The Shannon Gray Rehabilitation & Recovery Center
The Shannon Gray Rehabilitation & Recovery Center in Jamestown, NC — inspection on November 19, 2025.
Found 1 citation. 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.
Inspection Findings
weekly x 4 weeks, bi-monthly x 4 weeks and then monthly x 1 quarter to ensure compliance.
Any discharge(s) since the previous meeting will be reviewed at that time for compliance.
The team will also review ongoing in-servicing of new nurses.
The DON will be responsible for taking the results of the QA form audits and the team meetings to the Executive Quarterly QA Meeting.
The next Executive Quarterly QA meeting is scheduled for 11/6/2025.
The facility alleges compliance with this corrective action plan as of 10/24/2025.On 10/30/2025 the facility provided a corrective action plan which included review of Resident #1's emergency department record which stated Resident #1 presented to the emergency department because she received the wrong medications when discharged from the facility.
The emergency department record also stated Resident #1 suffered no major medicine reactions, her labs were normal, her electrocardiogram showed no changes, and she was safe to discharge back home from the emergency room.
The facility also provided Resident #1's Transfer/Discharge Report dated 10/17/2025 and signed by the RP, which included a medication list that stated how and when the medications should be administered.
The facility provided a list of residents that were discharged within the prior two weeks, and each resident or their RP was interviewed to ensure the correct medication was sent home with each resident by the Director of Nursing on 10/23/2025.
The facility provided in-service education regarding the discharge process for nurses and specified 2 nurses will be required to sign off on the medication review of any resident who discharges home with medication(s).
The in-service education was also included in the facility's orientation process for nurse. A sample of nursing staff were interviewed regarding the in-service education and were able to verbalize understanding of the process for discharge medications.
The facility provided documentation of audits beginning 10/24/2025 of discharged resident's medications that occurred after the initial audit of previous residents that were discharged .
The facility also provided a copy of the minutes from a Quality Assurance Performance Improvement meeting held 10/22/2025 to discuss and review the plan of correction and any residents that have been discharged .
The facility's corrective action plan completion date of 10/24/25 was validated.
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