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
2 of 5 overall
Pinehurst Healthcare & Rehabilitation Center has a 2-star overall rating, with very weak staffing (1 star and 3.27 hours per resident per day versus the 4.1-hour federal benchmark). It also has a recent federal penalty, $9,620 in fines over the last 24 months, and inspection citations related to accident hazards, staff competencies, and food handling.
Facility ratings
Health inspections
Staffing
3.271 hrs/resident/day
Quality measures
Last inspection: May 8, 2025Penalties, last 24 months: $9,620recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.271.
Staffing detail
- Registered nurses
- 0.40
- Licensed practical nurses
- 0.65
- Nurse aides
- 2.22
- Weekend nursing
- 3.06
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 82%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
14.2%Worsening
Residents with a fall causing major injury
4.3%Improving
Residents with pressure ulcers (bedsores)
6%Improving
Residents with a urinary tract infection
4.1%Improving
Residents who lost too much weight
4.1%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
6.1%Worsening
Residents whose ability to walk got worse
12.6%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
20.7%Improving
Short-stay residents newly given an antipsychotic
2.1%Steady
Residents with a long-term catheter
2.5%Improving
Residents with new or worsening incontinence
23.2%Improving
Residents with depressive symptoms
20.4%Improving
Long-stay residents given the seasonal flu vaccine
93.5%Steady
Long-stay residents given the pneumonia vaccine
98.8%Worsening
Short-stay residents given the seasonal flu vaccine
87.6%Steady
Short-stay residents given the pneumonia vaccine
93.7%Improving
What the inspectors found
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited May 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: G
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 nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited May 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
Recent history
- 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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LIBERTY SENIOR LIVING · 37 homes · 2.6 stars avg
- Occupancy
- 126 residents on an average day (88% of 144 beds)
- Resident voice
- Resident & family councils
- 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.