State assisted-living licensing record · North Carolina DHSR · record as pulled October 1, 2026· Not the federal nursing home survey
Jefferson Care Home
111 Staley Boswell Road, Yanceyville, NC 27379 · Caswell County · 12 licensed beds
DHSR facility ID 920596 · licence HAL-017-059 · licensed through December 31, 2026
The licence
Licensed by DHSR · Adult care home · managed by Humphrey + One Inc
Licence details, as listed by DHSR
- Licensed as
- Adult care home
- Licence
- HAL-017-059
- Licence expires
- December 31, 2026
Position within North Carolina
18 citations — more than 81% 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.
Get an email about Jefferson Care Home
One email when it happens, from the DHSR record as it is pulled each month. No account; stop it any time with one click.
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.
How that compares
Compared with the median licensed assisted living facility in North Carolina. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 18 |
| Median facility in North Carolina | 6 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| March 6, 2024 | annual inspection | 0 |
| June 9, 2026 | annual inspection | 18 |
What the citations cover
- Resident care 7
- Medication 6
- Physical plant 3
- Staffing and training 2
| Category | Citations |
|---|---|
| Resident care | 7 |
| Medication | 6 |
| Physical plant | 3 |
| Staffing and training | 2 |
Every visit on file since October 2023
As published by DHSR, newest first, including visits that cited nothing. The wording is DHSR’s own.
June 9, 2026 — annual inspection, 18 citations
| Tag | What DHSR checks |
|---|---|
| D067 | Physical Environment |
| D074 | Housekeeping And Furnishings |
| D118 | Other Requirements |
| D125 | Qualifications Of Medication Staff |
| D188 | Personal Care And Other Staffing |
| D280 | Licensed Health Professional Support |
| D282 | Nutrition and Food Service |
| D286 | Nutrition and Food Service |
| D291 | Nutrition And Food Service |
| D298 | Nutrition And Food Service |
| D299 | Nutrition And Food Service |
| D306 | Nutrition and Food Service |
| D358 | Medication Administration |
| D366 | Medication Administration |
| D367 | Medication Administration |
| D371 | Medication Administration |
| D383 | Medication Storage |
| D392 | Controlled Substances |
March 6, 2024 — annual inspection, nothing cited
DHSR also holds 3 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.