Camellia Gardens: Documentation Violation Found - NC
The facility's Infection Preventionist had held the position for roughly a year and a half. When inspectors asked her about COVID-19 vaccination documentation for residents, she said she had offered the vaccine to residents but that no one had wanted it since she started. She could not locate any documentation that she had made those offers. She could not recall whether any residents had signed declination forms.
For a resident identified in the inspection report as Resident #44, a diabetic man with chronic kidney disease and obstructive sleep apnea, the records gap was concrete. His immunization file contained nothing: no record of being offered the vaccine, no record of receiving it, no signed refusal. When inspectors interviewed him that afternoon, he said he wasn't sure whether anyone had offered it to him in the past year.
The Unit Manager, interviewed earlier the same morning, said she couldn't provide any documentation of his vaccination status either.
The Director of Nursing had been at the facility for approximately four months. She told inspectors she had not focused on COVID-19 vaccinations since taking the position and confirmed the facility had not offered the vaccine to residents during her tenure. The facility, she said, could not locate any documentation that residents had been offered the vaccine at any point in 2025.
The Administrator's account introduced a new wrinkle. She told inspectors the Director of Nursing bore ultimate responsibility for overseeing resident COVID-19 vaccinations because the Infection Preventionist reported to the DON. But she also said the Infection Preventionist was specifically responsible for offering, administering, and documenting the vaccines. And she said she had been told by the Infection Preventionist that the vaccinations were being offered. She was not sure, she said, why they would not have been.
Three managers. Three different explanations of who was accountable. No paperwork to settle the question.
The staff vaccination records were no different. A nurse aide told inspectors she did not recall the facility offering COVID-19 vaccination information or administering the vaccine to staff during the past year. The Infection Preventionist said tracking staff vaccination status was not her responsibility and that she believed department managers handled their own staff. The Director of Nursing said she had not managed the staff vaccination logs and wasn't sure who did, though she believed the facility had offered the vaccine to staff at some point. The Administrator said she and the nursing management team, including the Infection Preventionist, the Unit Manager, and the Director of Nursing, were working together to track staff vaccinations, and that records were forwarded by email to the corporate office as vaccines were administered.
She was unable to provide any of those records during the inspection.
The deficiency was cited at a level of minimal harm or potential for actual harm and was noted as affecting many residents. The inspection covered only the vaccination documentation failure; the report does not describe other deficiencies.
What the inspection captured, stripped to its core, was a facility where a basic infection control function had gone unassigned for at least a year. The Infection Preventionist believed she was doing her job. The Director of Nursing had not made it a priority. The Administrator thought someone else was handling the paperwork. Resident #44, a man managing diabetes and kidney disease in a congregate care setting, could not say whether anyone had ever asked him whether he wanted a COVID-19 vaccine.
Nobody had a form to prove otherwise.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Camellia Gardens Center For Nursing and Rehab from 2026-01-30 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 5, 2026 · Our methodology
Camellia Gardens Center for Nursing and Rehab in Henderson, NC was cited for violations during a health inspection on January 30, 2026.
The facility's Infection Preventionist had held the position for roughly a year and a half.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.