The nursing home failed to protect residents from abuse and neglect by others. Cited July 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
Premier Living and Rehab Center
Lake Waccamaw, NC · Medicare-certified · 127 beds
Needs attention
Special Focus candidateAbuse citationFor-profit
Data as of July 1, 2026
1 of 5 overall
Premier Living and Rehab Center in Lake Waccamaw, NC has a 1-star overall rating, with 1-star health inspection and quality ratings and 2-star staffing. It is a special focus facility / SFF candidate, has $383,791 in fines in the last 24 months, and reported nurse staffing is 3.60 hours per resident day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.6025 hrs/resident/day
Quality measures
Last inspection: June 26, 2025Penalties, last 24 months: $383,791special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6025.
Staffing detail
- Registered nurses
- 0.45
- Licensed practical nurses
- 0.89
- Nurse aides
- 2.27
- Weekend nursing
- 3.28
Hours per resident per day.
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
30.6%31.7%Worsening
Residents with a fall causing major injury
6.7%4.5%Improving
Residents with pressure ulcers (bedsores)
13.6%5.4%Improving
Residents with a urinary tract infection
3.4%1.6%Improving
Residents who lost too much weight
8.5%8%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
9.1%20.8%Worsening
Residents whose ability to walk got worse
32.3%29.2%Improving
Long-stay residents on antianxiety or sleep medication
23.1%24.5%Worsening
Short-stay residents newly given an antipsychotic
—2.1%—
Residents with a long-term catheter
0%0.9%Worsening
Residents with new or worsening incontinence
14.9%34.8%Worsening
Residents with depressive symptoms
7%1.6%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
—95.2%—
Long-stay residents given the pneumonia vaccine
90%86.4%Worsening
Short-stay residents given the seasonal flu vaccine
—46.7%—
Short-stay residents given the pneumonia vaccine
43.3%60.7%Improving
What the inspectors found
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited July 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: K
The nursing home failed to ensure residents were free from significant medication errors. Cited July 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: K
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited July 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: K
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited July 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: K
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $116,751 was recorded.
- INSPECTION
Health inspection found 20 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $267,040 was recorded.
- INSPECTION
Health inspection found 29 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $383,791 in total fines · 2 payment denials.
- 21 days
Medicare/Medicaid payment denial
Jun 26, 2025
- $116,751
Federal fine
Jun 26, 2025
- 45 days
Medicare/Medicaid payment denial
Jul 2, 2024
- $267,040
Federal fine
Jul 2, 2024
Operator & ownership
- Ownership
- For profit - Individual
- Occupancy
- 67.4 residents on an average day (53% of 127 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 47 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.