Stokes County Nursing Home

Name: Stokes County Nursing Home
Address: 1570 NC 8 and 89 Highway, Danbury, NC, 27016, US
Telephone: 3365932831

1570 Nc 8 and 89 Highway, Danbury, NC 27016 · Stokes County · 40 certified beds · avg 37 residents/day · certified since Jun 13, 1977

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.97

Nurse hours/resident/day (adjusted)

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.

All citations in the current public record (15)

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
Nov 21, 2025	F · Potential for harm, facility-wide	The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies.
Nov 21, 2025	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Nov 21, 2025	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.
Nov 21, 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.
Nov 21, 2025	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Nov 21, 2025	D · Potential for harm, one-off	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Nov 21, 2025	C · Minimal risk, facility-wide	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.
Aug 12, 2024	F · Potential for harm, facility-wide	The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records.
Aug 12, 2024	F · Potential for harm, facility-wide	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.
Mar 9, 2023	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.
Mar 9, 2023	E · Potential for harm, repeated	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
Mar 9, 2023	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.
Mar 9, 2023	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.
Mar 9, 2023	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Mar 9, 2023	C · Minimal risk, facility-wide	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 7).

Year	Citations	Worst severity that year
2023	6	F
2024	2	F
2025	7	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)	3.97	4.01	3.95	top 32% in North Carolina; top 41% in the U.S.
Registered Nurse hours	0.80	0.64	0.69	top 19% in North Carolina; top 28% in the U.S.
Weekend total nurse staffing	3.39	3.56	3.50	top 40% in North Carolina; top 48% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.42	0.41	0.48	top 32% in North Carolina; top 44% in the U.S.
Total nursing staff turnover (%)	25.0	49.0	45.8	top 4% in North Carolina; top 7% in the U.S.
RN turnover (%)	22.2	45.7	42.9	top 15% in North Carolina; top 17% 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 3.54, RN 0.71, weekend 3.03. 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: 2/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Amber Dominique Fletcher 2018 Trust	Organization	5% or Greater Indirect Ownership Interest	—	12/28/2018
Fletcher 2018 Family Trust	Organization	5% or Greater Indirect Ownership Interest	—	12/28/2018
Fletcher, Christian	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/28/2018
Lifebrite Hospital Group LLC	Organization	5% or Greater Direct Ownership Interest	100%	05/13/2016
Lifebrite Laboratories, LLC	Organization	5% or Greater Indirect Ownership Interest	—	01/30/2017
Fletcher, Amber	Individual	Corporate Officer	NOT APPLICABLE	01/30/2017
Fletcher, Amber	Individual	Operational/Managerial Control	NOT APPLICABLE	01/31/2017
Fletcher, Amber	Individual	ADP of the SNF	NOT APPLICABLE	01/31/2017
Fletcher, Christian	Individual	Corporate Officer	NOT APPLICABLE	01/30/2017
Fletcher, Christian	Individual	Operational/Managerial Control	NOT APPLICABLE	01/31/2017
Fletcher, Christian	Individual	ADP of the SNF	NOT APPLICABLE	01/31/2017
Lifebrite Hospital Group LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	10/12/2016
Lifebrite Hospital Group LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/18/2025
Tillman, Pamela	Individual	Operational/Managerial Control	NOT APPLICABLE	01/30/2017
Tillman, Pamela	Individual	ADP of the SNF	NOT APPLICABLE	01/30/2017

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you decide you have enough staff and resources for your resident population, including nights and weekends?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
"Where do you post your daily staffing numbers, and can I see today's?"
"How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
"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
Walnut Cove Health and Rehabilitation	9.4 mi	Walnut Cove, NC	★★☆☆☆	2/5
King Health and Rehabilitation Center	12.2 mi	King, NC	★★★☆☆	4/5
Village Care of King	13.1 mi	King, NC	★☆☆☆☆	2/5
Blue Ridge Therapy Connection	15.3 mi	Stuart, VA	★★★★☆	4/5
Oak Forest Health and Rehabilitation	15.4 mi	Winston Salem, NC	★☆☆☆☆	2/5
Mill Creek Center for Nursing and Rehabilitation	18.1 mi	Winston-Salem, NC	★★☆☆☆	2/5
Jacob's Creek Nursing and Rehabilitation Center	18.3 mi	Madison, NC	★★★★★	4/5
Brookridge Retirement Community	19.1 mi	Winston-Salem, NC	★★★★★	4/5
Salemtowne	19.2 mi	Winston-Salem, NC	★★★★☆	4/5
Countryside	19.3 mi	Stokesdale, NC	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Danbury →

Facility data as of CMS processing date 2026-08-01. CCN 345166.

The Care File

Visit checklist — Stokes County Nursing Home

1570 Nc 8 and 89 Highway, Danbury, NC 27016 · 3365932831

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you decide you have enough staff and resources for your resident population, including nights and weekends?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
☐ "Where do you post your daily staffing numbers, and can I see today's?"
☐ "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 345166 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)