Siler City Center

In the surveyor’s words

From the most serious findings on record at Siler City Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Sep 8, 2025

  Based on record review, observation, and interviews with the Responsible Parties (RPs), PACE (Program of All-Inclusive Care for the Elderly) Nurse Practitioner, psychiatric Nurse Practitioner and staff, the facility failed to protect a cognitively impaired male resident's right to be free from sexual abuse (Resident #2) perpetrated by a cognitively impaired male resident (Resident #1). On 9/1/25 Nurse Aide (NA) #1 overheard Resident #2 laughing from the hallway and proceeded to the room he shared with Resident #1 as this was an unusual behavior for Resident #2. […]

• Immediate jeopardy, isolatedF600Aug 2, 2023

  Based on record review, police reports, resident, staff, and psychotherapist interviews, the facility failed to protect moderately cognitively impaired residents (Resident #135 and Resident #49) right to be free from sexual abuse from a cognitively intact resident (Resident #122). During the shift from 7/11/23 at 11:00 P.M. to 7/12/23 at 7:00 A.M., Resident #122 entered Resident #135's room, while he was sleeping, lifted Resident #135's blanket and reached his hand into Resident #135's brief, and then stimulated Resident #135's penis. Resident #135 reported the sexual abuse to Nurse Aide (NA) #1 on 7/12/23 at approximately 4:00 A.M. Resident #135 explained Resident #122 had not been invited into his room and the physical touch was not consensual. […]

• Immediate jeopardy, isolatedF689Jun 12, 2023

  Based on record review, observation and interviews with the resident and staff, the facility failed to effectively monitor a resident who had a history of noncompliance with the smoking policy, for proper storage of smoking materials including lighters for 1 of 3 sampled residents reviewed for smoking (Resident #1). Resident #1, who was on oxygen, was found to have lighters in her possession on 1/4/23, 5/18/23 and 5/30/23. On 5/30/23, she lit a cigarette in the room with the oxygen concentrator on which resulted in a small fire, burning the floor mat, privacy curtain and the oxygen tubing. Resident #1 was assessed with no injury noted. Resident #4 (Resident #1's roommate) was assessed with no physical injury noted and commented she was okay but angry. […]

• Actual harm, isolatedF684Aug 2, 2023

  Based on record reviews, resident, staff, Nurse Practitioner and Medical Director (MD) interviews, the facility failed to hold an anticoagulant for a resident (Resident #345) who had oral surgery resulting in significant bleeding and emergency treatment, the facility also failed to wait for a nurse to asses a resident for injuries prior to moving her up off the floor (Resident #106). This was for 2 of 2 residents reviewed for standards of care. The findings included: 1. Resident #345 was admitted on [DATE]. The resident's discharge Minimum Data Set (MDS) dated [DATE] indicated the resident was cognitively intact and required assistance with activities of daily living. The resident's medical record contained a visit summary from the dentist dated 4/14/2023. […]

• No harm, potential for more than minimal, patternF812Mar 13, 2026

  Based on observation and staff interviews, the facility failed to store a scoop in a manner that prevented it from becoming contaminated by direct contact with flour, maintaining a clean steam table hood, and ensuring plastic plate bases were dried before being stacked for 2 of 2 kitchen observations. This deficient practice had the potential to affect food served to residents. The findings included:1. The initial tour of the kitchen was on 2/23/26 at 10:17 AM with the Dietary Manager. A large bin of flour was observed by the prep table with the scoop stored in the container of flour.The Dietary Manager was interviewed on 2/23/26 at 10:17 AM. The Dietary Manager asked a kitchen aide to remove the scoop from the flour. […]