Senior Care Inspection Finder
Last checked October 26, 2026 · 2,911 nursing homes and 3,257 assisted living licenses in 5 states · CMS data processed September 1, 2026

Home › North Carolina › Davidson County › Cedar Hills Center for Nursing and Rehabilitation

Cedar Hills Center for Nursing and Rehabilitation

3905 Clemmons Road, Clemmons, NC 27012 · CMS Certification Number (CCN) 345131

Special Focus Facility candidate

CMS lists this home in its data as a candidate for the Special Focus Facility (SFF) program, which CMS describes as for homes with a history of serious quality issues. CMS Technical Users’ Guide

At a glance

CMS overall rating
★☆☆☆☆ 1 of 5
Health inspection citations
56 in the last 3 inspection cycles (0 immediate jeopardy, 1 actual harm, 39 from complaints)
Fire safety citations
33
Fines (last 3 years)
1 fine, total $11,333
Payment denials
1
Most recent standard inspection
February 13, 2026
Official record
Medicare Care Compare page for this facility

Source: CMS Nursing Home Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

CMS star ratings

CMS rates every Medicare- and Medicaid-certified nursing home from 1 to 5 stars. Health inspection stars are relative to other homes in the same state: the top 10% get 5 stars and the bottom 20% get 1 star. CMS says to use the ratings together with other information, including a visit. Technical Users’ Guide

RatingThis facilityNorth Carolina averageU.S. average
Overall★☆☆☆☆ 1 of 52.93
Health inspections★☆☆☆☆ 1 of 52.92.8
Staffing★☆☆☆☆ 1 of 5
This facility reported a high number of days without a registered nurse onsite.
2.72.9
Quality measures★☆☆☆☆ 1 of 53.33.6
Long-stay quality★☆☆☆☆ 1 of 5Not publishedNot published
Short-stay quality★☆☆☆☆ 1 of 5Not publishedNot published

Averages: CMS State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Health inspections

Inspection cycleStandard survey dateHealth citationsFrom standard surveyFrom complaints
Cycle 1 (most recent)February 13, 2026251614
Cycle 2November 8, 2024271225

CMS weighted health inspection score: 230.5 (lower is better; it counts citation severity, complaints and repeat revisits). Citations from infection control inspections: Not published. How to read these citations

56 health citations across 6 inspection dates, newest first. The letter is CMS’s scope/severity code: A–C means potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, and J–L immediate jeopardy.

June 26, 2026: 3 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0761 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
Complaint Deficient, Provider has date of correction
Corrected 07/01/2026
D F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/01/2026
D F-0583 Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/01/2026
April 22, 2026: 6 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0761 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
Complaint Deficient, Provider has date of correction
Corrected 07/01/2026
D F-0759 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/26/2026
D F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/26/2026
D F-0677 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/26/2026
D F-0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/26/2026
D F-0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/26/2026
February 13, 2026: 16 citations (Standard + Complaint)
SeverityTagWhat was citedTypeStatus
E F-0883 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/22/2026
F F-0881 Implement a program that monitors antibiotic use.
Infection Control Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/22/2026
D F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 04/22/2026
F F-0814 Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/22/2026
F F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/22/2026
D F-0770 Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 04/22/2026
E F-0761 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
Standard Deficient, Provider has date of correction
Corrected 07/01/2026
D F-0690 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
Standard Deficient, Provider has date of correction
Corrected 04/22/2026
D F-0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 04/22/2026
D F-0677 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 06/26/2026
D F-0656 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
Standard Deficient, Provider has date of correction
Corrected 04/22/2026
E F-0655 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
Standard Deficient, Provider has date of correction
Corrected 04/22/2026
D F-0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/22/2026
D F-0578 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 04/22/2026
C F-0577 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies
Standard No revisit needed
Corrected 03/11/2026
D F-0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 06/26/2026
November 8, 2024: 12 citations (Standard + Complaint)
SeverityTagWhat was citedTypeStatus
D F-0914 Provide bedrooms that don't allow residents to see each other when privacy is needed.
Environmental Deficiencies
Standard Deficient, Provider has date of correction
Corrected 12/10/2024
D F-0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/10/2024
D F-0698 Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/10/2024
G F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/10/2024
D F-0688 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/10/2024
E F-0658 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/10/2024
D F-0636 Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/10/2024
D F-0624 Prepare residents for a safe transfer or discharge from the nursing home.
Resident Rights Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/10/2024
D F-0622 Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Resident Rights Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/10/2024
D F-0583 Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 12/10/2024
C F-0575 Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Resident Rights Deficiencies
Standard + Complaint Deficient, Provider has plan of correction
Corrected 12/10/2024
E F-0565 Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/10/2024
September 20, 2024: 6 citations (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0760 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/11/2024
D F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/11/2024
D F-0697 Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/11/2024
D F-0690 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
Complaint Deficient, Provider has date of correction
Corrected 10/11/2024
D F-0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/11/2024
D F-0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 10/11/2024
November 17, 2023: 13 citations (Standard + Complaint)
SeverityTagWhat was citedTypeStatus
E F-0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/15/2023
E F-0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/15/2023
E F-0761 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
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/15/2023
D F-0759 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/15/2023
E F-0727 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
Standard Deficient, Provider has date of correction
Corrected 12/15/2023
E F-0698 Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 12/15/2023
D F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/15/2023
D F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 12/15/2023
E F-0677 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/15/2023
D F-0656 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
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/15/2023
D F-0641 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 12/15/2023
B F-0584 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
Standard + Complaint Deficient, Provider has plan of correction
Corrected 12/15/2023
E F-0558 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 12/15/2023

Source: CMS Health Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Fire safety inspections

33 fire safety citations across 3 inspection dates
DateSeverityTagWhat was citedStatus
02/13/2026DK-0751Have restrictions on the use of flammable curtains.
Miscellaneous Deficiencies
Deficient, Provider has date of correction
Corrected 06/24/2026
02/13/2026EK-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies
Deficient, Provider has date of correction
Corrected 06/24/2026
02/13/2026FK-0511Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Deficient, Provider has date of correction
Corrected 06/24/2026
02/13/2026DK-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 06/24/2026
02/13/2026FK-0363Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 06/24/2026
02/13/2026DK-0345Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 06/24/2026
02/13/2026FK-0324Provide properly protected cooking facilities.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 06/24/2026
02/13/2026FK-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 06/24/2026
02/13/2026DK-0293Have properly located and lighted "Exit" signs.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 06/24/2026
02/13/2026DK-0281Install proper backup exit lighting.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 06/24/2026
02/13/2026DK-0271Have exits that are accessible at all times.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 06/24/2026
02/13/2026DK-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 06/24/2026
02/13/2026DK-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 06/24/2026
02/13/2026DK-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 06/24/2026
02/13/2026EK-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 06/24/2026
02/13/2026DK-0161Use approved construction type or materials.
Construction Deficiencies
Deficient, Provider has date of correction
Corrected 06/24/2026
11/08/2024DK-0923Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 03/07/2025
11/08/2024DK-0918Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 03/07/2025
11/08/2024DK-0712Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
Deficient, Provider has date of correction
Corrected 03/07/2025
11/08/2024DK-0511Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Deficient, Provider has date of correction
Corrected 03/07/2025
11/08/2024DK-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 03/07/2025
11/08/2024DK-0355Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 03/07/2025
11/08/2024DK-0331Construct fire resistant interior walls.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 03/07/2025
11/08/2024DK-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 03/07/2025
11/08/2024DK-0311Have an enclosure around a vertical opening shaft.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 03/07/2025
11/08/2024DK-0271Have exits that are accessible at all times.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 03/07/2025
11/08/2024DK-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 03/07/2025
11/08/2024DK-0111Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Construction Deficiencies
Deficient, Provider has date of correction
Corrected 03/07/2025
11/17/2023DK-0923Have proper medical gas storage and administration areas.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 01/19/2024
11/17/2023DK-0918Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 01/19/2024
11/17/2023DK-0345Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 01/19/2024
11/17/2023DK-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 01/19/2024
11/17/2023DK-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 01/19/2024

Automatic sprinklers in all required areas: Yes. CMS does not count fire safety citations in the health inspection star rating.

Source: CMS Fire Safety Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Penalties

DateTypeFine amountPayment denial
February 13, 2026Payment Denial—Starting May 13, 2026, 49 days
November 8, 2024Fine$11,333—

Source: CMS Penalties: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Staffing

MeasureThis facilityNorth Carolina averageU.S. average
Total nurse staff hours per resident per day3.433.853.86
Registered nurse (RN) hours per resident per day0.190.620.69
LPN/LVN hours per resident per day0.86Not publishedNot published
Nurse aide hours per resident per day2.38Not publishedNot published
Total nurse staff hours per resident per day, weekends3.15Not publishedNot published
RN hours per resident per day, weekends0.14Not publishedNot published
Total nursing staff turnover (%)65.94945.8
Registered nurse turnover (%)83.3Not publishedNot published
Administrators who have left1Not publishedNot published

Reported hours come from the Payroll-Based Journal (PBJ) staffing data that facilities submit to CMS each quarter.

Source: CMS Provider Information; State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Facility details

Legal business name
Clemmons Road Operating Company, LLC
Ownership type
For profit - Corporation
Chain
Alliance Health Group (13 facilities)
Ownership changed in last 12 months
No
Certified beds
94
Average residents per day
84.3
Participates in
Medicare and Medicaid
Located inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
First approved for Medicare/Medicaid
October 1, 1974
County/parish
Davidson

Source: CMS Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Owners and managers reported to CMS

3 ownership and management records
NameRoleTypeOwnership %Since
EMANUEL, YOSEFCORPORATE OFFICERIndividualNOT APPLICABLEundefined undefined, NaN
STOVER, KRISTINOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
STOVER, KRISTINADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN

Source: CMS Ownership: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Check it yourself

Page built from CMS data files processed September 1, 2026 (CMS refreshes monthly). Last checked October 26, 2026. Not a ranking or endorsement.