Premier Living and Rehab CenterCMS ratings, inspections and fines
- Address
- 106 Cameron Street, Lake Waccamaw, NC 28450
- CCN
- 345185
- Ownership type
- For-profit, individual
- Certified beds
- 127
- Chain
- None in the CMS record
- Residents per day
- 67
- 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 Premier Living and Rehab Center an overall rating of 1 of 5 stars. The last standard survey was on 26 Jun 2025. The latest survey cycle has 20 health citations. The median for nursing homes in North Carolina is 3. CMS lists 2 fines with a total of $383,791 for this home in its penalties file. CMS also lists 2 payment denials.
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 | Columbus County median | North Carolina median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 1.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 1.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 3.0 | 2.9 |
| Quality measure rating | 1 | 1.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 3 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) | 26 Jun 2025 | 20 | 3 |
| Cycle 2 | 2 Jul 2024 | 29 | 5 |
| Cycle 3 | No date | 7 | 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 | J0 | 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): 20 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Jun 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 15 Aug 2025 |
| 26 Jun 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 15 Aug 2025 |
| 26 Jun 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 | Standard survey | 15 Aug 2025 |
| 26 Jun 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Standard survey | 15 Aug 2025 |
| 26 Jun 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Standard survey | 15 Aug 2025 |
| 26 Jun 2025 | F0637 | Assess the resident when there is a significant change in condition | B | Standard survey | 15 Aug 2025 |
| 26 Jun 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 15 Aug 2025 |
| 26 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. | B | Standard survey | 15 Aug 2025 |
| 26 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 15 Aug 2025 |
| 26 Jun 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 15 Aug 2025 |
| 26 Jun 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 | 15 Aug 2025 |
| 26 Jun 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 15 Aug 2025 |
| 26 Jun 2025 | 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 | 15 Aug 2025 |
| 26 Jun 2025 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 15 Aug 2025 |
| 26 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. | E | Standard survey | 15 Aug 2025 |
| 26 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 | 15 Aug 2025 |
| 26 Jun 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 15 Aug 2025 |
| 26 Jun 2025 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 15 Aug 2025 |
| 26 Jun 2025 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard survey | 15 Aug 2025 |
| 26 Jun 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard survey | 15 Aug 2025 |
Survey cycle 2: 29 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 2 Jul 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 21 Aug 2024 |
| 2 Jul 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | K | Complaint investigation | 21 Aug 2024 |
| 2 Jul 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 | 21 Aug 2024 |
| 2 Jul 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 21 Aug 2024 |
| 2 Jul 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard survey | 21 Aug 2024 |
| 2 Jul 2024 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 21 Aug 2024 |
| 2 Jul 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 21 Aug 2024 |
| 2 Jul 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 21 Aug 2024 |
| 2 Jul 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 21 Aug 2024 |
| 2 Jul 2024 | 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 Sep 2024 |
| 2 Jul 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. | E | Standard survey | 21 Aug 2024 |
| 2 Jul 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 15 Sep 2024 |
| 2 Jul 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 21 Aug 2024 |
| 2 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 21 Aug 2024 |
| 2 Jul 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Complaint investigation | 15 Sep 2024 |
| 2 Jul 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | K | Complaint investigation | 21 Aug 2024 |
| 2 Jul 2024 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D | Standard survey | 21 Aug 2024 |
| 2 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. | E | Standard survey | 21 Aug 2024 |
| 2 Jul 2024 | 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 | 21 Aug 2024 |
| 2 Jul 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 21 Aug 2024 |
| 2 Jul 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | K | Complaint investigation | 21 Aug 2024 |
| 2 Jul 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 | Standard survey | 21 Aug 2024 |
| 2 Jul 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 | Standard survey | 21 Aug 2024 |
| 2 Jul 2024 | F0760 | Ensure that residents are free from significant medication errors. | K | Complaint investigation | 21 Aug 2024 |
| 2 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 | Standard survey | 15 Sep 2024 |
| 2 Jul 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 21 Aug 2024 |
| 2 Jul 2024 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 21 Aug 2024 |
| 2 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 15 Sep 2024 |
| 2 Jul 2024 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | Standard survey | 15 Sep 2024 |
Survey cycle 3: 7 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 |
|---|---|---|---|---|---|
| 6 Apr 2023 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard survey | 27 Apr 2023 |
| 6 Apr 2023 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard survey | 27 Apr 2023 |
| 6 Apr 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 27 Apr 2023 |
| 6 Apr 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. | F | Standard survey | 27 Apr 2023 |
| 6 Apr 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Standard survey | 27 Apr 2023 |
| 6 Apr 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard survey | 27 Apr 2023 |
| 6 Apr 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 27 Apr 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 |
|---|---|---|---|
| 26 Jun 2025 | Fine | $116,751 | |
| 26 Jun 2025 | Payment denial | 21 | |
| 2 Jul 2024 | Fine | $267,040 | |
| 2 Jul 2024 | Payment denial | 45 |
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 | 3.60 | 3.50 | 3.83 |
| Registered nurses (RN) | 0.45 | 0.50 | 0.61 |
| Licensed practical nurses (LPN) | 0.89 | 0.89 | |
| Nurse aides | 2.27 | 2.34 | |
| All nurse staff, weekends | 3.28 | 3.10 | 3.40 |
- Nurse staff turnover in a year
- No data
- Nurse staff turnover, North Carolina median
- 48.6%
- RN turnover in a year
- No data
- Administrators who left in a year
- No data
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 | 20.4% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.1% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.5% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.1% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 26.2% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.6% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 29.8% | 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, individual
The CMS ownership record of this home lists no organisation.
The site shows organisations only. It does not show the names of persons.
Other homes in Columbus County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Shoreland Health Care and Retirement Center Inc | Whiteville | 3 of 5 | 4 | $5,077 | 26 Feb 2026 | |
| Liberty Commons Nursing and Rehabilitation Center | Whiteville | 1 of 5 | 5 | $126,586 | 10 Jul 2025 |
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 Premier Living and Rehab Center (CCN 345185). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/premier-living-and-rehab-center-lake-waccamaw-nc-345185/
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 Premier Living and Rehab Center last inspected?
- The latest inspection with a citation in the CMS record was on 26 Jun 2025. It was a standard survey and a complaint investigation. It gave 20 citations. The standard survey before the last one was on 2 Jul 2024.
- Who operates Premier Living and Rehab Center?
- The CMS record gives the ownership type as for-profit, individual. CMS lists no chain for the home. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
- What does the Special Focus status mean for Premier Living and Rehab Center?
- 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.