Cleveland Pines
1404 N Lafayette Street, Shelby, NC 28150 · Cleveland County · 120 certified beds · avg 102 residents/day · certified since Jun 30, 1988
Part of chain: ATRIUM HEALTH (5 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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.
All citations in the current public record (13)
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 |
|---|---|---|
| Nov 18, 2025 | E · Potential for harm, repeated | The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. |
| Nov 18, 2025 | E · Potential for harm, repeated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Nov 18, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Nov 18, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Nov 18, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Nov 18, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jul 18, 2024 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Jul 18, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jul 18, 2024 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Jul 18, 2024 | 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. |
| Mar 23, 2023 | 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. |
| Mar 23, 2023 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Mar 23, 2023 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | E |
| 2024 | 4 | 0 | E |
| 2025 | 6 | 0 | E |
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)
No fines or payment denials in the published 3-year window.
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) | 3.16 | 4.01 | 3.95 | bottom 13% in North Carolina; bottom 20% in the U.S. |
| Registered Nurse hours | 0.34 | 0.64 | 0.69 | bottom 14% in North Carolina; bottom 13% in the U.S. |
| Weekend total nurse staffing | 2.15 | 3.56 | 3.50 | bottom 1% in North Carolina; bottom 3% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.22 | 0.41 | 0.48 | bottom 24% in North Carolina; bottom 16% in the U.S. |
| Total nursing staff turnover (%) | 43.3 | 49.0 | 45.8 | top 37% in North Carolina; top 45% in the U.S. |
| RN turnover (%) | 41.7 | 45.7 | 42.9 | top 42% in North Carolina; top 50% 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 2.96, RN 0.31, weekend 2.01. Staffing rating: 2/5.
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: 5/5 · short-stay residents: 2/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Advocate Health INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/02/2022 |
| Advocate Health INC | Organization | ADP of the SNF | NOT APPLICABLE | 07/29/2025 |
| Atrium Health INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/09/2020 |
| Atrium Health INC | Organization | ADP of the SNF | NOT APPLICABLE | 07/29/2025 |
| Ball, Rodney | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/30/2023 |
| Ball, Rodney | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2023 |
| Ball, Rodney | Individual | Trustee of the SNF | NOT APPLICABLE | 08/30/2023 |
| Broad River Rehabilitation | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2023 |
| Broad River Rehabilitation | Organization | ADP of the SNF | NOT APPLICABLE | 07/29/2025 |
| Dotson, Kathryn | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2020 |
| Dotson, Kathryn | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2020 |
| Haynes, Kenneth | Individual | Managing Control - Governing Body | NOT APPLICABLE | 06/21/2019 |
| Haynes, Kenneth | Individual | Corporate Officer | NOT APPLICABLE | 12/20/2019 |
| Haynes, Kenneth | Individual | Trustee of the SNF | NOT APPLICABLE | 06/21/2019 |
| Murray, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/16/2024 |
| Murray, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 01/16/2024 |
| Optimed Hospitalists | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/22/2017 |
| Optimed Hospitalists | Organization | ADP of the SNF | NOT APPLICABLE | 07/29/2025 |
| Pro Diversity Partners, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/01/2021 |
| Pro Diversity Partners, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/29/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How is routine foot care handled here, and does a podiatrist visit regularly?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "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 |
|---|---|---|---|---|---|
| White Oak Manor-Shelby | 1.5 mi | Shelby, NC | ★★☆☆☆ | 2/5 | |
| Carolina Care Health and Rehabilitation | 9.7 mi | Cherryville, NC | ★★★★★ | 5/5 | |
| White Oak Manor-Kings Mountain | 11.5 mi | Kings Mountain, NC | ★★☆☆☆ | 2/5 | abuse |
| Peak Resources- Shelby | 11.5 mi | Grover, NC | ★★☆☆☆ | 3/5 | |
| Peak Resources-Cherryville | 11.7 mi | Cherryville, NC | ★★★★☆ | 4/5 | |
| Fair Haven Home INC | 15.2 mi | Bostic, NC | ★★★★★ | 5/5 | |
| Palmetto Patriots | 16.6 mi | Gaffney, SC | ★★★★★ | 5/5 | |
| Peachtree Centre | 16.9 mi | Gaffney, SC | ★☆☆☆☆ | 2/5 | |
| Brookview Healthcare Center | 19.2 mi | Gaffney, SC | ★☆☆☆☆ | 1/5 | |
| The Greens at Lincolnton | 19.3 mi | Lincolnton, NC | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 345282.