B-
72/100

Sanford Health & Rehabilitation Co Inspection Report, Violations & Safety Grade (Sanford, North Carolina)

2702 Farrell Road, Sanford, North Carolina 27330

Phone: 9197769602

CMS Overall:3/5

Overview & Bed Count

Certified Beds
131
Avg Residents/Day
102.1
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Lee
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health3/5
Staffing3/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityNorth Carolina AvgDifference
RN Hours per Resident per Day0.230.62-0.39
Total Nurse Hours per Resident per Day3.673.87-0.20
CMS Staffing Rating3/52.7/5-
Nursing Staff Turnover30.1%48.7%-

Health Citation History

12 health citations on record

DateCategoryDescriptionSeverity
2026-07-23Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D – Moderate Harm Potential
2026-07-23Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.D – Moderate Harm Potential
2026-07-23Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2026-07-23Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2025-04-04Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2024-06-13Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.G – Actual Harm
2024-01-24Quality of Life and Care DeficienciesProvide for the safe, appropriate administration of IV fluids for a resident when needed.D – Moderate Harm Potential
2024-01-24Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2024-01-24Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2024-01-24Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2024-01-24Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.D – Moderate Harm Potential
2024-01-24Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.D – Moderate Harm Potential

Fire Safety Citation History

24 fire safety citations on record

DateCategoryDescriptionSeverity
2025-04-04Smoke DeficienciesEnsure 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
2025-04-04Smoke DeficienciesInstall an approved automatic sprinkler system.D – Moderate Harm Potential
2025-04-04Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2025-04-04Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2025-04-04Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.D – Moderate Harm Potential
2024-01-24Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2024-01-24Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2024-01-24Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.E – Moderate Harm Potential
2024-01-24Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2024-01-24Smoke DeficienciesEnsure 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
2024-01-24Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2024-01-24Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2024-01-24Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2024-01-24Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2024-01-24Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.D – Moderate Harm Potential
2022-12-01Egress DeficienciesInstall emergency lighting that can last at least 1 1/2 hours.F – Moderate Harm Potential
2022-12-01Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2022-12-01Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.F – Moderate Harm Potential
2022-12-01Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2022-12-01Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2022-12-01Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2022-12-01Construction DeficienciesUse approved construction type or materials.E – Moderate Harm Potential
2022-12-01Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2022-12-01Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential

Total Penalties & Fines

$10,527
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2024-06-13Fine$10,527-

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