Lenoir Health and Rehabilitation Center

322 Nuway Circle · Lenoir, NC · 28645 · 8287587326

120 certified beds For profit - Corporation Chain: Lifeworks Rehab

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $65,953 in fines in the last 24 months.
  • 3 citations involved actual harm to residents.

Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

2 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

$65,953 in federal fines in the last 24 months

3 fines — CMS fines are reserved for verified, serious non-compliance.

RN staffing in the bottom 10% nationally

0.24 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

67% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 38
Serious harm & abuse 20% 82
Staffing 20% 50
Federal penalties 15% 0
Trend 10% 69
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.703.48 min · 4.1 strong
RN hours / resident-day0.240.55–0.75
Weekend hours / resident-day3.12≈ weekday level
Nursing turnover / year67%median 45%
Fines (3-yr window)4 · $150,174

Inspection citations (37 in the current record)

  • Actual harm · G February 5, 2026 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected March 2, 2026 · Pharmacy Service

  • Potential for harm · D February 5, 2026 · 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 March 2, 2026 · Resident Rights

  • Potential for harm · D February 5, 2026 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected March 2, 2026 · Pharmacy Service

  • Potential for harm · D November 24, 2025

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected December 19, 2025 · Resident Rights

  • Potential for harm · D November 24, 2025

    Assess the resident when there is a significant change in condition

    Corrected December 19, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D November 24, 2025

    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.

    Corrected December 19, 2025 · Quality of Life and Care

  • Potential for harm · D November 24, 2025

    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 December 19, 2025 · Pharmacy Service

  • Potential for harm · E November 24, 2025

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

    Corrected December 19, 2025 · Nutrition and Dietary

  • Potential for harm · E November 24, 2025

    Provide and implement an infection prevention and control program.

    Corrected December 19, 2025 · Infection Control

  • Potential for harm · D November 24, 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 December 19, 2025 · Resident Rights

  • Potential for harm · D November 24, 2025 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected December 19, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 24, 2025 · found via complaint

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

    Corrected December 19, 2025 · Quality of Life and Care

  • Potential for harm · D November 24, 2025 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected December 19, 2025 · Quality of Life and Care

  • No harm found · B November 24, 2025

    Post nurse staffing information every day.

    Corrected December 19, 2025 · Nursing and Physician Services

  • Actual harm · G July 8, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 9, 2025 · Quality of Life and Care

  • Potential for harm · D July 8, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected July 29, 2025 · Pharmacy Service

  • Potential for harm · E July 8, 2025 · found via complaint

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected July 29, 2025 · Environmental

  • Potential for harm · D October 30, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected November 16, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 30, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected November 16, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 30, 2024 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected November 16, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 30, 2024 · found via complaint

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

    Corrected November 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 30, 2024 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected November 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E August 8, 2024

    Provide activities to meet all resident's needs.

    Corrected October 30, 2024 · Quality of Life and Care

  • Potential for harm · F August 8, 2024

    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.

    Corrected November 15, 2024 · Nursing and Physician Services

  • Potential for harm · D August 8, 2024 · found via complaint

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

    Corrected October 30, 2024 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
February 5, 2026Fine$35,464
July 8, 2025Fine$9,620
August 8, 2024Fine$20,869
August 8, 2024Payment Denial8 days
October 5, 2023Fine$84,221
October 5, 2023Payment Denial55 days

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 345138 · certified since February 1, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.