O'Berry Neuro-Medical Treatment Center
Goldsboro, North Carolina · CCN 34A002
9 surveys since 2019, 9 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
- 31
- Surveys
- 9
- Harm or worse
- 9
- Immediate jeopardy
- 8
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 144
- Ownership
- Government - State
- Chain
- Independent
- County
- Wayne
- Medicare-certified since
- 2010
CMS ratings
- Overall
- 2
- Health inspection
- 1
- Staffing
- 5
- Quality measures
- 3
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 99 facilities with 128 or more beds in North Carolina.
Last survey on record
Jun 23, 2026
139 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 | 10.31 | 4.60 |
| Registered-nurse hours per resident day | 1.34 | — |
| Annual nurse turnover | 39.0% | 39.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $167,242 across 1 penalty
- Payment denials
- 1
- Special focus
- SFF Candidate
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 | J517.2% | K310.3% | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1137.9% | E620.7% | F— |
| No harm, potential for minimal | A— | B310.3% | C13.4% |
Most frequently cited here
In CMS’s current monthly file.
- F6004×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F5802×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F7612×
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- F8422×
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
In the surveyor’s words
From the most serious findings on record at O'Berry Neuro-Medical Treatment Center, in the surveyor’s own words.
- Immediate jeopardy, patternF600Apr 21, 2024
Based on observation, record review, Responsible Party interview, staff interviews and a Physician interview, the facility failed to protect Resident #1 from neglect by not implementing effective interventions to prevent a resident with a known diagnosis of PICA disorder (a mental health condition where a person compulsively eats non-food items that are harmful or toxic) from repeated incidents of accessing and ingesting medical examination gloves. On 2/21/2024, Resident #1 vomited two medical examination gloves. On 2/24/2024, a dime size object resembling a part of a medical examination glove was observed in Resident #1's enteral feeding (nutrition delivered through a tube placed into the stomach or small intestine) residual (enteral feeding not digested from the stomach). […]
- Immediate jeopardy, patternF689Apr 21, 2024
Based on observation, record review, Responsible Party interview, staff interviews and a Physician interview, the facility failed to provide supervision to prevent a resident with a known diagnosis of PICA disorder (a mental health condition where a person compulsively eats non-food items that are harmful or toxic) from engaging in PICA behaviors. On 2/21/2024, Resident #1 vomited two medical examination gloves. On 2/24/2024 a dime size object resembling a part of a medical examination glove was observed in Resident #1's enteral feeding (nutrition delivered through a tube placed into the stomach or small intestine) residual (enteral feeding not digested from the stomach area). On 3/24/2024, Resident #1 vomited two medical examination gloves. […]
- Immediate jeopardy, patternF600Feb 23, 2024
Based on record review, observation, staff interviews, and review of the facility's video footage the facility failed to protect the resident's right to be free from abuse when Resident #1 physically abused by Nurse Aide (NA) #1. On 2/8/24 Resident #1 was attempting to leave a common area of the facility when NA #1 stopped him from leaving by blocking the resident's exit, physically turning the resident around with her hands on his arms, and then proceeded to use the resident's ambulatory assistance device (gait vest) to forcefully move the resident 14 feet to the couch. NA #1 attempted to get Resident #1 to sit on the couch by using both hands to push on Resident #1's torso. Resident #1 resisted the seated position and attempted to stand back up twice. […]
- Immediate jeopardy, isolatedF580Feb 7, 2025
Based on record review, and staff and physician interviews, the facility failed to consult with the physician immediately when Resident #2, who had a tracheostomy, experienced a medical emergency. On 1/16/25, Resident #2 exhibited signs of pain, and her oxygen saturation levels were at 69% on room air (normal range is 95%-100%). Nurse #1 was able to stabilize the resident's oxygen saturation through administration of oxygen and she medicated the resident for pain. Later in the shift, Nurse #1 was notified by Nurse Aide (NA) #1 Resident #2's oxygen saturation levels had dropped to 55% (a life threatening level), the resident was crying, and her tongue was blue. Emergency Medical Services (EMS) and the physician were not notified immediately. […]
- Immediate jeopardy, isolatedF684Feb 7, 2025
Based on record review and interviews with staff and physician, the facility failed to provide nursing assessments and monitoring for Resident #2 following an acute change of condition. On 1/16/25 at approximately 3:30 AM, Resident #2 exhibited signs of pain and her oxygen saturation levels were at 69% (normal range is 95%-100%). Supplemental oxygen was applied, the physician ordered morphine 2 milligrams (mg) subcutaneously (under the skin), and instructed Nurse #1 to monitor the resident closely. Nurse #1 inadvertently administered 20 mg of morphine to Resident #2 at approximately 3:45 AM rather than the 2mg ordered by the physician. […]
Read 22 findings in full →The most serious and the most recent: 22 of 31 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 23, 2026Complaint1 finding
- Oct 9, 2025Complaint1 finding
- Feb 7, 2025Complaint4 findings · 3 harm
- Dec 16, 2024Standard and complaint12 findings · 2 harm
- Apr 21, 2024Complaint4 findings · 2 harm
- Feb 23, 2024Complaint2 findings · 1 harm
- Nov 7, 2023Complaint2 findings
- Aug 18, 2023Standard and complaint3 findings
Show the 1 earlier survey
- Jan 25, 2019Standard2 findings · 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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