Hibriten Mountain Nursing and Rehabilitation
2030 Harper Avenue Nw · Lenoir, NC · 28645 · 8287543888
100 certified beds Non profit - Other Chain: Avardis Health
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.49 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.60 | 0.55–0.75 |
| Weekend hours / resident-day | 3.08 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 2 · $53,110 |
Inspection citations (49 in the current record)
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Potential for harm · D February 26, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 23, 2026 · Resident Rights
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Potential for harm · D February 26, 2026
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.
Corrected March 24, 2026 · Resident Rights
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Potential for harm · D February 26, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected March 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2026
Provide appropriate foot care.
Corrected March 23, 2026 · Quality of Life and Care
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Potential for harm · E February 26, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 26, 2026 · Pharmacy Service
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Potential for harm · D February 26, 2026
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.
Corrected March 23, 2026 · Pharmacy Service
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Potential for harm · D February 26, 2026
Provide and implement an infection prevention and control program.
Corrected March 23, 2026 · Infection Control
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Potential for harm · D February 26, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected March 23, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 26, 2026 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected March 23, 2026 · Pharmacy Service
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Immediate jeopardy · J July 22, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 15, 2025 · Quality of Life and Care
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Potential for harm · D July 22, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 7, 2025 · Resident Rights
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Potential for harm · D July 22, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 22, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected July 23, 2025 · Pharmacy Service
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Immediate jeopardy · J December 17, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected June 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 17, 2024
Ensure each resident receives an accurate assessment.
Corrected January 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 17, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 17, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 17, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 8, 2025 · Quality of Life and Care
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Potential for harm · D December 17, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 17, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 8, 2025 · Quality of Life and Care
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No harm found · B December 17, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 14, 2024 · found via complaint
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.
Corrected July 9, 2024 · Resident Rights
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Potential for harm · D June 14, 2024 · found via complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected July 9, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 17, 2024 | Fine | $16,801 |
| September 8, 2023 | Fine | $36,309 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345329 · certified since October 3, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.