Siler City Center
900 W Dolphin Street, Siler City, NC 27344 · Chatham County · 150 certified beds · avg 140 residents/day · certified since Jan 1, 1980
Abuse citation flag (CMS)
Part of chain: GENESIS HEALTHCARE (184 facilities, chain avg rating 2.4★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
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)
▲ Immediate jeopardy, one-off · Sep 8, 2025 · F-0600 · triggered by a complaint
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.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 16, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Aug 2, 2023 · F-0600 · triggered by a complaint
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.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Aug 22, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Aug 2, 2023 · F-0684
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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 22, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (22)
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 |
|---|---|---|
| Mar 13, 2026 | 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 13, 2026 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Mar 13, 2026 | 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 |
| Mar 13, 2026 | 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. |
| Mar 13, 2026 | 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. |
| Mar 13, 2026 | D · Potential for harm, one-off | The facility did not dispose of garbage and refuse properly. |
| Sep 8, 2025 | ▲ J · Immediate jeopardy, 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 |
| Nov 7, 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 |
| Nov 7, 2024 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Nov 7, 2024 | D · Potential for harm, one-off | The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. |
| Nov 7, 2024 | 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 7, 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. |
| Nov 7, 2024 | B · Minimal risk, repeated | 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. |
| Aug 2, 2023 | ▲ J · Immediate jeopardy, 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 |
| Aug 2, 2023 | ▲ G · Actual 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. |
| Aug 2, 2023 | E · Potential for harm, repeated | 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. |
| Aug 2, 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. |
| Aug 2, 2023 | E · Potential for harm, repeated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint |
| Aug 2, 2023 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Aug 2, 2023 | 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 |
| Aug 2, 2023 | 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 |
| Aug 2, 2023 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 9 | 2 | J ▲ |
| 2024 | 6 | 0 | D |
| 2025 | 1 | 1 | J ▲ |
| 2026 | 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)
1 fine totaling $7,909.
| Date | Type | Amount / length |
|---|---|---|
| Sep 8, 2025 | Fine | $7,909 |
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) | 3.58 | 4.01 | 3.95 | bottom 43% in North Carolina; bottom 41% in the U.S. |
| Registered Nurse hours | 0.53 | 0.64 | 0.69 | bottom 50% in North Carolina; bottom 42% in the U.S. |
| Weekend total nurse staffing | 3.23 | 3.56 | 3.50 | bottom 48% in North Carolina; bottom 44% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.33 | 0.41 | 0.48 | top 49% in North Carolina; bottom 37% in the U.S. |
| Total nursing staff turnover (%) | 38.7 | 49.0 | 45.8 | top 26% in North Carolina; top 33% in the U.S. |
| RN turnover (%) | 25.0 | 45.7 | 42.9 | top 17% in North Carolina; top 20% 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 3.29, RN 0.49, weekend 2.97. Staffing rating: 3/5.
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: 1/5 · long-stay residents: 2/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| FC Gen Operations Investment LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 12/01/2012 |
| Gen Operations I LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Gen Operations II LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Genesis Healthcare INC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Genesis Healthcare LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Genesis Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/02/2015 |
| Regency Health Services, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/02/2015 |
| Sun Healthcare Group, INC. | Organization | 5% or Greater Indirect Ownership Interest | — | 02/15/2009 |
| Sunbridge Healthcare LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/01/2009 |
| Whitman, Arnold | Individual | 5% or Greater Indirect Ownership Interest | — | 03/02/2015 |
| Alvarez, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/19/2023 |
| Alvarez, John | Individual | ADP of the SNF | NOT APPLICABLE | 01/28/2025 |
| Berg, Michael | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2008 |
| Bridgeford, Laura | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Hoffman, Byron | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2022 |
| Hoffman, Byron | Individual | ADP of the SNF | NOT APPLICABLE | 01/28/2025 |
| Mendelson, Avi | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can I see where garbage is stored and how often it's removed?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "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 |
|---|---|---|---|---|---|
| Ramseur Rehabilitation and Healthcare Center | 8.6 mi | Ramseur, NC | ★★☆☆☆ | 2/5 | |
| The Laurels of Chatham | 17.4 mi | Pittsboro, NC | ★★☆☆☆ | 2/5 | |
| Clapp's Convalescent Nursing Home INC | 17.7 mi | Asheboro, NC | ★★★★☆ | 4/5 | |
| Alpine Health and Rehabilitation of Asheboro | 18.9 mi | Asheboro, NC | ★★★★★ | 5/5 | |
| Asheboro Rehabilitation and Healthcare Center | 19.3 mi | Asheboro, NC | ★★☆☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 345143.