Stratford Manor Health & Rehab
Monroe, North Carolina · CCN 345345
12 surveys since 2011. The first finding at harm level was recorded in 2020.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 66
- Surveys
- 12
- Harm or worse
- 4
- Immediate jeopardy
- 1
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
- 60
- Ownership
- For profit - Limited Liability company
- Chain
- Independent
- County
- Union
- Medicare-certified since
- 1991
CMS ratings
- Overall
- 3
- Health inspection
- 4
- Staffing
- 1
- Quality measures
- 3
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 39 for-profit facilities with fewer than 66 beds in North Carolina.
Last survey on record
Apr 10, 2025
578 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 | 2.89 | 3.57 |
| Registered-nurse hours per resident day | 0.56 | — |
| Annual nurse turnover | 71.0% | 45.8% |
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
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G315.0% | H— | I— |
| No harm, potential for more than minimal | D945.0% | E315.0% | F210.0% |
| No harm, potential for minimal | A— | B315.0% | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6022×
Protect each resident from the wrongful use of the resident's belongings or money.
- F8802×
Provide and implement an infection prevention and control program.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F5651×
Honor the resident's right to organize and participate in resident/family groups in the facility.
- F6231×
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
In the surveyor’s words
From the most serious findings on record at Stratford Manor Health & Rehab, in the surveyor’s own words.
- Actual harm, isolatedF550Jun 17, 2022
Based on observations, resident interviews, staff interviews and record review the facility failed to 1) respond to the call bell when toileting assistance was required resulting in a resident who was occasionally incontinent becoming soiled causing the resident to feel frustrated and upset; 2) respond to a resident's need to go to bed and alleviate pain by not answering the call light for 40 minutes; and 3) stood up over a resident at the bedside while providing eating assistance for 3 of 3 residents (Residents #14, #6, & #16) reviewed for dignity. The findings included: 1. Resident #14 was admitted to the facility on [DATE]. Her diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The quarterly Minimum Data Set assessment dated [DATE] reported Resident #14 was cognitively intact. […]
- Actual harm, isolatedF692Jun 17, 2022
Based on observations, record review and consultant Registered Dietitian and facility staff interviews the facility failed to provide the tube feeding as ordered and failed to put in interventions for significant weight loss for 1 of 1 resident (Resident #5). Resident #5 experienced a significant weight loss of 13.9 percent in 2 months. The findings included: Resident #5 was admitted to the facility on [DATE]. His diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The current Care Plan revised on 12/22/21 indicated Resident #5 had potential for nutritional risk related to receiving 100% of nutrition via PEG (percutaneous endoscopic gastrostomy) tube. […]
- Actual harm, isolatedF693Jun 17, 2022
Based on observations, staff interviews and record review the facility failed to provide the residents tube feeding according to the physician's orders for 1 of 1 resident (Resident #5) reviewed for tube feeding. Resident #5 expericenced significant weight loss of 13.9 percent. The findings included: Resident #5 was admitted to the facility on [DATE]. His diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #5's Care Plan last reviewed on 12/22/21 indicated he required tube feeding related to dysphagia. The interventions included, See MAR (medication administration record) for current feeding orders. The Care Plan also indicated Resident #5 had the potential for nutritional risk related to receiving 100% of nutrition via PEG (percutaneous endoscopic gastrostomy) tube. […]
- No harm, potential for more than minimal, widespreadF851Nov 30, 2023
Based on staff interview and record review the facility failed to submit accurate payroll data, regarding 24-hour licenses nurse coverage, for 4 of 4 days reviewed (7/10/2022, 7/17/2022, 8/7/2022, and 8/20/2022) of the Payroll Based Journal (PBJ) report to the Centers for Medicare and Medicaid Services (CMS) for the 4th quarter in fiscal year 2022. Findings included: The CMS submission report, PBJ Final File Validation Report for Fiscal Year 2022 (July 1 to September 30) showed the facility failed to have Licensed Nursing Coverage, 24 hours out of 24 hours, for the days of 7/10/2022, 7/17/2022, 8/7/2022 and 8/20/2022. […]
- No harm, potential for more than minimal, widespreadF727Jun 17, 2022
Based on staff interviews and record review the facility failed to have 8 consecutive hours of Registered Nurse coverage for 2 of 30 days of staffing reviewed. (4/09/22 & 4/10/22) The findings included: A review of the Daily Staffing form for 4/9/22 revealed 1 Licensed Practical Nurse (LPN) and 2 Medication Aides (MA) were present on the 7:00 AM to 3:00 PM shift. There were 3 LPNs and 3 MAs on the 3:00 PM - 11:00 PM shift. There were 2 LPNs and 1 MA on the 11:00 PM - 7:00 AM shift. The Registered Nurse (RN) coverage was documented as 0 for the entire day. A review of the Daily Staffing Form for 4/10/22 revealed 1 LPN and 1 MA were present on the 7:00 AM to 3:00 PM shift. There were 2 LPNs and 2 MAs on the 3:00 PM - 11:00 PM shift and 1 LPN and 1 MA on the 11:00 PM - 7:00 AM shift. […]
Read 21 findings in full →The most serious and the most recent: 21 of 66 on record.
Every survey on record
FindingsAt actual harm or above
- Apr 10, 2025Standard4 findings
- Jan 31, 2025Complaint2 findings
- Nov 30, 2023Standard and complaint3 findings
- Jun 17, 2022Standard and complaint11 findings · 3 harm
- Feb 13, 2020Standard13 findings · 1 harm
- Jan 10, 2019Standard and complaint5 findings
- Dec 14, 2017Standard2 findings
- Dec 9, 2016Standard10 findings
Show the 4 earlier surveys
- Jan 7, 2016Standard2 findings
- Feb 27, 2015Standard2 findings
- Aug 24, 2012Standard6 findings
- Jun 16, 2011—6 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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