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

Cypress Pointe Rehabilitation Center

Wilmington, NC · 90 certified beds · Last Life Safety survey March 20, 2025

CMS Certification Number 345002 · first certified June 1976

Ownership

Operated by SOVEREIGN HEALTHCARE HOLDINGS · For profit - Individual

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

7
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
2
Inspection & testing records
Of the citations on file

Position within NC

7 citations — more than 29% 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 3. 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 (May 2026 to July 2026), and past the point by which nine in ten NC facilities have been surveyed. This facility’s last Life Safety survey was March 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

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 facility7NC median9National median11
Citations on file over three years, compared
MeasureCitations
This facility7
Median facility in NC9
Median facility nationally11

Survey history

Citations at each Life Safety survey
42022-0922024-0212025-03
Citations at each Life Safety survey
Survey dateCitations
September 15, 20224
February 22, 20242
March 20, 20251

Most-cited tags

Most-cited tags at this facility
K-03212K-03411K-05211K-03241K-02111K-09111
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.22024-02-22
K-0341Install a fire alarm system that can be heard throughout the facility.12024-02-22
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12022-09-15
K-0324Provide properly protected cooking facilities.12022-09-15
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12022-09-15
K-0911Meet requirements for the installation and maintenance of electrical systems.12025-03-20

What the citations cover

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

Every citation on file

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

March 20, 2025 — 1 citation

Citations issued on March 20, 2025
TagWhat the surveyor checksStatus
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (May 14, 2025)

February 22, 2024 — 2 citations

Citations issued on February 22, 2024
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 (April 16, 2024)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (April 16, 2024)

September 15, 2022 — 4 citations

Citations issued on September 15, 2022
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (December 18, 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 (December 18, 2022)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (December 18, 2022)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (December 18, 2022)

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