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Complaint Investigation

Emerald Health & Rehab Center

September 30, 2025 · Lillington, NC · 54 Red Mulberry Way
Citations 2
CMS Rating 2/5
Beds 96
Provider ID 345173
Healthcare Facility
Emerald Health & Rehab Center
Lillington, NC  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Emerald Health & Rehab Center in Lillington, NC — inspection on September 30, 2025.

Found 2 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.

Inspection Findings

FF0580
Resident Rights Deficiencies

information.

They had not called and notified him of problems on the evening of 9/5/25. If a resident

would have been a more urgent need to communicate with the physician about that. If he had been

done x-rays at the facility, or he may have instructed the staff to send the resident out to the hospital.

It was his opinion that the fracture could have occurred prior to the resident being at the facility and not identified on the x-ray films of 8/22/25 when the resident felt a pop while at home.

345173 09/30/2025

Emerald Health & Rehab Center 54 Red Mulberry Way Lillington, NC 27546

ensure ongoing compliance.

All corrective actions were completed on 9/9/2025.ADHOC QAPI was

measures.Another sampled resident was observed transferred by staff members on 9/23/25.

The

transferred safely.

The facility presented documentation of their audits and education per their corrective action plan.

Nurses and Nurse Aides from different shifts were interviewed on 9/30/25 and validated they attending training.

Nursing staff members, who were interviewed, were able to vocalize points that were covered in the training.

Nursing staff members reported if a resident refused a safe transfer they would stop and not proceed and then would go to a supervisor for further direction.

The facility's corrective action plan compliance date of 9/9/25 was validated.

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 Lillington, 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 Emerald Health & Rehab Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.