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

Carolina Village Inc

Hendersonville, NC · 58 certified beds · Last Life Safety survey April 9, 2026

CMS Certification Number 345123 · first certified October 1974

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

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

8
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
4
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

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

The latest survey found 2 citations; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens June 2027 — about 8 months from now. This facility’s last Life Safety survey was April 2026. 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
42023-1022025-0122026-04
Citations at each Life Safety survey
Survey dateCitations
October 13, 20234
January 24, 20252
April 9, 20262

Most-cited tags

Most-cited tags at this facility
K-03532K-09141K-02111K-01611K-09181K-07811K-05111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22026-04-09
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.12023-10-13
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12023-10-13
K-0161Use approved construction type or materials.12025-01-24
K-0918Have generator or other power source capable of supplying service within 10 seconds.12025-01-24
K-0781Have restrictions on the use of portable space heaters.12026-04-09
K-0511Have properly installed electrical wiring and gas equipment.12023-10-13

What the citations cover

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

Every citation on file

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

April 9, 2026 — 2 citations

Citations issued on April 9, 2026
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has no plan of correction
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has no plan of correction

January 24, 2025 — 2 citations

Citations issued on January 24, 2025
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (April 14, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (April 14, 2025)

October 13, 2023 — 4 citations

Citations issued on October 13, 2023
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (January 14, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 14, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (January 14, 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 (January 14, 2024)

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