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Woodlands Nursing & Rehabilitation Center

400 Pelt Drive, Fayetteville, NC 28301
9108220515
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Overall CMS Rating

3.0/5

vs State Average: 2.9 stars

3.0/5

Health Inspections

vs State Average: 2.9/5

3.0/5

Staffing Level

vs State Average: 2.7/5

2.0/5

Quality Measures

vs State Average: 3.2/5

1 penalties in last 3 years
Penalties
vs State Average: 1.6 penalties

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Ratings Deep Dive

Score
3.0
State Average
2.9
National Average
2.8
5 Deficiencies found in last inspections
1 Penalties in last 3 years
1 Fines issued
Citation Date Description Severity
Aug 8, 2025 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. D
Aug 8, 2025 Ensure each resident receives an accurate assessment. D
May 7, 2024 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D
May 7, 2024 Ensure that residents are free from significant medication errors. E
May 7, 2024 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. D
Score
3.0
State Average
2.7
National Average
2.9
0.4 RN Hours / Resident / Day
4.0 Total Nurse Hours / Resident / Day
50.0% RN Turnover Rate
Score
2.0
State Average
3.2
National Average
3.6
3.0 Long-Stay QM Rating
2.0 Short-Stay QM Rating
75.3 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST LONG TERM CARE MANAGEMENT SERVICES LLC
OPERATIONAL/MANAGERIAL CONTROL PATE, SANDRA
CORPORATE OFFICER CALCUTT, JOESEPH V
CORPORATE OFFICER WILSON, JEFFREY
Recent Penalties
Date Type Fine
Sep 1, 2023 Fine $4,709

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