91/100

College Pines Health and Rehabilitation Inspection Report, Violations & Safety Grade (Connelly Springs, North Carolina)

95 Locust Street, Connelly Springs, North Carolina 28612

Phone: 8285806800

CMS Overall:5/5

Overview & Bed Count

Certified Beds

100

Avg Residents/Day

92.6

Ownership

For profit - Corporation

Provider Type

Medicare and Medicaid

County

Burke

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

Overall5/5

Health4/5

Staffing4/5

Quality5/5

Metric	This Facility	North Carolina Avg	Difference
RN Hours per Resident per Day	0.51	0.62	-0.11
Total Nurse Hours per Resident per Day	4.13	3.87	+0.26
CMS Staffing Rating	4/5	2.7/5	-
Nursing Staff Turnover	32.4%	48.7%	-

6 health citations on record

Date	Category	Description	Severity
2026-04-29	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D – Moderate Harm Potential
2026-04-29	Resident Rights Deficiencies	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.	B – Minimal Harm Potential
2024-03-06	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	J – Immediate Jeopardy
2024-03-06	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	J – Immediate Jeopardy
2024-03-06	Administration Deficiencies	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.	D – Moderate Harm Potential
2023-11-30	Resident Assessment and Care Planning Deficiencies	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.	D – Moderate Harm Potential

9 fire safety citations on record

Date	Category	Description	Severity
2026-04-29	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	E – Moderate Harm Potential
2026-04-29	Egress Deficiencies	Keep aisles, corridors, and exits free of obstruction in case of emergency.	D – Moderate Harm Potential
2026-04-29	Egress Deficiencies	Install emergency lighting that can last at least 1 1/2 hours.	D – Moderate Harm Potential
2026-04-29	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	D – Moderate Harm Potential
2026-04-29	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	D – Moderate Harm Potential
2026-04-29	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	D – Moderate Harm Potential
2025-03-13	Egress Deficiencies	Keep aisles, corridors, and exits free of obstruction in case of emergency.	D – Moderate Harm Potential
2025-03-13	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	D – Moderate Harm Potential
2023-11-30	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	D – Moderate Harm Potential

$16,801

Total Fine Amount (CMS)

Number of Fines

Total Penalties

Date	Type	Fine Amount	Payment Denial
2024-03-06	Fine	$8,400	-
2024-03-06	Fine	$8,401	-

Our family advisors can help you find vetted, top-rated facilities in the Connelly Springs area at no cost.

Advisor service is free for families. We may receive referral compensation.

Our family advisors can help you find vetted, top-rated facilities in the Connelly Springs area at no cost.

Advisor service is free for families. We may receive referral compensation.