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

Glenwood Health & Rehabilitation

Mooresville, NC · 130 certified beds · Last Life Safety survey May 15, 2025

CMS Certification Number 345283 · first certified June 1988

Ownership

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

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

21
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
10
Inspection & testing records
Of the citations on file

Position within NC

21 citations — more than 90% 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 1 citation; the earlier surveys in the window averaged 10. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (July 2026 to September 2026). Most NC facilities have been surveyed by October 2026. This facility’s last Life Safety survey was May 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

2 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)

6 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 21 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.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

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 facility21NC median9National median11
Citations on file over three years, compared
MeasureCitations
This facility21
Median facility in NC9
Median facility nationally11

Survey history

Citations at each Life Safety survey
152022-0752024-0212025-05
Citations at each Life Safety survey
Survey dateCitations
July 15, 202215
February 1, 20245
May 15, 20251

Most-cited tags

Most-cited tags at this facility
K-09182K-09232K-03212K-09112K-02231K-03241K-03511K-03631
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.22024-02-01
K-0923Have proper medical gas storage and administration areas.22024-02-01
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22024-02-01
K-0911Meet requirements for the installation and maintenance of electrical systems.22025-05-15
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.12024-02-01
K-0324Provide properly protected cooking facilities.12022-07-15
K-0351Install an approved automatic sprinkler system.12022-07-15
K-0363Install corridor and hallway doors that block smoke.12022-07-15

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 8
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Egress Deficiencies 3
  • Services Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies8
Gas, Vacuum, and Electrical Systems Deficiencies6
Egress Deficiencies3
Services Deficiencies2
Construction Deficiencies2

Every citation on file

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

May 15, 2025 — 1 citation

Citations issued on May 15, 2025
TagWhat the surveyor checksStatus
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (June 26, 2025)

February 1, 2024 — 5 citations

Citations issued on February 1, 2024
TagWhat the surveyor checksStatus
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (March 29, 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 (March 29, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (March 29, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 29, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (March 29, 2024)

July 15, 2022 — 15 citations

Citations issued on July 15, 2022
TagWhat the surveyor checksStatus
K-0100Meet other general requirements.Deficient, Provider has date of correction (November 7, 2022)
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (November 7, 2022)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (November 7, 2022)
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 (November 7, 2022)
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 (November 7, 2022)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (November 7, 2022)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (November 7, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 7, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (November 7, 2022)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (November 7, 2022)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (November 7, 2022)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (November 7, 2022)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (November 7, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (November 7, 2022)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (November 7, 2022)

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