NC DHSR ACLS: Inspections, Ratings and Penalties

Facility Information

License Number:	HAL-053-030
Site Address:	1115 Carthage Street Sanford, NC 27330
County:	Lee
Capacity:	85 Beds

Statement of Deficiencies

Statements of Deficiencies (form used by the state to document inspections) are posted for adult care facilities with survey dates beginning November 1, 2014 and deficiencies or violations were identified.

Note: A Yes under the column, IDR Pending, indicates the facility has requested Informal Dispute Resolution (IDR), a process that gives a facility the opportunity to dispute all or some of the findings of a state inspection. If the Statement of Deficiency is changed as a result of IDR, the web page will be updated.

Inspection Type	Document Type	Inspection Date	Pages	IDR Pending
ACLS Complaint	Statement of Deficiency	1/31/2025	19	No
ACLS Complaint	Statement of Deficiency with Plan of Correction	1/31/2025	19	No
ACLS Complaint and Follow-up	Statement of Deficiency with Plan of Correction	10/4/2024	12	No
ACLS Complaint and Follow-up	Statement of Deficiency	10/4/2024	12	No
Constr Biennial Follow-up	No Deficiencies Cited	2/6/2024	0	No
Constr Biennial Follow-up	No Deficiencies Cited	2/6/2024	0	No
Constr Biennial Follow-up	Statement of Deficiency with Plan of Correction	11/1/2023	2	No
Constr Biennial Follow-up	Statement of Deficiency with Plan of Correction	11/1/2023	2	No
Constr Biennial	Statement of Deficiency	8/8/2023	8	No
ACLS Follow-up	Statement of Deficiency with Plan of Correction	11/22/2022	13	No
ACLS Annual and Follow-up	Statement of Deficiency with Plan of Correction	8/11/2022	121	No
ACLS Annual and Follow-up	Statement of Deficiency	8/11/2022	103	No
ACLS Complaint and Follow-up	Statement of Deficiency with Plan of Correction	9/2/2021	41	No
ACLS Complaint and Follow-up	Statement of Deficiency	9/2/2021	40	No
ACLS Annual, Complaint, and Follow-up	Statement of Deficiency	7/7/2021	155	No
ACLS Annual, Complaint, and Follow-up	Statement of Deficiency with Plan of Correction	7/7/2021	145	No
Constr Biennial Follow-up	No Deficiencies Cited	6/12/2019	0	No
Constr Complaint Follow-up	Statement of Deficiency	3/28/2019	1	No
Constr Biennial	Statement of Deficiency with Plan of Correction	12/19/2018	5	No
ACLS Follow-up	Statement of Deficiency with Plan of Correction	9/7/2018	4	No
ACLS Follow-up	Statement of Deficiency	9/7/2018	4	No
Constr Biennial Follow-up	No Deficiencies Cited	6/4/2018	0	No
ACLS Annual, Complaint, and Follow-up	Statement of Deficiency with Plan of Correction	5/31/2018	76	No
ACLS Annual, Complaint, and Follow-up	Statement of Deficiency	5/31/2018	76	No
Constr Biennial	Statement of Deficiency with Plan of Correction	5/1/2018	7	No
Constr Biennial	Statement of Deficiency	5/1/2018	6	No
ACLS Annual and Complaint	Statement of Deficiency	10/21/2016	25	No
Constr Biennial	Statement of Deficiency with Plan of Correction	5/18/2016	7	No
Constr Biennial	Statement of Deficiency	5/18/2016	7	No

Star Rating

Star Ratings are based on the results of DHSR inspections and some inspections by the County Department of Social Services (DSS).

Stars		Score	Issue Date	Merits	Demerits	Inspection Type
	(2)	83.5	3/12/2025	0	5.5	Complaint	View Worksheet
	(2)	89	10/22/2024	12.5	0	Follow-up	View Worksheet
	(1)	76.5	8/14/2024	2	25.5	Annual	View Worksheet
(ZERO STARS)	(0)	60.25	12/28/2022	23.75	0	Follow-up	View Worksheet
(ZERO STARS)	(0)	36.5	9/23/2022	2.5	66	Annual	View Worksheet
(ZERO STARS)	(0)	48	11/19/2021	0	10	County Monitoring Visit	View Worksheet
(ZERO STARS)	(0)	58	10/15/2021	22.5	2	Follow-up	View Worksheet
(ZERO STARS)	(0)	37.5	10/14/2021	0	62.5	Annual	View Worksheet
	(2)	80	5/28/2020	0	10	County Monitoring Visit	View Worksheet
	(3)	90	12/13/2018	12.5	0	Follow-up	View Worksheet
	(1)	77.5	12/13/2018	4.5	27	Annual	View Worksheet
	(3)	94.5	12/22/2016	4.5	10	Annual	View Worksheet
	(3)	102.5	3/1/2016	0	0	Reissue	View Worksheet
(ZERO STARS)	(0)	45	10/21/2014	5	0	Annual	View Worksheet
(ZERO STARS)	(0)	29.75	3/3/2014	25	0	Follow-up	View Worksheet
(ZERO STARS)	(0)	4.75	12/17/2013	0	82.5	Complaint	View Worksheet
	(2)	87.25	12/17/2013	1.25	0	Follow-up	View Worksheet
	(2)	86	8/21/2013	2.5	3.5	Follow-up	View Worksheet
	(2)	87	5/29/2013	4.5	7.5	Annual	View Worksheet
	(2)	80.75	5/29/2013	11.25	0	Follow-up	View Worksheet
(ZERO STARS)	(0)	69.5	3/6/2013	0	30.5	Complaint	View Worksheet
	(4)	100	2/20/2012	2	2	Annual	View Worksheet
	(3)	100	4/6/2011	0	0	Annual	View Worksheet
	(3)	91.75	4/9/2010	1.25	2	Follow-up	View Worksheet
	(3)	92.5	1/29/2010	0	7.5	Annual	View Worksheet

Penalties

Penalties imposed during the last 36 months are listed.

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
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	$8,000.00	8/17/2022	Paid in Full

NC Division of Health Service Regulation

Adult Care Licensure Section

Sanford Manor

Facility Information

Statement of Deficiencies

Star Rating

Penalties