Bellarose Nursing And Rehab
200 Bellarose Lake Way
Garner, NC, 27529
9199858400
CCN: 345574
5
Overall5
Health4
Staffing3
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (2)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
MEMORIAL NURSING CENTERS, INC
1128b7
Excluded 1980-10-07
ST JAMES NURSING CENTER, INC
1128a1
Excluded 1994-03-31
Ownership
| Name | Role | % |
|---|---|---|
| EVANS, KISA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 13% |
| EVANS, RILEY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 13% |
| EVANS, ROBERT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 13% |
| EVANS, TONI | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| MILLER, ROSEMARY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| MILLER, WILLIAM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| SHERRILL, DEBBIE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% |
| EVANS, KISA | CORPORATE OFFICER | NOT APPLICABLE |
| EVANS, RILEY | CORPORATE OFFICER | NOT APPLICABLE |
| EVANS, ROBERT | CORPORATE OFFICER | NOT APPLICABLE |
| EVANS, TONI | CORPORATE OFFICER | NOT APPLICABLE |
| EVANS, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BURROUGHS, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| DIXON, JUSTIN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| EVANS, KISA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| RICHARDSON, SANDRA | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| BURROUGHS, WILLIAM | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| DIXON, JUSTIN | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| EVANS, KISA | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| EVANS, ROBERT | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| RICHARDSON, SANDRA | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Health Deficiencies (2)
2022-12-09 · Health
B
F585 · Resident Rights Deficiencies
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.
D
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.64
RN Hrs/Resident/Day0.54
0.42
LPN Hrs/Resident/Day0.81
1.51
CNA Hrs/Resident/Day2.33
2.70
PT Hrs/Resident/Day0.12
0.19
Data as of 2026-03-01