Lotus Village Center for Nursing and Rehabilitatio
Sparta, North Carolina · CCN 345261
26 surveys since 2011. The first finding at harm level was recorded in 2019.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 133
- Surveys
- 26
- Harm or worse
- 16
- Immediate jeopardy
- 10
Findings at the most serious level CMS records. 2 of these were recorded as past non-compliance — corrected before the survey.
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 - Corporation
- Chain
- SIMCHA HYMAN & NAFTALI ZANZIPER
- County
- Alleghany · rural
- Medicare-certified since
- 1987
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 15, 2026
178 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 | 3.38 | 3.42 |
| Registered-nurse hours per resident day | 0.28 | — |
| Annual nurse turnover | 53.5% | 51.3% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $337,573 across 4 penalties
- Payment denials
- 1
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 | J47.1% | K47.1% | L— |
| Actual harm | G23.6% | H— | I— |
| No harm, potential for more than minimal | D3664.3% | E712.5% | F23.6% |
| No harm, potential for minimal | A— | B11.8% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F5804×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F6894×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F6003×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6413×
Ensure each resident receives an accurate assessment.
- F6843×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
In the surveyor’s words
From the most serious findings on record at Lotus Village Center for Nursing and Rehabilitatio, in the surveyor’s own words.
- Immediate jeopardy, patternF600Apr 8, 2024
Based on record reviews and staff, family member, Nurse Practitioner, Urology Surgeon, Wound Physician and Medical Doctor interviews the facility failed to protect a Resident's right to be free from neglect when the facility failed to identify the seriousness of a left swollen testicle, complete thorough and ongoing nursing assessments, schedule a urology appointment per the Nurse Practitioner's order which led to a delay in care and treatment for a serious medical emergency for 1 of 3 residents (Resident #1) reviewed for neglect. Resident #1 experienced a serious adverse outcome when an acute change in condition was noted on 03/11/24 with a blood pressure of 86/42 and weakness. […]
- Immediate jeopardy, patternF684Apr 8, 2024
Based on record reviews and staff, family member, Nurse Practitioner (NP), Urology Surgeon and Wound Physician interviews the facility failed to identify the seriousness of decreased vascular flow to Resident #1's left testicle and complete and document thorough and ongoing nursing assessments of left testicle after [DATE] to determine the need for further medical attention. In addition, the Urology Consultation for evaluation of the Resident's left testicle was scheduled for [DATE] which further delayed the determination of what medical interventions were necessary. The Resident experienced an acute change in condition on [DATE] with a blood pressure of ,d+[DATE] (normal blood pressure range ,d+[DATE]) and weakness. […]
- Immediate jeopardy, patternF600Jul 12, 2023
Based on observations, record review, resident, staff, and Psychiatric Nurse Practitioner interviews the facility failed to protect a resident's right to be free from abuse or mistreatment when Resident #11's arms were pinned between Nurse Aide (NA) #10 and the resident during incontinence care when Resident #11 became combative. On [DATE] during incontinence care Resident #11 became combative with staff and attempted to pinch, scratch, and bite the staff. When Resident #11 was turned on her side facing NA #10, NA #10 pinned Resident #11's arms and hands between the NA and Resident to prevent Resident #11 from pinching and scratching the staff and so they could finish the incontinence care. Resident #11 was noted to have bruises to bilateral hands and lower arms. […]
- Immediate jeopardy, patternF607Jul 12, 2023
Based on observations, record reviews, staff and resident interviews the facility failed to identify abuse, protect all residents from abuse, and report abuse to the state agency and local law enforcement and complete a thorough investigation that included staff interviews of bruising that was reported to have occurred during incontinence care for 1 of 3 residents (Resident #11) reviewed for abuse. On 02/16/23 Nurse Aide (NA) #10 pinned Resident #11's arms between their bodies when Resident #11 became combative during incontinent care. After the care Resident #11 was noted to have bruising to her bilateral lower arms. At the conclusion of the investigation the facility substantiated abuse but allowed NA #10 to return to work to care for other residents in the facility. […]
- Immediate jeopardy, patternF880Sep 14, 2022
Based on observations, record review, staff, Nurse Practitioner, and Medical Director interviews the facility failed to follow the Center for Disease Control and Prevention (CDC) guidelines and facility policy when they did not identify Covid 19 positive residents and failed to place them on transmission-based precautions, therefore the staff (Nurse Aide (NA) #3, NA #4, and Housekeeper #1) failed to don/doff personal protective equipment (PPE) when entering and exiting a Covid 19 positive room and before interacting with other residents (Resident#35, Resident #41, and Resident #44) this affected 3 of 24 residents on 1 of 4 units (memory care unit.) The facility failed to have personal protective equipment available for the staff to use when caring for Covid 19 positive residents that… […]
Read 35 findings in full →The most serious and the most recent: 35 of 133 on record.
Every survey on record
FindingsAt actual harm or above
- May 15, 2026Standard and complaint15 findings · 1 harm
- Mar 19, 2026Complaint2 findings
- May 22, 2025Standard and complaint6 findings
- Apr 10, 2025Complaint4 findings · 2 harm
- Oct 24, 2024Complaint1 finding
- Sep 27, 2024Complaint1 finding · 1 harm
- Aug 7, 2024Complaint3 findings
- Apr 8, 2024Complaint4 findings · 3 harm
Show the 18 earlier surveys
- Feb 22, 2024Complaint16 findings
- Jul 12, 2023Complaint4 findings · 3 harm
- Dec 28, 2022Complaint1 finding
- Sep 14, 2022Standard and complaint16 findings · 4 harm
- Jan 18, 2022Complaint6 findings
- Mar 12, 2021Standard and complaint12 findings
- Jun 29, 2020Complaint1 finding · 1 harm
- Oct 4, 2019Complaint3 findings · 1 harm
- Apr 18, 2019Standard5 findings
- May 25, 2018Standard8 findings
- Jun 2, 2017Standard and complaint7 findings
- Apr 14, 2016Standard4 findings
- Apr 1, 2015Standard2 findings
- Dec 6, 2013—5 findings
- Oct 11, 2012—2 findings
- Nov 21, 2011—2 findings
- Sep 29, 2011—2 findings
- Jan 19, 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.
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