CMS data shows Elizabethtown Healthcare & Rehab Center earning a D grade with a score of 54/100, placing it below most facilities in North Carolina. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing at Elizabethtown Healthcare & Rehab Center is near the national average, with 3.67 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 6 deficiencies at Elizabethtown Healthcare & Rehab Center. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.67 | 3.8 | Average |
| Registered Nurses (RN) | 0.60 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.44 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.64 | 2.4 | Average |
| Weekend Total Nursing | 3.31 | 3.8 | Below Average |
| Weekend RN Hours | 0.30 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Sep 15, 2025 · Quality of Life and Care Deficiencies
- Tag 0812 Severity DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Sep 15, 2025 · Nutrition and Dietary Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Sep 15, 2025 · Infection Control Deficiencies
- Tag 0919 Severity DMake sure that a working call system is available in each resident's bathroom and bathing area.Sep 15, 2025 · Environmental Deficiencies
- Tag 0607 Severity DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.Sep 25, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 6.5% | 4.5% | Worse |
| Falls with major injury | 1.1% | 3.0% | Better |
| On antipsychotic medication | 7.7% | 14.5% | Better |
| Urinary tract infections | 0.7% | 2.5% | Better |
| ADL decline (daily activities) | 17.6% | 14.0% | Worse |
| Excessive weight loss | 7.9% | 7.5% | Average |
| New/worsened incontinence | 20.1% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $13,520
How This Grade Was Calculated
This facility's grade of D is based on a score of 54 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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