North Carolina › Davidson County › Lexington
Pine Acres Center For Nursing and Rehabilitation
279 Brian Center Drive, Lexington, NC 27292
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Pine Acres Center For Nursing and Rehabilitation is a For-profit, corporation nursing home in Lexington, North Carolina, certified for 106 beds and caring for about 103 residents a day.
CMS gives it 1 of 5 stars overall, below the North Carolina median of 3; the health inspection rating is 1, staffing 1 and quality measures 3.
Inspectors recorded 27 health deficiencies across the three most recent survey cycles (11, 14, 2 by cycle, most recent first), 10 of them at the actual-harm or immediate-jeopardy level. That is 25.5 per 100 beds, more than the state median of 15.6.
CMS lists 2 penalties in the period covered: fines totalling $122K.
Reported nurse staffing is 3.3 hours per resident per day (0.1 RN), close to the North Carolina median of 3.5; nursing staff turnover is 45.5%.
Compared with county, state and nation
| Measure | This facility | Davidson Co. median | North Carolina median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 27 | 19 | 16 | 28.7 |
| Citations per 100 beds | 25.5 | 18.8 | 15.6 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.5 | 3.5 | 3.9 |
| RN hours per resident day | 0.1 | 0.5 | 0.5 | 0.7 |
| Nursing staff turnover | 45.5% | 61.3% | 48.6% | 45.8% |
| Fines listed | $122,460 | $0 | $8,512 | — |
County and state figures are medians across facilities (9 in the county, 419 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: North Carolina average per facility for the same cycle, as published by CMS. Standard health survey dates: 22 May 2025, 28 Mar 2024.
Severity mix: J ×2 K ×3 G ×5 D ×10 E ×5 B ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 22 Jan 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 5 Feb 2026 |
| 22 Jan 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 5 Feb 2026 |
| 22 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 19 Jun 2025 |
| 22 May 2025 | 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. | G | Standard survey | 19 Jun 2025 |
| 22 May 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 19 Jun 2025 |
| 22 May 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint investigation | 19 Jun 2025 |
| 22 May 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 | 19 Jun 2025 |
| 22 May 2025 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 19 Jun 2025 |
| 22 May 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 11 Apr 2024 |
| 22 May 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | C | Standard survey | 19 Jun 2025 |
| 22 May 2025 | F0732 | Post nurse staffing information every day. | B | Standard survey | 19 Jun 2025 |
| 28 Mar 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 | 23 Apr 2024 |
| 28 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | Complaint investigation | 23 Apr 2024 |
| 28 Mar 2024 | F0760 | Ensure that residents are free from significant medication errors. | K | Complaint investigation | 23 Apr 2024 |
| 28 Mar 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Complaint investigation | 15 Feb 2024 |
| 28 Mar 2024 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | J | Complaint investigation | 23 Apr 2024 |
| 28 Mar 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | G | Complaint investigation | 23 Apr 2024 |
| 28 Mar 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 23 Apr 2024 |
| 28 Mar 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | G | Complaint investigation | 23 Apr 2024 |
| 28 Mar 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 20 Dec 2023 |
| 28 Mar 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Standard survey | 23 Apr 2024 |
| 28 Mar 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 23 Apr 2024 |
| 28 Mar 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 23 Apr 2024 |
| 28 Mar 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 | Standard survey | 23 Apr 2024 |
| 28 Mar 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. | D | Standard survey | 20 Dec 2023 |
| 14 Jul 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 25 Jul 2022 |
| 14 Jul 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 25 Jul 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 22 May 2025 | Fine | $15,028 | |
| 28 Mar 2024 | Fine | $107,432 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff 45.5%, RNs —; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 19.9% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.2% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.6% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.4% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 24.1% | 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 | 8.2% | 13.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Brian Center Drive Operating Company, Llc. Chain: Alliance Health Group (12 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Alliance Health Group LLC | Operational/managerial control | NOT APPLICABLE | 08/01/2024 |
| Alliance Health Group LLC | Adp of the snf | NOT APPLICABLE | 08/01/2024 |
| Coalition Group LLC | Adp of the snf | NOT APPLICABLE | 08/29/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Davidson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Mountain Vista Health Park | Denton | 60 | 5 | 5 | 5 | 1 | 1.7 | — | 29 Apr 2026 |
| Piedmont Crossing | Thomasville | 104 | 5 | 5 | 5 | 3 | 2.9 | — | 14 Feb 2025 |
| Abbotts Creek Center | Lexington | 64 | 4 | 4 | 2 | 12 | 18.8 | — | 7 Jan 2026 |
| Magnolia Gardens Center For Nursing and Rehabilita | Thomasville | 120 | 3 | 3 | 3 | 19 | 15.8 | $16K | 18 Nov 2025 |
| Pine Ridge Health and Rehabilitation Center | Thomasville | 140 | 3 | 3 | 3 | 17 | 12.1 | — | 5 Jun 2025 |
| Lexington Health Care Centerabuse icon | Lexington | 100 | 2 | 2 | 2 | 40 | 40.0 | — | 31 Dec 2025 |
| Cedar Hills Center For Nursing and RehabilitationSFF Candidate | Clemmons | 94 | 1 | 1 | 1 | 56 | 59.6 | $11K | 26 Jun 2026 |
| Davidson Health & Rehab Centerabuse icon | Lexington | 100 | 1 | 1 | 1 | 43 | 43.0 | $54K | 26 Feb 2026 |
All 9 facilities in Davidson County
Questions and answers
How many deficiencies has Pine Acres Center For Nursing and Rehabilitation been cited for?
27 health deficiencies across the three most recent survey cycles, 10 at the actual-harm or immediate-jeopardy level. The North Carolina median is 16 per facility.
Has Pine Acres Center For Nursing and Rehabilitation been fined?
Yes. CMS lists fines totalling $122K in the period covered.
How does staffing at Pine Acres Center For Nursing and Rehabilitation compare?
Reported total nurse staffing is 3.3 hours per resident per day against a North Carolina median of 3.5 and a national average of 3.9.
Who operates Pine Acres Center For Nursing and Rehabilitation?
It is part of the Alliance Health Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Alliance Health Group LLC. Individual owners and managers are not listed on this site.
When was Pine Acres Center For Nursing and Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 22 Jan 2026; the most recent standard health survey was 22 May 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.