Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
Asheboro Rehabilitation and Healthcare Center
Asheboro, NC · 100 certified beds · Last Life Safety survey September 6, 2024
CMS Certification Number 345277 · first certified March 1988
Ownership
Operated by YAD HEALTHCARE · For profit - Limited Liability company
- Ownership changed August 1, 2023 (change of ownership)from 400 VISION DRIVE OPERATIONS LLC
Position within NC
9 citations — more than 45% of the 419 certified nursing homes in NC. Compared within NC rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 2 citations; the earlier surveys in the window averaged 3.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Well past the typical window (October 2025 to January 2026), and past the point by which nine in ten NC facilities have been surveyed. This facility’s last Life Safety survey was September 2024. Facilities in NC are typically surveyed 14–16 months after the last one (median 15), measured over 412 consecutive surveys in the last two years of CMS records.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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Physical environment (health survey)
4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 9 Life Safety citations above. The Physical Environment Index
- F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- F-0880 Provide and implement an infection prevention and control program.
- F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
How that compares
Compared with the median facility in NC, and nationally. Surveyors differ markedly between states, so the NC figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 9 |
| Median facility in NC | 9 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| April 28, 2022 | 6 |
| April 20, 2023 | 1 |
| September 6, 2024 | 2 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0161 | Use approved construction type or materials. | 1 | 2022-04-28 |
| K-0351 | Install an approved automatic sprinkler system. | 1 | 2022-04-28 |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | 1 | 2022-04-28 |
| K-0100 | Meet other general requirements. | 1 | 2022-04-28 |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | 1 | 2022-04-28 |
| K-0911 | Meet requirements for the installation and maintenance of electrical systems. | 1 | 2023-04-20 |
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 1 | 2022-04-28 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2024-09-06 |
What the citations cover
- Smoke Deficiencies 3
- Construction Deficiencies 2
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Egress Deficiencies 1
- Other 1
| Category | Citations |
|---|---|
| Smoke Deficiencies | 3 |
| Construction Deficiencies | 2 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Egress Deficiencies | 1 |
| Services Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
September 6, 2024 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (October 24, 2024) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (October 24, 2024) |
April 20, 2023 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0911 | Meet requirements for the installation and maintenance of electrical systems. | Deficient, Provider has date of correction (June 19, 2023) |
April 28, 2022 — 6 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0100 | Meet other general requirements. | Deficient, Provider has date of correction (July 29, 2022) |
| K-0161 | Use approved construction type or materials. | Deficient, Provider has date of correction (July 29, 2022) |
| K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | Deficient, Provider has date of correction (July 29, 2022) |
| K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Deficient, Provider has date of correction (July 29, 2022) |
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has date of correction (July 29, 2022) |
| K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Deficient, Provider has date of correction (July 29, 2022) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.