C

Woodlands Nursing & Rehabilitation Center

400 Pelt Drive, Fayetteville, NC 28301
Score: 65 / 100

With a score of 65 out of 100, Woodlands Nursing & Rehabilitation Center earns a C grade — placing it near the middle of North Carolina nursing facilities. Families should review the detailed metrics below when considering this Fayetteville location.

Staffing at Woodlands Nursing & Rehabilitation Center is near the national average, with 3.99 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 10 deficiencies at Woodlands Nursing & Rehabilitation Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.99 3.8 Average
Registered Nurses (RN) 0.36 0.7 Below Average
Licensed Practical Nurses (LPN) 0.92 0.7 Above Average
Certified Nursing Assistants (CNA) 2.71 2.4 Above Average
Weekend Total Nursing 3.71 3.8 Average
Weekend RN Hours 0.18 0.7 Below Average

🔍 Inspection & Deficiency History

10
Total Deficiencies
Aug 7, 2025
Most Recent Inspection
🟠 10 Moderate
View recent deficiencies (5 shown)
  • Tag 0641 Severity D
    Ensure each resident receives an accurate assessment.
    Aug 7, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0644 Severity D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    Aug 7, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0760 Severity E
    Ensure that residents are free from significant medication errors.
    May 6, 2024 · Pharmacy Service Deficiencies
  • Tag 0887 Severity E
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document
    May 6, 2024 · Infection Control Deficiencies
  • Tag 0582 Severity D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    May 6, 2024 · Resident Rights 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 8.6% 4.5% Worse
Falls with major injury 2.4% 3.0% Better
On antipsychotic medication 15.0% 14.5% Average
Urinary tract infections 2.0% 2.5% Better
ADL decline (daily activities) 7.2% 14.0% Better
Excessive weight loss 5.7% 7.5% Better
New/worsened incontinence 24.3% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $4,709

How This Grade Was Calculated

This facility's grade of C is based on a score of 65 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 2★ → 6 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

Ownership
For profit - Corporation
Certified Beds
80
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Aug 7, 2025
Deficiencies (Cycle 1)
2