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Complaint Investigation

Glenflora

May 28, 2026 · Lumberton, NC · 5701 Fayetteville Road
Citations 1
CMS Rating 4/5
Beds 52
Provider ID 345194
Healthcare Facility
Glenflora
Lumberton, 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

Glenflora in Lumberton, NC — inspection on May 28, 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

FF0684
Quality of Life and Care Deficiencies

During her hospitalization, orthopedic surgery was consulted and the patient underwent bedside splinting under sedation.

The discharge summary indicated that given her advanced age and multiple comorbidities (additional co-existing illnesses) she had not been a candidate for surgical repair. At the time of her discharge, she was stable with well-controlled pain and stable fracture immobilization.

The note stated she would be discharged back to the facility with plans for continued conservative orthopedic management, completion of antibiotic therapy, and close outpatient follow-up.

During an interview with the Director of Nursing (DON) on 5/27/26 at 11:21 AM, the DON stated their investigation began as soon as they found out about Resident #1's fractures.

The DON explained that on 4/27/26 Nurse #2 had informed her about Resident #1's leg being warm and tender-to-touch and that a doppler had been ordered. It had been on 4/28/26 when Nurse #3 called her and said that something was going on with the resident's leg, that it was deformed looking.

She said they began to interview staff and an interview of NA #1 by their Clinical Nurse Consultant revealed some information that led them to the discovery of Resident #1's fall.

She stated they eventually spoke with Nurse #1 who denied knowledge of anything that could have happened to Resident #1, saying that she went into her room so many times and that the resident had told her to shut up.

The DON said she and the Administrator informed her about the resident's fractures and placed her on suspension.

She said it was then that Nurse #1 opened up and explained to them how she found the resident lying on the floor and how she and NA #1 had picked her up and placed her back in the bed.

She continued and said that Nurse #1 denied instructing NA #1 not to say anything about Resident #1's fall but then later stated she had instructed her not to tell anyone about the resident's fall.

When asked why she thought the nurse did not inform anyone of Resident #1's fall, the DON said she can only state what Nurse #1 told them - that the resident's fall was around 5:30 AM, around the start of her medication pass time and towards the end of her shift.

She said the nurse told them that she had something to do when she

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 Lumberton, 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 Glenflora 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.