State assisted-living licensing record · North Carolina DHSR · record as pulled October 1, 2026· Not the federal nursing home survey
Bethamy Retirement Center
909 N. Salisbury Avenue, Spencer, NC 28159 · Rowan County · 43 licensed beds
DHSR facility ID 920093 · licence HAL-080-032 · licensed through November 8, 2025
The licence
Licensed by DHSR · Adult care home · managed by Residence Care Services, LLC
Licence details, as listed by DHSR
- Licensed as
- Adult care home
- Licence
- HAL-080-032
- Licence expires
- November 8, 2025
Position within North Carolina
64 citations — more than 99% of the 568 licensed assisted living facilities in North Carolina. Compared only within North Carolina: a citation from DHSR means what it means in North Carolina, and there is no national assisted living record to compare to. Counted over 3 years, which holds two or three routine inspections. How this is calculated
Not in this record
Severity, the regulation text, the surveyor's narrative, the star rating, and penalties. DHSR assigns no severity on these statements; the plan of correction is the facility's own text and is not republished, and the star rating and the penalties DHSR lists on the same page are not republished. What is here is unusual among states: DHSR's Construction Section inspects the building and its fire safety itself and posts those statements per home, so this record carries a real life safety section. Family care homes, two to six beds, are also licensed by DHSR and are not included.
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Life safety and building citations
The citations about the building itself — fire and life safety, physical plant and emergency management. Usually the maintenance side’s to fix.
- D067 Physical EnvironmentOctober 24, 2025
- D079 Housekeeping and FurnishingsOctober 24, 2025
- D113 Other RequirementsOctober 24, 2025
- C111 Must Have Current San. & Fire Safety ReportsAugust 19, 2025
- C162 Outside Premises-Outdoor LightingAugust 19, 2025
- C185 Fire Safety-Rehearsals on Each ShiftAugust 19, 2025
- C188 Electrical Outlets in Wet LocationsAugust 19, 2025
- C189 Building Equipment Maintained Safe, OperatingAugust 19, 2025
- C199 Exhaust VentilationAugust 19, 2025
- D067 Physical EnvironmentAugust 13, 2025
- D074 Housekeeping And FurnishingsAugust 13, 2025
- D079 Housekeeping and FurnishingsAugust 13, 2025
- D105 Other RequirementsAugust 13, 2025
- D113 Other RequirementsAugust 13, 2025
- C111 Must Have Current San. & Fire Safety ReportsOctober 8, 2024
- C162 Outside Premises-Outdoor LightingOctober 8, 2024
- C185 Fire Safety-Rehearsals on Each ShiftOctober 8, 2024
- C188 Electrical Outlets in Wet LocationsOctober 8, 2024
- C189 Building Equipment Maintained Safe, OperatingOctober 8, 2024
- C199 Exhaust VentilationOctober 8, 2024
- D074 Housekeeping And FurnishingsJune 26, 2024
- D063 Physical EnvironmentApril 5, 2024
- D074 Housekeeping And FurnishingsApril 5, 2024
How that compares
Compared with the median licensed assisted living facility in North Carolina. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 64 |
| Median facility in North Carolina | 6 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| April 5, 2024 | annual inspection, complaint investigation, follow-up | 10 |
| June 26, 2024 | follow-up | 5 |
| September 25, 2024 | complaint investigation, follow-up | 1 |
| October 8, 2024 | Construction Section building and fire safety inspection | 6 |
| August 13, 2025 | annual inspection, complaint investigation, follow-up | 22 |
| August 19, 2025 | Construction Section follow-up | 6 |
| October 24, 2025 | complaint investigation, follow-up | 14 |
What the citations cover
- Resident care 26
- Physical plant 17
- Medication 12
- Life safety 6
- Other 3
| Category | Citations |
|---|---|
| Resident care | 26 |
| Physical plant | 17 |
| Medication | 12 |
| Life safety | 6 |
| Records and administration | 1 |
| Uncatalogued tags | 1 |
| Staffing and training | 1 |
Every visit on file since October 2023
As published by DHSR, newest first, including visits that cited nothing. The wording is DHSR’s own.
October 24, 2025 — complaint investigation, follow-up, 14 citations
| Tag | What DHSR checks |
|---|---|
| D067 | Physical Environment |
| D079 | Housekeeping and Furnishings |
| D113 | Other Requirements |
| D234 | Tuberculosis Test, Medical Exam & Immunizatio |
| D253 | Resident Assessment |
| D270 | Personal Care and Supervision |
| D276 | (3-4) Health Care |
| D283 | Nutrition and Food Service |
| D286 | Nutrition and Food Service |
| D317 | Activities Program |
| D338 | Resident Rights |
| D358 | Medication Administration |
| D371 | Medication Administration |
| D610 | Infection Prevention & Control Policies & Pro |
August 19, 2025 — Construction Section follow-up, 6 citations
| Tag | What DHSR checks |
|---|---|
| C111 | Must Have Current San. & Fire Safety Reports |
| C162 | Outside Premises-Outdoor Lighting |
| C185 | Fire Safety-Rehearsals on Each Shift |
| C188 | Electrical Outlets in Wet Locations |
| C189 | Building Equipment Maintained Safe, Operating |
| C199 | Exhaust Ventilation |
August 13, 2025 — annual inspection, complaint investigation, follow-up, 22 citations
| Tag | What DHSR checks |
|---|---|
| D067 | Physical Environment |
| D074 | Housekeeping And Furnishings |
| D079 | Housekeeping and Furnishings |
| D105 | Other Requirements |
| D113 | Other Requirements |
| D234 | Tuberculosis Test, Medical Exam & Immunizatio |
| D240 | Tuberculosis Test, Medical Exam & Immunizatio |
| D253 | Resident Assessment |
| D283 | Nutrition and Food Service |
| D286 | Nutrition and Food Service |
| D296 | Nutrition And Food Service |
| D310 | Nutrition and Food Service |
| D317 | Activities Program |
| D338 | Resident Rights |
| D344 | Medication Orders |
| D358 | Medication Administration |
| D367 | Medication Administration |
| D371 | Medication Administration |
| D375 | Self-Administration Of Medications |
| D378 | Medication Storage |
| D420 | Accounting For Resident's Personal Funds |
| D610 | Infection Prevention & Control Policies & Pro |
October 8, 2024 — Construction Section building and fire safety inspection, 6 citations
| Tag | What DHSR checks |
|---|---|
| C111 | Must Have Current San. & Fire Safety Reports |
| C162 | Outside Premises-Outdoor Lighting |
| C185 | Fire Safety-Rehearsals on Each Shift |
| C188 | Electrical Outlets in Wet Locations |
| C189 | Building Equipment Maintained Safe, Operating |
| C199 | Exhaust Ventilation |
September 25, 2024 — complaint investigation, follow-up, 1 citation
| Tag | What DHSR checks |
|---|---|
| D344 | Medication Orders |
June 26, 2024 — follow-up, 5 citations
April 5, 2024 — annual inspection, complaint investigation, follow-up, 10 citations
| Tag | What DHSR checks |
|---|---|
| D063 | Physical Environment |
| D074 | Housekeeping And Furnishings |
| D181 | Management Of Facilities WIth A Capacity Or |
| D234 | Tuberculosis Test, Medical Exam & Immunizatio |
| D296 | Nutrition And Food Service |
| D317 | Activities Program |
| D338 | Resident Rights |
| D358 | Medication Administration |
| D438 | Health Care Personnel Registry |
| D980 | Implementation |
DHSR also holds 21 older citations for this facility from before October 2023, outside the 3-year window these pages use. They are on the state’s own record.
Reflects the DHSR record as pulled October 1, 2026. A recent visit may not appear yet. This is the North Carolina state licensing record; it is not the federal nursing home survey and the two are never combined.