Deficiency Index

Bolivia Rehabilitation and Healthcare Center

Bolivia, North Carolina · CCN 345549

19 surveys since 2010, 4 of them producing a finding at harm level or worse.

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

Citations on record
89
Surveys
19
Harm or worse
4
Immediate jeopardy
3
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy3

Findings at the most serious level CMS records.

Beyond CMS’s monthly file14/19

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

The facility

Certified beds
90
Ownership
For profit - Limited Liability company
Chain
YAD HEALTHCARE
County
Brunswick
Medicare-certified since
2010

CMS ratings

Overall
1
Health inspection
1
Staffing
2
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 94 for-profit facilities of 66–99 beds in North Carolina.

Last survey on record

May 5, 2026

188 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 day3.483.42
Registered-nurse hours per resident day0.46—
Annual nurse turnover80.2%51.3%

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

Enforcement

Fines
$94,140 across 1 penalty
Payment denials
1

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ25.3%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1539.5%E1744.7%F25.3%
No harm, potential for minimalA—B12.6%C12.6%
CMS’s current file: 38 of the 89 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8674×

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  • F6773×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F7603×

    Ensure that residents are free from significant medication errors.

  • F6002×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • F6922×

    Provide enough food/fluids to maintain a resident's health.

In the surveyor’s words

From the most serious findings on record at Bolivia Rehabilitation and Healthcare Center, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF600Dec 11, 2023

    Based on observations, record review, staff and Nurse Practitioner interviews, the facility failed to protect residents' right to be free from sexual abuse (Resident #2) and intentional inappropriate touching (Resident #6) perpetrated by Resident #1. In the evening of 11/26/23 the facility was made aware Resident #1 entered another resident's room (Resident #6) uninvited and Resident #6 reported to Nurse #1 that a strange man (identified as Resident #1) woke her up and was holding her hand, telling her he was going to care for her and kissed her on the cheek. Resident #6 was upset and scared and was not sure what Resident #1 was doing in the room and told him he did not belong in her room. Resident #6 required Ativan (a medication to treat anxiety) 4 days later because she was still upset. […]

  • Immediate jeopardy, isolatedF607Dec 11, 2023

    Based on record review, and staff interviews, the facility failed to protect Resident #2 from sexual abuse when the Administrator was made aware of Resident #1 entering Resident #6's room uninvited on 11/26/23. Resident #6 reported to Nurse #1 that Resident #1 woke her up and was holding her hand, telling her he was going to care for her and kissed her on the cheek. Resident #6 was upset and scared and was not sure what he was doing in the room and told him he did not belong in her room. The following day 11/27/23, Resident #1 was found by Nurse Aide #1 in Resident #2's room sitting at his bedside while Resident #2 lay in bed. Resident #1 had his hand down Resident #2's brief and was manually stimulating (moving hand in an up and down motion) his penis. […]

  • Immediate jeopardy, isolatedF689Jun 2, 2023

    Based on observation, record review and staff, Resident, Medical Director interviews, the facility failed to provide care in a safe manner for 1 of 3 residents (Resident #1) reviewed for accidents. On 5/8/23 the Nurse Aide raised the level of the bed to provide incontinence care and change bed linens for Resident #1. Resident #1 was positioned on her right side while the bed linens were being changed and fell out of bed landing face down on the floor. The resident was sent to the Emergency Department (ED) for evaluation and diagnosed with a subdural hematoma (blood collection between the skull and surface of the brain), scattered skin tears, skin lacerations to the left forearm and right knee that required sutures, forehead abrasion, closed fracture of the right orbit (eye) with right… […]

  • No harm, potential for more than minimal, widespreadF881May 5, 2026

    Based on record review and staff interviews, the facility failed to implement a facility-wide system to monitor the use of antibiotics. This was evident for 8 of 9 months (July 2025, August 2025, September 2025, October 2025, November 2025, December 2025, February 2026, March 2026) that surveillance data was reviewed. This practice had the potential to affect all residents in the facility. Findings included: The facility's Antibiotic Stewardship Program policy last revised on December 2016, indicated that all clinical infections treated with antibiotics will undergo review by the Infection Preventionist or designee. […]

  • No harm, potential for more than minimal, widespreadF727Mar 27, 2024

    Based on record review and staff interviews, the facility failed to provide 8 hours of Registered Nurse (RN) coverage on 28 of 45 days reviewed. Findings included: Review of the PBJ (Payroll Based Journal) Staffing Data Report Fiscal Year - Quarter 1, 2024 (October 1-December 31, 2023) revealed the facility had no Registered Nurse (RN) coverage on 10/08/23, 11/19/23, 12/03/23 and 12/31/23. Review of the daily assignment schedules from October 1, 2023 through March 19, 2024 revealed the facility failed to provide 8 hours of RN coverage on the following dates: 10/08/23, 11/13/23, 11/14/23, 11/18/23, 11/29/23, 11/23/23, 12/03/23, 12/16/23, 12/20/23, 12/21/23, 12/22/23, 12/26/23, 12/30/23, 12/31/23, 01/13/24, 01/14/24, 01/27/24, 01/28/24, 02/10/24, 02/11/24, 02/14/24, 02/16/24, 02/15/24,… […]

Read 24 findings in full →The most serious and the most recent: 24 of 89 on record.

Every survey on record

FindingsAt actual harm or above

  • May 5, 2026Standard and complaint9 findings
  • Mar 5, 2025Standard and complaint17 findings
  • Mar 27, 2024Standard and complaint6 findings
  • Jan 25, 2024Complaint3 findings
  • Dec 11, 2023Complaint3 findings · 2 harm
  • Jun 2, 2023Complaint1 finding · 1 harm
  • Feb 4, 2023Complaint3 findings
  • Dec 16, 2022Standard and complaint5 findings
Show the 11 earlier surveys
  • Oct 26, 2021Standard13 findings
  • May 10, 2021Complaint1 finding
  • Mar 8, 2021Complaint7 findings
  • Jun 27, 2019Standard7 findings
  • Nov 16, 2018Complaint1 finding
  • Jun 21, 2018Standard4 findings
  • Oct 12, 2017Complaint3 findings
  • Jul 12, 2012—1 finding
  • Jan 20, 2011—2 findings
  • Dec 15, 2010—2 findings
  • Dec 1, 2010—1 finding · 1 harm

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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