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

Village Green Health and Rehabilitation

Fayetteville, NC · 170 certified beds · Last Life Safety survey February 20, 2025

CMS Certification Number 345380 · first certified July 1991

Ownership

Operated by SANSTONE HEALTH & REHABILITATION · For profit - Individual

  • Ownership changed April 1, 2017 (change of ownership)to VILLAGE GREEN HEALTH AND REHABILITATION LLC from REHABILITATION AND HEALTH CARE CENTER AT VILLAGE GREEN
8
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
3
Inspection & testing records
Of the citations on file

Position within NC

8 citations — more than 34% 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 3 citations; the earlier surveys in the window averaged 2.5. 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 (April 2026 to June 2026), and past the point by which nine in ten NC facilities have been surveyed. This facility’s last Life Safety survey was February 2025. 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.

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 facility8NC median9National median11
Citations on file over three years, compared
MeasureCitations
This facility8
Median facility in NC9
Median facility nationally11

Survey history

Citations at each Life Safety survey
12022-0842024-0132025-02
Citations at each Life Safety survey
Survey dateCitations
August 3, 20221
January 19, 20244
February 20, 20253

Most-cited tags

Most-cited tags at this facility
K-05212K-03412K-01611K-03441K-09231K-02001
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.22025-02-20
K-0341Install a fire alarm system that can be heard throughout the facility.22025-02-20
K-0161Use approved construction type or materials.12024-01-19
K-0344Have an alternate power supply for its alarm system.12022-08-03
K-0923Have proper medical gas storage and administration areas.12024-01-19
K-0200Meet other general requirements.12025-02-20

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 3
  • Services Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Egress Deficiencies 1
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies3
Services Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies1
Egress Deficiencies1
Construction Deficiencies1

Every citation on file

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

February 20, 2025 — 3 citations

Citations issued on February 20, 2025
TagWhat the surveyor checksStatus
K-0200Meet other general requirements.Deficient, Provider has date of correction (June 27, 2025)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (June 27, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (June 27, 2025)

January 19, 2024 — 4 citations

Citations issued on January 19, 2024
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (March 15, 2024)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (March 15, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (March 15, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (March 15, 2024)

August 3, 2022 — 1 citation

Citations issued on August 3, 2022
TagWhat the surveyor checksStatus
K-0344Have an alternate power supply for its alarm system.Deficient, Provider has date of correction (September 14, 2022)

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