CMS data shows Cleveland Pines 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 levels are a potential concern at Cleveland Pines, with 3.28 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent inspections identified 13 deficiencies at Cleveland Pines. 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 | 3.28 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.43 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.90 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.94 | 2.4 | Below Average |
| Weekend Total Nursing | 2.81 | 3.8 | Below Average |
| Weekend RN Hours | 0.24 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0687 Severity EProvide appropriate foot care.Nov 17, 2025 · Quality of Life and Care Deficiencies
- Tag 0700 Severity ETry different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review theseNov 17, 2025 · Quality of Life and Care Deficiencies
- Tag 0607 Severity DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.Nov 17, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0644 Severity DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Nov 17, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0695 Severity DProvide safe and appropriate respiratory care for a resident when needed.Nov 17, 2025 · Quality of Life and Care 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 | 4.9% | 4.5% | Average |
| Falls with major injury | 0.6% | 3.0% | Better |
| On antipsychotic medication | 5.7% | 14.5% | Better |
| Urinary tract infections | 2.6% | 2.5% | Average |
| ADL decline (daily activities) | 21.1% | 14.0% | Worse |
| Excessive weight loss | 1.9% | 7.5% | Better |
| New/worsened incontinence | 22.6% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $5,000
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: 2★ → 8 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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