Emerald Health & Rehab: Transfer Safety Complaint - NC
The violation was categorized as causing minimal harm or the potential for actual harm, and inspectors noted that few residents were affected. But the underlying problem, staff not adhering to documented plans for how individual residents should be moved, is one that nursing home regulators treat seriously. A transfer done wrong can mean a fall, a fracture, or worse for someone who cannot move independently.
The facility responded with a corrective action plan. An ad hoc quality meeting was held September 8, 2025, and the plan was put into place the following day. Nurses and nursing aides across multiple shifts received training. When inspectors returned September 30 and interviewed staff, workers were able to describe what the training had covered. They told inspectors that if a resident refused a safe transfer, they would stop, not push forward, and bring in a supervisor.
Inspectors also watched. On September 23, staff transferred another resident, and inspectors observed them following the plan of care. The resident was moved safely.
The facility provided documentation of its audits alongside the staff education records. Inspectors validated that the corrective action plan's compliance date of September 9 had been met.
What the inspection record does not show is what happened to the resident or residents at the center of the original complaint, whether anyone was hurt, or how long the unsafe transfer practice had been in place before someone filed a complaint and inspectors arrived.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Emerald Health & Rehab Center from 2025-09-30 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 23, 2026 · Our methodology
Emerald Health & Rehab Center in Lillington, NC was cited for violations during a health inspection on September 30, 2025.
The violation was categorized as causing minimal harm or the potential for actual harm, and inspectors noted that few residents were affected.
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.