Lotus Village Center for Nursing and RehabilitatioCMS ratings, inspections and fines
- Address
- 179 Combs Street, Sparta, NC 28675
- CCN
- 345261
- Ownership type
- For-profit, corporation
- Certified beds
- 90
- Chain
- Chain name not shown
- Residents per day
- 78
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
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 Lotus Village Center for Nursing and Rehabilitatio an overall rating of 1 of 5 stars. The last standard survey was on 15 May 2026. The latest survey cycle has 17 health citations. The median for nursing homes in North Carolina is 3. CMS lists 4 fines with a total of $337,573 for this home in its penalties file. CMS also lists 1 payment denial.
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 | North Carolina median | US average (CMS) |
|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 2.9 |
| Quality measure rating | 2 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 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) | 15 May 2026 | 17 | 3 |
| Cycle 2 | 22 May 2025 | 15 | 5 |
| Cycle 3 | No date | 20 | 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 | L0 | ||
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | C0 |
Survey cycle 1 (latest): 17 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 15 May 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 15 Jun 2026 |
| 15 May 2026 | 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 | 15 Jun 2026 |
| 15 May 2026 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 15 Jun 2026 |
| 15 May 2026 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 15 Jun 2026 |
| 15 May 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 15 Jun 2026 |
| 15 May 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 15 Jun 2026 |
| 15 May 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 15 Jun 2026 |
| 15 May 2026 | F0687 | Provide appropriate foot care. | D | Standard survey | 15 Jun 2026 |
| 15 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 10 Jan 2026 |
| 15 May 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 15 Jun 2026 |
| 15 May 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 15 Jun 2026 |
| 15 May 2026 | 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 | Standard survey | 15 Jun 2026 |
| 15 May 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 15 Jun 2026 |
| 15 May 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 15 Jun 2026 |
| 15 May 2026 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 15 Jun 2026 |
| 19 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 15 May 2026 |
| 19 Mar 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 15 Jun 2026 |
Survey cycle 2: 15 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 22 May 2025 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 13 Jun 2025 |
| 22 May 2025 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 13 Jun 2025 |
| 22 May 2025 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 13 Jun 2025 |
| 22 May 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 13 Jun 2025 |
| 22 May 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. | E | Standard survey | 13 Jun 2025 |
| 22 May 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 13 Jun 2025 |
| 10 Apr 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Complaint investigation | 22 May 2025 |
| 10 Apr 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 22 May 2025 |
| 10 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 22 May 2025 |
| 10 Apr 2025 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 22 May 2025 |
| 24 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 25 Oct 2024 |
| 27 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 20 Sep 2024 |
| 7 Aug 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 29 Aug 2024 |
| 7 Aug 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 29 Aug 2024 |
| 7 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 29 Aug 2024 |
Survey cycle 3: 20 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 |
|---|---|---|---|---|---|
| 8 Apr 2024 | 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 | 4 May 2024 |
| 8 Apr 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint investigation | 4 May 2024 |
| 8 Apr 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | Complaint investigation | 4 May 2024 |
| 8 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 | 4 May 2024 |
| 22 Feb 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 | 4 May 2024 |
| 22 Feb 2024 | 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. | F | Complaint investigation | 4 May 2024 |
| 22 Feb 2024 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Complaint investigation | 4 May 2024 |
| 22 Feb 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 4 May 2024 |
| 22 Feb 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | B | Complaint investigation | 4 May 2024 |
| 22 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 4 May 2024 |
| 22 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 4 May 2024 |
| 22 Feb 2024 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Complaint investigation | 4 May 2024 |
| 22 Feb 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 4 May 2024 |
| 22 Feb 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint investigation | 4 May 2024 |
| 22 Feb 2024 | F0700 | Try 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 these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Complaint investigation | 4 May 2024 |
| 22 Feb 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 4 May 2024 |
| 22 Feb 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. | D | Complaint investigation | 4 May 2024 |
| 22 Feb 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Complaint investigation | 4 May 2024 |
| 22 Feb 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint investigation | 4 May 2024 |
| 22 Feb 2024 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Complaint investigation | 4 May 2024 |
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 |
|---|---|---|---|
| 19 Mar 2026 | Fine | $22,345 | |
| 10 Apr 2025 | Fine | $102,102 | |
| 10 Apr 2025 | Payment denial | 36 | |
| 27 Sep 2024 | Fine | $16,055 | |
| 22 Feb 2024 | Fine | $197,071 |
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 | 3.38 | 3.50 | 3.83 |
| Registered nurses (RN) | 0.28 | 0.50 | 0.61 |
| Licensed practical nurses (LPN) | 0.54 | 0.89 | |
| Nurse aides | 2.56 | 2.34 | |
| All nurse staff, weekends | 3.15 | 3.10 | 3.40 |
- Nurse staff turnover in a year
- 53.5%
- Nurse staff turnover, North Carolina median
- 48.6%
- RN turnover in a year
- 60.0%
- Administrators who left in a year
- 2
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 | 26.2% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.4% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 32.3% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.4% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.8% | 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, corporation
- Legal business name
- Combs Street Operating Company LLC
- Chain
- Chain name not shown
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Coalition Group LLC | Direct ownership interest | 1 Jul 2023 | |
| PPG Ee Group LLC | Indirect ownership interest | 1 Jul 2023 | |
| SHNZ Holdings LLC | Indirect ownership interest | 1 Jul 2023 | |
| Alliance Health Group LLC | Operational/managerial control | 1 Jul 2023 | |
| Alliance Health Group LLC | Adp of the snf | 11 Mar 2025 |
The site shows organisations only. It does not show the names of persons. CMS lists this home in a chain that has the name of a person, so the site shows no chain name and no chain page.
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 Lotus Village Center for Nursing and Rehabilitatio (CCN 345261). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/lotus-village-center-for-nursing-and-rehabilitatio-sparta-nc-345261/
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 Lotus Village Center for Nursing and Rehabilitatio last inspected?
- The latest inspection with a citation in the CMS record was on 15 May 2026. It was a standard survey and a complaint investigation. It gave 15 citations. The standard survey before the last one was on 22 May 2025.
- Who operates Lotus Village Center for Nursing and Rehabilitatio?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in a chain that has the name of a person. This site does not show that name. The CMS ownership file names Alliance Health Group LLC for operational or managerial control. This site does not show the names of persons.
- Is Lotus Village Center for Nursing and Rehabilitatio a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. 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.