Lenoir Health and Rehabilitation Center
A nursing home in Lenoir, North Carolina 28645
322 Nuway Circle, Lenoir, North Carolina 28645. (828) 758-7326.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 14 health citations at the latest inspection cycle North Carolina average: 4.6
- 3.55 nurse hours per resident per day North Carolina average: 3.87
- 3 fines in the last three years (needs attention)
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?
14 health citations at the latest inspection cycle
The North Carolina average is 4.6.
Last standard inspection Nov 24, 2025.
Most serious in three years: actual harm (G), at a complaint inspection on Feb 5, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
31 citations in 6 months of the last 36. Last cited Feb 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | 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 | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 31 citations in the last three years
Grouped by inspection, newest first. Each carries 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)., from A, the least serious, to L, the most. 22 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Feb 5, 2026: complaint inspection3 citations
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Ensure that residents are free from significant medication errors.
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nov 24, 2025: standard inspection7 citations
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Ensure that residents are fully informed and understand their health status, care and treatments.
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Assess the resident when there is a significant change in condition
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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.
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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.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
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Post nurse staffing information every day.
Nov 24, 2025: standard and complaint inspection4 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide safe and appropriate respiratory care for a resident when needed.
Jul 8, 2025: complaint inspection3 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Ensure that residents are free from significant medication errors.
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Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Oct 30, 2024: complaint inspection5 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Ensure services provided by the nursing facility meet professional standards of quality.
Aug 8, 2024: standard inspection2 citations
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Provide activities to meet all resident’s needs.
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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.
Aug 8, 2024: standard and complaint inspection4 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Reasonably accommodate the needs and preferences of each resident.
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Protect each resident from the wrongful use of the resident’s belongings or money.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
Dec 4, 2023: complaint inspection3 citations
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Provide and implement an infection prevention and control program.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Feb 1, 1977.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 120 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 3 fines in the last three years, $65,953 in all.
- 1 Medicare payment denial in the last three years.
- 22 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Feb 5, 2026 | Fine | $35,464 |
| Jul 8, 2025 | Fine | $9,620 |
| Aug 8, 2024 | Medicare payment denial | Not given |
| Aug 8, 2024 | Fine | $20,869 |
Who does the caring?
3.55 nurse hours per resident per day
The North Carolina average is 3.87.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | North Carolina average |
|---|---|---|
| Nurse hours per resident per day | 3.55 | 3.87 |
| Of which registered nurses | 0.67 | 0.62 |
| At weekends | 2.88 | 3.40 |
| Nursing staff turnover | 69.6% | 48.7% |
| Registered nurse turnover | 85.7% | 45.7% |
| Administrators who left | 1 | Not given |
Who owns it?
- Ib Mimi 2022 Family Trust owns 22.13% directly since Jun 1, 2024; Lenoir Holdings LLC owns an unstated share directly since Jun 1, 2024.
- 10 owners or officers are people: Hillel D Weiss (trustee); Mirana Lambert (runs it (operational or managerial control)); Mirana Lambert (additional disclosable party (controls, leases property to, or provides services to the home)); Moss M Ellenbogen (trustee); Eliezer Rubin (trustee); Shonda Wingate (runs it (operational or managerial control)); Shonda Wingate (additional disclosable party (controls, leases property to, or provides services to the home)); Cindy Maher (runs it (operational or managerial control)); Noah Burton (trustee); Kevin Richard Clark (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Lifeworks Rehab (64 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Uh Carolina SNF Operations Holdings LLC | Owns 5% or more through other companies | 100% | Jun 1, 2024 |
| Universal Operations Holdings LLC | Owns 5% or more through other companies | 69.83% | Jun 1, 2024 |
| Tol Opco Investco LLC | Owns 5% or more through other companies | 23.28% | Jun 1, 2024 |
| Jk 2022 Grantor Family Trust | Owns 5% or more through other companies | 23.27% | Jun 1, 2024 |
| Milano Family Holdings LLC | Owns 5% or more through other companies | 23.27% | Jun 1, 2024 |
| Bridgewater NC Holdings LLC | Owns 5% or more through other companies | 23.25% | Jun 1, 2024 |
| Ib Mimi 2022 Family Trust | Owns a share directly | 22.13% | Jun 1, 2024 |
| Ml Milano 2022 Family Trust | Owns 5% or more through other companies | 22.13% | Jun 1, 2024 |
| Tj Family Trust | Owns 5% or more through other companies | 9.31% | Jun 1, 2024 |
| Hl Family Trust | Owns 5% or more through other companies | 9.31% | Jun 1, 2024 |
| Will Family 2016 Trust | Owns 5% or more through other companies | 4.9% | Jun 1, 2024 |
| Hshc 2024 Family Trust | Owns 5% or more through other companies | 2% | Jun 1, 2024 |
| Ib Mimi 2022 Family Trust | Owns 5% or more through other companies | 1.14% | Jun 1, 2024 |
| Ml Milano 2022 Family Grantor Trust | Owns 5% or more through other companies | 1.14% | Jun 1, 2024 |
| Ib Mimi 2022 Family Grantor Trust | Owns 5% or more through other companies | 1.14% | Jun 1, 2024 |
| Ib Mimi 2022 Family Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 1, 2024 | |
| Ml Milano 2022 Family Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 1, 2024 | |
| Milano Family Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 1, 2024 | |
| Cyop Cyber Security LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 1, 2024 | |
| Acs Pro Global Solutions | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 1, 2024 | |
| 322 Nuway Circle LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 1, 2024 | |
| Bridgewater NC Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 1, 2024 | |
| Lenoir Holdings LLC | Owns 5% or more directly | Jun 1, 2024 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (North Carolina average 3.5).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 17.7 miles, this one had the 1st most health citations at the latest inspection cycle (14; the middle value was 3).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Lenoir Health and Rehabilitation Center This nursing home | 14 | |
| Hibriten Mountain Nursing and Rehabilitation | 3.3 | 11 |
| Shaire Nursing Center | 6.1 | 6 |
| Hickory Falls Health and Rehabilitation | 11.1 | 0 |
| Autumn Care of Drexel | 13.2 | 3 |
| College Pines Health and Rehabilitation | 13.7 | 2 |
| The Foley Center at Chestnut Ridge | 15.8 | 1 |
| Grace Heights Health & Rehabilitation | 16.3 | 0 |
| Carolina Rehab Center of Burke | 16.5 | 6 |
| The Greens at Viewmont | 17.2 | 2 |
| Magnolia Lane Nursing and Rehabilitation Center | 17.5 | 10 |
| Trinity Village | 17.7 | 3 |
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
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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).
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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).
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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).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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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.
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
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