North Carolina › Randolph County › Trinity
The Graybrier Nursing and Retirement Center
116 Lane Drive, Trinity, NC 27370
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.
Certified for 128 beds, The Graybrier Nursing and Retirement Center serves Trinity in Randolph County, North Carolina and has taken Medicare and Medicaid residents since 1990.
CMS gives it 3 of 5 stars overall, equal to the North Carolina median; the health inspection rating is 4, staffing 1 and quality measures 2.
Inspectors recorded 8 health deficiencies across the three most recent survey cycles (1, 2, 5 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 6.3 per 100 beds, fewer than the state median of 15.6.
CMS lists 1 penalty in the period covered: fines totalling $9K.
Compared with county, state and nation
| Measure | This facility | Randolph Co. median | North Carolina median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 8 | 26 | 16 | 28.7 |
| Citations per 100 beds | 6.3 | 26.0 | 15.6 | 26.8 |
| Total nurse hours per resident day | — | 3.3 | 3.5 | 3.9 |
| RN hours per resident day | — | 0.3 | 0.5 | 0.7 |
| Nursing staff turnover | 60.7% | 59.1% | 48.6% | 45.8% |
| Fines listed | $8,512 | $8,512 | $8,512 | — |
County and state figures are medians across facilities (6 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 Jan 2026, 17 Oct 2024.
Severity mix: G ×1 D ×7
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 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 6 Feb 2026 |
| 17 Oct 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. | D | Standard survey | 25 Oct 2024 |
| 17 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 11 Nov 2024 |
| 4 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 18 Jun 2024 |
| 19 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 20 Jan 2024 |
| 1 Jun 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 14 Jun 2023 |
| 1 Jun 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 15 Jun 2023 |
| 1 Jun 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. | D | Standard survey | 15 Jun 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 19 Jan 2024 | Fine | $8,512 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff 60.7%, RNs 60.0%; 0 administrators 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 | 20.9% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 5.2% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.3% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.8% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.1% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.7% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.8% | 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: Archdale Nursing Center Inc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Canyon Management Consultants, Inc | Operational/managerial control | NOT APPLICABLE | 08/01/2001 |
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 Randolph County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Alpine Health and Rehabilitation of Asheboro | Asheboro | 238 | 5 | 5 | 2 | 1 | 0.4 | — | 22 Feb 2024 |
| Clapp'S Convalescent Nursing Home Inc | Asheboro | 96 | 4 | 4 | 3 | 4 | 4.2 | — | 11 Dec 2025 |
| Asheboro Rehabilitation and Healthcare Center | Asheboro | 100 | 2 | 3 | 1 | 26 | 26.0 | — | 13 Aug 2025 |
| Ramseur Rehabilitation and Healthcare Center | Ramseur | 90 | 2 | 2 | 2 | 28 | 31.1 | $103K | 1 Aug 2025 |
| Westwood Health and Rehabilitation | Archdale | 68 | 1 | 2 | 1 | 29 | 42.6 | $16K | 21 May 2026 |
All 6 facilities in Randolph County
Questions and answers
How many deficiencies has The Graybrier Nursing and Retirement Center been cited for?
8 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The North Carolina median is 16 per facility.
Has The Graybrier Nursing and Retirement Center been fined?
Yes. CMS lists fines totalling $9K in the period covered.
How does staffing at The Graybrier Nursing and Retirement Center compare?
CMS does not report staffing hours for this facility.
Who operates The Graybrier Nursing and Retirement Center?
Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Canyon Management Consultants, Inc. Individual owners and managers are not listed on this site.
When was The Graybrier Nursing and Retirement Center 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 Jan 2026.
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.