NCAC 13F .0901(c) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 16000 8/31/2021 Paid in Full
The Charlotte Assisted Living HAL-060-158 8/6/2020 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A2 750 7/21/2021 Paid in Full
The Charlotte Assisted Living HAL-060-158 11/12/2020 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 4000 8/31/2021 Paid in Full
The Charlotte Assisted Living HAL-060-158 11/12/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 7000 8/31/2021 Paid in Full
The Charlotte Assisted Living HAL-060-158 6/24/2022 10A NCAC 13F .0305 (d) Physical Environment A1 12000 3/8/2023 Paid in Full
The Charlotte Assisted Living HAL-060-158 6/24/2022 10A NCAC 13F .0909 Resident Rights A1 12000 3/8/2023 Paid in Full
The Crossings at Steele Creek (Closed) HAL-060-130 3/5/2020 10A NCAC 13F .0901(c) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A2 8000 5/3/2021 Paid in Full
The Crossings at Steele Creek (Closed) HAL-060-130 8/13/2020 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A2 2000 12/17/2021 Paid in Full
The Haven in Highland Creek HAL-060-162 5/14/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 750 3/16/2022 Paid in Full
The Laurels in Highland Creek HAL-060-161 8/23/2023 10A NCAC 13F .0901(c) Personal Care and Supervision A1 7000 1/31/2024
The Parc at Sharon Amity HAL-060-125 12/22/2020 10A NCAC 13F .1801 (a) (b) Infection Prevention & Control Program (Emer); G.S. 131D-21(4) Declaration of Resident's Rights A1 6000 8/31/2021 Appealed
The Parc at Sharon Amity HAL-060-125 1/20/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A2 3500 9/8/2021 Settlement Agreement
The Parc at Sharon Amity HAL-060-125 1/20/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A2 3500 9/8/2021 Settlement Agreement
The Parc at Sharon Amity HAL-060-125 1/20/2021 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A1 7000 9/8/2021 Settlement Agreement
The Parc at Sharon Amity HAL-060-125 1/19/2022 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 5250 8/31/2022 Paid in Full
The Pines on Carmel Senior Living HAL-060-168 6/28/2023 10A NCAC 13F .0901(b) Personal Care and Supervision A2 2000 9/27/2023 Paid in Full
The Post at Providence FCL-060-165 8/31/2022 10A NCAC 13G .0317(d) Building Service Equipment G.S. 131D-21(4) Declaration of Resident's Rights A2 750 2/15/2023 Paid in Full
The Social at Cotswold (Closed) HAL-060-132 7/13/2021 10A NCAC 13F .0901(a) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 1000 6/10/2022 Paid in Full
The Social at Cotswold (Closed) HAL-060-132 7/13/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 2000 6/10/2022 Paid in Full
The Social at Cotswold (Closed) HAL-060-132 7/13/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 2000 6/10/2022 Paid in Full
The Social at Cotswold (Closed) HAL-060-132 7/13/2021 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 1000 6/10/2022 Paid in Full
The Social at Cotswold (Closed) HAL-060-132 7/13/2021 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(4) Declaration of Resident's Rights A1 2000 6/10/2022 Paid in Full
The Social at Cotswold (Closed) HAL-060-132 7/13/2021 G.S. § 131D-25 Implementation; G.S. 131D-21(4) Declaration of Resident's Rights A1 2000 6/10/2022 Paid in Full
Wickshire Steele Creek HAL-060-166 5/13/2022 10A NCAC 13F .0902(b) Health Care G.S. 131D-21(4) Declaration of Resident's Rights A1 9000 2/15/2023 Paid in Full
Wickshire Steele Creek HAL-060-166 5/13/2022 10A NCAC 13F .1004(a) Medication Administration G.S. 131D-21(4) Declaration of Resident's Rights A1 9000 2/15/2023 Paid in Full
Wickshire Steele Creek HAL-060-166 8/3/2023 10A NCAC 13F .0901(b) Personal Care and Supervision A1 18000 1/31/2024
Wickshire Steele Creek HAL-060-166 9/11/2023 10A NCAC 13F .0901(b) Personal Care and Supervision A1 14000 1/31/2024
Wickshire Steele Creek HAL-060-166 9/11/2023 10A NCAC 13F .0902(b) Health Care A2 7000 1/31/2024
Wickshire Steele Creek HAL-060-166 9/11/2023 10A NCAC 13F .0906(f)(4) Other Resident Care and Services A2 7000 1/31/2024
Wickshire Steele Creek HAL-060-166 9/11/2023 10A NCAC 13F .0909 Resident Rights A1 12000 1/31/2024
Willow Ridge Assisted Living HAL-060-111 1/11/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 1500 12/17/2021 Settlement Agreement
Willow Ridge Assisted Living HAL-060-111 1/11/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 12/17/2021 Settlement Agreement
Willow Ridge Assisted Living HAL-060-111 6/23/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 5/16/2022 Paid in Full
Willow Ridge Assisted Living HAL-060-111 10/13/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 9000 8/17/2022 Settlement Agreement
Willow Ridge Assisted Living HAL-060-111 2/24/2022 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A2 5250 8/31/2022 Settlement Agreement
Sunrise on Providence HAL-060-165 1/15/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 3/16/2022 Paid in Full

Mitchell County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
B & L Family Care Home FCL-061-008 7/31/2020 10A NCAC 13G .0909 Residents' Rights; G.S. 131D-21(2) Declaration of Resident's Rights A2 1000 12/17/2021 Paid in Full
Mitchell House HAL-061-011 11/24/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 8000 6/10/2022 Settlement Agreement
Mitchell House HAL-061-011 6/12/2023 10A NCAC 13F .0901(b) Personal Care and Supervision A2 2000 11/21/2023 Appealed
Mitchell House HAL-061-011 8/14/2023 10A NCAC 13F .0901(b) Personal Care and Supervision Unabated A2 18562.5 11/21/2023 Appealed
Mitchell House HAL-061-011 8/14/2023 10A NCAC 13F .0902(b) Health Care A2 3000 11/21/2023 Appealed
Mitchell House HAL-061-011 8/14/2023 10A NCAC 13F .0909 Resident Rights A1 7000 11/21/2023 Appealed
Mitchell House HAL-061-011 8/14/2023 10A NCAC 13F .1004(a) Medication Administration A2 2000 11/21/2023 Appealed
Mitchell House HAL-061-011 8/14/2023 10A NCAC 13F .1205 Health Care Personnel Registry A2 7000 11/21/2023 Appealed

Moore County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Brookdale Pinehurst HAL-063-024 2/18/2022 10A NCAC 13F .0902(c)(3-4) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A2 2000 9/21/2022 Paid in Full
Seven Lakes Assisted Living and Memory Care HAL-063-023 10/5/2022 10A NCAC 13F .0909 Resident Rights A2 1000 5/31/2023 Paid in Full
The Coventry HAL-063-016 9/1/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A2 1500 3/8/2023 Paid in Full

Nash County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Brekenridge Retirement Center HAL-064-004 3/24/2022 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A1 500 8/17/2022 Paid in Full
Hunter Hill Senior Living HAL-064-035 6/26/2023 10A NCAC 13F .0902(b) Health Care A1 4000 9/27/2023 Not Paid - Referred to Controller's Office
Hunter Hill Senior Living (Closed) HAL-064-032 6/3/2022 10A NCAC 13F .0902(b) Health Care A1 2000 3/8/2023 Paid in Full
Hunter Hill Senior Living (Closed) HAL-064-032 6/3/2022 10A NCAC 13F .1004(a) Medication Administration A2 1000 3/8/2023 Paid in Full
Trinity Retirement Villas #1 (CLOSED) HAL-064-014 3/1/2021 G.S.§ 131D-4.5B(b) ACH Medication Aides; Training and Competency; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 11800 2/4/2022 Settlement Agreement

New Hanover County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Brookdale Wilmington HAL-065-019 8/6/2021 10A NCAC 13F .0901(a) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 4000 6/10/2022 Paid in Full
Castle Creek Memory Care HAL-065-034 3/18/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 3000 8/17/2022 Settlement Agreement
Castle Creek Memory Care HAL-065-034 3/18/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 7000 8/17/2022 Settlement Agreement
Castle Creek Memory Care HAL-065-034 3/18/2021 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(4) Declaration of Resident's Rights A1 12000 8/17/2022 Settlement Agreement
Coastal Cove of Wilmington (closed) FCL-065-046 9/16/2020 10A NCAC 13G .0909 Residents' Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 2000 12/17/2021 Paid in Full
Coastal Cove of Wilmington (closed) FCL-065-046 9/13/2022 10A NCAC 13G .0904(c)(4) Nutrition and Food Service A2 7000 5/26/2023 Not Paid - Referred to Controller's Office
Morningside of Wilmington HAL-065-045 7/27/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 1000 8/31/2021 Paid in Full
Morningside of Wilmington HAL-065-045 7/2/2021 10A NCAC 13F .0306(a)(5) Housekeeping and Furnishings; G.S. 131D-21(4) Declaration of Resident's Rights A1 7000 8/17/2022 Paid in Full
Morningside of Wilmington HAL-065-045 7/2/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 12000 8/17/2022 Paid in Full
Morningside of Wilmington HAL-065-045 9/15/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A2 1000 8/17/2022 Paid in Full
Morningside of Wilmington HAL-065-045 9/15/2021 G.S. § 131D-25 Implementation; G.S. 131D-21(4) Declaration of Resident's Rights A2 1000 8/17/2022 Paid in Full
New Hanover House HAL-065-036 3/23/2018 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A2 250 8/31/2021 Paid in Full
New Hanover House HAL-065-036 3/23/2018 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A2 250 8/31/2021 Paid in Full
Spring Arbor of Wilmington (Closed) HAL-065-014 11/10/2020 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A1 9000 8/26/2021 Paid in Full
Spring Arbor of Wilmington (Closed) HAL-065-014 11/10/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A1 5250 8/26/2021 Paid in Full
Spring Arbor of Wilmington (Closed) HAL-065-014 12/6/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A2 1500 2/15/2023 Paid in Full

Northampton County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Pine Forest Rest Home HAL-066-001 10/22/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 4000 8/31/2021 Paid in Full

Onslow County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Cardinal Care of Jacksonville (formerly The Arc Community) HAL-067-004 10/26/2020 10A NCAC 13F .0601 (a) Management Of Facilities; G.S. 131D-21(4) Declaration of Resident's Rights A1 14000 8/26/2021 Settlement Agreement
Cardinal Care of Jacksonville (formerly The Arc Community) HAL-067-004 10/26/2020 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 12000 8/26/2021 Settlement Agreement
Cardinal Care of Jacksonville (formerly The Arc Community) HAL-067-004 10/26/2020 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 12000 8/26/2021 Settlement Agreement
Cardinal Care of Jacksonville (formerly The Arc Community) HAL-067-004 10/26/2020 10A NCAC 13F .1501(b) Use Of Physical Restraints And Alternatives; G.S. 131D-21(4) Declaration of Resident's Rights A1 12000 8/26/2021 Settlement Agreement
Pearl's Family Care Home #3 FCL-067-020 11/6/2019 10A NCAC 13G .1206 Health Care Personnel Registry; A2 500 12/17/2021 Paid in Full
Pearl's Family Care Home #3 FCL-067-020 11/6/2019 G.S. 131D-21(4) Declaration of Resident's Rights A1 1500 12/17/2021 Paid in Full

Orange County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Carlisle at Carborro HAL-068-036 9/23/2022 10A NCAC 13F .0906(f)(4) Other Resident Care and Services A1 14000 3/8/2023 Paid in Full
Carlisle at Carborro HAL-068-036 1/19/2023 10A NCAC 13F .0901(b) Personal Care and Supervision A2 750 7/7/2023 Paid in Full
Cedar Grove Family Care Home # 1 FCL-068-031 9/15/2020 10A NCAC 13G .0909 Residents' Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 1000 7/7/2021 Paid in Full
Cedar Grove Family Care Home #2 FCL-068-033 9/15/2020 10A NCAC 13G .0909 Residents' Rights; G.S. 131D-21(4) Declaration of Resident's Rights A1 1000 8/31/2021 Paid in Full

Pasquotank County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Brookdale Elizabeth City HAL-070-005 6/16/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A2 1500 3/8/2023 Paid in Full
Waterbrooke of Elizabeth City HAL-070-008 1/14/2020 10A NCAC 13F .0901(c) Personal Care and Supervision G.S. 131D-21(4) Declaration of Resident's Rights A1 500 3/8/2023 Settlement Agreement
Waterbrooke of Elizabeth City HAL-070-008 2/4/2022 10A NCAC 13F .0702 (f) Discharge Of Residents A1 6000 3/8/2023 Settlement Agreement
Waterbrooke of Elizabeth City HAL-070-008 2/4/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A2 5750 3/8/2023 Settlement Agreement
Waterbrooke of Elizabeth City HAL-070-008 2/4/2022 10A NCAC 13F .0902(b) Health Care B 4250 3/8/2023 Settlement Agreement
Waterbrooke of Elizabeth City HAL-070-008 4/11/2022 10A NCAC 13F .0901(c) Personal Care and Supervision A1 8000 3/8/2023 Settlement Agreement
Waterbrooke of Elizabeth City HAL-070-008 1/6/2023 10A NCAC 13F .0901(a) Personal Care and Supervision A2 4250 8/2/2023 Settlement Agreement
Waterbrooke of Elizabeth City HAL-070-008 1/6/2023 10A NCAC 13F .0902(b) Health Care A2 7000 8/2/2023 Settlement Agreement

Perquimans County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Hertford Manor (Closed) HAL-072-013 3/11/2020 10A NCAC 13F .0901(c) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 16000 5/3/2021 Settlement Agreement
Hertford Manor (Closed) HAL-072-013 3/11/2020 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A2 4000 5/3/2021 Settlement Agreement
Hertford Manor (Closed) HAL-072-013 9/10/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 4000 2/4/2022 Settlement Agreement

Person County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Maple Heights Assisted Living HAL-073-010 2/19/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 2/4/2022 Settlement Agreement
Maple Heights Assisted Living HAL-073-010 2/19/2021 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A1 4000 2/4/2022 Settlement Agreement
Maple Heights Assisted Living HAL-073-010 2/19/2021 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 2/4/2022 Settlement Agreement
Maple Heights Assisted Living HAL-073-010 2/19/2021 10A NCAC 13F .1205 Health Care Personnel Registry; G.S. 131D-21(4) Declaration of Resident's Rights A2 4000 2/4/2022 Settlement Agreement
Maple Heights Assisted Living HAL-073-010 2/19/2021 G.S. § 131D-25 Implementation; G.S. 131D-21(4) Declaration of Resident's Rights A2 2000 2/4/2022 Settlement Agreement

Pitt County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Brookdale Dickinson Avenue HAL-074-011 10/7/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 6/10/2022 Paid in Full
Brookdale W. Arlington Boulevard (Closed) HAL-074-012 7/31/2019 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 1000 8/31/2021 Paid in Full
Brookdale W. Arlington Boulevard (Closed) HAL-074-012 7/31/2019 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 4000 8/31/2021 Paid in Full
Care One Assisted Living of Greenville (Closed) HAL-074-044 6/11/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 7000 3/16/2022 Paid in Full
Care One Assisted Living of Greenville (Closed) HAL-074-044 6/11/2021 10A NCAC 13F .0906(f)(4) Other Resident Care and Services; G.S. 131D-21(4) Declaration of Resident's Rights A1 7000 3/16/2022 Paid in Full
Cypress Glen Retirement Community Memory Care Cottage HAL-074-042 3/19/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 1000 3/16/2022 Paid in Full
Winterville Manor (Closed) HAL-074-026 2/18/2020 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A2 1000 8/26/2021 Settlement Agreement

Randolph County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Brookstone Haven HAL-076-034 1/19/2022 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 2000 9/16/2022 Settlement Agreement
Brookstone Haven HAL-076-034 1/19/2022 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 7000 9/16/2022 Settlement Agreement
Brookstone Haven HAL-076-034 1/19/2022 10A NCAC 13F .1205 Health Care Personnel Registry; G.S. 131D-21(4) Declaration of Resident's Rights A2 2000 9/16/2022 Settlement Agreement
North Pointe HAL-076-027 2/7/2022 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 16000 8/5/2022 Settlement Agreement
North Pointe Assisted Living Of Archdale HAL-076-032 6/11/2021 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(2) Declaration of Resident's Rights A2 1000 4/20/2022 Settlement Agreement

Richmond County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Hamlet House HAL-077-010 2/18/2022 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A2 2000 8/31/2022 Paid in Full
Hamlet House HAL-077-010 5/18/2022 10A NCAC 13F .0902(b) Health Care Unabated A2 50063 3/8/2023 Settlement Agreement
Hamlet House HAL-077-010 5/18/2022 10A NCAC 13F .1004(a) Medication Administration A2 1500 3/8/2023 Settlement Agreement
Hamlet House HAL-077-010 8/1/2022 10A NCAC 13F .0901(c) Personal Care and Supervision A1 12000 3/8/2023 Settlement Agreement
Hermitage Retirement Center HAL-077-012 12/3/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 1000 8/31/2022 Paid in Full
Hermitage Retirement Center HAL-077-012 12/3/2021 10A NCAC 13F .0901(c) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 500 8/31/2022 Paid in Full
Hermitage Retirement Center HAL-077-012 6/6/2023 10A NCAC 13F .0901(b) Personal Care and Supervision A1 16000 1/31/2024
Hermitage Retirement Center HAL-077-012 6/6/2023 10A NCAC 13F .0901(c) Personal Care and Supervision A2 4000 1/31/2024

Robeson County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Covenant Care HAL-078-038 1/17/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A2 2000 8/31/2021 Paid in Full
Dial's Family Care Home #4 (closed) FCL-078-077 5/1/2019 10A NCAC 13G .0909 Residents' Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 3500 12/20/2021 Not Paid - Referred to Controller's Office
Kim's Assisted Living FCL-078-114 6/2/2023 10A NCAC 13G .1004(a) Medication Administration A2 1000 9/27/2023 Paid in Full
Morning Star Assisted Living #3 HAL-078-065 2/5/2021 10A NCAC 13F .0305(h)(4) Physical Environment; G.S. 131D-21(2) Declaration of Resident's Rights A2 1000 8/31/2021 Paid in Full
Mt. Olive Family Care Home #2 FCL-078-015 7/5/2023 10A NCAC 13G .0906 (f)(1)-(4) Other Resident Services A2 250 11/21/2023 Paid in Full
Mt. Olive Family Care Home #2 FCL-078-015 7/5/2023 10A NCAC 13G .0906 (f)(1)-(4) Other Resident Services A2 250 11/21/2023 Paid in Full
Red Springs Assisted Living HAL-078-083 8/26/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 1000 5/16/2022 Settlement Agreement

Rockingham County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Beverly Rucker's Family Care Home #2 FCL-079-033 5/28/2021 10A NCAC 13G .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 4000 4/20/2022 Paid in Full
Beverly Rucker's Family Care Home #2 FCL-079-033 5/28/2021 10A NCAC 13G .0906 (f)(1)-(4) Other Resident Services; G.S. 131D-21(4) Declaration of Resident's Rights A1 8000 4/20/2022 Paid in Full
Ezana's Scarlet Oaks (Closed) FCL-079-106 8/23/2019 10A NCAC 13G .0909 Residents' Rights; G.S. 131D-21(6) Declaration of Resident's Rights A2 2000 7/21/2021 Not Paid - Referred to Controller's Office
Moyer's Agape Assisted Living (Closed) HAL-079-105 8/25/2022 10A NCAC 13F .0902(b) Health Care G.S. 131D-21(4) Declaration of Resident's Rights A2 750 2/15/2023 Paid in Full
Moyer's Agape Assisted Living (Closed) HAL-079-107 3/14/2023 10A NCAC 13F .0909 Resident Rights A1 7000 9/27/2023
Moyer's Agape Assisted Living (Closed) HAL-079-107 6/14/2023 10A NCAC 13F .0901(b) Personal Care and Supervision A2 2000 9/27/2023
R & D Wilson Home Care (Closed) FCL-079-075 7/8/2021 10A NCAC 13G .0302 (b) Design And Construction; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 5700 5/16/2022 Paid in Full

Rowan County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Angels at Heart Assisted Living HAL-080-029 8/25/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 7000 7/7/2021 Paid in Full
Angels at Heart Assisted Living HAL-080-029 3/31/2021 10A NCAC 13F .0901(c) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A2 7000 2/4/2022 Settlement Agreement
Angels at Heart Assisted Living HAL-080-029 3/31/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 9000 2/4/2022 Settlement Agreement
Bethamy Retirement Center HAL-080-032 3/31/2022 10A NCAC 13F .1004 (i) Medication Administration ; G.S. 131D-21(2) Declaration of Resident's Rights A2 1000 2/7/2023
Bethamy Retirement Center HAL-080-032 4/13/2023 10A NCAC 13F .0902(b) Health Care A2 2000 8/2/2023 Appealed
Bethamy Retirement Center HAL-080-032 4/13/2023 10A NCAC 13F .1004(a) Medication Administration A1 7000 8/2/2023 Appealed

Rutherford County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Cedar Creek Living (Closed) HAL-081-052 1/4/2023 10A NCAC 13F .0601 (a) Management Of Facilities A2 4000 5/26/2023 Paid in Full
Cedar Creek Living (Closed) HAL-081-052 1/4/2023 10A NCAC 13F .0702(b) Discharge Of Residents A2 2000 5/26/2023 Paid in Full
Cedar Creek Living (Closed) HAL-081-052 1/4/2023 10A NCAC 13F .0909 Resident Rights A2 2000 5/26/2023 Paid in Full
Sunnyside Retirement Center HAL-081-042 4/14/2022 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A2 1000 12/21/2022 Paid in Full
Sunnyside Retirement Center HAL-081-042 4/14/2022 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(4) Declaration of Resident's Rights A2 1000 12/21/2022 Paid in Full

Stanly County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Woodhaven Court HAL-084-009 7/31/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 3000 8/26/2021 Settlement Agreement

Stokes County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Rose Tara Senior Living HAL-085-008 2/17/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 750 2/4/2022 Paid in Full

Surry County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Central Care HAL-086-001 8/18/2021 G.S.§ 131D-4.5B(b) ACH Medication Aides; Training and Competency; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 2400 5/16/2022 Paid in Full
Central Care HAL-086-001 11/29/2022 10A NCAC 13F .0306(a)(4) Housekeeping And Furnishings Unabated B 8600 7/7/2023 Paid in Full
Central Care HAL-086-001 5/5/2023 10A NCAC 13F .0601 (a) Management Of Facilities A1 14000 8/2/2023 Paid in Full
Central Care HAL-086-001 5/5/2023 10A NCAC 13F .0901(b) Personal Care and Supervision A2 4000 8/2/2023 Paid in Full
Central Care HAL-086-001 5/5/2023 10A NCAC 13F .1004(a) Medication Administration A1 14000 8/2/2023 Paid in Full
Colonial Long Term Care Facility HAL-086-002 6/28/2023 10A NCAC 13F .0305(h)(4) Physical Environment A1 7000 9/27/2023 Paid in Full
Riverwood ALF HAL-086-014 5/18/2023 10A NCAC 13F .0909 Resident Rights A2 2000 9/27/2023 Paid in Full
Twelve Oaks HAL-086-016 9/23/2022 10A NCAC 13F .0901(b) Personal Care and Supervision G.S. 131D-21(4) Declaration of Resident's Rights A2 500 6/16/2023 Paid in Full

Transylvania County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Kingsbridge House HAL-088-015 10/30/2020 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 8/26/2021 Appealed
Kingsbridge House HAL-088-015 10/30/2020 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 8/26/2021 Appealed
Kingsbridge House HAL-088-015 1/22/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights Unabated A2 30375 6/10/2022 Settlement Agreement
Kingsbridge House HAL-088-015 1/22/2021 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(4) Declaration of Resident's Rights Unabated A2 37500 12/17/2021 Settlement Agreement
Kingsbridge House HAL-088-015 1/22/2021 10A NCAC 13F .1801 (c) Infection Prevention & Control Program (temp); G.S. 131D-21(4) Declaration of Resident's Rights A1 8000 12/17/2021 Settlement Agreement

Tyrrell County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Tyrrell House HAL-089-002 11/30/2020 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A1 13500 8/26/2021 Settlement Agreement
Tyrrell House HAL-089-002 11/30/2020 10A NCAC 13F .1801 (a) (b) Infection Prevention & Control Program (Emer); G.S. 131D-21(4) Declaration of Resident's Rights A2 9000 8/26/2021 Settlement Agreement
Tyrrell House HAL-089-002 1/28/2021 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 9000 12/17/2021 Appealed
Tyrrell House HAL-089-002 9/1/2022 10A NCAC 13F .0902(b) Health Care A2 14000 3/8/2023 Settlement Agreement

Union County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Poplin Terrace (Closed) FCL-090-018 7/13/2020 10A NCAC 13G .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 3500 6/11/2021 Settlement Agreement
The Addison of Indian Trail HAL-090-035 11/5/2021 10A NCAC 13F .0901(c) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A1 3500 8/17/2022 Paid in Full

Wake County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Allcare Assisted Living (Closed) FCL-092-018 10/31/2019 10A NCAC 13G .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 500 7/7/2021 Paid in Full
Allcare Assisted Living (Closed) FCL-092-018 10/31/2019 10A NCAC 13G .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A2 500 7/7/2021 Paid in Full
Avendelle Assisted Living at Heritage (closed) FCL-092-230 7/11/2022 10A NCAC 13G .0504 (c) Competency Validation For Licensed Health Pro; G.S. 131D-21(2) Declaration of Resident's Rights A1 4000 12/21/2022 Paid in Full
Avendelle Assisted Living at Heritage (closed) FCL-092-230 7/11/2022 10A NCAC 13G .0601(a) Management and Other Staff; G.S. 131D-21(2) Declaration of Resident's Rights A1 4000 12/21/2022 Paid in Full
Avendelle Assisted Living at Waterford Landing (Closed) FCL-092-127 7/18/2019 10A NCAC 13G .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A2 500 9/8/2021 Paid in Full
Avendelle Assisted Living on Lazy River FCL-092-295 5/26/2023 10A NCAC 13G .0902(b) Health Care A2 1000 9/27/2023 Paid in Full
Avendelle Assisted Living on Lazy River FCL-092-295 5/26/2023 10A NCAC 13G .1004(a) Medication Administration A2 1000 9/27/2023 Paid in Full
Avendelle Assisted Living on Tryon FCL-092-272 8/19/2022 10A NCAC 13G .0902(c)(3)(4) Health Care G.S. 131D-21(4) Declaration of Resident's Rights A2 500 2/15/2023 Paid in Full
Brighton Gardens of Raleigh HAL-092-024 5/13/2022 10A NCAC 13F .0305(h)(4) Physical Environment A2 1500 3/8/2023 Paid in Full
Brookdale Cary HAL-092-023 12/5/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A2 1000 5/26/2023 Paid in Full
Brookdale Cary HAL-092-023 3/23/2023 10A NCAC 13F .0901(b) Personal Care and Supervision A1 16000 8/2/2023 Appealed
Brookdale Wake Forest HAL-092-032 4/13/2022 10A NCAC 13F .0902(b) Health Care A2 3000 3/8/2023 Paid in Full
Cadence at Wake Forest HAL-092-213 12/16/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 2000 9/16/2022 Paid in Full
Cadence at Wake Forest HAL-092-213 12/16/2021 10A NCAC 13F .1308(a) Special Care Unit Staff; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 9/16/2022 Paid in Full
Cadence at Wake Forest HAL-092-213 12/16/2021 10A NCAC 13F .1801 (c) Infection Prevention & Control Program (temp); G.S. 131D-21(2) Declaration of Resident's Rights A2 4000 9/16/2022 Paid in Full
Cadence at Wake Forest HAL-092-213 3/10/2022 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A2 1000 9/16/2022 Paid in Full
Cadence at Wake Forest HAL-092-213 5/27/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A1 10500 3/8/2023 Paid in Full
Cadence at Wake Forest HAL-092-213 5/27/2022 10A NCAC 13F .0906(f)(4) Other Resident Care and Services A2 3000 3/8/2023 Paid in Full
Cadence Garner HAL-092-215 1/20/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A2 4000 8/31/2021 Paid in Full
Cadence Garner HAL-092-215 1/20/2021 10A NCAC 13F .1801 (c) Infection Prevention & Control Program (temp); G.S. 131D-21(4) Declaration of Resident's Rights A2 1000 8/31/2021 Paid in Full
Cadence Garner HAL-092-215 3/9/2023 10A NCAC 13F .1005 (b) Self-Administration Of Medications A2 4000 5/26/2023 Paid in Full
Cadence North Raleigh HAL-092-214 4/28/2022 10A NCAC 13F .0901(c) Personal Care and Supervision G.S. 131D-21(2) Declaration of Resident's Rights A1 3500 2/15/2023 Paid in Full
Cadence North Raleigh HAL-092-214 7/28/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A2 2000 5/26/2023 Paid in Full
Carillon Assisted Living of Knightdale (Closed) HAL-092-166 1/16/2020 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 4000 6/14/2021 Not Paid - Referred to Controller's Office
Chatham Commons HAL-092-203 2/12/2021 10A NCAC 13F .0901(a) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 7000 2/4/2022 Settlement Agreement
Chatham Commons HAL-092-203 2/12/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A2 14000 2/4/2022 Settlement Agreement
Chatham Commons HAL-092-203 6/2/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights Unabated A2 67500 4/20/2022 Appealed
Destiny Family Care Home #4 FCL-092-290 6/22/2022 10A NCAC 13G .0906 (f)(1)-(4) Other Resident Services G.S. 131D-21(2) Declaration of Resident's Rights A1 1000 2/15/2023 Paid in Full
Falls River Court Memory Care Community HAL-092-141 11/30/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 500 8/17/2022 Paid in Full
Falls River Village Assisted Living Community HAL-092-142 4/14/2022 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 1000 12/21/2022 Paid in Full
Heart to Live (Closed) FCL-092-252 6/17/2021 10A NCAC 13G .0901(c) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 875 4/20/2022 Paid in Full
LiveWell Cary (Closed) FCL-092-258 10/31/2022 10A NCAC 13G .0902 (c-2) Health Care A1 16000 3/8/2023 Not Paid - Referred to Controller's Office
Morningside of Raleigh HAL-092-217 12/22/2020 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A2 500 8/26/2021 Paid in Full
Morningside of Raleigh HAL-092-217 3/30/2022 10A NCAC 13F .0901(a) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 14000 12/21/2022 Paid in Full
Morningside of Raleigh HAL-092-217 5/20/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A1 12000 3/8/2023 Paid in Full
Morningside of Raleigh HAL-092-217 5/20/2022 10A NCAC 13F .0902(b) Health Care A2 2000 3/8/2023 Paid in Full
Morningside of Raleigh HAL-092-217 6/10/2022 10A NCAC 13F .0305(h)(4) Physical Environment A2 4000 3/8/2023 Paid in Full
Morningside of Raleigh HAL-092-217 6/10/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A1 14000 3/8/2023 Paid in Full
Morningside of Raleigh HAL-092-217 9/13/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A1 15000 4/5/2023 Paid in Full
Morningside of Raleigh HAL-092-217 9/15/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A2 7000 5/26/2023 Paid in Full
Morningside of Raleigh HAL-092-217 11/18/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A2 10500 5/26/2023 Paid in Full
Morningside of Raleigh HAL-092-217 1/4/2023 10A NCAC 13F .0305(h)(4) Physical Environment Unabated B 13200 7/7/2023 Paid in Full
Morningside of Raleigh HAL-092-217 4/14/2023 10A NCAC 13F .0305(f)(4) Physical Environment A1 7000 7/7/2023 Paid in Full
Novelty Healthcare Services FCL-092-206 3/1/2023 10A NCAC 13G .0317(d) Building Service Equipment A2 1000 8/2/2023 Paid in Full
Novelty Healthcare Services II FCL-092-228 8/3/2021 G.S. 131D 4.4A (b) ACH Infection Prevention Requirements; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 540 5/16/2022 Paid in Full
Oliver House HAL-092-182 12/22/2020 10A NCAC 13F .1801 (a) (b) Infection Prevention & Control Program (Emer); G.S. 131D-21(4) Declaration of Resident's Rights A1 9000 8/26/2021 Settlement Agreement
Oliver House HAL-092-182 8/19/2021 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 12000 5/16/2022 Settlement Agreement
Phoenix Assisted Care HAL-092-131 2/16/2021 10A NCAC 13F .0901(a) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 2000 2/4/2022 Settlement Agreement
Phoenix Assisted Care HAL-092-131 2/16/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 2000 2/4/2022 Settlement Agreement
Phoenix Assisted Care HAL-092-131 2/16/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 2000 2/4/2022 Settlement Agreement
Phoenix Assisted Care HAL-092-131 2/16/2021 10A NCAC 13F .1801 (c) Infection Prevention & Control Program (temp); G.S. 131D-21(4) Declaration of Resident's Rights A2 1000 2/4/2022 Settlement Agreement
Phoenix Assisted Care HAL-092-131 2/16/2021 G.S. § 131D-25 Implementation; G.S. 131D-21(4) Declaration of Resident's Rights A1 4000 2/4/2022 Settlement Agreement
Phoenix Assisted Care HAL-092-131 5/14/2021 10A NCAC 13F .0306(a)(5) Housekeeping and Furnishings; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 7300 5/16/2022 Settlement Agreement
Phoenix Assisted Care HAL-092-131 5/14/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 5250 5/16/2022 Settlement Agreement
Phoenix Assisted Care HAL-092-131 5/14/2021 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights Unabated B 7300 5/16/2022 Settlement Agreement
Phoenix Assisted Care HAL-092-131 5/14/2021 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights A2 3500 5/16/2022 Settlement Agreement
Spring Arbor of Cary (Closed) HAL-092-204 9/13/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 1000 6/10/2022 Paid in Full
Sunrise at North Hills HAL-092-218 8/27/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 500 5/16/2022 Paid in Full
Sunrise of Cary HAL-092-209 10/4/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A1 2000 2/15/2023 Paid in Full
Sunrise of Cary HAL-092-209 10/4/2022 10A NCAC 13F .1308(a) Special Care Unit Staff A1 500 2/15/2023 Paid in Full
Sunrise of Cary HAL-092-209 1/19/2023 10A NCAC 13F .0909 Resident Rights A2 4000 5/31/2023 Paid in Full
Sunrise of Raleigh HAL-092-222 10/14/2022 10A NCAC 13F .0902(c)(1) Health Care A1 1500 5/31/2023 Paid in Full
The Addison of Fuquay-Varina HAL-092-219 11/12/2021 10A NCAC 13F .0902(c)(3-4) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A2 16000 8/17/2022 Paid in Full
The Addison of Fuquay-Varina HAL-092-219 11/12/2021 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights A1 20000 8/17/2022 Paid in Full
The Addison of Fuquay-Varina HAL-092-219 8/6/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 1500 5/16/2022 Paid in Full
The Addison of Fuquay-Varina HAL-092-219 8/6/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A2 1500 5/16/2022 Paid in Full
The Addison of Fuquay-Varina HAL-092-219 9/3/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 1000 8/17/2022 Paid in Full
The Addison of Fuquay-Varina HAL-092-219 9/3/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A1 7000 8/17/2022 Paid in Full
The Addison of Fuquay-Varina HAL-092-219 9/3/2021 10A NCAC 13F .0909 Resident Rights; A1 7000 8/17/2022 Paid in Full
The Addison of Fuquay-Varina HAL-092-219 11/12/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights Unabated A2 64500 8/17/2022 Paid in Full
The Addison of Knightdale HAL-092-220 11/12/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A2 1500 8/17/2022 Paid in Full
The Addison of Knightdale HAL-092-220 2/8/2022 10A NCAC 13F .0305(h)(4) Physical Environment G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 54000 2/15/2023 Paid in Full
The Addison of Knightdale HAL-092-220 2/8/2022 10A NCAC 13F .0309 (d) Plan For Evacuation; G.S. 131D-21(4) Declaration of Resident's Rights A2 4000 8/31/2022 Settlement Agreement
The Addison of Knightdale HAL-092-220 2/8/2022 10A NCAC 13F .0311(a) Other Requirements; G.S. 131D-21(4) Declaration of Resident's Rights A2 4000 8/31/2022 Settlement Agreement
The Addison of Knightdale HAL-092-220 2/8/2022 10A NCAC 13F .0605 Staffing Of Personal Care Aide Supervisors; G.S. 131D-21(4) Declaration of Resident's Rights A2 4000 8/31/2022 Settlement Agreement
The Addison of Knightdale HAL-092-220 2/8/2022 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 7000 8/31/2022 Settlement Agreement
The Addison of Knightdale HAL-092-220 2/8/2022 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(4) Declaration of Resident's Rights A2 2000 8/31/2022 Settlement Agreement
The Addison of Knightdale HAL-092-220 2/8/2022 G.S. § 131D-25 Implementation; G.S. 131D-21(4) Declaration of Resident's Rights A1 12000 8/31/2022 Settlement Agreement
The Covington HAL-092-181 3/12/2020 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 5/3/2021 Settlement Agreement
The Covington HAL-092-181 1/12/2023 10A NCAC 13F .1004(a) Medication Administration Unabated B 15800 5/31/2023 Appealed
The Manor at Edgewater FCL-092-153 6/30/2022 10A NCAC 13G .0902(b) Health Care G.S. 131D-21(2) Declaration of Resident's Rights A2 500 2/15/2023 Paid in Full
The Reserve at Mills Farm (Closed) HAL-092-221 2/3/2023 10A NCAC 13F .0901(b) Personal Care and Supervision A2 2000 8/2/2023 Paid in Full
The Reserve at Mills Farm (Closed) HAL-092-221 2/3/2023 10A NCAC 13F .1004(a) Medication Administration A2 2000 8/2/2023 Paid in Full
The Reserve at Mills Farm Villa #3 FCL-092-270 1/24/2023 10A NCAC 13G .1004(a) Medication Administration Unabated Type B 12500 7/7/2023 Paid in Full
The Reserve at Mills Farm Villa #3 FCL-092-270 3/27/2023 10A NCAC 13G .1004(a) Medication Administration A2 1000 7/7/2023 Paid in Full
Wake Assisted Living HAL-092-144 3/19/2021 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 4/20/2022 Paid in Full
Wake Assisted Living HAL-092-144 7/14/2022 10A NCAC 13F .0902(b) Health Care A1 4000 3/8/2023 Paid in Full
Waltonwood Lake Boone HAL-092-210 9/26/2019 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 1000 6/14/2021 Paid in Full
Windsor Point Continuing Care Retirement Community NH0580 10/26/2023 10A NCAC 13F .0909 Resident Rights A1 20000 11/8/2023 Paid in Full

Warren County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Alpha Magnolia Garden HAL-093-010 10/17/2022 10A NCAC 13F .0305(h)(4) Physical Environment A2 1500 7/7/2023 Paid in Full
Alpha Magnolia Garden HAL-093-010 10/17/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A2 1500 7/7/2023 Paid in Full
Alpha Magnolia Garden HAL-093-010 6/23/2023 10A NCAC 13F .0901(b) Personal Care and Supervision A2 4000 11/21/2023 Appealed
Alpha Magnolia Garden HAL-093-010 6/23/2023 10A NCAC 13F .0902(b) Health Care A2 4000 11/21/2023
Pivotal Care (Closed) FCL-093-012 11/4/2020 10A NCAC 13G .0601(a) Management and Other Staff; G.S. 131D-21(2) Declaration of Resident's Rights A1 6000 7/7/2021 Not Paid - Referred to Controller's Office
Pivotal Care (Closed) FCL-093-012 11/4/2020 10A NCAC 13G .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 3500 7/7/2021 Not Paid - Referred to Controller's Office
Pivotal Care (Closed) FCL-093-012 11/4/2020 10A NCAC 13G .1701 (a) (b) Infection Prevention & Control Program (emer); G.S. 131D-21(4) Declaration of Resident's Rights A1 1750 7/7/2021 Not Paid - Referred to Controller's Office
Pivotal Care (Closed) FCL-093-012 2/5/2021 10A NCAC 13G .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 11800 2/4/2022 Not Paid - Referred to Controller's Office
Pivotal Care (Closed) FCL-093-012 4/16/2021 10A NCAC 13G .0601(a) Management and Other Staff; G.S. 131D-21(4) Declaration of Resident's Rights A2 3500 3/16/2022 Not Paid - Referred to Controller's Office
Pivotal Care (Closed) FCL-093-012 4/16/2021 10A NCAC 13G .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A2 3500 3/16/2022 Not Paid - Referred to Controller's Office
Pivotal Care (Closed) FCL-093-012 6/4/2021 10A NCAC 13G .0312(g) Outside Entrance And Exits; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 1600 4/20/2022 Not Paid - Referred to Controller's Office
Pivotal Care (Closed) FCL-093-012 6/4/2021 10A NCAC 13G .0405(a)(b) Test For Tuberculosis; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 1600 4/20/2022 Not Paid - Referred to Controller's Office
Pivotal Care (Closed) FCL-093-012 6/4/2021 10A NCAC 13G .0601(a) Management and Other Staff; G.S. 131D-21(4) Declaration of Resident's Rights Unabated A2 11625 4/20/2022 Not Paid - Referred to Controller's Office
Pivotal Care (Closed) FCL-093-012 6/4/2021 10A NCAC 13G .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights Unabated A2 11625 4/20/2022 Not Paid - Referred to Controller's Office
Pivotal Care (Closed) FCL-093-012 6/4/2021 G.S. § 131D-4.5B (b) ACH Medication Aides;Training and Competency; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 17900 4/20/2022 Not Paid - Referred to Controller's Office
Pivotal Care (Closed) FCL-093-012 6/4/2021 G.S. 131D 4.4A (b) ACH Infection Prevention Requirements; G.S. 131D-21(2) Declaration of Resident's Rights A2 3500 4/20/2022 Not Paid - Referred to Controller's Office

Washington County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Marie Webb's Family Home Care (Closed) FCL-094-003 6/2/2020 10A NCAC 13G .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 8/26/2021 Settlement Agreement

Wayne County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Countryside Village HAL-096-049 8/24/2020 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A2 4000 8/26/2021 Settlement Agreement
Countryside Village HAL-096-049 8/24/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A1 9000 8/26/2021 Settlement Agreement
Countryside Village HAL-096-049 8/24/2020 10A NCAC 13F .1205 Health Care Personnel Registry; G.S. 131D-21(4) Declaration of Resident's Rights A1 9000 8/26/2021 Settlement Agreement
Countryside Village HAL-096-049 8/24/2020 10A NCAC 13F .1212(d) Reporting of Accidents and Incidents; G.S. 131D-21(4) Declaration of Resident's Rights A2 4000 8/26/2021 Settlement Agreement
Countryside Village HAL-096-049 8/24/2020 G.S. § 131D-25 Implementation; G.S. 131D-21(4) Declaration of Resident's Rights A1 9000 8/26/2021 Settlement Agreement
Countryside Village HAL-096-049 7/21/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A1 16000 3/8/2023 Appealed
Countryside Village HAL-096-049 7/21/2022 10A NCAC 13F .0902(b) Health Care A2 12000 3/8/2023 Appealed
Countryside Village HAL-096-049 7/21/2022 10A NCAC 13F .1004 (i) Medication Administration A2 9000 3/8/2023 Appealed
Countryside Village HAL-096-049 11/1/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A2 12000 4/5/2023 Paid in Full
Eagle's Pointe HAL-096-051 8/26/2019 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(4) Declaration of Resident's Rights A1 4000 6/14/2021 Settlement Agreement
Eagle's Pointe HAL-096-051 12/16/2019 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A1 7000 7/21/2021 Appealed
Eagle's Pointe HAL-096-051 7/16/2020 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 10500 8/26/2021 Settlement Agreement
Eagle's Pointe HAL-096-051 7/16/2020 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A2 5250 8/26/2021 Settlement Agreement
Eagle's Pointe HAL-096-051 7/16/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 5250 8/26/2021 Settlement Agreement
Eagle's Pointe HAL-096-051 7/16/2020 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(4) Declaration of Resident's Rights A1 9000 8/26/2021 Settlement Agreement
Eagle's Pointe HAL-096-051 7/16/2020 G.S. § 131D-25 Implementation; G.S. 131D-21(4) Declaration of Resident's Rights A1 4000 8/26/2021 Settlement Agreement
Fremont Rest Center HAL-096-024 4/16/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 5250 4/20/2022 Settlement Agreement
Fremont Rest Center HAL-096-024 4/16/2021 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 4000 8/31/2021 Settlement Agreement
Fremont Rest Center HAL-096-024 4/16/2021 10A NCAC 13F .0901(c) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 2000 4/20/2022 Settlement Agreement
Fremont Rest Center HAL-096-024 4/16/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 6000 4/20/2022 Settlement Agreement
Fremont Rest Center HAL-096-024 7/11/2022 10A NCAC 13F .0909 Resident Rights A1 7000 3/8/2023 Settlement Agreement
Goldsboro Assisted Living & Alzheimer's Care HAL-096-031 1/9/2020 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(2) Declaration of Resident's Rights A2 500 12/17/2021 Paid in Full
Helping Hands Assisted Living HAL-096-052 12/7/2022 10A NCAC 13F .1004(a) Medication Administration Unabated B 11800 11/21/2023
Morning Glory Family Care FCL-096-038 3/15/2023 10A NCAC 13G .0317(d) Building Service Equipment A2 1000 7/7/2023 Paid in Full
Somerset Court of Goldsboro HAL-096-047 12/4/2020 10A NCAC 13F .0306(a)(4) Housekeeping And Furnishings; G.S. 131D-21(2) Declaration of Resident's Rights A2 1000 12/10/2021 Paid in Full
Somerset Court of Goldsboro HAL-096-047 12/4/2020 10A NCAC 13F .0306(a)(5) Housekeeping and Furnishings; G.S. 131D-21(2) Declaration of Resident's Rights A2 1000 12/10/2021 Paid in Full
Somerset Court of Goldsboro HAL-096-047 12/4/2020 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A1 7000 12/10/2021 Settlement Agreement
Somerset Court of Goldsboro HAL-096-047 12/4/2020 10A NCAC 13F .0901(c) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 16000 12/10/2021 Settlement Agreement
Somerset Court of Goldsboro HAL-096-047 3/1/2021 10A NCAC 13F .0306(a)(5) Housekeeping and Furnishings; G.S. 131D-21(4) Declaration of Resident's Rights Unabated A2 80250 9/13/2022 Settlement Agreement
Somerset Court of Goldsboro HAL-096-047 3/1/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A2 2000 8/17/2022 Settlement Agreement
Somerset Court of Goldsboro HAL-096-047 9/23/2021 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 14500 8/17/2022 Settlement Agreement
Woodard's Retirement Village HAL-096-009 10/2/2020 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A2 4000 11/8/2021 Settlement Agreement
Woodard's Retirement Village HAL-096-009 10/2/2020 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 7000 11/8/2021 Settlement Agreement
Woodard's Retirement Village HAL-096-009 10/2/2020 10A NCAC 13F .1308(a) Special Care Unit Staff; G.S. 131D-21(4) Declaration of Resident's Rights A1 14000 11/8/2021 Settlement Agreement
Woodard's Retirement Village HAL-096-009 10/2/2020 G.S. § 131D-25 Implementation; G.S. 131D-21(4) Declaration of Resident's Rights A1 14000 11/8/2021 Settlement Agreement
You're At Home With Sozo (Closed) FCL-096-052 7/7/2020 10A NCAC 13G .0601(a) Management and Other Staff; G.S. 131D-21(2) Declaration of Resident's Rights A2 2000 8/26/2021 Paid in Full
You're At Home With Sozo (Closed) FCL-096-052 7/7/2020 10A NCAC 13G .0909 Residents' Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 2000 8/26/2021 Paid in Full

Wilson County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Called 2 Care Family Home #3 (Closed) FCL-098-034 1/31/2020 10A NCAC 13G .0601 (b)(2) Management And Other Staff; G.S. 131D-21(4) Declaration of Resident's Rights A2 2000 6/14/2021 Settlement Agreement
Called 2 Care Family Home #3 (Closed) FCL-098-034 5/15/2020 10A NCAC 13G .0302 (b) Design And Construction; G.S. 131D-21(2) Declaration of Resident's Rights Unabated B 9975 9/8/2021 Settlement Agreement
Called 2 Care Family Home #3 (Closed) FCL-098-034 5/15/2020 10A NCAC 13G .0909 Residents' Rights; G.S. 131D-21(4) Declaration of Resident's Rights A2 2000 6/14/2021 Settlement Agreement
Hands that Cares (Closed) FCL-098-039 4/20/2023 10A NCAC 13G .0902(b) Health Care A1 3500 7/7/2023 Not Paid - Referred to Controller's Office
Hands that Cares (Closed) FCL-098-039 4/20/2023 10A NCAC 13G .1004(a) Medication Administration A1 3500 7/7/2023 Not Paid - Referred to Controller's Office
Morning Star Assisted Living #5 HAL-098-031 1/5/2023 10A NCAC 13F .0909 Resident Rights A2 500 5/26/2023 Paid in Full
Morning Star Assisted Living #5 HAL-098-031 3/22/2023 10A NCAC 13F .0902(c)(3-4) Health Care A1 4000 7/7/2023 Paid in Full
Morning Star Assisted Living #5 HAL-098-031 3/22/2023 10A NCAC 13F .1004(a) Medication Administration A2 1000 7/7/2023 Paid in Full
Parkwood Village HAL-098-030 10/15/2019 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A1 7000 8/26/2021 Paid in Full
Parkwood Village HAL-098-030 4/4/2023 10A NCAC 13F .0901(a) Personal Care and Supervision A1 4000 7/7/2023 Paid in Full
Parkwood Village HAL-098-030 4/4/2023 10A NCAC 13F .1309 Special Care Unit Staff Orientation And Train A2 2000 7/7/2023 Paid in Full
Wilson Assisted Living HAL-098-027 9/28/2020 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A1 15000 8/26/2021 Paid in Full
Wilson Assisted Living HAL-098-027 9/28/2020 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 15000 8/26/2021 Paid in Full
Wilson Assisted Living HAL-098-027 2/15/2021 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A2 12000 8/31/2021 Paid in Full
Wilson Assisted Living HAL-098-027 9/29/2022 10A NCAC 13F .0901(b) Personal Care and Supervision A1 9000 3/8/2023 Paid in Full
Wilson House HAL-098-023 3/10/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A1 4000 5/3/2021 Settlement Agreement
Wilson House HAL-098-023 6/8/2020 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(2) Declaration of Resident's Rights A2 3500 7/21/2021 Settlement Agreement
Wilson House HAL-098-023 6/8/2020 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A2 10000 7/21/2021 Settlement Agreement
Wilson House HAL-098-023 6/8/2020 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A1 8000 7/21/2021 Settlement Agreement
Wilson House HAL-098-023 6/8/2020 10A NCAC 13F .1308(a) Special Care Unit Staff; G.S. 131D-21(4) Declaration of Resident's Rights A2 3500 7/21/2021 Settlement Agreement
Wilson House HAL-098-023 6/8/2020 G.S. § 131D-25 Implementation; G.S. 131D-21(4) Declaration of Resident's Rights A1 8000 7/21/2021 Settlement Agreement
Wilson House HAL-098-023 12/22/2021 10A NCAC 13F .1004(a) Medication Administration; G.S. 131D-21(2) Declaration of Resident's Rights A1 14000 8/31/2022 Settlement Agreement
Wilson House HAL-098-023 1/27/2023 10A NCAC 13F .1004(a) Medication Administration A2 12000 10/25/2023 Appealed

Yadkin County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Patriot Living of Yadkinville HAL-099-018 6/10/2022 10A NCAC 13F .0902(b) Health Care A2 2000 3/8/2023 Paid in Full
Patriot Living of Yadkinville (Closed) HAL-099-015 3/11/2020 10A NCAC 13F .0902(b) Health Care; G.S. 131D-21(4) Declaration of Resident's Rights A1 3000 8/26/2021 Paid in Full

Yancey County

Facility Facility License Inspection Date & Nature of Validation Rules Areas Cited Level Cited Penalty Amount Date Penalty Imposed Current Status
Southern Living for Seniors of Burnsville, NC (Closed) HAL-100-006 2/18/2022 10A NCAC 13F .0601 (a) Management Of Facilities; G.S. 131D-21(4) Declaration of Resident's Rights A2 16000 8/17/2022 Settlement Agreement
Southern Living for Seniors of Burnsville, NC (Closed) HAL-100-006 2/18/2022 10A NCAC 13F .0601 (b) Management Of Facilities With A Capacity Or; G.S. 131D-21(4) Declaration of Resident's Rights A1 20000 8/17/2022 Settlement Agreement
Southern Living for Seniors of Burnsville, NC (Closed) HAL-100-006 2/18/2022 10A NCAC 13F .0604(e) Personal Care And Other Staffing; G.S. 131D-21(1) Declaration of Resident's Rights A2 16000 8/17/2022 Settlement Agreement
Southern Living for Seniors of Burnsville, NC (Closed) HAL-100-006 3/17/2022 10A NCAC 13F .0601 (a) Management Of Facilities; G.S. 131D-21(4) Declaration of Resident's Rights A1 20000 8/17/2022 Settlement Agreement
Southern Living for Seniors of Burnsville, NC (Closed) HAL-100-006 3/17/2022 10A NCAC 13F .0601 (b) Management Of Facilities With A Capacity Or; G.S. 131D-21(4) Declaration of Resident's Rights Unabated A2 3750 8/17/2022 Settlement Agreement
Southern Living for Seniors of Burnsville, NC (Closed) HAL-100-006 3/17/2022 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights Unabated A1 5000 8/17/2022 Settlement Agreement
Southern Living for Seniors of Burnsville, NC (Closed) HAL-100-006 3/17/2022 10A NCAC 13F .1205 Health Care Personnel Registry; G.S. 131D-21(4) Declaration of Resident's Rights A1 20000 8/17/2022 Settlement Agreement
Southern Living for Seniors of Burnsville, NC (Closed) HAL-100-006 5/10/2022 10A NCAC 13F .0305(h)(4) Physical Environment; G.S. 131D-21(4) Declaration of Resident's Rights A1 20000 8/17/2022 Settlement Agreement
Southern Living for Seniors of Burnsville, NC (Closed) HAL-100-006 5/10/2022 10A NCAC 13F .0407(a)(7) Other Staff Qualifications; G.S. 131D-21(4) Declaration of Resident's Rights A2 20000 8/17/2022 Settlement Agreement
Southern Living for Seniors of Burnsville, NC (Closed) HAL-100-006 5/10/2022 10A NCAC 13F .0601 (a) Management Of Facilities; G.S. 131D-21(4) Declaration of Resident's Rights Unabated A1 32000 8/17/2022 Settlement Agreement
Southern Living for Seniors of Burnsville, NC (Closed) HAL-100-006 5/10/2022 10A NCAC 13F .0601 (b) Management Of Facilities With A Capacity Or; G.S. 131D-21(4) Declaration of Resident's Rights Unabated A2 24000 8/17/2022 Settlement Agreement
Southern Living for Seniors of Burnsville, NC (Closed) HAL-100-006 5/10/2022 10A NCAC 13F .0901(b) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 20000 8/17/2022 Settlement Agreement
Southern Living for Seniors of Burnsville, NC (Closed) HAL-100-006 5/10/2022 10A NCAC 13F .0901(c) Personal Care and Supervision; G.S. 131D-21(4) Declaration of Resident's Rights A1 20000 8/17/2022 Settlement Agreement
Southern Living for Seniors of Burnsville, NC (Closed) HAL-100-006 5/10/2022 10A NCAC 13F .0909 Resident Rights; G.S. 131D-21(4) Declaration of Resident's Rights A1 2000 8/17/2022 Settlement Agreement
Southern Living for Seniors of Burnsville, NC (Closed) HAL-100-006 5/10/2022 10A NCAC 13F .1008 (h) Controlled Substance; G.S. 131D-21(4) Declaration of Resident's Rights A2 20000 8/17/2022 Settlement Agreement
Southern Living for Seniors of Burnsville, NC (Closed) HAL-100-006 5/10/2022 10A NCAC 13F .1104(c) Accounting For Resident's Personal Funds; G.S. 131D-21(4) Declaration of Resident's Rights A1 20000 8/17/2022 Settlement Agreement
Southern Living for Seniors of Burnsville, NC (Closed) HAL-100-006 5/10/2022 10A NCAC 13F .1205 Health Care Personnel Registry; G.S. 131D-21(4) Declaration of Resident's Rights A1 2000 8/17/2022 Settlement Agreement
Yancey House HAL-100-005 2/8/2023 10A NCAC 13F .1004(a) Medication Administration Unabated B 9600 6/16/2023 Settlement Agreement