The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited February 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: K
Nursing home report
The Citadel Mooresville
Mooresville, NC · Medicare-certified · 130 beds
Needs attention
For-profitChain member
1 of 5 overall
The Citadel Mooresville has a 1-star overall rating, with a 1-star health inspection rating and a recent federal penalty; it also has $105,195 in fines over the last 24 months and reported nurse staffing of 3.21 hours per resident day, below the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.2082 hrs/resident/day
Quality measures
Last inspection: May 15, 2025Penalties, last 24 months: $105,195recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2082.
Staffing detail
- Registered nurses
- 0.62
- Licensed practical nurses
- 0.87
- Nurse aides
- 1.72
- Weekend nursing
- 2.92
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 65%
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
14.5%20%Worsening
Residents with a fall causing major injury
2.4%2.3%No change
Residents with pressure ulcers (bedsores)
6.8%4.4%Improving
Residents with a urinary tract infection
5%1.1%Improving
Residents who lost too much weight
12.7%6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
33.8%6.1%Improving
Residents whose ability to walk got worse
46.6%5.6%Improving
Long-stay residents on antianxiety or sleep medication
29.7%27.4%Improving
Short-stay residents newly given an antipsychotic
0%4%Worsening
Residents with a long-term catheter
1%0%Improving
Residents with new or worsening incontinence
23.7%29.2%Worsening
Residents with depressive symptoms
6.4%13%Worsening
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
—96.7%—
Long-stay residents given the pneumonia vaccine
100%98.9%Worsening
Short-stay residents given the seasonal flu vaccine
—92.4%—
Short-stay residents given the pneumonia vaccine
97.5%90.7%Worsening
What the inspectors found
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited April 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The home failed to protect residents from the wrongful use of their belongings or money. Cited February 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 602 — 42 CFR §483.12 — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited April 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $105,195 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 17 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $201,886 in total fines · 1 payment denial.
- $105,195
Federal fine
Apr 8, 2025
- 3 days
Medicare/Medicaid payment denial
Feb 1, 2024
- $96,691
Federal fine
Feb 1, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of SIMCHA HYMAN & NAFTALI ZANZIPER · 90 homes · 2.5 stars avg
- Occupancy
- 100.7 residents on an average day (77% of 130 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 38 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.