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

Carolina Rehab Center of Burke

Connelly Spring, NC · 90 certified beds · Last Life Safety survey August 1, 2024

CMS Certification Number 345526 · first certified March 2003

Ownership

Operated by LIFEWORKS REHAB · For profit - Limited Liability company

  • Ownership changed May 28, 2021 (change of ownership)from CAROLINA HEALTH CARE CENTER OF BURKE LIMITED PARTNERSHIP
10
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
1
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within NC

10 citations — more than 49% 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

Slippingmore citations at the latest survey than at its earlier surveys in CMS's current file.

The latest survey found 6 citations; the earlier surveys on file 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 (September 2025 to November 2025), and past the point by which nine in ten NC facilities have been surveyed. This facility’s last Life Safety survey was August 2024. Facilities in NC are typically surveyed 14–15 months after the last one (median 14), measured over 458 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 about three years in Virginia. 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 cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

3 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 10 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-0880 Provide and implement an infection prevention and control program.

How that compares

Citations in CMS's current file

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

This facility10NC median10National median11
Citations in CMS's current file, compared
MeasureCitations
This facility10
Median facility in NC10
Median facility nationally11

Survey history

Citations at each Life Safety survey
12021-0432023-0262024-08
Citations at each Life Safety survey
Survey dateCitations
April 15, 20211
February 9, 20233
August 1, 20246

Most-cited tags

Most-cited tags at this facility
K-03532K-03241K-03511K-05211K-09231K-03211K-03471K-02111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-08-01
K-0324Provide properly protected cooking facilities.12024-08-01
K-0351Install an approved automatic sprinkler system.12024-08-01
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12024-08-01
K-0923Have proper medical gas storage and administration areas.12023-02-09
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12023-02-09
K-0347Properly provide smoke detection systems in areas open to corridors.12024-08-01
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12021-04-15

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Services Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Services Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies1
Egress Deficiencies1

Every citation on file

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

August 1, 2024 — 6 citations

Citations issued on August 1, 2024
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (October 7, 2024)
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (October 7, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (October 7, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 7, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (October 7, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (October 7, 2024)

February 9, 2023 — 3 citations

Citations issued on February 9, 2023
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 (March 26, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 26, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (March 26, 2023)

April 15, 2021 — 1 citation

Citations issued on April 15, 2021
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (June 12, 2021)

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