Bermuda Village Retirement Center
Bermuda Run, North Carolina · CCN 345416
14 surveys since 2011. The first finding at harm level was recorded in 2016.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 58
- Surveys
- 14
- Harm or worse
- 2
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 36
- Ownership
- For profit - Limited Liability company
- Chain
- Independent
- County
- Davie
- Medicare-certified since
- 1992
CMS ratings
- Overall
- 4
- Health inspection
- 3
- Staffing
- 3
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 39 for-profit facilities with fewer than 66 beds in North Carolina.
Last survey on record
Jun 11, 2026
151 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 5.06 | 3.57 |
| Registered-nurse hours per resident day | 0.49 | — |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $7,976 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1150.0% | E29.1% | F627.3% |
| No harm, potential for minimal | A— | B29.1% | C14.5% |
Most frequently cited here
In CMS’s current monthly file.
- F5502×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F6572×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F7322×
Post nurse staffing information every day.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F8672×
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
In the surveyor’s words
From the most serious findings on record at Bermuda Village Retirement Center, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF880Mar 20, 2025
Based on observations, staff interviews, and record reviews, the facility failed to develop and implement Enhanced Barrier Precautions policy and procedures that included the use of Personal Protective Equipment (PPE) during high-contact care activities for residents with indwelling medical devices and wounds. In addition, nursing staff did not don a gown while providing wound care to a chronic wound for 1 of 1 nursing staff observed for infection control practices (Nurse #2). […]
- No harm, potential for more than minimal, widespreadF812Dec 15, 2023
Based on observations, record review and staff interviews, the facility failed to remove expired nutritional supplements from 1 of 1 satellite kitchen that were available for use and did not date or monitor the use of frozen bread prior to meal service. The practices had the potential to affect food served to residents. The findings included: 1. During an observation of a satellite kitchen on [DATE] at 10:31 AM, 2 bottles of nutritional supplement with a use by date of [DATE] were observed in the storage cabinet and were available for use. An interview with the Dietary Manager on [DATE] at 10:39 AM revealed he had a designated culinary team that prepared and served out of the satellite kitchen. […]
- No harm, potential for more than minimal, widespreadF867Dec 15, 2023
Based on observations, record reviews, and staff interviews, the facility's Quality Assessment and Assurance (QAA) committee failed to maintain implemented procedures and monitor interventions the committee put into place following the recertification and complaint survey conducted on [DATE]. This failure was for 3 deficiency's that were originally cited in the area of Resident Rights (F550), Nursing Services (732), and Dietary Services (F812) that were subsequently recited on the current recertification and complaint investigation survey of [DATE]. […]
- No harm, potential for more than minimal, widespreadF812Jun 9, 2022
Based on observations and staff interviews, the facility failed to maintain sanitary conditions in the main kitchen, satellite kitchen, and food storage areas of the facility: by not ensuring food items and food service supplies were not stored on the floor; by not ensuring resealed food items were dated and labeled during storage; by not maintaining the food service equipment in clean and debris-free condition; by not ensuring pots/pans and other dishware were stacked clean and dry; by not ensuring staff were wearing hair coverings on their heads and chin guards for facial hair during food preparations; and by not preventing cross contamination of cleaned dishware when using the dishwashing machine. Findings included: 1a. […]
- No harm, potential for more than minimal, widespreadF814Jun 9, 2022
Based on observations and an interview with the Administrator, the facility failed to ensure the area surrounding 1 of 1 trash compactor remained free from garbage, refuse and foul odors, and failed to ensure the side door of the compactor remained closed when not in use. Findings included: 1a. During the tour of the food service areas on 6/8/22 at 10:38 AM, the area surrounding the trash compactor was littered with food particles, paper and had a foul odor. 1b. On 6/8/22 at 4:00 PM a follow-up tour of the area containing the trash compactor was conducted with the Administrator. The side door of the trash compactor was open, food particles, pieces of paper and a foul odor were observed throughout the area. […]
Read 22 findings in full →The most serious and the most recent: 22 of 58 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 11, 2026Standard2 findings
- Mar 20, 2025Standard6 findings
- Dec 15, 2023Standard and complaint9 findings
- Jun 9, 2022Standard and complaint5 findings
- Feb 26, 2020Standard11 findings
- Jun 22, 2018Standard3 findings
- Jul 7, 2017Standard3 findings
- Sep 8, 2016Standard6 findings
Show the 6 earlier surveys
- Apr 6, 2016Complaint4 findings · 2 harm
- Aug 21, 2015Standard1 finding
- Sep 9, 2014Standard1 finding
- Jun 26, 2013—4 findings
- Jun 26, 2012—2 findings
- Apr 25, 2011—1 finding
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.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction