B81

Cleveland Pines

Grade B 81/100 composite score

For profit - Corporation

CMS Star Ratings

Overall
4/5
Health Insp.
4/5
Quality
4/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

120

Ownership

For profit - Corporation

Total Fines

$5,000

Last Survey

N/A

1404 N Lafayette Street, Shelby, NC 28150
9804871500

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.46h
LPN
0.96h
CNA
2.06h
Total
3.48h
Facility
State Average

Turnover Rates

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

Ownership

THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Feb 2020

BALL, RODNEY

IndividualCORPORATE DIRECTORSince Aug 2023

HAYNES, KENNETH

IndividualCORPORATE DIRECTORSince Jun 2019

RISSMILLER, SCOTT

IndividualCORPORATE DIRECTORSince Jun 2019

BALL, RODNEY

IndividualCORPORATE OFFICERSince Feb 2023

HAYNES, KENNETH

IndividualCORPORATE OFFICERSince Dec 2019

DOTSON, KATHRYN

IndividualCONTRACTED MANAGING EMPLOYEESince Feb 2020

MURRAY, ROBERT

IndividualCONTRACTED MANAGING EMPLOYEESince Jan 2024

Penalties & Fines (1)

$5,000total fines
DateTypeDescriptionAmount
Mar 23, 2023Fine$5,000

Health Inspection Deficiencies (14)

November 18, 2025Health7 deficiencies
0600DMinimal 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 Dec 16, 2025
0607DMinimal harm, Isolated

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Dec 16, 2025
0644DMinimal harm, Isolated

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 16, 2025
0687EMinimal harm, Pattern

Provide appropriate foot care.

Quality of Life and Care Deficiencies

Corrected Dec 16, 2025
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Dec 16, 2025
0700EMinimal harm, Pattern

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Quality of Life and Care Deficiencies

Corrected Dec 16, 2025
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Dec 16, 2025
July 18, 2024Health4 deficiencies
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 Aug 15, 2024
0679EMinimal harm, Pattern

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Aug 30, 2024
0688DMinimal harm, Isolated

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Quality of Life and Care Deficiencies

Corrected Aug 15, 2024
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 15, 2024
March 23, 2023Health3 deficiencies
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 Apr 30, 2023
0867DMinimal harm, Isolated

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

Administration Deficiencies

Corrected Apr 30, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Apr 30, 2023

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Frequently Asked Questions

What is the CareGrader rating for Cleveland Pines?

Cleveland Pines in Shelby, North Carolina has a CareGrader grade of B (Good), with a composite score of 80.8 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 Cleveland Pines?

Cleveland Pines has an overall CMS star rating of 4 out of 5, a health inspection rating of 4/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Cleveland Pines have?

Cleveland Pines has 14 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has Cleveland Pines been fined?

Yes. Cleveland Pines has $5,000 in total fines from CMS enforcement actions across 1 penalty.

How many beds does Cleveland Pines have?

Cleveland Pines has 120 certified beds with approximately 104 current residents (87% occupancy). The facility is located at 1404 N Lafayette Street, Shelby, North Carolina 28150. It is a for profit - corporation 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.