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: PRINCIPLE LONG TERM CARE (40 facilities, chain avg rating 3.0★)
3/5
Health inspection rating (on-site)
inspected Jan 27, 2026
2
Serious findings on record
most recent Oct 14, 2024
$10,699
Fines, last 3 years
4.05
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · Oct 14, 2024 · F-0602 · triggered by a complaint
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.
Why it matters: Residents can lose money, jewelry, or cherished possessions to theft or misuse.
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: Nov 19, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Oct 14, 2024 · F-0697 · triggered by a complaint
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
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: Nov 19, 2024 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 14 inspection findings. Open the full record below to read every finding.
B · Potential for minimal harm, pattern
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. F-0584
G · Actual harm, isolated
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 complaintF-0602
G · Actual harm, isolated
The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaintF-0697
View all 14 inspection findingsShow only the latest 3 findings
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
Jan 27, 2026
B · Potential for minimal harm, pattern
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Oct 14, 2024
▲ G · Actual harm, isolated
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 · F-0602
Oct 14, 2024
▲ G · Actual harm, isolated
The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint · F-0697
Oct 14, 2024
E · Potential for more than minimal harm, pattern
The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint · F-0561
Oct 14, 2024
E · Potential for more than minimal harm, pattern
The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · F-0565
Oct 14, 2024
E · Potential for more than minimal harm, pattern
The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623
Oct 14, 2024
E · Potential for more than minimal harm, pattern
The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · F-0660
Oct 14, 2024
E · Potential for more than minimal harm, pattern
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Oct 14, 2024
E · Potential for more than minimal harm, pattern
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
Oct 14, 2024
D · Potential for more than minimal 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
Oct 14, 2024
D · Potential for more than minimal harm, isolated
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. · F-0657
Oct 14, 2024
D · Potential for more than minimal harm, isolated
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 · F-0677
Oct 14, 2024
D · Potential for more than minimal 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
Oct 14, 2024
D · Potential for more than minimal harm, isolated
The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (13 → 1).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2024
All citations:
13
Serious citations (G–L):
2
2026
All citations:
1
Serious citations (G–L):
0
All bars start at zero. Exact values and supporting details remain below.
Year
Citations
Serious (G–L)
Worst severity that year
2024
13
2
G ▲
2026
1
0
B
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.
2 fines totaling $10,699, plus 1 Medicare payment denial period.
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
Oct 14, 2024
Fine
$5,349
Oct 14, 2024
Fine
$5,350
Oct 14, 2024
Payment Denial
6 days from Nov 13, 2024
Nurse staffing (from payroll records, adjusted for how much care residents need)
Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityNorth Carolina averageU.S. average
Total nurse staffing (hours per resident per day)
This facility:
4.05
North Carolina average:
4.01
U.S. average:
3.95
Registered Nurse hours
This facility:
0.64
North Carolina average:
0.64
U.S. average:
0.69
Weekend total nurse staffing
This facility:
3.85
North Carolina average:
3.56
U.S. average:
3.50
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)
4.05
4.01
3.95
top 29% in North Carolina; top 37% in the U.S.
Registered Nurse hours
0.64
0.64
0.69
top 33% in North Carolina; top 43% in the U.S.
Weekend total nurse staffing
3.85
3.56
3.50
top 22% in North Carolina; top 27% in the U.S.
Weekend RN hours (not acuity-adjusted)
0.36
0.41
0.48
top 41% in North Carolina; bottom 44% in the U.S.
Total nursing staff turnover (%)
66.1
49.0
45.8
bottom 13% in North Carolina; bottom 9% in the U.S.
RN turnover (%)
41.2
45.7
42.9
top 42% in North Carolina; top 49% 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 3.81, RN 0.61, weekend 3.63.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.81 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
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.
No verified facility-specific private-pay price is available in our data for Piney Grove Nursing and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
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.
Before you compare prices
Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
All 10 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Principle Long Term Care — 40 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.
CMS records place this facility in Forsyth, NC — 14 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.