Piedmont Hills Center for Nursing and RehabCMS ratings, inspections and fines
- Address
- 109 S Holden Road, Greensboro, NC 27407
- CCN
- 345116
- Ownership type
- For-profit, limited liability company
- Certified beds
- 126
- Residents per day
- 122
- 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 Piedmont Hills Center for Nursing and Rehab an overall rating of 1 of 5 stars. The last standard survey was on 27 Feb 2026. The latest survey cycle has 2 health citations. The median for nursing homes in North Carolina is 3. CMS lists 5 fines with a total of $217,827 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 | Guilford County median | North Carolina median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 1 | 4.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 20 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) | 27 Feb 2026 | 2 | 3 |
| Cycle 2 | 5 Dec 2024 | 14 | 5 |
| Cycle 3 | No date | 36 | 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 |
Survey cycle 1 (latest): 2 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 23 Oct 2025 | 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 | 24 Nov 2025 |
| 23 Oct 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 24 Nov 2025 |
Survey cycle 2: 14 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 11 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 26 Apr 2025 |
| 10 Feb 2025 | 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 | Complaint investigation | 21 Feb 2025 |
| 10 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 21 Feb 2025 |
| 5 Dec 2024 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Complaint investigation | 10 Feb 2025 |
| 5 Dec 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. | B | Complaint investigation | 30 Dec 2024 |
| 5 Dec 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 | 10 Feb 2025 |
| 5 Dec 2024 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | B | Standard survey | 30 Dec 2024 |
| 5 Dec 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Complaint investigation | 10 Feb 2025 |
| 5 Dec 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 | 10 Feb 2025 |
| 5 Dec 2024 | 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 | Complaint investigation | 21 Feb 2025 |
| 5 Dec 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 10 Feb 2025 |
| 5 Dec 2024 | F0687 | Provide appropriate foot care. | D | Complaint investigation | 10 Feb 2025 |
| 5 Dec 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 10 Feb 2025 |
| 5 Dec 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 10 Feb 2025 |
Survey cycle 3: 36 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 |
|---|---|---|---|---|---|
| 17 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 1 Aug 2024 |
| 17 Jul 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | K | Complaint investigation | 1 Aug 2024 |
| 17 Jul 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 | 1 Aug 2024 |
| 17 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | K | Complaint investigation | 1 Aug 2024 |
| 4 Dec 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 4 Jan 2024 |
| 4 Dec 2023 | 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 | 1 Jan 2024 |
| 4 Dec 2023 | F0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | C | Standard survey | 1 Jan 2024 |
| 4 Dec 2023 | 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 | 1 Jan 2024 |
| 4 Dec 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 1 Jan 2024 |
| 4 Dec 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 1 Jan 2024 |
| 4 Dec 2023 | 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. | D | Complaint investigation | 1 Jan 2024 |
| 4 Dec 2023 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Complaint investigation | 1 Jan 2024 |
| 4 Dec 2023 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Standard survey | 1 Jan 2024 |
| 4 Dec 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 1 Jan 2024 |
| 4 Dec 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | B | Standard survey | 1 Jan 2024 |
| 4 Dec 2023 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | B | Standard survey | 1 Jan 2024 |
| 4 Dec 2023 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 1 Jan 2024 |
| 4 Dec 2023 | F0642 | Ensure a qualified health professional conducts resident assessments. | D | Standard survey | 1 Jan 2024 |
| 4 Dec 2023 | 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 | 1 Jan 2024 |
| 4 Dec 2023 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint investigation | 1 Jan 2024 |
| 4 Dec 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 1 Jan 2024 |
| 4 Dec 2023 | 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. | G | Complaint investigation | 1 Jan 2024 |
| 4 Dec 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | J | Standard survey | 1 Jan 2024 |
| 4 Dec 2023 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Standard survey | 1 Jan 2024 |
| 4 Dec 2023 | F0732 | Post nurse staffing information every day. | C | Standard survey | 1 Jan 2024 |
| 4 Dec 2023 | 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 | Standard survey | 1 Jan 2024 |
| 4 Dec 2023 | 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. | D | Complaint investigation | 1 Jan 2024 |
| 4 Dec 2023 | 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 | 1 Jan 2024 |
| 4 Dec 2023 | F0791 | Provide or obtain dental services for each resident. | E | Complaint investigation | 1 Jan 2024 |
| 4 Dec 2023 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 1 Jan 2024 |
| 4 Dec 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 1 Jan 2024 |
| 4 Dec 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 1 Jan 2024 |
| 4 Dec 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 1 Jan 2024 |
| 4 Dec 2023 | F0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | D | Standard survey | 1 Jan 2024 |
| 4 Dec 2023 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | Standard survey | 1 Jan 2024 |
| 4 Dec 2023 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 1 Jan 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 |
|---|---|---|---|
| 23 Oct 2025 | Fine | $50,505 | |
| 11 Jun 2025 | Fine | $17,345 | |
| 5 Dec 2024 | Fine | $18,086 | |
| 17 Jul 2024 | Fine | $35,105 | |
| 4 Dec 2023 | Fine | $96,786 | |
| 4 Dec 2023 | Payment denial | 2 |
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 | 3.24 | 3.50 | 3.83 |
| Registered nurses (RN) | 0.25 | 0.50 | 0.61 |
| Licensed practical nurses (LPN) | 0.65 | 0.89 | |
| Nurse aides | 2.33 | 2.34 | |
| All nurse staff, weekends | 3.05 | 3.10 | 3.40 |
- Nurse staff turnover in a year
- 47.3%
- Nurse staff turnover, North Carolina median
- 48.6%
- RN turnover in a year
- 71.4%
- 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 | 25.1% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.9% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.2% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.3% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 36.5% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.3% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 13.2% | 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
- Holden Road Operating Company, LLC
- Chain
- Alliance Health Group (12 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Alliance Health Group LLC | Operational/managerial control | 16 Jan 2025 | |
| Alliance Health Group LLC | Adp of the snf | 11 Dec 2024 | |
| Coalition Group LLC | Adp of the snf | 1 Jan 2024 |
The site shows organisations only. It does not show the names of persons.
Other homes in Guilford County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Whitestone A Masonic and Eastern Star Community | Greensboro | 4 of 5 | 0 | $25,490 | 20 May 2026 | |
| Camden Health and Rehabilitation | Greensboro | 4 of 5 | 1 | $0 | 25 Jun 2026 | |
| Friends Homes at Guilford | Greensboro | 5 of 5 | 0 | $0 | 8 Jan 2026 | |
| Linden Place Center for Nursing and Rehabilitation | Greensboro | 2 of 5 | 12 | $0 | 10 Jan 2026 | |
| Blumenthal Health and Rehabilitation CenterSpecial Focus Facility | Greensboro | Not rated | 32 | $210,325 | 13 Sep 2025 | |
| Maple Grove Health and Rehabilitation Center | Greensboro | 5 of 5 | 2 | $50,310 | 5 Jun 2025 | |
| Greenhaven Health and Rehabilitation Center | Greensboro | 3 of 5 | 10 | $123,126 | 8 Jul 2025 | |
| Heartland Living & Rehab at the Moses H Cone Memor | Greensboro | 4 of 5 | 2 | $0 | 30 Apr 2026 | |
| Kindred Hospital East Greensboro | Greensboro | 3 of 5 | 7 | $0 | 19 Dec 2025 | |
| Adams Farm Living & Rehabilitation | Jamestown | 2 of 5 | 1 | $24,252 | 5 Dec 2025 | |
| Guilford Health Care Center | Greensboro | 1 of 5 | 5 | $0 | 18 Mar 2026 | |
| The Shannon Gray Rehabilitation & Recovery Center | Jamestown | 3 of 5 | 5 | $0 | 26 Jun 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 Piedmont Hills Center for Nursing and Rehab (CCN 345116). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/piedmont-hills-center-for-nursing-and-rehab-greensboro-nc-345116/
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 Piedmont Hills Center for Nursing and Rehab last inspected?
- The latest inspection with a citation in the CMS record was on 23 Oct 2025. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 5 Dec 2024.
- Who operates Piedmont Hills Center for Nursing and Rehab?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Alliance Health Group. The CMS ownership file names Alliance Health Group LLC for operational or managerial control. This site does not show the names of persons.
- Is Piedmont Hills Center for Nursing and Rehab 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.