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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
CMS star ratings
Overall rating1 of 5
Health inspection rating1 of 5
Staffing rating2 of 5
Quality measure rating1 of 5
Care 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 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.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Premier Living and Rehab Center, with medians
Rating (1 to 5 stars)This homeColumbus County medianNorth Carolina medianUS average (CMS)
Overall rating11.03.03.0
Health inspection rating11.03.02.8
Staffing rating22.03.02.9
Quality measure rating11.03.03.6

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.

Health citations of Premier Living and Rehab Center in the last three survey cycles
Survey cycleStandard surveyCitationsNorth Carolina median
Cycle 1 (latest)26 Jun 2025203
Cycle 22 Jul 2024295
Cycle 3No date76

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.

Scope and severity of the 56 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0L0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0C0

Survey cycle 1 (latest): 20 citations

Standard survey of this cycle: .

Health citations of Premier Living and Rehab Center in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
26 Jun 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey15 Aug 2025
26 Jun 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey15 Aug 2025
26 Jun 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey15 Aug 2025
26 Jun 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GStandard survey15 Aug 2025
26 Jun 2025F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DStandard survey15 Aug 2025
26 Jun 2025F0637Assess the resident when there is a significant change in conditionBStandard survey15 Aug 2025
26 Jun 2025F0641Ensure each resident receives an accurate assessment.DStandard survey15 Aug 2025
26 Jun 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.BStandard survey15 Aug 2025
26 Jun 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint investigation15 Aug 2025
26 Jun 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey15 Aug 2025
26 Jun 2025F0693Ensure 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.DStandard survey15 Aug 2025
26 Jun 2025F0697Provide safe, appropriate pain management for a resident who requires such services.GStandard survey15 Aug 2025
26 Jun 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey15 Aug 2025
26 Jun 2025F0760Ensure that residents are free from significant medication errors.EComplaint investigation15 Aug 2025
26 Jun 2025F0761Ensure 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.EStandard survey15 Aug 2025
26 Jun 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey15 Aug 2025
26 Jun 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation15 Aug 2025
26 Jun 2025F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FStandard survey15 Aug 2025
26 Jun 2025F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard survey15 Aug 2025
26 Jun 2025F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard survey15 Aug 2025

Survey cycle 2: 29 citations

Standard survey of this cycle: .

Health citations of Premier Living and Rehab Center in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
2 Jul 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation21 Aug 2024
2 Jul 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.KComplaint investigation21 Aug 2024
2 Jul 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.KComplaint investigation21 Aug 2024
2 Jul 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation21 Aug 2024
2 Jul 2024F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EStandard survey21 Aug 2024
2 Jul 2024F0638Assure that each resident’s assessment is updated at least once every 3 months.EStandard survey21 Aug 2024
2 Jul 2024F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard survey21 Aug 2024
2 Jul 2024F0641Ensure each resident receives an accurate assessment.EStandard survey21 Aug 2024
2 Jul 2024F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey21 Aug 2024
2 Jul 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey15 Sep 2024
2 Jul 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey21 Aug 2024
2 Jul 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint investigation15 Sep 2024
2 Jul 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation21 Aug 2024
2 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation21 Aug 2024
2 Jul 2024F0692Provide enough food/fluids to maintain a resident's health.EComplaint investigation15 Sep 2024
2 Jul 2024F0697Provide safe, appropriate pain management for a resident who requires such services.KComplaint investigation21 Aug 2024
2 Jul 2024F0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.DStandard survey21 Aug 2024
2 Jul 2024F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard survey21 Aug 2024
2 Jul 2024F0727Have 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.EStandard survey21 Aug 2024
2 Jul 2024F0730Observe each nurse aide's job performance and give regular training.DStandard survey21 Aug 2024
2 Jul 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.KComplaint investigation21 Aug 2024
2 Jul 2024F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.EStandard survey21 Aug 2024
2 Jul 2024F0758Implement 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.EStandard survey21 Aug 2024
2 Jul 2024F0760Ensure that residents are free from significant medication errors.KComplaint investigation21 Aug 2024
2 Jul 2024F0761Ensure 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.EStandard survey15 Sep 2024
2 Jul 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey21 Aug 2024
2 Jul 2024F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard survey21 Aug 2024
2 Jul 2024F0880Provide and implement an infection prevention and control program.FComplaint investigation15 Sep 2024
2 Jul 2024F0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.FStandard survey15 Sep 2024

Survey cycle 3: 7 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Premier Living and Rehab Center in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
6 Apr 2023F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.EStandard survey27 Apr 2023
6 Apr 2023F0638Assure that each resident’s assessment is updated at least once every 3 months.EStandard survey27 Apr 2023
6 Apr 2023F0641Ensure each resident receives an accurate assessment.DStandard survey27 Apr 2023
6 Apr 2023F0727Have 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.FStandard survey27 Apr 2023
6 Apr 2023F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.BStandard survey27 Apr 2023
6 Apr 2023F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard survey27 Apr 2023
6 Apr 2023F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey27 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.

Penalties of Premier Living and Rehab Center in the CMS penalties file
DateTypeFineDays without payment
26 Jun 2025Fine$116,751
26 Jun 2025Payment denial21
2 Jul 2024Fine$267,040
2 Jul 2024Payment denial45

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.

Nurse staffing hours per resident per day at Premier Living and Rehab Center
StaffThis homeNorth Carolina medianNorth Carolina average (CMS)
All nurse staff3.603.503.83
Registered nurses (RN)0.450.500.61
Licensed practical nurses (LPN)0.890.89
Nurse aides2.272.34
All nurse staff, weekends3.283.103.40
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.

Quality measures of Premier Living and Rehab Center, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeNorth Carolina medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay20.4%14.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.4%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.1%1.8%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay6.5%3.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.1%1.1%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay26.2%17.0%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay7.6%5.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay29.8%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

The 2 nearest other nursing homes in Columbus County, North Carolina
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Shoreland Health Care and Retirement Center IncWhiteville3 of 54$5,07726 Feb 2026
Liberty Commons Nursing and Rehabilitation CenterWhiteville1 of 55$126,58610 Jul 2025

All 3 nursing homes in Columbus County

Official channels

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.