F60

Springbrook Nursing and Rehabilitation Center

Grade F 60/100 composite score

For profit - Limited Liability companyAbuse Citation

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
2/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

100

Ownership

For profit - Limited Liability company

Total Fines

$25,625

Last Survey

N/A

195 Springbrook Avenue, Clayton, NC 27520
9195507200

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.81h
LPN
0.78h
CNA
2.59h
Total
4.18h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

PRINCIPLE IT SERVICES, INC.

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince May 2015

PRINCIPLE LONG TERM CARE, INC.

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince May 2015

HILL, RAYMOND

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jun 2015

HILL, STEPHEN

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jun 2015

HILL, ROBERT

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jun 2015

21%

PRINCIPLE LONG TERM CARE, INC.

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince May 2015

BOICE, GALE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2018

BOICE, GALE

IndividualCORPORATE OFFICERSince Mar 2018

JOHNSON, DIANNE

IndividualCORPORATE OFFICERSince Jun 2015

Penalties & Fines (3)

$25,625total fines
DateTypeDescriptionAmount
Jun 5, 2024Fine$8,824
Feb 13, 2024Fine$16,801
Feb 13, 2024Payment Denial

Health Inspection Deficiencies (28)

April 24, 2025Health1 deficiency
0602DMinimal harm, Isolated

Protect each resident from the wrongful use of the resident's belongings or money.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jun 18, 2024
August 30, 2024Health1 deficiency
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Aug 8, 2024
June 5, 2024Health1 deficiency1 severe
0600GActual harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected May 21, 2024
February 13, 2024Health14 deficiencies1 severe
0584BNo harm, Pattern

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Resident Rights Deficiencies

Corrected Mar 11, 2024
0693DMinimal harm, Isolated

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Quality of Life and Care Deficiencies

Corrected Mar 11, 2024
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Mar 11, 2024
0814FMinimal harm, Widespread

Dispose of garbage and refuse properly.

Nutrition and Dietary Deficiencies

Corrected Mar 11, 2024
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 11, 2024
0867EMinimal harm, Pattern

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Administration Deficiencies

Corrected Mar 11, 2024
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Mar 11, 2024
0553DMinimal harm, Isolated

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Resident Rights Deficiencies

Corrected Mar 11, 2024
0661DMinimal harm, Isolated

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Resident Assessment and Care Planning Deficiencies

Corrected Mar 11, 2024
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Mar 11, 2024
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Mar 11, 2024
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Mar 11, 2024
0695EMinimal harm, Pattern

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Mar 11, 2024
0760JImmediate jeopardy, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Jan 18, 2024
September 22, 2022Health11 deficiencies
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Oct 18, 2022
0578DMinimal harm, Isolated

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Resident Rights Deficiencies

Corrected Oct 18, 2022
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Oct 18, 2022
0693DMinimal harm, Isolated

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Quality of Life and Care Deficiencies

Corrected Oct 18, 2022
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Oct 18, 2022
0745DMinimal harm, Isolated

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Quality of Life and Care Deficiencies

Corrected Oct 18, 2022
0758DMinimal harm, Isolated

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Pharmacy Service Deficiencies

Corrected Oct 18, 2022
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Oct 18, 2022
0867EMinimal harm, Pattern

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Administration Deficiencies

Corrected Oct 18, 2022
0883DMinimal harm, Isolated

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Infection Control Deficiencies

Corrected Oct 18, 2022
0947EMinimal harm, Pattern

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Nursing and Physician Services Deficiencies

Corrected Oct 18, 2022

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Frequently Asked Questions

What is the CareGrader rating for Springbrook Nursing and Rehabilitation Center?

Springbrook Nursing and Rehabilitation Center in Clayton, North Carolina has a CareGrader grade of F (Poor), with a composite score of 59.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Springbrook Nursing and Rehabilitation Center?

Springbrook Nursing and Rehabilitation Center has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Springbrook Nursing and Rehabilitation Center have?

Springbrook Nursing and Rehabilitation Center has 28 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). This facility has abuse citations on record. View the full inspection timeline above for details on each deficiency.

Has Springbrook Nursing and Rehabilitation Center been fined?

Yes. Springbrook Nursing and Rehabilitation Center has $25,625 in total fines from CMS enforcement actions across 3 penalties.

How many beds does Springbrook Nursing and Rehabilitation Center have?

Springbrook Nursing and Rehabilitation Center has 100 certified beds with approximately 94 current residents (94% occupancy). The facility is located at 195 Springbrook Avenue, Clayton, North Carolina 27520. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.