Bethamy Retirement Center
An adult care home, assisted living licensed for seven or more residents in Spencer, North Carolina 28159
909 N. Salisbury Avenue, Spencer, North Carolina 28159. (347) 546-4877.
What North Carolina’s list coversLicensed homes only
Adult care homes and family care homes licensed by North Carolina’s Division of Health Service Regulation. Multi-unit assisted housing with services, which the Division registers rather than licenses, isn’t here.
Watch and the shortlist are kept with a free account, on every device. Your watch list. North Carolina’s own record is on info.ncdhhs.gov.
The short answer
Record last released by North Carolina Division of Health Service Regulation, Adult Care Licensure Section on Jul 30, 2026.
- 17 penalties imposed in the last 36 months Middle in Rowan County: 0
- 7 at the state’s most serious level, in three years (needs attention)
- 43 beds, its licensed capacity
Each figure’s source sits beside it, in its section below.
What these words mean5
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- The state’s most serious level
- Each state grades findings on its own scale and in its own words, so the record counts a state’s findings at that state’s top level. Two states’ top levels aren’t the same thing, so the counts aren’t compared across states. Source: How this site reads each state’s scale.
- Licence status
- Whether the state’s licence lets the place operate now, in the state’s own words: licensed, on probation (allowed to keep operating on conditions, after problems), provisional, pending or expired. Source: Each state’s licensing agency.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
17 penalties imposed in the last 36 months, for violations found from Apr 5, 2024; 7 of them Type A1 (death or serious harm, abuse, neglect or exploitation of a resident).
North Carolina’s list covers only violations that led to a penalty; its inspection reports have the rest.
Type A1 (North Carolina’s label): Resident Rights, Nov 24, 2025
Type Unabated A1 (North Carolina’s label): Resident Rights, Oct 24, 2025
Type Unabated A2 (North Carolina’s label): Physical Environment, Oct 24, 2025
13 more at that level; all are listed below.
North Carolina Division of Health Service Regulation, Adult Care Licensure Section, Adult Care Home Violations and Penalties: facilities with penalties in the last 36 months. Checked Oct 20, 2026. Updated monthly.
When those citations happened
17 citations in 5 months of the last 36. Last cited Nov 2025. Most serious: Type A1 (North Carolina’s label). The last 3 years, to Oct 19, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each citation, in its source’s words
Grouped by visit, newest first, with the level its source gave it.
North Carolina Division of Health Service Regulation, Adult Care Licensure Section, Adult Care Home Violations and Penalties: facilities with penalties in the last 36 months. Checked Oct 20, 2026. Updated monthly.
Nov 24, 2025: inspection1 citation
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Resident Rights
Oct 24, 2025: inspection6 citations
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Resident Rights
-
Physical Environment
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Housekeeping and Furnishings
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Personal Care and Supervision
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Infection Prevention & Control Policies & Pro
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Nutrition and Food Service
Aug 13, 2025: inspection6 citations
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Housekeeping and Furnishings
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Resident Rights
-
Physical Environment
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Housekeeping And Furnishings
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Medication Administration
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Infection Prevention & Control Policies & Pro
Sep 16, 2024: inspection1 citation
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Personal Care and Supervision
Apr 5, 2024: inspection3 citations
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Resident Rights
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Implementation
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Management Of Facilities WIth A Capacity Or
All 5 visits on record
| Date | Visit | What the record says |
|---|---|---|
| Nov 24, 2025 | Inspection | 1 violation that led to a penalty |
| Oct 24, 2025 | Inspection | 6 violations that led to a penalty |
| Aug 13, 2025 | Inspection | 6 violations that led to a penalty |
| Sep 16, 2024 | Inspection | 1 violation that led to a penalty |
| Apr 5, 2024 | Inspection | 3 violations that led to a penalty |
Is it licensed?
- Adult care home, assisted living licensed for seven or more residents, licensed by North Carolina’s Division of Health Service Regulation for 43 residents.
- Licence number HAL-080-032, with an expiration date of Nov 8, 2025, which has passed.
North Carolina Division of Health Service Regulation, Adult Care Licensure Section, Adult Care Home Listing. Released Jul 30, 2026. Updated monthly.
Has the state acted against it?
- 17 penalties imposed in the last 36 months, $320,200 in all.
North Carolina Division of Health Service Regulation, Adult Care Licensure Section, Adult Care Home Violations and Penalties: facilities with penalties in the last 36 months. Checked Oct 20, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| May 26, 2026 | Penalty | $42,000 |
| May 26, 2026 | Penalty | $20,000 |
| May 26, 2026 | Penalty | $20,000 |
| May 26, 2026 | Penalty | $8,200 |
| May 26, 2026 | Penalty | $56,000 |
| May 26, 2026 | Penalty | $42,000 |
| May 26, 2026 | Penalty | $20,000 |
| Oct 24, 2025 | Penalty | $14,000 |
| Oct 24, 2025 | Penalty | $12,000 |
| Oct 24, 2025 | Penalty | $16,000 |
| Oct 24, 2025 | Penalty | $16,000 |
| Oct 24, 2025 | Penalty | $14,000 |
| Oct 24, 2025 | Penalty | $14,000 |
| Jun 10, 2025 | Penalty | $16,000 |
| Jun 12, 2024 | Penalty | $2,000 |
| Jun 12, 2024 | Penalty | $4,000 |
| Jun 12, 2024 | Penalty | $4,000 |
Who does the caring?
- North Carolina’s lists don’t include staffing levels.
Who holds the licence?
- Residence Care Services, LLC holds the licence.
North Carolina Division of Health Service Regulation, Adult Care Licensure Section, Adult Care Home Listing. Released Jul 30, 2026. Updated monthly.
How is it rated?
- North Carolina’s star rated certificate: 0 of 4 stars.
North Carolina Division of Health Service Regulation, Adult Care Licensure Section, Adult Care Home Listing. Released Jul 30, 2026. Updated monthly.
How does it compare nearby?
- Among 10 facilities of this kind in Rowan County, the middle value for penalties imposed in the last 36 months was 0; this one had 17.
North Carolina Division of Health Service Regulation, Adult Care Licensure Section, Adult Care Home Violations and Penalties: facilities with penalties in the last 36 months. Checked Oct 20, 2026. Updated monthly.
| Place | Penalties imposed in the last 36 months |
|---|---|
| Compass Assisted Living Rowan | 0 |
| Bethamy Retirement Center This assisted living facility | 17 |
| Trinity Oaks Continuing Care Retirement Community | 0 |
| Brookdale Salisbury | 0 |
| The Meadows of Rockwell Retirement Center | 0 |
| Alpha Concord Plantation | 0 |
| Angels at Heart Assisted Living | 0 |
| Terrabella Salisbury | 0 |
| Deal Care Inn | 0 |
| Best of Care | 0 |
What the record doesn’t say
- North Carolina’s penalty list covers only penalties imposed in the last 36 months, each with the date its violation was found; the state’s own inspection reports have its other findings.
- County departments of social services also monitor adult care homes; their visits aren’t in these lists.
- North Carolina’s lists don’t include staffing levels.
- North Carolina’s listing gives an expiration date that has passed, and doesn’t say whether the licence was renewed; North Carolina’s own record has its current status.
Sources
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North Carolina Division of Health Service Regulation, Adult Care Licensure Section, Adult Care Home Listing (as of Jul 2026).
Released Jul 30, 2026 and checked Oct 20, 2026. Updated monthly. Non-commercial copying and distribution (N.C. DHSR disclaimer); shown free, never sold.
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North Carolina Division of Health Service Regulation, Adult Care Licensure Section, Adult Care Home Violations and Penalties: facilities with penalties in the last 36 months.
Checked Oct 20, 2026. Updated monthly. Non-commercial copying and distribution (N.C. DHSR disclaimer); shown free, never sold.
If you believe something here is wrong, a correction starts with the agency whose record this copies: North Carolina Division of Health Service Regulation, Adult Care Licensure Section. North Carolina’s own record is on info.ncdhhs.gov. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 19, 2026.
From the facility
The public record above comes first. Anything the facility adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the facility will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the facility”, and paying will never change a finding, a rating or the order of results.