Lenoir Health and Rehabilitation Center
322 Nuway Circle, Lenoir, NC 28645 · Caldwell County · 120 certified beds · avg 109 residents/day · certified since Feb 1, 1977
Part of chain: LIFEWORKS REHAB (64 facilities, chain avg rating 2.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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 · Feb 5, 2026 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
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: Mar 2, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jul 8, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Jun 9, 2025 (Past Non-Compliance)
▲ Actual harm, one-off · Oct 5, 2023 · F-0550 · triggered by a complaint
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.
Why it matters: Being treated without dignity harms a resident's self-worth, mental health, and overall quality of life.
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: Dec 4, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (35)
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 |
|---|---|---|
| Feb 5, 2026 | ▲ G · Actual harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Feb 5, 2026 | 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 |
| Feb 5, 2026 | 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. · from a complaint |
| Nov 24, 2025 | 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. |
| Nov 24, 2025 | E · Potential for harm, repeated | 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. |
| Nov 24, 2025 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Nov 24, 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 |
| Nov 24, 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. · from a complaint |
| Nov 24, 2025 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Nov 24, 2025 | D · Potential for 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 |
| Nov 24, 2025 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Nov 24, 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. · from a complaint |
| Nov 24, 2025 | 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. |
| Nov 24, 2025 | B · Minimal risk, repeated | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Jul 8, 2025 | ▲ G · Actual 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 8, 2025 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint |
| Jul 8, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Oct 30, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Oct 30, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Oct 30, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Oct 30, 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. · from a complaint |
| Oct 30, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Aug 8, 2024 | F · Potential for harm, facility-wide | 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. |
| Aug 8, 2024 | E · Potential for harm, repeated | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Aug 8, 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. |
| Aug 8, 2024 | 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. · from a complaint |
| Aug 8, 2024 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint |
| Aug 8, 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 |
| Dec 4, 2023 | 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 |
| Dec 4, 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. · from a complaint |
| Dec 4, 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. · from a complaint |
| Oct 5, 2023 | ▲ G · Actual 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. · from a complaint |
| Apr 19, 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. |
| Apr 19, 2023 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Apr 19, 2023 | B · Minimal risk, repeated | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (6 → 11).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 1 | G ▲ |
| 2024 | 11 | 0 | F |
| 2025 | 14 | 1 | G ▲ |
| 2026 | 3 | 1 | 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)
4 fines totaling $150,174, plus 2 Medicare payment denial periods.
| Date | Type | Amount / length |
|---|---|---|
| Feb 5, 2026 | Fine | $35,464 |
| Jul 8, 2025 | Fine | $9,620 |
| Aug 8, 2024 | Fine | $20,869 |
| Aug 8, 2024 | Payment Denial | 8 days from Nov 8, 2024 |
| Oct 5, 2023 | Fine | $84,221 |
| Oct 5, 2023 | Payment Denial | 55 days from Nov 3, 2023 |
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) | 3.29 | 4.01 | 3.95 | bottom 21% in North Carolina; bottom 26% in the U.S. |
| Registered Nurse hours | 0.39 | 0.64 | 0.69 | bottom 25% in North Carolina; bottom 21% in the U.S. |
| Weekend total nurse staffing | 2.80 | 3.56 | 3.50 | bottom 12% in North Carolina; bottom 21% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.32 | 0.41 | 0.48 | bottom 50% in North Carolina; bottom 37% in the U.S. |
| Total nursing staff turnover (%) | 68.7 | 49.0 | 45.8 | bottom 10% in North Carolina; bottom 7% in the U.S. |
| RN turnover (%) | 83.3 | 45.7 | 42.9 | bottom 4% in North Carolina; bottom 4% 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 3.57, RN 0.43, weekend 3.03. 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: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ib Mimi 2022 Family Trust | Organization | Direct Ownership Interest | NOT APPLICABLE | 06/01/2024 |
| Lenoir Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | — | 06/01/2024 |
| 322 Nuway Circle LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Acs Pro Global Solutions | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Bridgewater NC Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Burton, Noah | Individual | Trustee of the SNF | NOT APPLICABLE | 06/01/2024 |
| Clark, Kevin | Individual | ADP of the SNF | NOT APPLICABLE | 01/08/2026 |
| Cyop Cyber Security LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Ellenbogen, Moss | Individual | Trustee of the SNF | NOT APPLICABLE | 06/01/2024 |
| Ib Mimi 2022 Family Trust | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Lambert, Mirana | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
| Lambert, Mirana | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Maher, Cindy | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2024 |
| Milano Family Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| ML Milano 2022 Family Trust | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Rubin, Eliezer | Individual | Trustee of the SNF | NOT APPLICABLE | 06/01/2024 |
| Weiss, Hillel | Individual | Trustee of the SNF | NOT APPLICABLE | 06/01/2024 |
| Wingate, Shonda | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/27/2025 |
| Wingate, Shonda | Individual | ADP of the SNF | NOT APPLICABLE | 03/27/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you explain health changes and treatment options to residents and their families?"
- "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 |
|---|---|---|---|---|---|
| Hibriten Mountain Nursing and Rehabilitation | 3.3 mi | Lenoir, NC | ★☆☆☆☆ | 1/5 | abuse |
| Shaire Nursing Center | 6.1 mi | Lenoir, NC | ★★★★☆ | 3/5 | |
| Hickory Falls Health and Rehabilitation | 11.1 mi | Granite Falls, NC | ★★★★☆ | 4/5 | |
| Autumn Care of Drexel | 13.3 mi | Morganton, NC | ★★★★☆ | 3/5 | |
| College Pines Health and Rehabilitation | 13.7 mi | Connelly Springs, NC | ★★★★★ | 4/5 | |
| The Foley Center at Chestnut Ridge | 15.8 mi | Blowing Rock, NC | ★★☆☆☆ | 2/5 | |
| Grace Heights Health & Rehabilitation | 16.3 mi | Morganton, NC | ★★★★★ | 5/5 | |
| Carolina Rehab Center of Burke | 16.5 mi | Connelly Spring, NC | ★★★☆☆ | 3/5 | |
| The Greens at Viewmont | 17.3 mi | Hickory, NC | ★★☆☆☆ | 2/5 | |
| Magnolia Lane Nursing and Rehabilitation Center | 17.5 mi | Morganton, NC | ★★☆☆☆ | 2/5 | |
| Trinity Village | 17.7 mi | Hickory, NC | ★★★★★ | 4/5 | |
| Glenbridge Health and Rehabilitation | 17.7 mi | Boone, NC | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 345138.