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Health Inspection

Cardinal Healthcare And Rehabilitation

June 1, 2026 · Lincolnton, NC · 931 N Aspen Street
Citations 1
CMS Rating 5/5
Beds 63
Provider ID 345385
Healthcare Facility
Cardinal Healthcare And Rehabilitation
Lincolnton, 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

Cardinal Healthcare and Rehabilitation in Lincolnton, NC — inspection on June 1, 2026.

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

FF0637
Resident Assessment and Care Planning Deficiencies

Minimum Data Set (MDS) assessment following hospice election for 1 of 1 resident reviewed for

with diagnoses which included fracture of left femur (thigh bone) with routine healing, disorientation, and atrial fibrillation (an abnormal heart rhythm). A medical record review revealed Resident #11 was admitted to Hospice on 12/09/25 with a primary hospice admission diagnosis of senile degeneration of the brain (a progressive cognitive decline in older adults).A review of Resident #11's MDS assessments revealed significant change in status MDS assessment was not completed during the required 14-day period after Resident #11 was admitted to hospice services. A quarterly MDS assessment was completed on 01/15/26 and Hospice was coded. An interview with the facility MDS Nurse was conducted on 05/28/26 at 12:14 PM.

The MDS Nurse stated that when a resident was admitted to hospice services, a significant change in status MDS assessment should be completed within 14 days.

The MDS Nurse reported that no significant change in status MDS assessment was completed for Resident #11 within the required 14-day period due to confusion about her payment source. An interview was conducted with the Director of Nursing (DON) on 05/28/26 at 3:34 PM.

The DON stated when a resident was admitted to hospice services, that was considered a significant change in status and a significant change MDS assessment should be completed within 14 days of the hospice admission date.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

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 Lincolnton, 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 Cardinal Healthcare and Rehabilitation 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.