Senior Citizens Home

2275 Ruin Creek Road
Henderson, NC, 27537
2524920066
CCN: 345316
2
Overall
2
Health
3
Staffing
2
Quality
ChainMAXIMUS HEALTHCARE GROUP
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
HENDERSON EMAC LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST25%
LBS CAPITAL HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST25%
BORNSTEIN, YISROEL5% OR GREATER INDIRECT OWNERSHIP INTEREST25%
HIRSCH, NISSON5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
KLEIN, ELIEZER5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
KLEIN, ELIEZERCORPORATE DIRECTORNOT APPLICABLE
BORNSTEIN, YISROELCORPORATE DIRECTORNOT APPLICABLE
HIRSCH, NISSONCORPORATE DIRECTORNOT APPLICABLE
KLEIN, ELIEZEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HENDERSON SCH OPERATING LLC.OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BORNSTEIN, YISROELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HIRSCH, NISSONOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (2)
DateTypeAmount
2023-09-27Fine$56K
2023-09-27Payment Denial22 days
Health Deficiencies (27)
2024-12-05 · Health
F
F851 · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F
F838 · Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
C
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
D
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
E
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
2023-11-15 · Health
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2023-09-27 · Health
G
F925 · Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
D
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
F
F882 · Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F805 · Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
D
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.
D
F758 · Pharmacy Service Deficiencies
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.
C
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
E
F727 · Nursing and Physician Services Deficiencies
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.
G
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
C
F576 · Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
D
F553 · Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
2022-05-12 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F806 · Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
E
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
4.06
3.68
RN Hrs/Resident/Day
0.35
0.54
LPN Hrs/Resident/Day
1.08
0.81
CNA Hrs/Resident/Day
2.63
2.33
PT Hrs/Resident/Day
0.03
0.12
Data as of 2026-03-01