Emerald Health & Rehab Center
54 Red Mulberry Way, Lillington, NC 27546 · Harnett County · 96 certified beds · avg 92 residents/day · certified since Jan 1, 1978
Part of chain: SABER HEALTHCARE GROUP (126 facilities, chain avg rating 2.9★)
2/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.07
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · 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.
All citations in the current public record (20)
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 |
|---|---|---|
| Sep 30, 2025 | D · Potential for 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 |
| Sep 30, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jul 24, 2025 | F · Potential for harm, facility-wide | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Jul 24, 2025 | F · Potential for harm, facility-wide | 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. |
| Jul 24, 2025 | 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 24, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jul 24, 2025 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| May 28, 2024 | E · Potential for harm, repeated | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| May 28, 2024 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint |
| May 28, 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. |
| May 28, 2024 | E · Potential for harm, repeated | The facility employed staff who were not licensed, certified, or registered as required by state law. · from a complaint |
| May 28, 2024 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| May 28, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| May 28, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| May 28, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| May 28, 2024 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| May 28, 2024 | D · Potential for harm, one-off | The facility did not dispose of garbage and refuse properly. |
| May 28, 2024 | C · Minimal risk, facility-wide | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
| Jan 6, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jan 6, 2023 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (11 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | D |
| 2024 | 11 | 0 | E |
| 2025 | 7 | 0 | F |
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) | 3.07 | 4.01 | 3.95 | bottom 8% in North Carolina; bottom 16% in the U.S. |
| Registered Nurse hours | 0.47 | 0.64 | 0.69 | bottom 38% in North Carolina; bottom 33% in the U.S. |
| Weekend total nurse staffing | 2.62 | 3.56 | 3.50 | bottom 6% in North Carolina; bottom 13% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.30 | 0.41 | 0.48 | bottom 45% in North Carolina; bottom 32% in the U.S. |
| Total nursing staff turnover (%) | 44.4 | 49.0 | 45.8 | top 39% in North Carolina; top 49% in the U.S. |
| RN turnover (%) | 50.0 | 45.7 | 42.9 | bottom 45% in North Carolina; bottom 39% 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 3.26, RN 0.50, weekend 2.79. 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: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bundle Tenant LLC | Organization | 5% or Greater Direct Ownership Interest | — | 07/09/2015 |
| Bundle Tenant LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 01/01/2023 |
| Saber Governance LLC | Organization | 5% or Greater Direct Ownership Interest | — | 01/01/2020 |
| Saber Governance LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 01/01/2023 |
| SHG Management LLC | Organization | 5% or Greater Direct Ownership Interest | — | 01/01/2020 |
| SHG Management LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 01/01/2023 |
| Bundle Tenant LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/08/2026 |
| Citrin Cooperman Advisors LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2012 |
| Davis, Tim | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/02/2025 |
| Harnett Health Investors LP | Organization | ADP of the SNF | NOT APPLICABLE | 08/01/2015 |
| Joiner, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/17/2023 |
| Joiner, Brian | Individual | ADP of the SNF | NOT APPLICABLE | 12/17/2023 |
| Nicoluzakis, Gregory | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2019 |
| Pieper, Joel | Individual | ADP of the SNF | NOT APPLICABLE | 01/09/2023 |
| Saber Governance LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2019 |
| The Huntington National Bank | Organization | ADP of the SNF | NOT APPLICABLE | 07/19/2019 |
| Volpe, Benjamin | Individual | Corporate Director | NOT APPLICABLE | 03/01/2019 |
| Volpe, Benjamin | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2019 |
| Walker & Associates PC | Organization | ADP of the SNF | NOT APPLICABLE | 12/18/2023 |
| Weisberg, William | Individual | Corporate Director | NOT APPLICABLE | 03/01/2019 |
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?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "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 |
|---|---|---|---|---|---|
| Lillington Health and Rehabilitation Center | 2.5 mi | Lillington, NC | ★☆☆☆☆ | 1/5 | abuse |
| Harnett Woods Nursing and Rehabilitation Center | 10.9 mi | Dunn, NC | ★★★★★ | 4/5 | |
| The Carrolton of Dunn | 12.3 mi | Dunn, NC | ★☆☆☆☆ | 1/5 | |
| Fuquay-Varina Health and Rehabilitation Center | 13.4 mi | Fuquay Varina, NC | ★☆☆☆☆ | 2/5 | abuse |
| Windsor Point Continuing Care | 14.0 mi | Fuquay-Varina, NC | ★★★★★ | 5/5 | |
| Liberty Commons Nursing & Rehabilitation Center of | 15.3 mi | Benson, NC | ★★☆☆☆ | 2/5 | |
| Liberty Healthcare Services of Golden Years Nursin | 16.8 mi | Falcon, NC | ★★★★☆ | 5/5 | |
| Liberty Commons Nursing and Rehabilitation Center | 17.6 mi | Sanford, NC | ★★☆☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 345173.