Hearth Record

Cedar Hills Center for Nursing and Rehabilitation

A nursing home in Clemmons, North Carolina 27012

3905 Clemmons Road, Clemmons, North Carolina 27012. (336) 766-9158.

  • A candidate for CMS’s special focus list
CMS’s own record, on Care Compare

Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.

The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 43 citations in 5 months of the last 36. Last cited Jun 2026. Most serious: actual harm (G). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
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.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
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?

25 health citations at the latest inspection cycle

The North Carolina average is 4.6.

Last standard inspection Feb 13, 2026.

Most serious in three years: actual harm (G), at a standard and complaint inspection on Nov 8, 2024

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

43 citations in 5 months of the last 36. Last cited Jun 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.

43 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 56 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 39 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Jun 26, 2026: complaint inspection3 citations

  • Keep residents’ personal and medical records private and confidential.

    Rule F0583. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 1, 2026.

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

    Rule F0755. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 1, 2026.

  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Rule F0761. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 1, 2026.

Apr 22, 2026: complaint inspection6 citations

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

    Rule F0550. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 26, 2026.

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

    Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 26, 2026.

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

    Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 26, 2026.

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

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 26, 2026.

  • Ensure medication error rates are not 5 percent or greater.

    Rule F0759. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 26, 2026.

  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Rule F0761. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 1, 2026.

Feb 13, 2026: standard inspection11 citations

  • 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.

    Rule F0578. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 22, 2026.

  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Rule F0582. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 22, 2026.

  • Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted

    Rule F0655. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 22, 2026.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 22, 2026.

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

    Rule F0690. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 22, 2026.

  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Rule F0761. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 1, 2026.

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

    Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 22, 2026.

  • Dispose of garbage and refuse properly.

    Rule F0814. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 22, 2026.

  • Implement a program that monitors antibiotic use.

    Rule F0881. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 22, 2026.

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

    Rule F0883. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 22, 2026.

  • Allow residents to easily view the nursing home’s survey results and communicate with advocate agencies.

    Rule F0577. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Mar 11, 2026.

Feb 13, 2026: standard and complaint inspection5 citations

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

    Rule F0550. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 26, 2026.

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

    Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 26, 2026.

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 22, 2026.

  • Provide timely, quality laboratory services/tests to meet the needs of residents.

    Rule F0770. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 22, 2026.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 22, 2026.

Nov 8, 2024: standard inspection2 citations

  • Keep residents’ personal and medical records private and confidential.

    Rule F0583. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 10, 2024.

  • Provide bedrooms that don’t allow residents to see each other when privacy is needed.

    Rule F0914. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 10, 2024.

Nov 8, 2024: standard and complaint inspection10 citations

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. G: actual harm. From a complaint. Correction date, as CMS recorded it: Dec 10, 2024.

  • Honor the resident’s right to organize and participate in resident/family groups in the facility.

    Rule F0565. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 10, 2024.

  • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Rule F0622. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 10, 2024.

  • Prepare residents for a safe transfer or discharge from the nursing home.

    Rule F0624. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 10, 2024.

  • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Rule F0636. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 10, 2024.

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 10, 2024.

  • 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.

    Rule F0688. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 10, 2024.

  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Rule F0698. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 10, 2024.

  • Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Rule F0835. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 10, 2024.

  • Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

    Rule F0575. C: no actual harm, potential for minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 10, 2024.

Sep 20, 2024: complaint inspection6 citations

  • Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Rule F0580. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 11, 2024.

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 11, 2024.

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

    Rule F0690. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 11, 2024.

  • Provide safe, appropriate pain management for a resident who requires such services.

    Rule F0697. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 11, 2024.

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

    Rule F0755. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 11, 2024.

  • Ensure that residents are free from significant medication errors.

    Rule F0760. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Oct 11, 2024.

Nov 17, 2023: standard inspection4 citations

  • Ensure each resident receives an accurate assessment.

    Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2023.

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

    Rule F0684. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2023.

  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Rule F0698. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2023.

  • Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Rule F0727. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 15, 2023.

Nov 17, 2023: standard and complaint inspection9 citations

  • Reasonably accommodate the needs and preferences of each resident.

    Rule F0558. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 15, 2023.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 15, 2023.

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

    Rule F0677. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 15, 2023.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 15, 2023.

  • Ensure medication error rates are not 5 percent or greater.

    Rule F0759. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 15, 2023.

  • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Rule F0761. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 15, 2023.

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Rule F0804. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 15, 2023.

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

    Rule F0867. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 15, 2023.

  • 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.

    Rule F0584. B: no actual harm, potential for minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 15, 2023.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Oct 1, 1974.
  • A candidate for CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, corporation.
  • 94 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 2 fines in the last three years, $73,083 in all.
  • 1 Medicare payment denial in the last three years.
  • 39 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Feb 13, 2026Medicare payment denialNot given
Feb 13, 2026Fine$61,750
Nov 8, 2024Fine$11,333

Who does the caring?

3.69 nurse hours per resident per day

The North Carolina average is 3.87.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeNorth Carolina average
Nurse hours per resident per day3.693.87
Of which registered nurses0.220.62
At weekends3.343.40
Nursing staff turnover64.8%48.7%
Registered nurse turnover83.3%45.7%
Administrators who left1Not given

Who owns it?

  • Alignment Holdco LLC owns 100% directly since Aug 1, 2024.
  • 4 owners or officers are people: Yosef Emanuel (owns 5% or more through other companies, 100%); Kristin N Stover (runs it (operational or managerial control)); Kristin N Stover (additional disclosable party (controls, leases property to, or provides services to the home)); Yosef Emanuel (corporate officer, 0%).
  • Part of Alliance Health Group (13 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Alignment Holdco LLCOwns 5% or more directly100%Aug 1, 2024
Coalition Group LLCOwns 5% or more through other companies100%Aug 1, 2024

How do residents fare?

  • CMS rates its quality measures 1 of 5 (North Carolina average 3.5).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating1 of 5
Health inspections1 of 5
Staffing1 of 5
Quality measures1 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 11.2 miles, this one had the 1st most health citations at the latest inspection cycle (25; the middle value was 2.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Cedar Hills Center for Nursing and Rehabilitation This nursing home25
Trinity Elms0.97
Bermuda Village Retirement Center2.72
Bermuda Commons Nursing and Rehabilitation Center3.10
Homestead Hills5.67
Silas Creek Rehabilitation Center6.53
The Oaks6.812
Willow Valley Center for Nursing and Rehabilitatio8.510
Arbor Acres United Methodist Retirement Community8.81
Salemtowne9.82
Brookridge Retirement Community10.51
Mill Creek Center for Nursing and Rehabilitation11.21

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home 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 home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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