Springbrook Nursing and Rehabilitation Center
195 Springbrook Avenue, Clayton, NC 27520 · Johnston County · 100 certified beds · avg 95 residents/day · certified since Aug 1, 2015
Part of chain: PRINCIPLE LONG TERM CARE (40 facilities, chain avg rating 3.0★)
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Feb 13, 2024 · 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 (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: Jan 18, 2024 (Past Non-Compliance)
▲ Actual harm, one-off · Jun 5, 2024 · 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 21, 2024 (Past Non-Compliance)
All citations in the current public record (28)
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 |
|---|---|---|
| Apr 24, 2025 | D · Potential for harm, one-off | 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 30, 2024 | 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 |
| Jun 5, 2024 | ▲ G · Actual 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 |
| Feb 13, 2024 | ▲ J · Immediate jeopardy, 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 13, 2024 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Feb 13, 2024 | E · Potential for harm, repeated | 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 |
| Feb 13, 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. |
| Feb 13, 2024 | 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. |
| Feb 13, 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 |
| Feb 13, 2024 | D · Potential for harm, one-off | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · from a complaint |
| Feb 13, 2024 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · from a complaint |
| Feb 13, 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 |
| Feb 13, 2024 | 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 |
| Feb 13, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| Feb 13, 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. |
| Feb 13, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Feb 13, 2024 | B · Minimal risk, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Sep 22, 2022 | 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. |
| Sep 22, 2022 | 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. |
| Sep 22, 2022 | E · Potential for harm, repeated | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. |
| Sep 22, 2022 | 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. |
| Sep 22, 2022 | 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. |
| Sep 22, 2022 | 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. |
| Sep 22, 2022 | 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. |
| Sep 22, 2022 | 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. |
| Sep 22, 2022 | D · Potential for harm, one-off | The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. |
| Sep 22, 2022 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Sep 22, 2022 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 11 | 0 | E |
| 2024 | 16 | 2 | J ▲ |
| 2025 | 1 | 0 | D |
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)
2 fines totaling $25,625, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Jun 5, 2024 | Fine | $8,824 |
| Feb 13, 2024 | Fine | $16,801 |
| Feb 13, 2024 | Payment Denial | 9 days from Mar 2, 2024 |
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) | 4.40 | 4.01 | 3.95 | top 21% in North Carolina; top 26% in the U.S. |
| Registered Nurse hours | 0.81 | 0.64 | 0.69 | top 18% in North Carolina; top 27% in the U.S. |
| Weekend total nurse staffing | 3.93 | 3.56 | 3.50 | top 21% in North Carolina; top 25% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.45 | 0.41 | 0.48 | top 29% in North Carolina; top 40% in the U.S. |
| Total nursing staff turnover (%) | 50.9 | 49.0 | 45.8 | bottom 45% in North Carolina; bottom 35% 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 3.95, RN 0.72, weekend 3.53. Staffing rating: 4/5.
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: 2/5 · long-stay residents: 1/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Hill, Raymond | Individual | Direct Ownership Interest | NOT APPLICABLE | 06/02/2015 |
| Hill, Robert | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/01/2011 |
| Hill, Stephen | Individual | Direct Ownership Interest | NOT APPLICABLE | 06/02/2015 |
| Boice, Gale | Individual | Corporate Officer | NOT APPLICABLE | 03/05/2018 |
| Boice, Gale | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/18/2018 |
| Boice, Gale | Individual | ADP of the SNF | NOT APPLICABLE | 03/05/2018 |
| Hill, Raymond | Individual | ADP of the SNF | NOT APPLICABLE | 06/02/2015 |
| Hill, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2011 |
| Hill, Stephen | Individual | ADP of the SNF | NOT APPLICABLE | 06/02/2015 |
| Johnson, Dianne | Individual | Corporate Officer | NOT APPLICABLE | 06/02/2015 |
| Kendall, Tami | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/18/2020 |
| Kendall, Tami | Individual | ADP of the SNF | NOT APPLICABLE | 06/19/2025 |
| Lue, John | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/16/2017 |
| Lue, John | Individual | ADP of the SNF | NOT APPLICABLE | 02/16/2017 |
| Principle Long Term Care, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2015 |
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?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Can I see where garbage is stored and how often it's removed?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "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 |
|---|---|---|---|---|---|
| Clayton Rehabilitation and Healthcare Center | 1.5 mi | Clayton, NC | ★☆☆☆☆ | 1/5 | |
| Barbour Court Nursing and Rehabilitation Center | 8.2 mi | Smithfield, NC | ★★★★☆ | 4/5 | |
| Bellarose Nursing and Rehab | 9.1 mi | Garner, NC | ★★★★★ | 5/5 | |
| Smithfield Manor Rehabilitation and Healthcare Cen | 10.5 mi | Smithfield, NC | ★☆☆☆☆ | 1/5 | |
| Wellington Rehabilitation and Healthcare | 10.7 mi | Knightdale, NC | ★☆☆☆☆ | 2/5 | |
| The Laurels of Forest Glenn | 11.2 mi | Garner, NC | ★★☆☆☆ | 2/5 | |
| Capital Nursing and Rehabilitation Center | 12.9 mi | Raleigh, NC | ★★★★☆ | 4/5 | |
| Sunnybrook Rehabilitation Center | 13.0 mi | Raleigh, NC | ★☆☆☆☆ | 1/5 | |
| Tower Nursing and Rehabilitation Center | 13.8 mi | Raleigh, NC | ★★☆☆☆ | 2/5 | |
| Zebulon Rehabilitation Center | 14.4 mi | Zebulon, NC | ★★★★☆ | 4/5 | |
| Pruitthealth-Raleigh | 15.0 mi | Raleigh, NC | ★★★☆☆ | 3/5 | |
| Raleigh Rehabilitation Center | 16.0 mi | Raleigh, NC | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 345569.