Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Cabarrus Health and Rehabilitation Center

Concord, NC · 120 certified beds · Last Life Safety survey April 18, 2024

CMS Certification Number 345183 · first certified May 1979

Ownership

Operated by LIFEWORKS REHAB · For profit - Corporation

  • Ownership changed June 1, 2024 (change of ownership)from UNIVERSAL HEALTH CARE CONCORD, INC
9
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

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

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 2. 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 (June 2025 to August 2025), and past the point by which nine in ten NC facilities have been surveyed. This facility’s last Life Safety survey was April 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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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 9 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

5 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-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

How that compares

Citations on file over three years

Compared with the median facility in NC, and nationally. Surveyors differ markedly between states, so the NC figure is the meaningful one.

This facility9NC median9National median11
Citations on file over three years, compared
MeasureCitations
This facility9
Median facility in NC9
Median facility nationally11

Survey history

Citations at each Life Safety survey
02021-0742022-1242024-04
Citations at each Life Safety survey
Survey dateCitations
July 15, 20210
December 8, 20224
April 18, 20244

Most-cited tags

Most-cited tags at this facility
K-03212K-09232K-07412K-09181E-00041E-00391
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22024-04-18
K-0923Have proper medical gas storage and administration areas.22024-04-18
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.22024-04-18
K-0918Have generator or other power source capable of supplying service within 10 seconds.12022-12-08
E-0004Develop and maintain an Emergency Preparedness Program (EP).12024-04-18
E-0039Conduct testing and exercise requirements.12025-06-27

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Miscellaneous Deficiencies 2
  • Emergency Preparedness Deficiencies 2
  • Smoke Deficiencies 2
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies3
Miscellaneous Deficiencies2
Emergency Preparedness Deficiencies2
Smoke Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 27, 2025 — 1 citation

Citations issued on June 27, 2025
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (August 7, 2025)

April 18, 2024 — 4 citations

Citations issued on April 18, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (May 8, 2024)
K-0321Ensure 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 (May 30, 2024)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (May 30, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (May 30, 2024)

December 8, 2022 — 4 citations

Citations issued on December 8, 2022
TagWhat the surveyor checksStatus
K-0321Ensure 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 (May 25, 2023)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (May 25, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (May 25, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (May 25, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.