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

Stokes County Nursing Home

Danbury, NC · 40 certified beds · Last Life Safety survey August 12, 2024

CMS Certification Number 345166 · first certified June 1977

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

  • Ownership changed January 31, 2017 (change of ownership)from PIONEER HEALTH SERVICES OF STOKES COUNTY, INC.
2
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
1
Inspection & testing records
Of the citations on file

Position within NC

2 citations — more than 4% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 1 citation; the earlier surveys in the window averaged 0.5. 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 December 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 14–16 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

Physical environment (health survey)

2 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 2 Life Safety citations above. The Physical Environment Index

  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
  • F-0880 Provide and implement an infection prevention and control program.

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 facility2NC median9National median11
Citations on file over three years, compared
MeasureCitations
This facility2
Median facility in NC9
Median facility nationally11

Survey history

Citations at each Life Safety survey
12021-0702023-0312024-08
Citations at each Life Safety survey
Survey dateCitations
July 9, 20211
March 9, 20230
August 12, 20241

Most-cited tags

Most-cited tags at this facility
K-09181K-01111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.12024-08-12
K-0111Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.12021-07-09

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Construction Deficiencies 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies1
Construction Deficiencies1

Every citation on file

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

August 12, 2024 — 1 citation

Citations issued on August 12, 2024
TagWhat the surveyor checksStatus
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 7, 2024)

July 9, 2021 — 1 citation

Citations issued on July 9, 2021
TagWhat the surveyor checksStatus
K-0111Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.Deficient, Provider has date of correction (August 6, 2021)

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