Deficiency Index

Cypress Glen Retirement Community

Greenville, North Carolina · CCN 345512

3 surveys since 2013, and no finding has been recorded at harm level.

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

Citations on record
5
Surveys
3
Harm or worse
0
Immediate jeopardy
0
The record, 2013–2024
’13’15’20’24
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file2/3

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

The facility

Certified beds
6
Ownership
Non profit - Corporation
Chain
LIFE CARE SERVICES
County
Pitt
Medicare-certified since
2002

CMS ratings

Overall
5
Health inspection
5
Staffing
5
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=1, floor 20).

Last survey on record

Sep 19, 2024

781 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 day7.295.15
Registered-nurse hours per resident day1.44—

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 minimalD—E1100.0%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 1 of the 5 citations on record.

In the surveyor’s words

From the most serious findings on record at Cypress Glen Retirement Community, in the surveyor’s own words.

  • No harm, potential for more than minimal, patternF641Sep 19, 2024

    Based on record review and staff interviews the facility failed to accurately code the Minimum Data Set (MDS) assessment in the areas of antidepressant medication (Resident #2), discharge status (Resident #4), antiplatelet medication (Resident #106), and insulin injections (Resident #1). This was for 4 of 6 resident Minimum Data Set assessments reviewed. Findings included: 1. Resident #2 was admitted to the facility on [DATE]. Her active diagnoses included non-traumatic intracerebral hemorrhage, and history of cerebral infarction. Review of Resident #2's physician orders revealed on 8/22/24 she was ordered Duloxetine (an antidepressant medication) 20 milligram delayed release capsule by mouth every day for pain. […]

Read all 5 findings in full →

Every survey on record

FindingsAt actual harm or above

  • Sep 19, 2024Standard1 finding
  • Jun 4, 2019Standard3 findings
  • Mar 12, 2013—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