D69

Azalea Health & Rehab Center

Grade D 69/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
4/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

80

Ownership

For profit - Corporation

Total Fines

$24,470

Last Survey

N/A

3800 Independence Boulevard, Wilmington, NC 28412
9103923110

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.72h
LPN
1.08h
CNA
2.48h
Total
4.28h
Facility
State Average

Turnover Rates

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

Ownership

WRIGHTSVILLE OPERATIONS LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Nov 2012

100%

BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020)

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2023

BNV DYNASTY LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2023

DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2023

SABER HEALTHCARE HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2012

SHH HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2019

WIW DYNASTY LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2023

WWBV HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Sep 2019

SABER GOVERNANCE LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Sep 2019

JOINER, BRIAN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2020

VOLPE, BENJAMIN

IndividualCORPORATE DIRECTORSince Mar 2019

WEISBERG, WILLIAM

IndividualCORPORATE DIRECTORSince Mar 2019

NICOLUZAKIS, GREGORY

IndividualCORPORATE OFFICERSince Mar 2019

VOLPE, BENJAMIN

IndividualCORPORATE OFFICERSince Mar 2019

WEISBERG, WILLIAM

IndividualCORPORATE OFFICERSince Mar 2019

CUMMINGS, DANIEL

IndividualW-2 MANAGING EMPLOYEESince Feb 2023

Penalties & Fines (2)

$24,470total fines
DateTypeDescriptionAmount
Jul 19, 2024Fine$16,452
Apr 2, 2024Fine$8,018

Health Inspection Deficiencies (40)

May 30, 2025Health3 deficiencies
0757DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Jun 20, 2025
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 20, 2025
0760EMinimal harm, Pattern

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Jun 20, 2025
July 19, 2024Health2 deficiencies1 severe
0689JImmediate jeopardy, 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 Jul 12, 2024
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 7, 2024
May 31, 2024Health1 deficiency1 severe
0550GActual harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Apr 10, 2024
April 2, 2024Health17 deficiencies
0582EMinimal harm, Pattern

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies

Corrected Apr 23, 2024
0640BNo harm, Pattern

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 23, 2024
0641BNo harm, Pattern

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 23, 2024
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Apr 23, 2024
0727EMinimal harm, Pattern

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Nursing and Physician Services Deficiencies

Corrected Apr 23, 2024
0732CNo harm, Widespread

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Apr 23, 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 Apr 23, 2024
0802FMinimal harm, Widespread

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Nutrition and Dietary Deficiencies

Corrected Apr 29, 2024
0808EMinimal harm, Pattern

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Nutrition and Dietary Deficiencies

Corrected Apr 29, 2024
0814FMinimal harm, Widespread

Dispose of garbage and refuse properly.

Nutrition and Dietary Deficiencies

Corrected Apr 29, 2024
0867FMinimal harm, Widespread

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

Administration Deficiencies

Corrected Apr 29, 2024
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Apr 23, 2024
0692EMinimal harm, Pattern

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Apr 29, 2024
0693DMinimal harm, Isolated

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Quality of Life and Care Deficiencies

Corrected Apr 23, 2024
0809EMinimal harm, Pattern

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Nutrition and Dietary Deficiencies

Corrected Apr 29, 2024
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Apr 29, 2024
0835FMinimal harm, Widespread

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Administration Deficiencies

Corrected Apr 29, 2024
June 23, 2023Health7 deficiencies
0868EMinimal harm, Pattern

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Administration Deficiencies

Corrected Jul 19, 2023
0883DMinimal harm, Isolated

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected Jul 19, 2023
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Jul 19, 2023
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jul 19, 2023
0806DMinimal harm, Isolated

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Nutrition and Dietary Deficiencies

Corrected Jul 19, 2023
0867EMinimal harm, Pattern

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

Administration Deficiencies

Corrected Jul 19, 2023
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jul 19, 2023
December 9, 2022Health10 deficiencies
0583EMinimal harm, Pattern

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies

Corrected Jan 4, 2023
0584EMinimal harm, Pattern

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Resident Rights Deficiencies

Corrected Jan 4, 2023
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 4, 2023
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jan 4, 2023
0692EMinimal harm, Pattern

Provide enough food/fluids to maintain a resident's health.

Quality of Life and Care Deficiencies

Corrected Jan 4, 2023
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 4, 2023
0804EMinimal harm, Pattern

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Jan 4, 2023
0806EMinimal harm, Pattern

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Nutrition and Dietary Deficiencies

Corrected Jan 4, 2023
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jan 4, 2023
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 4, 2023

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Frequently Asked Questions

What is the CareGrader rating for Azalea Health & Rehab Center?

Azalea Health & Rehab Center in Wilmington, North Carolina has a CareGrader grade of D (Below Average), with a composite score of 68.8 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 Azalea Health & Rehab Center?

Azalea Health & Rehab Center has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Azalea Health & Rehab Center have?

Azalea Health & Rehab Center has 40 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.

Has Azalea Health & Rehab Center been fined?

Yes. Azalea Health & Rehab Center has $24,470 in total fines from CMS enforcement actions across 2 penalties.

How many beds does Azalea Health & Rehab Center have?

Azalea Health & Rehab Center has 80 certified beds with approximately 70 current residents (88% occupancy). The facility is located at 3800 Independence Boulevard, Wilmington, North Carolina 28412. 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.