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Disclaimer: Plans of Correction PDFs may not be accessible. To preserve the original record, documents are provided as scanned images. If you require an accessible version or assistance, please contact the Mental Health Licensure Section at (919) 855-3795 or by mail at 2718 Mail Service Center, Raleigh, NC 27699-2718.

Facility

Changing Lives Group Home IV LLC

Facility Address

1404 Cushing Street
Greensboro
27405
Guilford County

Mailing Address


Burlington
NC
27217

                  

Contact Information

In Care of: jaquay wade
Phone:     (336)516-6187
Program codeServicesAgeFacility TypeDisability Category
27G.5600A Supervised Living for Adults with Mental Illness A RESIDENTL MI
Inspection TypeDocument TypeInspection DatePages
MHLCS Annual and Follow-up Plan of Correction 10/23/2025 14
MHLCS Annual and Follow-up Statement of Deficiency 10/23/2025 19
MHLCS Complaint and Follow-up Statement of Deficiency 12/4/2024 10
MHLCS Annual and Follow-up Statement of Deficiency 8/12/2024 5
MHLCS Complaint and Follow-up Statement of Deficiency 3/21/2023 6
MHLCS Annual Statement of Deficiency 11/10/2022 6
MHLCS Follow-up Statement of Deficiency 7/12/2021 1
MHLCS Annual and Complaint Statement of Deficiency 5/3/2021 19
MHLCS Complaint Statement of Deficiency 8/12/2019 1
MHLCS Annual Statement of Deficiency 2/13/2019 1
MHLCS Annual Statement of Deficiency 10/4/2018 1