Adams Farm Living & Rehabilitation
5100 Mackay Road, Jamestown, NC 27282 · Guilford County · 120 certified beds · avg 105 residents/day · certified since Nov 1, 2005
Part of chain: CENTURY CARE MANAGEMENT (7 facilities, chain avg rating 4.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · May 1, 2025 · F-0580 · triggered by a complaint
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Why it matters: A family could learn about a serious injury or decline days later, after the chance to act has passed.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 12, 2025 (Past Non-Compliance)
▲ Actual harm, one-off · May 1, 2025 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 12, 2025 (Past Non-Compliance)
▲ Actual harm, one-off · May 1, 2025 · F-0711 · triggered by a complaint
The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit.
Why it matters: Without regular documented doctor reviews, changes in a resident's condition and treatment can slip through the cracks.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 17, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (8)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 5, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 1, 2025 | ▲ G · Actual harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| May 1, 2025 | ▲ G · Actual harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| May 1, 2025 | ▲ G · Actual harm, one-off | The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit. · from a complaint |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · from a complaint |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Aug 21, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Aug 21, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (2 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 2 | 0 | E |
| 2025 | 6 | 3 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $24,252.
| Date | Type | Amount / length |
|---|---|---|
| May 1, 2025 | Fine | $24,252 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.49 | 4.01 | 3.95 | bottom 36% in North Carolina; bottom 36% in the U.S. |
| Registered Nurse hours | 0.36 | 0.64 | 0.69 | bottom 18% in North Carolina; bottom 17% in the U.S. |
| Weekend total nurse staffing | 3.03 | 3.56 | 3.50 | bottom 30% in North Carolina; bottom 33% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.19 | 0.41 | 0.48 | bottom 16% in North Carolina; bottom 10% in the U.S. |
| Total nursing staff turnover (%) | 56.8 | 49.0 | 45.8 | bottom 30% in North Carolina; bottom 22% in the U.S. |
| RN turnover (%) | 45.5 | 45.7 | 42.9 | top 50% in North Carolina; bottom 43% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.48, RN 0.36, weekend 3.02. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Adams Farm Living INC | Organization | 5% or Greater Direct Ownership Interest | — | 04/01/2007 |
| Noah K Duncan MRTL Tr | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/30/2013 |
| Boyette, Barbara | Individual | Corporate Director | NOT APPLICABLE | 04/01/2007 |
| Century Care Management, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 04/01/2007 |
| Gilliam, Robert | Individual | W-2 Managing Employee | NOT APPLICABLE | 06/02/2008 |
| Gilliam, Robert | Individual | Corporate Director | NOT APPLICABLE | 06/02/2008 |
| Gilliam, Robert | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2021 |
| Niles, Maria | Individual | W-2 Managing Employee | NOT APPLICABLE | 05/08/2017 |
| Schmidlin, James | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How often does each resident's doctor visit and review their care in person?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Camden Health and Rehabilitation | 2.6 mi | Greensboro, NC | ★★★★☆ | 4/5 | |
| The Shannon Gray Rehabilitation & Recovery Center | 3.5 mi | Jamestown, NC | ★★★☆☆ | 3/5 | |
| Maryfield Nursing Home | 3.8 mi | High Point, NC | ★★★★★ | 5/5 | |
| Whitestone a Masonic and Eastern Star Community | 4.4 mi | Greensboro, NC | ★★★★☆ | 4/5 | |
| Greenhaven Health and Rehabilitation Center | 4.7 mi | Greensboro, NC | ★★★☆☆ | 2/5 | abuse |
| Piedmont Hills Center for Nursing and Rehab | 4.8 mi | Greensboro, NC | ★☆☆☆☆ | 1/5 | |
| Friends Homes at Guilford | 5.3 mi | Greensboro, NC | ★★★★★ | 5/5 | |
| Maple Grove Health and Rehabilitation Center | 5.9 mi | Greensboro, NC | ★★★★★ | 4/5 | |
| River Landing at Sandy Ridge | 7.3 mi | Colfax, NC | ★★★★★ | 4/5 | |
| Meridian Center | 7.4 mi | High Point, NC | ★☆☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 345535.