Deficiency Index

Mary Gran Nursing Center

Clinton, North Carolina · CCN 345218

21 surveys since 2011, 17 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
100
Surveys
21
Harm or worse
17
Immediate jeopardy
11
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy11

Findings at the most serious level CMS records.

Beyond CMS’s monthly file17/21

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

The facility

Certified beds
212
Ownership
For profit - Corporation
Chain
LIBERTY SENIOR LIVING
County
Sampson · rural
Medicare-certified since
1981

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 somewhat more weighted findings than its peer group.

Weighted by harm level, against 92 for-profit facilities with 128 or more beds in North Carolina.

Last survey on record

Aug 14, 2025

452 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 day3.293.49
Registered-nurse hours per resident day0.35—
Annual nurse turnover51.3%52.4%

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

Enforcement

Fines
$68,172 across 1 penalty
Special focus
SFF Candidate
Abuse icon
Flagged by CMS on Care Compare

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 jeopardyJ414.8%K—L—
Actual harmG13.7%H—I—
No harm, potential for more than minimalD1140.7%E933.3%F13.7%
No harm, potential for minimalA—B—C13.7%
CMS’s current file: 27 of the 100 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7603×

    Ensure that residents are free from significant medication errors.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5802×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

In the surveyor’s words

From the most serious findings on record at Mary Gran Nursing Center, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF580Aug 14, 2025

    Based on record review and staff, Medical Director #1, Cardiologist, LifeVest Resident Representative and LifeVest Technician interviews, the facility failed to consult with Medical Director #1 when Resident #119's LifeVest (an external defibrillator designed to detect certain life-threatening rapid heart rhythms and, if needed, automatically deliver a treatment shock to restore normal heart rhythm) delivered treatment shocks to her multiple times in the early morning hours on [DATE]. The LifeVest Resident Representative contacted Resident #119's Cardiologist on [DATE] about Resident #119's severe episodes of ventricular tachycardia, a life-threatening rapid heart rate. The Cardiologist called the facility and requested to talk to the Medical Director. […]

  • Immediate jeopardy, isolatedF600Aug 14, 2025

    Based on record review and staff, LifeVest Technician, LifeVest Resident Representative, Medical Director #1 and Cardiologist interviews, the facility failed to protect Resident #119's right to be free from neglect. Resident #119 was admitted on [DATE] with a LifeVest (a wearable device designed to detect life-threatening rapid heart rhythm and, if needed, automatically deliver a treatment shock to restore normal heart rhythm). The nurses and nurse aides had no training on how to care for and manage a resident who required a LifeVest and staff neglected to provide necessary care and services after the LifeVest delivered several treatment shocks. […]

  • Immediate jeopardy, isolatedF684Aug 14, 2025

    Based on record review and staff, Medical Director #1, Cardiologist, LifeVest technician and LifeVest patient representative interviews, the facility failed to obtain physician directives for staff about what to do when the LifeVest delivered a shock, identify the seriousness of Resident #119's cardiac status and the need for a comprehensive medical evaluation when a LifeVest (an external defibrillator device designed to detect certain life-threatening rapid heart rhythms and, if needed, automatically deliver a treatment shock to restore normal heart rhythm) shocked the resident multiple times in the early morning hours (beginning shortly after midnight) of 2/11/25. […]

  • Immediate jeopardy, isolatedF726Aug 14, 2025

    Based on record review and staff, Medical Director #1, Cardiologist, Resident Representative, LifeVest technician, and LifeVest patient representative interviews, the facility failed to ensure staff were trained and competent to care for a resident who wore a LifeVest (a device designed to detect certain life-threatening rapid heart rhythms and, if needed, automatically deliver a treatment shock to restore normal heart rhythm). Resident #119 received a treatment shock multiple times by the LifeVest she was wearing in the early morning hours (beginning shortly after midnight) on [DATE]. […]

  • Actual harm, isolatedF689Aug 14, 2025

    Based on record review, and resident, staff, Nurse Practitioner (NP), and Medical Director interviews, the facility failed to lock the left brake on Resident #3's wheelchair during a one person stand-pivot transfer on 3/14/25. The left wheelchair brake mechanism was worn and did not engage with the rubber on the tire. The resident could not stand independently or stop the wheelchair when it started to roll. Nurse Aide (NA) #1 lowered Resident #3 to the floor. Both Resident #3 and NA#1 heard a pop. Nurse #3 assessed Resident #3 who denied pain and wanted to go to a scheduled dialysis appointment. During the dialysis appointment, Resident #3 experienced left knee pain. A portable x-ray taken at the facility was negative. […]

Read 30 findings in full →The most serious and the most recent: 30 of 100 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 14, 2025Standard and complaint8 findings · 5 harm
  • Mar 17, 2025Complaint1 finding
  • Aug 12, 2024Standard and complaint2 findings
  • Mar 23, 2023Standard and complaint16 findings
  • Feb 17, 2022Standard and complaint4 findings
  • Oct 17, 2019Standard and complaint6 findings
  • Oct 11, 2018Standard and complaint8 findings · 1 harm
  • Aug 18, 2017Standard and complaint14 findings · 4 harm
Show the 13 earlier surveys
  • Feb 15, 2017Complaint5 findings
  • Aug 24, 2016Complaint1 finding · 1 harm
  • Jul 20, 2016Standard and complaint6 findings
  • Dec 8, 2015Complaint1 finding
  • Sep 4, 2015Standard6 findings · 1 harm
  • Jun 18, 2014Complaint4 findings · 4 harm
  • Mar 27, 2013—2 findings
  • Aug 24, 2012—5 findings
  • Sep 22, 2011—6 findings
  • Jun 7, 2011—1 finding
  • Apr 19, 2011—1 finding
  • Mar 11, 2011—2 findings · 1 harm
  • Feb 7, 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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