Deer Park Health and RehabilitationCMS ratings, inspections and fines
- Address
- 306 Deer Park Road, Nebo, NC 28761
- CCN
- 345233
- Ownership type
- For-profit, limited liability company
- Certified beds
- 140
- Chain
- Brighton Healthcare
- Residents per day
- 121
- CMS flags
- Special Focus Facility candidate
- CMS abuse icon
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Deer Park Health and Rehabilitation an overall rating of 1 of 5 stars. The last standard survey was on 24 Jun 2025. The latest survey cycle has 20 health citations. The median for nursing homes in North Carolina is 3. CMS lists 5 fines with a total of $273,467 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in North Carolina (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | McDowell County median | North Carolina median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 1 | 5.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 2 homes in the county, 419 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | North Carolina median |
|---|---|---|---|
| Cycle 1 (latest) | 24 Jun 2025 | 20 | 3 |
| Cycle 2 | 25 Apr 2024 | 15 | 5 |
| Cycle 3 | No date | 4 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 20 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 14 Aug 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint investigation | 30 Aug 2025 |
| 14 Aug 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 30 Aug 2025 |
| 14 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 30 Aug 2025 |
| 24 Jun 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 14 Aug 2025 |
| 24 Jun 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 14 Aug 2025 |
| 24 Jun 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 14 Aug 2025 |
| 24 Jun 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 14 Aug 2025 |
| 24 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 30 Aug 2025 |
| 24 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 14 Aug 2025 |
| 24 Jun 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint investigation | 14 Aug 2025 |
| 24 Jun 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint investigation | 14 Aug 2025 |
| 24 Jun 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Complaint investigation | 14 Aug 2025 |
| 24 Jun 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 14 Aug 2025 |
| 24 Jun 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 14 Aug 2025 |
| 24 Jun 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 14 Aug 2025 |
| 24 Jun 2025 | F0777 | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | G | Standard survey | 14 Aug 2025 |
| 24 Jun 2025 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 14 Aug 2025 |
| 24 Jun 2025 | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Complaint investigation | 14 Aug 2025 |
| 24 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 14 Aug 2025 |
| 24 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 14 Aug 2025 |
Survey cycle 2: 15 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 16 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 10 Aug 2024 |
| 25 Apr 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 21 May 2024 |
| 25 Apr 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Complaint investigation | 21 May 2024 |
| 25 Apr 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 21 May 2024 |
| 25 Apr 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 21 May 2024 |
| 25 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 21 May 2024 |
| 25 Apr 2024 | F0641 | Ensure each resident receives an accurate assessment. | B | Standard survey | 21 May 2024 |
| 25 Apr 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 21 May 2024 |
| 25 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 21 May 2024 |
| 25 Apr 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Complaint investigation | 21 May 2024 |
| 25 Apr 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Complaint investigation | 21 May 2024 |
| 25 Apr 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Complaint investigation | 21 May 2024 |
| 25 Apr 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 21 May 2024 |
| 25 Apr 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Complaint investigation | 21 May 2024 |
| 25 Apr 2024 | F0908 | Keep all essential equipment working safely. | E | Complaint investigation | 21 May 2024 |
Survey cycle 3: 4 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 2 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 10 Aug 2024 |
| 1 Dec 2022 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 13 Jan 2023 |
| 1 Dec 2022 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 13 Jan 2023 |
| 1 Dec 2022 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 13 Jan 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 24 Jun 2025 | Fine | $175,643 | |
| 24 Jun 2025 | Fine | $8,673 | |
| 24 Jun 2025 | Fine | $8,672 | |
| 2 Jul 2024 | Fine | $16,801 | |
| 25 Apr 2024 | Fine | $63,678 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | North Carolina median | North Carolina average (CMS) |
|---|---|---|---|
| All nurse staff | 3.41 | 3.50 | 3.83 |
| Registered nurses (RN) | 0.79 | 0.50 | 0.61 |
| Licensed practical nurses (LPN) | 0.35 | 0.89 | |
| Nurse aides | 2.26 | 2.34 | |
| All nurse staff, weekends | 3.06 | 3.10 | 3.40 |
- Nurse staff turnover in a year
- 78.5%
- Nurse staff turnover, North Carolina median
- 48.6%
- RN turnover in a year
- 72.2%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 23.6% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.4% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.3% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.3% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.7% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.6% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.0% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.5% | 13.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Deer Park Health and Rehabilitation SNF LLC
- Chain
- Brighton Healthcare (8 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| CTNC Holdings LLC | 5% or greater direct ownership interest | 38% | 11 Jun 2025 |
| Etnc Holdings LLC | Direct ownership interest | 11 Jun 2025 | |
| 306 Deer Park Road LLC | 5% or greater mortgage interest | 4 Mar 2022 | |
| 306 Deer Park Road LLC | Adp of the snf | 4 Mar 2022 | |
| Brand Sonnenschine LLP | Adp of the snf | 4 Mar 2022 | |
| Brighton Management LLC | Adp of the snf | 4 Mar 2022 | |
| CTNC Holdings LLC | Adp of the snf | 4 Mar 2022 | |
| Forvis Mazars LLP | Adp of the snf | 4 Mar 2022 |
The site shows organisations only. It does not show the names of persons.
Other homes in McDowell County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Autumn Care of Marion | Marion | 3 of 5 | 7 | $10,364 | 26 Feb 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Deer Park Health and Rehabilitation (CCN 345233). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/deer-park-health-and-rehabilitation-nebo-nc-345233/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Deer Park Health and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 14 Aug 2025. It was a complaint investigation. It gave 3 citations. The standard survey before the last one was on 25 Apr 2024.
- Who operates Deer Park Health and Rehabilitation?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Brighton Healthcare. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- What does the Special Focus status mean for Deer Park Health and Rehabilitation?
- CMS lists the home as a Special Focus Facility candidate. The state selects its next Special Focus Facility from the candidates. CMS lists 2 homes in North Carolina as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.