Lillington Health and Rehabilitation Center
1995 East Cornelius Harnett Boulevard · Lillington, NC · 27546 · 9109835141
129 certified beds For profit - Corporation Chain: Lifeworks Rehab
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
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.
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.74 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.33 | 0.55–0.75 |
| Weekend hours / resident-day | 3.13 | ≈ weekday level |
| Nursing turnover / year | 59% | median 45% |
| Fines (3-yr window) | 1 · $14,945 |
Inspection citations (35 in the current record)
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Potential for harm · D August 13, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected September 5, 2025 · Resident Rights
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Potential for harm · D August 13, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 5, 2025 · Pharmacy Service
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Potential for harm · F August 13, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 5, 2025 · Nutrition and Dietary
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Potential for harm · D August 13, 2025 · found via complaint
Keep all essential equipment working safely.
Corrected September 5, 2025 · Environmental
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Potential for harm · D May 23, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 23, 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 June 20, 2025 · Pharmacy Service
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Potential for harm · F May 23, 2025
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected June 20, 2025 · Nutrition and Dietary
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Potential for harm · F May 23, 2025
Dispose of garbage and refuse properly.
Corrected June 20, 2025 · Nutrition and Dietary
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Potential for harm · D May 23, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected June 20, 2025 · Resident Rights
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Potential for harm · D May 23, 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 June 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 23, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 20, 2025 · Quality of Life and Care
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Potential for harm · D May 23, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 20, 2025 · Quality of Life and Care
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Potential for harm · E May 23, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected June 20, 2025 · Pharmacy Service
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Potential for harm · E May 23, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected June 20, 2025 · Pharmacy Service
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Potential for harm · D May 23, 2025 · found via complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected June 20, 2025 · Nutrition and Dietary
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Potential for harm · F May 23, 2025 · found via complaint
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected June 20, 2025 · Nutrition and Dietary
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Potential for harm · E May 23, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 20, 2025 · Nutrition and Dietary
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No harm found · B May 23, 2025
Ensure each resident receives an accurate assessment.
Corrected June 20, 2025 · Resident Assessment and Care Planning
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No harm found · B May 23, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected June 20, 2025 · Resident Rights
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No harm found · B August 27, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 11, 2024 · Resident Assessment and Care Planning
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Actual harm · G April 26, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 24, 2024 · Quality of Life and Care
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Potential for harm · E April 26, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F April 26, 2024
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected May 24, 2024 · Nutrition and Dietary
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Potential for harm · E April 26, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 24, 2024 · Nutrition and Dietary
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Potential for harm · E April 26, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected May 24, 2024 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 26, 2024 | Fine | $14,945 |
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 345213 · certified since October 1, 1981. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.