5100 Mackay Road, Jamestown, NC 27282 (opens Google Maps) · Guilford County · (336) 855-5596· 120 certified beds · avg 105 residents/day · certified since Nov 1, 2005 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: CENTURY CARE MANAGEMENT (7 facilities, chain avg rating 4.1★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5 · how star ratings work →
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 quality measures from resident assessments and claims.
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Apr 12, 2025 (Past Non-Compliance)
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Apr 12, 2025 (Past Non-Compliance)
▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: May 17, 2025 (Deficient, Provider has date of correction)
Showing the latest 3 of 8 inspection findings. Open the full record below to read every finding.
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. F-0880
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 F-0580
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 F-0684
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 5, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| May 1, 2025 | ▲ G · Actual harm, isolated | 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 · F-0580 |
| May 1, 2025 | ▲ G · Actual harm, isolated | 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 · F-0684 |
| May 1, 2025 | ▲ G · Actual harm, isolated | 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 · F-0711 |
| May 1, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0756 |
| May 1, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Aug 21, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0761 |
| Aug 21, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
Citations from standard inspections decreased between the last two inspection cycles (2 → 1).
All bars start at zero. Exact values and supporting details remain below.
| 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.
How to file a complaint about care →
1 fine totaling $24,252.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| May 1, 2025 | Fine | $24,252 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.48 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Adams Farm Living & Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 9 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Century Care Management — 7 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| 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 | 3.9 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 | 7.3 mi | High Point, NC | ★☆☆☆☆ | 2/5 | |
| Kindred Hospital East Greensboro | 7.4 mi | Greensboro, NC | ★★★☆☆ | 3/5 | |
| Westwood Health and Rehabilitation | 7.5 mi | Archdale, NC | ★☆☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
CMS records place this facility in Guilford, NC — 20 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 345535.
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