Hillside Nursing Center of Wake Forest
968 East Wait Avenue
Wake Forest, NC, 27588
9195564082
CCN: 345417
5
Overall5
Health3
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 | % |
|---|---|---|
| BENNETT, RICHARD | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% |
| CLIFTON, MARY MARGARET | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 45% |
| EVANS, RILEY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% |
| EVANS, ROBERT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% |
| JONHSON, FLORENCE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% |
| EVANS, ROBERT | CORPORATE DIRECTOR | NOT APPLICABLE |
| CLIFTON, MARY MARGARET | CORPORATE DIRECTOR | NOT APPLICABLE |
| EVANS, RILEY | CORPORATE DIRECTOR | NOT APPLICABLE |
| JONHSON, FLORENCE | CORPORATE DIRECTOR | NOT APPLICABLE |
| EVANS, ROBERT | CORPORATE OFFICER | NOT APPLICABLE |
| JONHSON, FLORENCE | CORPORATE OFFICER | NOT APPLICABLE |
| CLIFTON, MARY MARGARET | CORPORATE OFFICER | NOT APPLICABLE |
| EVANS, RILEY | CORPORATE OFFICER | NOT APPLICABLE |
| BRYANT -LEVANT, KAREN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| EVANS, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| EVANS, ROBERT | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| EVANS, KISA | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
| WOOD, BRANDON | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Health Deficiencies (1)
2023-06-08 · Health
E
F761 · Pharmacy Service Deficiencies
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.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.00
RN Hrs/Resident/Day0.54
0.56
LPN Hrs/Resident/Day0.81
0.88
CNA Hrs/Resident/Day2.33
2.56
PT Hrs/Resident/Day0.12
0.15
Data as of 2026-03-01