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

Premier Nursing and Rehabilitation Center

Jacksonville, NC · 239 certified beds · Last Life Safety survey April 24, 2025

CMS Certification Number 345217 · first certified November 1981

Ownership

Operated by PRINCIPLE LONG TERM CARE · For profit - Limited Liability company

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

14
Citations on file
Rolling three-year window
4
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within NC

14 citations — more than 71% 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 5 citations; the earlier surveys in the window averaged 3. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (June 2026 to August 2026), and past the point by which nine in ten NC facilities have been surveyed. This facility’s last Life Safety survey was April 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

3 inspection-and-testing tags have 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.

Physical environment (health survey)

5 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 14 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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 facility14NC median9National median11
Citations on file over three years, compared
MeasureCitations
This facility14
Median facility in NC9
Median facility nationally11

Survey history

Citations at each Life Safety survey
22023-0362024-0312024-0852025-04
Citations at each Life Safety survey
Survey dateCitations
March 3, 20232
March 27, 20246
August 19, 20241
April 24, 20255

Most-cited tags

Most-cited tags at this facility
K-09232K-05212K-03632K-02001K-02111K-05111K-02221K-03411
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0923Have proper medical gas storage and administration areas.22025-04-24
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.22024-08-19
K-0363Install corridor and hallway doors that block smoke.22025-04-24
K-0200Meet other general requirements.12025-04-24
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12024-03-27
K-0511Have properly installed electrical wiring and gas equipment.12024-03-27
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12024-03-27
K-0341Install a fire alarm system that can be heard throughout the facility.12023-03-03

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Services Deficiencies 3
  • Egress Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Services Deficiencies3
Egress Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies3
Construction Deficiencies1

Every citation on file

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

April 24, 2025 — 5 citations

Citations issued on April 24, 2025
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (July 17, 2025)
K-0200Meet other general requirements.Deficient, Provider has date of correction (July 17, 2025)
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 (July 17, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (July 17, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (July 17, 2025)

August 19, 2024 — 1 citation

Citations issued on August 19, 2024
TagWhat the surveyor checksStatus
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (November 1, 2024)

March 27, 2024 — 6 citations

Citations issued on March 27, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (July 19, 2024)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (July 19, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (July 19, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (July 19, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (July 19, 2024)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (July 19, 2024)

March 3, 2023 — 2 citations

Citations issued on March 3, 2023
TagWhat the surveyor checksStatus
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (May 19, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (May 19, 2023)

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