C80

Abbotts Creek Center

Grade C 80/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
3/5
Health Insp.
4/5
Quality
4/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

64

Ownership

For profit - Corporation

Total Fines

None

Last Survey

N/A

877 Hill Everhart Road, Lexington, NC 27295
3362486644

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.64h
LPN
0.75h
CNA
1.52h
Total
2.90h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

REGENCY HEALTH SERVICES, LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Feb 2009

100%

FC GEN OPERATIONS INVESTMENT LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2012

GENESIS HEALTHCARE INC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2015

GENESIS HEALTHCARE LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2012

GENESIS HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2016

HCCF MANAGEMENT GROUP XI LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2012

SUN HEALTHCARE GROUP, INC.

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2021

SUNBRIDGE HEALTHCARE LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2012

SUNDANCE REHABILITATION HOLDCO INC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Feb 2015

WELLTOWER OP LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Apr 2024

ZAC PROPERTIES XI LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2012

FISHMAN, STEVEN

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2012

WHITMAN, ARNOLD

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2012

MORRIS, DIANE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2024

BERG, MICHAEL

IndividualCORPORATE OFFICERSince Dec 2012

BRIDGEFORD, LAURA

IndividualCORPORATE OFFICERSince May 2024

MENDELSON, AVI

IndividualCORPORATE OFFICERSince May 2024

COMPTON, ANGELA

IndividualW-2 MANAGING EMPLOYEESince Apr 2023

SUKKASEM, YUTHAPONG

IndividualW-2 MANAGING EMPLOYEESince Mar 2023

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (17)

September 27, 2024Health2 deficiencies
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Oct 24, 2024
0660DMinimal harm, Isolated

Plan the resident's discharge to meet the resident's goals and needs.

Resident Assessment and Care Planning Deficiencies

Corrected Oct 24, 2024
December 13, 2023Health5 deficiencies
0554DMinimal harm, Isolated

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies

Corrected Jan 10, 2024
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Jan 10, 2024
0758DMinimal harm, Isolated

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Pharmacy Service Deficiencies

Corrected Jan 10, 2024
0761DMinimal harm, Isolated

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Pharmacy Service Deficiencies

Corrected Jan 10, 2024
0867DMinimal harm, Isolated

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Administration Deficiencies

Corrected Jan 10, 2024
July 11, 2022Health10 deficiencies
0554DMinimal harm, Isolated

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies

Corrected Aug 1, 2022
0623BNo harm, Pattern

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies

Corrected Aug 1, 2022
0641EMinimal harm, Pattern

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 1, 2022
0655DMinimal harm, Isolated

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Resident Assessment and Care Planning Deficiencies

Corrected Aug 1, 2022
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 1, 2022
0684EMinimal harm, Pattern

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Aug 1, 2022
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Aug 1, 2022
0698EMinimal harm, Pattern

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Aug 1, 2022
0757EMinimal harm, Pattern

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Aug 1, 2022
0759EMinimal harm, Pattern

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Aug 1, 2022

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Frequently Asked Questions

What is the CareGrader rating for Abbotts Creek Center?

Abbotts Creek Center in Lexington, North Carolina has a CareGrader grade of C (Average), with a composite score of 79.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Abbotts Creek Center?

Abbotts Creek Center has an overall CMS star rating of 3 out of 5, a health inspection rating of 4/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Abbotts Creek Center have?

Abbotts Creek Center has 17 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does Abbotts Creek Center have?

Abbotts Creek Center has 64 certified beds with approximately 59 current residents (92% occupancy). The facility is located at 877 Hill Everhart Road, Lexington, North Carolina 27295. It is a for profit - corporation facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.