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

The Lodge at Rocky Mount Health and Rehabilitation

Rocky Mount, NC · 100 certified beds · Last Life Safety survey February 12, 2025

CMS Certification Number 345137 · first certified January 1976

Ownership

Operated by SANSTONE HEALTH & REHABILITATION · For profit - Limited Liability company

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
3
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 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

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)

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 8 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 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
02022-1152023-1232025-02
Citations at each Life Safety survey
Survey dateCitations
November 10, 20220
December 13, 20235
February 12, 20253

Most-cited tags

Most-cited tags at this facility
K-03722K-03212K-03632K-02001K-01611
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.22025-02-12
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22025-02-12
K-0363Install corridor and hallway doors that block smoke.22025-02-12
K-0200Meet other general requirements.12023-12-13
K-0161Use approved construction type or materials.12023-12-13

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Egress Deficiencies 1
  • Construction Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Egress Deficiencies1
Construction Deficiencies1

Every citation on file

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

February 12, 2025 — 3 citations

Citations issued on February 12, 2025
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 (March 21, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 21, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (March 21, 2025)

December 13, 2023 — 5 citations

Citations issued on December 13, 2023
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (January 26, 2024)
K-0200Meet other general requirements.Deficient, Provider has date of correction (January 26, 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 (January 26, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (January 26, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (January 26, 2024)

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