Deficiency Index

Bellarose Nursing And Rehab

Garner, North Carolina · CCN 345574

5 surveys since 2018. The first finding at harm level was recorded in 2022.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
11
Surveys
5
Harm or worse
1
Immediate jeopardy
0
The record, 2018–2022
’18’20’22
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file4/5

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
100
Ownership
For profit - Corporation
Chain
Independent
County
Wake
Medicare-certified since
2018

CMS ratings

Overall
5
Health inspection
5
Staffing
4
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=4, floor 20).

Last survey on record

Dec 9, 2022

1,431 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.463.47
Registered-nurse hours per resident day0.44—
Annual nurse turnover25.0%49.8%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD150.0%E—F—
No harm, potential for minimalA—B150.0%C—
CMS’s current file: 2 of the 11 citations on record.

In the surveyor’s words

From the most serious findings on record at Bellarose Nursing And Rehab, in the surveyor’s own words.

  • Actual harm, isolatedF689Apr 5, 2022

    Based on observation, record review, and staff interview, for one (Resident # 1) of three sampled residents, the facility failed to assure a Nurse Aide safely assisted a resident with personal care. Nurse Aide # 1 attempted to dress Resident # 1 on a shower bed with the safety rail down. While the Nurse Aide assisted Resident # 1, the resident rolled off the shower bed and sustained a [CONDITION(S)] which required surgical repairment. The findings included: Resident # 1 was admitted to the facility on [DATE] and had a diagnosis of Alzheimer's disease. Resident # 1's last quarterly assessment, dated 1/17/22, coded Resident # 1 as being severely cognitively impaired. The resident was also assessed to need extensive assistance with her bed mobility, dressing, and hygiene. […]

  • No harm, potential for more than minimal, isolatedF583Dec 9, 2022

    Based on record review, resident interviews and staff interviews, the facility failed to protect the residents' right to privacy when Resident #76 and Resident #67 had money removed from their rooms and placed in their individual resident trust accounts without their knowledge. This deficient practice affected 2 of 2 residents reviewed for personal privacy. Findings included: On 12/7/2022 at 2:00 p.m. during the Resident Council meeting, Resident #76 stated she discovered on 12/5/2022, forty dollars was missing out of her pocketbook and Resident #67, her roommate, was also missing one hundred dollars. She stated she reported the missing money to the Activity Director on 12/5/2022. a. […]

  • No harm, potential for more than minimal, isolatedF761Jul 16, 2021

    Based on observation and staff interviews, the facility failed to dispose of expired medication on one of three medication carts reviewed for expired medications. Findings included: On 7/13/2021 at 10:30 AM the medication cart on the Springs hall was reviewed for expired medications. A box with a vial of insulin was found with a label stating it was opened 6/8/21 and expired 7/5/21. The label contained the Resident ' s name, dose, route, time and diagnosis. Noted on the label was expires 28 days after opening. Nurse #1, who was present, acknowledged the medication was out of date. The Consulting Pharmacist was interviewed 7/13/2021 at 11:30 AM and stated the expired medication had been identified the week before and was mistakenly put back on the medication cart. […]

  • No harm, potential for minimal, patternF585Dec 9, 2022

    Based on record review, resident interviews and staff interviews, the facility failed to record grievances reported verbally for 2 of 2 residents (Resident #76 and Resident #67) reviewed for grievances. Findings included: The facility's Notice of Procedure for Filing/Submitting Grievances or Complaints not dated stated grievances and/or complaints may be submitted orally or in writing, and upon receipt of a grievance and/or complaint, the Administrator's designees will investigate the allegations and prepare a written report of such findings which will be submitted to the Administrator within five business days of receiving the grievance and/or complaint. 1. Resident #76 was admitted to the facility on [DATE]. […]

Read all 11 findings in full →

Every survey on record

FindingsAt actual harm or above

  • Dec 9, 2022Standard2 findings
  • Apr 5, 2022Complaint1 finding · 1 harm
  • Jul 16, 2021Standard1 finding
  • Mar 22, 2019Standard2 findings
  • Mar 8, 2018Standard5 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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