Average — CMS composite of the measures below.
A standard survey is most likely before around December 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 Central Continuing Care during CMS and state inspections, most recent first.
A resident and their responsible party were not provided with the required SNF-ABN before Medicare Part A skilled services ended, even though the resident still had Medicare Part A days available. The facility issued a NOMNC but failed to give the SNF-ABN, with both the Social Service Director and Administrator confirming the oversight.
A resident with COPD and Parkinson's, who was cognitively intact, was verbally and physically abused by a family member during a visit. The family member used profanity, pulled the resident by her hair while she was in a wheelchair, and threatened further physical harm. Staff witnessed the incident, and the resident confirmed the details, reporting no physical injury but emotional distress. The facility failed to protect the resident from abuse as required.
A resident with multiple pressure ulcers and at high risk for further skin breakdown was not consistently provided with a physician-ordered gel cushion in her wheelchair, as required by her care plan. Despite documentation indicating daily checks, observations and interviews revealed the cushion was repeatedly missing, leading to the resident experiencing pain and limiting her ability to participate in activities. Staff interviews showed inconsistent practices in ensuring the cushion was present and in use.
Surveyors found that the facility did not have the most recent survey results clearly labeled or accessible in the location indicated by lobby signage. Observations showed the binder was placed on a high shelf in the chapel/activities room without proper labeling, making it difficult for residents, especially those using wheelchairs, to locate or access. Interviews with residents and the Activities Director confirmed that residents were unaware of the binder's location.
The facility failed to post cautionary signs indicating oxygen use for several residents receiving oxygen therapy. Despite physician orders for continuous oxygen, no signs were posted due to privacy concerns. Observations and staff interviews confirmed the absence of signage, affecting residents with respiratory conditions requiring oxygen.
A resident admitted with a right distal clavicle fracture had a physician's order to wear a sling and maintain a non-weightbearing status on the right upper extremity. However, the baseline care plan did not include these instructions. The Care Plan Nurse, Nurse #2, the DON, and the Administrator all confirmed the omission, acknowledging that the care plan should have documented these critical instructions.
A resident with hemiplegia requiring assistance with personal hygiene was found to have long, dirty fingernails, indicating a failure in nail care. Despite the resident's requests for assistance, staff interviews revealed confusion over responsibility for nail care, with some staff unaware of the issue and others incorrectly documenting care tasks. The Charge Nurse and DON were also unaware of the resident's condition, highlighting a breakdown in communication and oversight.
A resident with urinary retention did not have a stabilizing device on their indwelling urinary catheter, contrary to facility protocol. Despite this, a nurse initialed the Treatment Administration Record, indicating the check was completed without confirming the device's presence. Staff interviews confirmed the protocol to use stabilizing devices, revealing a failure to adhere to this policy.
Failure to Issue SNF-ABN Prior to End of Medicare Part A Services
Penalty
Summary
The facility failed to provide the required CMS-10055 Skilled Nursing Facility Advanced Beneficiary Notice (SNF-ABN) to a resident or their responsible party prior to the end of Medicare Part A skilled services, despite the resident having Medicare Part A days remaining. Record review showed that a Notice of Medicare Non-Coverage (NOMNC) was issued, informing the resident and responsible party of the end of Medicare Part A coverage for skilled services, but no SNF-ABN was given. The Social Service Director confirmed that the SNF-ABN was not issued and was unaware of the requirement to do so. The Administrator also acknowledged that the process for issuing the SNF-ABN was overlooked when the resident transitioned off Medicare Part A services.
Failure to Protect Resident from Family Member Abuse
Penalty
Summary
A deficiency occurred when a resident, who was cognitively intact and had diagnoses of chronic obstructive pulmonary disease and Parkinson's disease, was subjected to verbal and physical abuse by a family member during a visit. The family member became verbally aggressive, used profanity, and pulled the resident by her hair, moving her in her wheelchair from the doorway back into her room. This altercation was witnessed by a nursing assistant, who reported that the resident and family member had a history of bickering, but this was the first time it escalated to physical contact. The family member also threatened to slap the resident out of her chair during the incident. The incident was observed by staff, and the resident later confirmed the details, stating that while she was not physically hurt, she was angered by the family member's actions. The resident declined medical or mental health services following the event and requested that the family member not return for the time being. The facility's investigation confirmed there was no physical harm, and a skin assessment revealed no new areas of concern. The event was reported to local law enforcement, but no charges were filed. The deficiency centers on the facility's failure to protect the resident from all forms of abuse, including physical and verbal abuse, as required.
Failure to Provide Required Pressure-Relieving Cushion for Resident with Pressure Ulcers
Penalty
Summary
A resident with a history of pressure ulcers, diabetes, heart failure, and debility was admitted with multiple pressure injuries, including a stage II, a stage III, and an unstageable deep tissue injury. Physician orders and the care plan required the use of a gel cushion in the resident's wheelchair to reduce pressure and prevent further skin breakdown. Documentation in the Treatment Administration Record (TAR) indicated that the gel cushion was checked daily by the wound care nurse, and the Kardex instructed nursing assistants to provide the cushion. However, during multiple observations and interviews over several days, the resident was repeatedly found sitting in her wheelchair without the required cushion, both in her room and during activities. The resident reported discomfort and pain when sitting for extended periods and was unable to participate fully in social activities due to this pain. Staff interviews revealed inconsistent awareness and follow-through regarding the presence of the cushion. The wound care nurse acknowledged signing off on the TAR without confirming the cushion's presence, and nursing assistants were unsure when the cushion was last seen in use. The Director of Nursing stated that all wheelchair users should have a cushion and that staff had been in-serviced to validate interventions before documenting them. Despite these protocols, the required pressure-relieving cushion was not consistently provided, resulting in the resident experiencing discomfort and limiting her participation in activities.
Survey Results Binder Not Properly Labeled or Accessible
Penalty
Summary
The facility failed to ensure that the most recent survey results were properly labeled and accessible to residents and the public in the location indicated by signage in the lobby. During multiple observations over four days, surveyors noted that the only signage regarding the survey results was a picture frame in the main lobby stating the results were in the chapel/activities room. However, no additional signage was found elsewhere in the facility, and the chapel/activities room contained several bookcases with various items but no clear indication or labeling of the survey results binder. The binder itself was not labeled on the spine, and there was no signage in the room to direct individuals to its location. Additionally, the binder was placed on the top shelf of a four-level bookshelf, making it inaccessible to residents using wheelchairs. Interviews with residents during a Resident Council meeting revealed that none of the residents knew where the survey results were located, including the Resident Council President who had been at the facility for several months. The Activities Director confirmed the binder's location but acknowledged it was not labeled and had been kept in the same spot for approximately 12 years. The Administrator also stated the binder was in the chapel/activities room and that signage in the lobby identified its location, but observations did not support that the binder was easily accessible or properly labeled for residents and the public.
Failure to Post Oxygen Use Signage in Facility
Penalty
Summary
The facility failed to post cautionary safety signs indicating the use of oxygen for five residents who were observed using oxygen therapy. This deficiency was identified during observations and interviews with staff members, revealing that the facility had ceased using oxygen signage due to concerns about violating residents' privacy and dignity. Despite the presence of physician orders for continuous oxygen therapy, no signs were posted outside the rooms or on doorframes to indicate oxygen use. Resident #47, admitted with a diagnosis of respiratory failure, was observed multiple times receiving oxygen at 2 liters per minute via nasal cannula without any signage indicating oxygen use. Interviews with the Medication Aide, Charge Nurse, Director of Nursing (DON), and Administrator confirmed the absence of signage, citing privacy concerns as the reason for discontinuing the practice. Similar observations were made for Resident #70, who was readmitted with chronic obstructive pulmonary disease and required continuous oxygen at 3 liters per minute. Staff interviews further confirmed the lack of cautionary signs and the facility's smoke-free policy. Additional residents, including Resident #19, Resident #30, and Resident #48, were also observed receiving oxygen therapy without appropriate signage. These residents had various diagnoses, such as respiratory failure and chronic obstructive pulmonary disease, necessitating continuous oxygen use. Despite the facility's policy to display oxygen usage in the Electronic Health Record (EHR), the absence of physical signage was consistent across observations and staff interviews, highlighting a systemic issue in the facility's approach to managing oxygen therapy safety.
Failure to Document Critical Care Instructions in Baseline Care Plan
Penalty
Summary
The facility failed to develop a baseline care plan that addressed a resident's specific medical needs upon admission. The resident, who was admitted with a right distal clavicle fracture, had a physician's order to always wear a sling on the right upper extremity and to maintain a non-weightbearing status on that extremity. However, the baseline care plan created on the day of admission did not include these critical instructions. This omission was confirmed through interviews with the Care Plan Nurse, Nurse #2, the Director of Nursing (DON), and the Administrator, all of whom acknowledged that the sling and weight-bearing status should have been documented in the baseline care plan. The Care Plan Nurse stated that it was the responsibility of the hall nurse who admitted the resident to complete the baseline care plan. Nurse #2, who admitted the resident, confirmed that she was aware of the sling and non-weightbearing requirements but forgot to include them in the care plan. The DON and the Administrator were both unaware of the omission until it was brought to their attention, and they agreed that the baseline care plan should have included the specific instructions for the resident's care. This oversight highlights a lapse in the facility's process for ensuring that critical medical instructions are documented and communicated effectively upon a resident's admission.
Failure to Provide Adequate Fingernail Care
Penalty
Summary
The facility failed to provide adequate fingernail care for a dependent resident, identified as Resident #35, who was admitted with a diagnosis of hemiplegia affecting one side of his body. The care plan for Resident #35 indicated that he required moderate assistance with personal hygiene due to his impaired mobility. Despite this, observations on consecutive days revealed that Resident #35 had long fingernails with a brown substance underneath, indicating a lack of proper nail care. Interviews with the resident and staff members revealed confusion and lack of clarity regarding responsibility for nail care, with some staff unaware of the resident's condition and others incorrectly documenting care tasks. The resident expressed dissatisfaction with the state of his fingernails, which were snagging his bedding, and mentioned having requested assistance from staff, though he could not recall specifics. Staff interviews highlighted a lack of awareness and responsibility, with some staff members assuming that nail care was the responsibility of the shower team, while others admitted to not noticing the issue. The Charge Nurse and Director of Nursing were also unaware of the resident's condition, indicating a breakdown in communication and oversight within the facility's care processes.
Failure to Secure Urinary Catheter Tubing
Penalty
Summary
The facility failed to secure an indwelling urinary catheter tubing to prevent tension or trauma for a resident admitted with urinary retention. The resident was admitted to the facility with a diagnosis of urinary retention and had an order for a urinary catheter to straight drainage. The baseline care plan required checking the catheter strap every shift. However, observations revealed that the resident did not have a stabilizing device on the catheter tubing, which was confirmed during multiple observations on different days. Despite the absence of the stabilizing device, the Treatment Administration Record (TAR) was initialed by a nurse, indicating that the check was completed. The nurse admitted to initialing the TAR without confirming the presence of the device, as the resident was in a wheelchair and the device's presence could not be positively determined. Interviews with staff, including the Director of Nursing, confirmed that it was protocol to use stabilizing devices on all residents with urinary catheters, highlighting a failure to adhere to this policy.
What surveyors are citing around you — mapped
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.
Illustrative
What surveyors actually found near you
We read the 26 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
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.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Mount Airy
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Northern Regional Hospital | 0.6 mi | ★★★★★ | 0 | 0 |
| Surry Community Health Center By Harborview | 3 mi | ★★★★★ | 0 | 0 |
| Chatham Nursing & Rehabilitation | 16.5 mi | ★★★★★ | 0 | 0 |
| Heritage Hall - Laurel Meadows | 17.9 mi | ★★★★★ | 0 | 0 |
| King Health And Rehabilitation Center | 18.7 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.