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Health Inspection

Camellia Gardens Center For Nursing And Rehab

January 30, 2026 · Henderson, NC · 280 South Beckford Drive
Citations 4
CMS Rating 1/5
Beds 78
Provider ID 345344
Healthcare Facility
Camellia Gardens Center For Nursing And Rehab
Henderson, NC  ·  View full profile →
Inspection Summary

Camellia Gardens Center for Nursing and Rehab in Henderson, NC — inspection on January 30, 2026.

Found 4 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0628
Resident Rights Deficiencies

During the interview, Resident #34's RR stated she did receive written notification of the resident's transfer to the hospital.An interview was conducted with the Director of Nursing (DON) on 1/30/26 at 10:06 AM.

The DON stated that the week that Resident #34 was transferred to the hospital the Business Office Manager was out of the office and the DON tried to help.

The DON stated that she had communicated with the Resident Representative about Resident #34's upcoming surgery by email but she did not email the bed hold policy to Resident #34's Representative.

The DON indicated she was not aware that the bed hold policy needed to be mailed to the RR. An interview was conducted with the Administrator on 01/30/2026 at 1:51 PM.

The Administrator stated that the Business Office Manager was responsible for making sure the bed hold policy was completed and mailed to the Residents' Representative.

The Administrator was unable to explain what happened with the bed hold policy since the Business Office Manager was out or why the bed hold form was not mailed to the RR.

professional principles; and all drugs and biologicals must be stored in locked compartments,

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on

medication when opened in 1 of 2 medication storage refrigerators reviewed for medication storage (Nurse's Station #1 medication room).

The findings included: On [DATE] at 2:57 p.m., an observation was completed of the medication storage room with the Director of Nursing (DON).

The observation revealed one multi-dose vial of opened Tuberculin Purified Diluted solution (used in a skin test to help diagnose tuberculosis) without an opened date written on the vial, located in the medication refrigerator. A review of the manufacturer's instruction label on the bottle indicated the medication should be discarded 30 days from the date medication was opened. An interview was completed on [DATE] at 3:18 p.m. with the DON.

She indicated it was the Unit Manager's responsibility to check the medication room for expired or undated opened medications.

The DON stated the undated medication should have been discarded or returned to the pharmacy. An interview was completed on [DATE] at 3:24 p.m. with the Unit Manager.

The Unit Manager stated she, along with the staff nurses check the medication room for expired and undated opened medications.

The Unit Manager stated she was unaware of why the vial was not dated when opened by the nursing staff member.

The Unit Manager was unable to recall when she last checked the medication room and medication room refrigerator for expired or undated medications. An interview was completed on [DATE] at 2:08 p.m. with the Administrator.

She stated all multi-dose medication vials should be dated when they are opened.

345344 01/30/2026

Camellia Gardens Center for Nursing and Rehab 280 South Beckford Drive Henderson, NC 27536

unanswered and a return call was not received.

345344 01/30/2026

Camellia Gardens Center for Nursing and Rehab 280 South Beckford Drive Henderson, NC 27536

During an interview on 1/30/26 at 1:00 pm with the Director of Nursing (DON) she revealed she had been at the facility for approximately four months, and she had not focused on the COVID-19 vaccinations for residents since taking the position.

The DON confirmed that the facility had not offered the COVID-19 vaccination to residents since she had been employed at the facility and the facility was unable to locate any documentation that the residents were offered the vaccine in 2025. An interview with the Administrator was conducted on 1/30/26 at 10:54 am who revealed the DON was ultimately responsible for the oversight of the resident COVID-19 vaccinations because the IP reported to the DON.

The Administrator stated the IP was responsible for offering, administering, and documentation of resident COVID-19 vaccinations.

The Administrator stated she was not sure why the COVID-19 vaccinations would not have been offered to residents because she was told by the IP that the vaccinations were offered. 2.

The facility was unable to provide documentation of COVID-19 vaccination status for staff.

During an interview on 1/30/26 at 11:57 am with Nurse Aide #1 she revealed she did not recall the facility offering information on the COVID-19 vaccination or giving the vaccine to staff during the last year. An interview was conducted with the Infection Preventionist (IP) on 1/30/26 at 10:21 am who revealed she had been the facility's IP for approximately one and a half years.

The IP stated that she was not responsible for maintaining the staff COVID-19 vaccination status records.

The IP stated she was not sure who was responsible for tracking staff COVID-19 vaccinations, but she stated she believed that department managers were responsible for their respective staff.

During an interview on 1/30/26 at 1:00 pm with the Director of Nursing (DON) who revealed she had not managed the staff COVID-19 vaccination status logs at the facility, and she was not sure who was responsible to do so.

The DON stated the facility offered the COVID-19 vaccine for staff, but she was not sure who received the vaccine and who kept the records.

The Administrator was interviewed on 1/30/26 at 10:54 am.

The Administrator revealed that she and the nursing management team, which included the IP, Unit Manager, and DON were working together to track the COVID-19 vaccinations.

The Administrator stated the information was forwarded via email as the vaccinations were provided to the corporate office and she would try to obtain the information.

The Administrator was unable to provide any further documentation regarding the staff COVID-19 vaccination status.

345344 01/30/2026

Camellia Gardens Center for Nursing and Rehab 280 South Beckford Drive Henderson, NC 27536

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Henderson, NC, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Camellia Gardens Center for Nursing and Rehab or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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