Deficiency Index

Pine Ridge Health and Rehabilitation Center

Thomasville, North Carolina · CCN 345144

30 surveys since 2011. The first finding at harm level was recorded in 2015.

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

Citations on record
167
Surveys
30
Harm or worse
22
Immediate jeopardy
8
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy8

Findings at the most serious level CMS records.

Beyond CMS’s monthly file27/30

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

The facility

Certified beds
140
Ownership
For profit - Corporation
Chain
PRINCIPLE LONG TERM CARE
County
Davidson
Medicare-certified since
1975

CMS ratings

Overall
3
Health inspection
3
Staffing
3
Quality measures
4

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 92 for-profit facilities with 128 or more beds in North Carolina.

Last survey on record

Jun 5, 2025

522 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 day4.403.49
Registered-nurse hours per resident day0.80—
Annual nurse turnover69.4%52.4%

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 minimalD1058.8%E423.5%F—
No harm, potential for minimalA—B211.8%C15.9%
CMS’s current file: 17 of the 167 citations on record.

In the surveyor’s words

From the most serious findings on record at Pine Ridge Health and Rehabilitation Center, in the surveyor’s own words.

  • Immediate jeopardy, widespreadF600Feb 24, 2022

    Based on record review, staff, first responders, and resident interviews, the facility neglected to provide basic goods and services, including, but not limited to incontinent care, resident assessments, medications, nourishment, and basic housekeeping to meet the needs of 98 of 98 residents residing in the facility during a winter weather storm on 1/16/22. Neglecting to meet the needs of the residents had the high likelihood of causing severe psychological and physical harm to all 98 residents. Immediate Jeopardy began on 01/16/2022 when the facility neglected to provide basic care and services to meet the needs of the residents during a winter weather storm. […]

  • Immediate jeopardy, widespreadF677Feb 24, 2022

    Based on record review, police, Emergency Medical Technicians (EMTs), resident, and staff interviews, the facility failed to provide Activities of Daily Living (ADL) Care, including incontinence care. The failure occurred on 1/16/22 during a period when there was just one Licensed Practical Nurse (LPN) and two Nursing Assistants in the facility to provide care for 98 residents. Two interviewed residents (Resident #7 and Resident #11) stated they did not receive incontinent care for an extended period of time and Resident #11 stated she had physical discomfort from having had to wait an extended period of time for incontinent care. Interviews with first responders who arrived at the facility described multiple residents in need of care and a strong smell of urine and feces in the facility. […]

  • Immediate jeopardy, widespreadF725Feb 24, 2022

    Based on record reviews, first responder, staff and interviews, the facility failed to provide adequate staffing to provide care and supervise resident safety during inclement weather (a winter storm) on 01/16/22. Nurse #1, Medication Aide (MA) #1 and two Nursing Assistants (NAs) (NA #1 and NA #2) reported to work on the morning of 01/16/22. MA #1 left the facility at 2:00 PM after she received permission to leave the facility from the Director of Nurses (DON) #1. The nurse and the 2 NAs remained as the only staff to provide resident care and services for 98 residents in the facility. Nurse #7 communicated the staffing situation of the facility to Administrator #2 and her concerns regarding the lack of care and quality of care the three of them could provide for the residents. […]

  • Immediate jeopardy, widespreadF802Feb 24, 2022

    Based on staff, resident, police interviews, Emergency Medical Services (EMS) interviews and record reviews, the facility failed to provide dietary staff who were competent to carry out food and nutrition services during a winter weather storm on 01/16/22. Dietary staff made the decision without consultation with the Mobile Certified Dietary Manager (MCDM) or the Consulting Registered Dietitian (RD) to prepare bags of food to be consumed for lunch and dinner and then leave the building at around 1:00 PM in the afternoon. This left no dietary staff in the building after lunch. The decision was authorized by Administrator #2. […]

  • Immediate jeopardy, widespreadF835Feb 24, 2022

    Based on North Carolina State of Emergency press releases, email review, text message review, record review, resident, emergency/disaster relief staff, Emergency Medical Services (EMS), police, and facility staff interviews Administrator #2 failed to enact the facility emergency preparedness plan, failed to utilize resources to provide care for the residents of the facility during inclement weather, failed to communicate the urgency and potential impact of pending inclement weather to administrative staff, key staff, and general staff prior to inclement weather, failed to communicate a potential crisis situation to her administrative and key staff, failed to ensure sufficient dietary staff who left the facility at 1:00 PM, and failed to communicate a dangerously low staffing situation to… […]

Read 42 findings in full →The most serious and the most recent: 42 of 167 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 6, 2026Standard and complaint4 findings
  • Jun 5, 2025Standard and complaint7 findings
  • Apr 13, 2024Standard and complaint8 findings
  • Jan 12, 2023Standard2 findings
  • Feb 24, 2022Complaint12 findings · 10 harm
  • Jun 17, 2021Standard and complaint9 findings · 1 harm
  • Oct 23, 2020Complaint2 findings · 1 harm
  • Aug 14, 2020Complaint2 findings
Show the 22 earlier surveys
  • Jul 23, 2020Complaint1 finding
  • Jun 22, 2019Complaint2 findings
  • Jan 31, 2019Standard and complaint15 findings
  • Apr 13, 2018Complaint9 findings · 2 harm
  • Mar 1, 2018Complaint6 findings · 3 harm
  • Feb 1, 2018Standard and complaint17 findings
  • Sep 20, 2017Complaint10 findings
  • Aug 7, 2017Complaint6 findings
  • Jan 27, 2017Standard8 findings
  • Dec 3, 2016Complaint1 finding
  • Oct 12, 2016Complaint2 findings
  • Sep 14, 2016Complaint1 finding
  • Jul 28, 2016Complaint5 findings · 4 harm
  • Jun 11, 2016Complaint5 findings
  • Jan 27, 2016Complaint1 finding
  • Dec 17, 2015Standard10 findings
  • Aug 4, 2015Complaint1 finding
  • Jan 23, 2015Standard and complaint9 findings · 1 harm
  • Nov 25, 2014Complaint1 finding
  • Nov 15, 2013—3 findings
  • Aug 30, 2012—1 finding
  • Jun 24, 2011—7 findings

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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