Below average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Tattnall Healthcare Center during CMS and state inspections, most recent first.
Antibiotic Stewardship Program Not Completed: The facility failed to complete infection screening evaluations to verify whether antibiotics ordered for residents met criteria. The Infection Control Binder lacked required documentation for multiple months, and the EMR infection surveillance reports only listed residents on antibiotics and infection types, without signs and symptoms, lab results, or documentation showing whether the antibiotics met criteria. The binder also did not include a map of infection locations for several months, and the IP stated she had only recently started and had been instructed to print reports from the EMR.
Three cognitively intact residents reported that food was not hot, lacked flavor, and was sometimes too hard to eat. A test tray confirmed that breakfast items, including eggs, toast, and bacon, were served at temperatures below recommended levels and were not palatable. The Dietary Manager agreed with these findings, and the facility lacked a policy on food palatability.
Failure to offer and provide recommended flu and pneumococcal vaccines affected five residents reviewed. One resident did not receive the seasonal influenza vaccine despite signed consent, and four other residents had incomplete or undocumented pneumococcal vaccination records compared with current CDC guidance. The DON confirmed the findings during interview.
Failure to Offer and Document COVID-19 Vaccination: The facility failed to offer and provide COVID-19 vaccination for five residents reviewed, and in several cases could not produce documentation that the vaccine had been offered for the current season. Record review showed some residents had prior COVID-19 vaccines, while others had no documentation of receiving or being offered the vaccine. The DON/IP confirmed the findings.
A deficiency was cited when a resident was not protected from various forms of abuse and neglect, including physical, mental, and sexual abuse, as well as physical punishment, due to lapses in the facility's protective measures.
A resident with severe cognitive impairment and a history of elopement risk was able to leave the facility grounds unsupervised through an unsecured gate. The resident was found by a non-employee some distance from the facility and was returned without injury. Facility staff and the DON confirmed that the gates were not secured at the time, and the resident's care plan had identified elopement risk.
Inaccurate MDS assessments were completed for two residents. One resident with schizophrenia and other serious mental health diagnoses was incorrectly coded as not having a Level II PASARR serious mental illness status, despite a prior PASARR finding. Another resident with significant documented weight loss had the MDS weight-loss item marked No or unknown even though records showed major loss over 30 days and six months, and the MDSC relied on dietary entries without verifying their accuracy.
A resident’s PASARR screening was not accurately completed before admission. The EMR showed severe cognitive impairment with diagnoses including anxiety, altered mental status, suicidal ideation, hallucinations, depression, and unspecified psychosis, but the MDS noted no PASARR currently considered and there was no evidence a Level 2 PASARR was completed. The DON and SSD stated a Level 2 should have been done.
Antibiotic Stewardship Program Not Completed
Penalty
Summary
The facility failed to implement policies and procedures for an effective antibiotic stewardship program when the Infection Preventionist did not complete infection screening evaluations to determine whether the correct antibiotics were ordered for residents prescribed antibiotics. The report states that the facility's policy required infection prevention surveillance, collection and analysis of infection data, and tracking of antibiotic starts, adherence to McGeer criteria, management of treated infections, and review of antibiotic resistance patterns. Review of the Infection Control Binder for January 2025 through July 2025 showed that infection screening evaluations had not been completed for those months. The EMR-generated Infection Surveillance Monthly Reports for January through July 2025 were not printed until 8/18/2025 and only listed residents prescribed antibiotics and the type of infections; they did not include whether the antibiotics met criteria or any lab results, and the space for signs and symptoms was left blank. The binder also did not include a map of infection locations for January 2025 through June 2025. During interview, the IP stated the Infection Control Binder had not been completed by the previous IP and that she had only started in June, and she said she had been instructed by corporate to only print the reports from the EMR.
Failure to Serve Palatable and Hot Food to Residents
Penalty
Summary
The facility failed to serve food that was palatable and at a hot, appetizing temperature for three of five residents reviewed for food palatability. All three residents were cognitively intact, as indicated by their BIMS scores, and reported dissatisfaction with the food, specifically noting that it lacked flavor, was not hot enough, and in some cases, was difficult to eat due to its hardness. One resident reported having to soak toast in milk or coffee because it was too hard, and another stated that meals eaten in their room were not always hot or tasty. A test tray was requested and observed during a breakfast meal service. Staff monitored food temperatures on the tray line, which were within acceptable ranges before leaving the kitchen. However, the trays were transported in an enclosed cart without a heating element, and by the time the food was served, temperatures had dropped significantly. Scrambled eggs were measured at 118°F and were barely warm, toast was 80°F and very hard, and bacon was also barely warm. The Dietary Manager confirmed these findings and stated that the food should have been hot when served. Additionally, the Administrator reported that the facility did not have a policy related to food palatability.
Failure to Offer and Provide Recommended Flu and Pneumococcal Vaccinations
Penalty
Summary
The facility failed to offer and provide pneumococcal vaccines for five of five residents reviewed for pneumonia vaccinations, and it also failed to ensure one resident received an influenza vaccine. The deficiency was identified during review of the facility’s infection control immunization policy, resident records, vaccine records, CDC guidance, and an interview with the DON/IP, who confirmed the findings. The facility policy titled Infection Control Manual-Infection Prevention-Immunizations: Standing Order 7.4 stated that all residents should be offered seasonal influenza immunization annually and pneumococcal immunization once if there is no history of immunization, unless there is a documented contraindication, decline, or refusal. Review of the records showed that one resident admitted at age 59 had received PPV23 in 2003 and 2010 and PCV13 in 2016, but had not received an influenza vaccine for the 2024-2025 season even though the resident electronically signed consent to receive it. Another resident admitted at age 65 had received Pneumovax23 in 2007 and 2017, but there was no documentation of the current pneumococcal vaccine recommended by CDC guidance. A third resident admitted at age 79 had no documentation of having received a pneumonia vaccine, although the resident’s POA electronically signed consent for PPSV23. A fourth resident admitted at age 66 had no documentation that pneumococcal vaccination had been offered. A fifth resident admitted at age 91 had received one dose of Prevnar13 in 2022, but the record did not show the current CDC-recommended pneumococcal vaccine. The DON/IP confirmed these findings during interview.
Failure to Offer and Document COVID-19 Vaccination
Penalty
Summary
The facility failed to offer and provide COVID-19 vaccines for five of five residents reviewed for COVID-19 vaccination out of a total sample of 33. Review of the facility policy, Infection Control Manual-Infection Prevention-Immunizations: Standing Order 7.4.1, revised 09/01/23, showed that residents should be screened on admission to determine whether they had received COVID-19 immunization and that a physician's order should be obtained for COVID-19 vaccination on admission or after the resident signs the information and request form, as applicable. The DON/IP confirmed the findings during interview. Record review showed that one resident had received COVID-19 vaccines on 3/25/2021 and 8/30/2021, but the facility could not provide documentation that COVID-19 vaccines were offered for 2024-2025. Another resident had received COVID-19 vaccines on 1/12/2021, 2/2/2021, 11/8/2021, and 2/3/2023, but there was no documentation that vaccines were offered for 2024-2025. Two residents had no documentation that they had received or been offered COVID-19 vaccination. One resident had prior COVID-19 vaccines on 1/12/2021, 2/2/2021, 11/8/2021, and 2/3/2023, and current CDC guidance reviewed for that resident indicated two doses of COVID-19 vaccine 6 months apart. The facility's failure to document offering or providing vaccination affected these five residents.
Failure to Protect Residents from Abuse and Neglect
Penalty
Summary
A deficiency was identified regarding the facility's failure to protect residents from all forms of abuse, including physical, mental, sexual abuse, physical punishment, and neglect by any individual. The report documents that residents were not adequately safeguarded against these types of mistreatment, indicating lapses in the facility's responsibility to ensure a safe and protective environment for all individuals in their care.
Resident Elopement Due to Inadequate Supervision and Unsecured Gates
Penalty
Summary
A deficiency occurred when a resident with a known history of elopement risk and severe cognitive impairment was able to leave the facility and its grounds without staff knowledge. The resident, who had diagnoses including mild dementia with agitation and major depressive disorder, was identified as an elopement risk in both his care plan and elopement evaluation. On the day of the incident, the resident was last seen sitting outside on the porch during a smoke break with other residents. After the other residents were escorted inside, staff did not notice that the resident remained outside. He subsequently exited the facility grounds through an unsecured gate and was found by a non-employee approximately one eighth of a mile away from the facility. Facility records and staff interviews confirmed that the outside gates surrounding the smoking patio area were not secured and could be easily opened. The Director of Nursing acknowledged that all three gates were unsecured at the time of the incident and confirmed the resident's elopement. The resident was returned to the facility without injury, but the event substantiated a failure to provide adequate supervision and to ensure the environment was free from accident hazards, as required by the facility's own elopement management policy.
Inaccurate MDS Assessments for PASARR Status and Weight Loss
Penalty
Summary
The facility failed to ensure the accuracy of MDS assessments for two residents. Review of the RAI Manual showed that if an MDS assessment contains errors that incorrectly reflect the resident's status, the assessment must be corrected. For one resident, the medical record showed diagnoses including schizophrenia, delusional disorders, recurrent depressive disorder, and auditory hallucinations. However, the annual MDS with an ARD of 4/14/2025 indicated the resident had an active diagnosis of schizophrenia but was not considered by the State Level II PASARR process to have a serious mental illness and/or intellectual disability or related condition, even though the resident had previously been evaluated by Level II PASARR and found to have serious mental illness. The MDS Coordinator later reviewed the record and confirmed the PASARR status on the annual MDS was inaccurate. For another resident, progress notes and weight records showed significant weight loss, including 5.8% over 30 days and 22.3% over six months, with documented weights decreasing from 151.8 lbs. to 119.4 lbs. The quarterly MDS with an ARD of 8/12/2025 showed the resident's weight as 119 lbs. within the last 30 days, but the item for weight loss of 5% or more in the last month or 10% or more in the last six months was marked No or unknown. The MDS was completed by the Dietary Manager, and the MDS Coordinator stated she did not review dietary assessments because she trusted they were accurate. The Dietary Manager also stated the resident had significant major weight loss and that the MDS should have been marked Yes, not on prescribed weight loss regimen, but it was not marked accurately.
PASARR Level 2 Screening Not Completed
Penalty
Summary
The facility failed to ensure that the PASARR level screening was accurately completed prior to admission for one resident reviewed for PASARR. The resident’s EMR showed an admission MDS with an ARD of 5/9/2024 and an admission date of 5/2/2024, with a BIMS score of 2 out of 15 indicating severe cognitive impairment and diagnoses of anxiety disorder, altered mental status, suicidal ideations, hallucinations, depression, and unspecified psychosis. The MDS indicated no PASARR currently considered. A review of the resident’s Level 1 PASARR dated 5/1/2024 stated the resident did not have anxiety disorder, depression, suicidal behavior, physical violence, or hallucinations, and there was no evidence that a Level 2 PASARR was completed. During interviews, the DON stated that a resident without a dementia diagnosis and with anxiety, depression, suicidal ideation, and hallucinations should have had a Level 2 completed, and the SSD stated that once she saw the resident did not have a dementia diagnosis, she realized the Level 2 should have been done and had not been completed.
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Illustrative
What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Reidsville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Camellia Health & Rehabilitation | 13.7 mi | ★★★★★ | 3 | 2 |
| Glenvue Health & Rehab | 14.4 mi | ★★★★★ | 0 | 0 |
| Oxley Park Health And Rehabilitation | 16 mi | ★★★★★ | 11 | 0 |
| Oaks - Bethany Skilled Nursing, The | 18 mi | ★★★★★ | 12 | 0 |
| Meadows Park Health And Rehabilitation | 21.1 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.