Bethesda Health Care Facility

3532 Dunn Road, Eastover, North Carolina 28301

85 certified beds · ≈ 83 residents/day · For profit - Corporation · Last survey February 2026 · Provider #345212

CMS FIVE-STAR RATINGS
4/ 5 overall

Above average — CMS composite of the measures below.

Health inspections 4/5
Staffing 2/5
Quality measures 2/5
COMPLIANCE AT A GLANCE
Citations, last 12 months
3
28% below the North Carolina average of 4.1
Serious citations (J–L)
0
no immediate jeopardy–level findings
Fines on record
None
civil monetary penalties
On cycle

The next survey window likely opens around January 2027

6 of ~15 typical months since the last standard survey (February 2026)
Feb 2026 · on cycle Window opens Jan 2027 → ~May 2027

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 Bethesda Health Care Facility during CMS and state inspections, most recent first.

3 in the last 12 months8 all-time 16 inspections on file
Inaccurate MDS Coding for Diabetes and Anxiety Diagnoses
D
F0641 F641: Ensure each resident receives an accurate assessment.
Short Summary

A resident with a documented history of type 2 DM and generalized anxiety disorder did not have these conditions accurately coded on the annual MDS. Although the care plan addressed DM and physician documentation showed diet-controlled DM and an order for daily Ativan for anxiety and mood disorder, the MDS omitted both DM and anxiety as active diagnoses while still indicating use of an antianxiety medication and severe cognitive impairment. The MDS nurse later acknowledged that the resident’s DM and anxiety diagnoses should have been coded and that their omission was an oversight, and the Administrator confirmed that all diagnoses should be reflected on the MDS.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Request Level II PASRR After New Serious Mental Illness Diagnoses
D
F0644 F644: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Short Summary

A resident was admitted with medical diagnoses and a Level I PASRR that showed no mental illness and did not trigger Level II criteria. Over time, the resident’s record was updated to include generalized anxiety disorder, depressive disorder, and later a psychiatrist-documented mood disorder with psychosis/bipolar, with Zyprexa prescribed and bipolar disorder coded on the MDS. Despite these new serious mental illness diagnoses, no Level II PASRR request was found in the record. The MDS Coordinator reported she did not notify the Business Office Manager (who is responsible for submitting Level II PASRR requests) when the new mental health diagnoses were added, and the Business Office Manager confirmed she was never informed of these diagnoses.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Expired and Unlabeled Food Items in Nourishment Room Refrigerators
D
F0812 F812: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Short Summary

Surveyors found that staff failed to manage food items appropriately in two nourishment room refrigerators, where multiple expired products and unlabeled, undated beverages were stored. In the main nourishment room, there were outdated strawberry preserves, a high-protein milkshake, and nutritional energy drinks, along with several partially filled drink containers that lacked labels and dates. In the locked unit nourishment room, surveyors observed expired yogurt and prepackaged apples, with some apples showing visible spoilage. Nursing staff and unit leadership acknowledged that nurses were responsible for labeling, dating, and discarding expired items, and facility leadership stated they expected staff to ensure all nourishment room food was properly labeled and free of outdated items.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Provide Required NOMNC to Resident
D
F0582 F582: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Short Summary

A facility failed to provide the required NOMNC to a resident who was admitted with Medicare Part A skilled services and remained in the facility after services ended. The resident, who was severely cognitively impaired, did not receive the NOMNC, and the Secretary Assistant admitted to not being aware of the requirement. The Administrator confirmed the oversight.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
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In the Assessment

All 10 risk areas, ranked with evidence

Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.

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Risk areas — ranked
1F689Accident hazards & supervision82
2F880Infection prevention & control74
3F812Food safety & sanitation61
4F656Comprehensive care plans49

Illustrative

In the Assessment

What surveyors actually found near you

We read the 51 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.

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Findings near you
Gulf Coast Village · 1.6 mi F689J

Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.

Cypress Cove · 4.2 mi F812D

Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.

Illustrative

In the Assessment

A prioritized, do-first checklist

Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.

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Self-audit checklist — do-first orderPer risk area
Walk supervision coverage on the memory-care unit at shift changeDo first
Audit fall-risk care plans for residents flagged high-riskF689
Verify kitchen temperature logs for the last 30 daysF812

Illustrative

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Nursing homes near Eastover

How nearby facilities compare on the same public inspection record.

Facility Distance Overall rating Citations, 12 mo Serious (J–L)
Whispering Pines Nursing & Rehab Center 4.2 mi ★★★★★ 0 0
Woodlands Nursing & Rehabilitation Center 4.9 mi ★★★★ 0 0
Haymount Rehabilitation & Nursing Center, Inc. 5 mi ★★★★★ 0 0
Highland House Rehabilitation And Healthcare 5.4 mi ★★★★★ 6 0
Village Green Health And Rehabilitation 5.4 mi ★★★★★ 3 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.

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