The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Pinehurst Healthcare & Rehabilitation Center
Pinehurst, NC · Medicare-certified · 144 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
Pinehurst Healthcare & Rehabilitation Center has a 2 out of 5 overall rating, with very low staffing (1 of 5 stars) and reported nurse staffing of 3.26 hours per resident per day versus the 4.1-hour federal benchmark. It also has a recent federal penalty and $9,620 in fines over the last 24 months, while health inspections are 3 of 5 stars and quality measures are 4 of 5 stars.
Facility ratings
Health inspections
Staffing
3.2582 hrs/resident/day
Quality measures
Last inspection: April 30, 2026Penalties, last 24 months: $9,620recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2582.
Staffing detail
- Registered nurses
- 0.35
- Licensed practical nurses
- 0.75
- Nurse aides
- 2.15
- Weekend nursing
- 2.98
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 68%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
10.3%23.5%Worsening
Residents with a fall causing major injury
4.9%1.8%Improving
Residents with pressure ulcers (bedsores)
5.3%4.6%Improving
Residents with a urinary tract infection
4.9%2.7%Improving
Residents who lost too much weight
1.4%3.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
4.7%8.9%Worsening
Residents whose ability to walk got worse
8.5%15%Worsening
Long-stay residents on antianxiety or sleep medication
20.3%18.2%Improving
Short-stay residents newly given an antipsychotic
3.2%1.6%Improving
Residents with a long-term catheter
2.7%0%Improving
Residents with new or worsening incontinence
30.3%27.5%Improving
Residents with depressive symptoms
18.9%16.5%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—93.5%—
Long-stay residents given the pneumonia vaccine
100%99.1%Worsening
Short-stay residents given the seasonal flu vaccine
—87.6%—
Short-stay residents given the pneumonia vaccine
93.4%96.9%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited September 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited April 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: D
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited April 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $9,620 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $9,620 in total fines.
- $9,620
Federal fine
Jan 24, 2025
Operator & ownership
Recent ownership change · Feb 1, 2020
Now operated by Pinehurst Healthcare and Rehabilitation Center, previously Pinehurst Healthcare & Rehabilitation Center.
- Ownership
- For profit - Corporation
- Chain
- Part of LIBERTY SENIOR LIVING · 37 homes · 2.8 stars avg
- Occupancy
- 125.9 residents on an average day (87% of 144 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.