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

Goldsboro Rehabilitation and Healthcare Center

Goldsboro, NC · 130 certified beds · Last Life Safety survey September 6, 2024

CMS Certification Number 345343 · first certified January 1991

Ownership

Operated by SIMCHA HYMAN & NAFTALI ZANZIPER · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

10
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within NC

10 citations — more than 51% 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 the window.

The latest survey found 7 citations; the earlier surveys in the window averaged 1.5. 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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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 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 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 facility10NC median9National median11
Citations on file over three years, compared
MeasureCitations
This facility10
Median facility in NC9
Median facility nationally11

Survey history

Citations at each Life Safety survey
12021-1222023-0472024-09
Citations at each Life Safety survey
Survey dateCitations
December 16, 20211
April 26, 20232
September 6, 20247

Most-cited tags

Most-cited tags at this facility
K-03212K-02111K-09141K-09231K-03721K-03531K-05211K-03511
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.22024-09-06
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12024-09-06
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12024-09-06
K-0923Have proper medical gas storage and administration areas.12023-04-26
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12024-09-06
K-0353Inspect, test, and maintain automatic sprinkler systems.12024-09-06
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12024-09-06
K-0351Install an approved automatic sprinkler system.12021-12-16

What the citations cover

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

Every citation on file

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

September 6, 2024 — 7 citations

Citations issued on September 6, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (December 2, 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 (December 2, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 2, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (December 2, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (December 2, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (December 2, 2024)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (December 2, 2024)

April 26, 2023 — 2 citations

Citations issued on April 26, 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 (June 6, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (June 6, 2023)

December 16, 2021 — 1 citation

Citations issued on December 16, 2021
TagWhat the surveyor checksStatus
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (February 14, 2022)

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