Average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Compass Healthcare And Rehab Hawfields, Inc. during CMS and state inspections, most recent first.
A resident with chronic pain syndrome had a significant quantity of Oxycodone 5 mg tablets and the associated controlled drug count sheet go missing from the medication cart. Despite correct narcotic counts at shift change and staff interviews, the missing medication could not be located, and the nurse with access during the relevant period was unavailable for interview. The incident was substantiated as misappropriation of property, and the resident continued to receive pain management without interruption.
The facility did not report a suspected misappropriation of a resident's narcotic medication to the State Agency within the required timeframe and failed to notify APS, as required by policy. The missing medication was confirmed after an internal investigation, and a nurse was identified and terminated. Law enforcement and the nursing board were notified, but the mandated notifications to the State Agency and APS were delayed or not completed.
The facility failed to properly store and manage food, leading to freezer burn and unlabeled items in the walk-in freezer. In the nourishment refrigerator/freezer, items were found without labels or dates, and expired nutritional supplements were present. During a tray line observation, cold foods were above the safe temperature range due to improper storage methods. The Dietary Manager and Administrator acknowledged these issues, highlighting the need for proper food storage and temperature maintenance.
A cognitively intact resident experienced a breach of dignity when a nurse aide was overheard yelling at her in her room. The incident was reported by a therapy assistant who could not discern the exact words but noted the disrespectful tone. The resident later confirmed to the unit manager that the aide told her to "shut up." The aide was not assigned to the resident but intervened after hearing her hollering, explaining she had other care duties. The facility's investigation confirmed the aide's tone was unacceptable.
A resident with acute respiratory failure and COPD was receiving continuous oxygen therapy at 3 LPM, but the facility failed to post required signage indicating oxygen use outside the resident's room. Observations confirmed the absence of signage, and interviews with staff, including a nurse and the DON, revealed that the responsibility for posting the sign was with the nursing staff. The Administrator acknowledged the oversight.
Misappropriation of Controlled Medication for a Resident
Penalty
Summary
The facility failed to protect a resident's right to be free from misappropriation of controlled medications. A cognitively intact resident with chronic pain syndrome had an active order for Oxycodone 5 mg, both scheduled and as needed. On a morning medication pass, a medication aide discovered that the resident's narcotic medication card and controlled drug count sheet were missing from the medication cart, despite the narcotic count being correct at the previous shift change. The missing items were reported immediately, and an internal investigation was initiated. Interviews with staff who worked the relevant shifts revealed that none recalled removing the medication card or count sheet. The investigation determined that 53 tablets of Oxycodone 5 mg were missing and could not be located anywhere in the facility. The nurse who had access to the medication cart during the relevant period did not return to work and could not be reached for interview. The pharmacy confirmed that the facility reported the missing narcotics and that the resident continued to receive pain medication as ordered, with no interruption in pain management. The incident was substantiated as misappropriation of resident property, specifically controlled medication. The facility reported the event to appropriate authorities, including the Department of Health and Human Services, law enforcement, and the state nursing board. The resident involved reported no concerns with pain management and was assessed with no adverse consequences noted at the time of the incident.
Failure to Timely Report Misappropriation of Resident Property and Notify APS
Penalty
Summary
The facility failed to implement its abuse policy and procedure regarding timely reporting of suspected misappropriation of a resident's property. Specifically, the facility did not report an allegation of missing narcotics belonging to a resident to the State Agency within the required timeframe, and also failed to notify Adult Protective Services (APS) as required by policy. The facility became aware of the missing medication, which consisted of 53 tablets of Oxycodone 5 mg, but delayed reporting the incident to the State Agency until three days after initial awareness. The report to APS was not made at all, despite the policy requiring notification for such allegations. The investigation confirmed that the narcotics were missing and could not be located within the facility. The incident involved a nurse who was subsequently named in the investigation and terminated. The facility did notify law enforcement and the nursing board, but the required notifications to the State Agency and APS were either delayed or omitted. The administrator stated that the delay in reporting was due to uncertainty about whether the narcotics were actually missing, and the lack of APS notification was attributed to the belief that the resident was not directly affected.
Food Storage and Temperature Management Deficiencies
Penalty
Summary
The facility failed to properly store and manage food in the walk-in freezer, leading to issues such as freezer burn and unlabeled items. Observations revealed several opened cardboard boxes containing various food items like chicken tenders, chicken patties, manicotti, beef steak fritters, Italian sausage, and breaded cod, all with ice accumulation and lacking proper labeling or dating. The Dietary Manager acknowledged that the freezer's compressor had issues, which led to defrosting and overcooling, causing ice formation on the food. The manager also stated that dietary staff were responsible for ensuring food was properly closed, labeled, and free from freezer burn. In the nourishment refrigerator/freezer on the E-F Hallway, there were items such as a thermal lunch bag and a Styrofoam cup with frozen liquid, both without labels or dates. Additionally, there were nutritional supplement ice creams past their use-by date. The Dietary Manager indicated that food brought in by residents' families should be labeled and dated by nursing staff, and expired food should be discarded by dietary staff. However, there was uncertainty about the ownership of the lunch bag, and the expired ice creams were reportedly served on residents' meal trays. During a tray line observation, cold foods like coleslaw and salad with meat were found to be above the safe temperature range, with coleslaw at 44 degrees Fahrenheit and salad plates at 49 degrees Fahrenheit. The Dietary Manager explained that these items were prepared in advance and placed in an insulated cart instead of on ice, leading to temperature issues. The Administrator was unaware of the freezer compressor issue and emphasized the responsibility of dietary staff to ensure proper food storage and temperature maintenance, as well as the need for cross-checking food labeling and expiration in the nourishment refrigerator/freezer.
Resident Dignity Compromised by Nurse Aide's Disrespectful Behavior
Penalty
Summary
The facility failed to treat a resident with dignity and respect when a nurse aide was witnessed yelling at a resident during an interaction in the resident's room. The incident involved a cognitively intact resident who was admitted to the facility on an unspecified date. On the day of the incident, a therapy assistant overheard a nurse aide shouting at the resident, although the exact words were not discernible. The resident later reported to the unit manager that the nurse aide had told her to "shut up." Interviews conducted with the involved staff revealed that the nurse aide was not assigned to the resident but had entered the room after hearing the resident hollering. The nurse aide explained that she was unable to stay with the resident due to other care responsibilities, which led to the resident continuing to call out. The unit manager confirmed the resident's report of the incident, and the administrator acknowledged that the investigation found the nurse aide's tone to be unacceptable and disrespectful.
Failure to Post Oxygen Use Signage for Resident
Penalty
Summary
The facility failed to apply signage indicating the use of oxygen outside the room of a resident who was receiving supplemental oxygen. The resident was admitted with acute respiratory failure with hypoxia and chronic obstructive pulmonary disease and had a physician's order for continuous oxygen at 3 liters per minute via nasal cannula. Observations on two separate occasions revealed that there was no signage for oxygen use near the resident's room entrance, despite the resident being observed with oxygen in use and an oxygen concentrator present in the room. Interviews with staff, including a nurse and the Director of Nursing, confirmed that the responsibility for posting the oxygen in use sign fell on the nursing staff. The nurse interviewed was unaware of why the signage was missing, while the Director of Nursing stated that the signage should have been replaced if missing. The facility's Administrator also acknowledged that the resident should have had signage posted outside the room to indicate the use of oxygen.
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 107 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 Mebane
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Alamance Health Care Center | 6.6 mi | ★★★★★ | 10 | 0 |
| Peak Resources - Alamance, Inc | 6.7 mi | ★★★★★ | 4 | 0 |
| White Oak Manor - Burlington | 7.5 mi | ★★★★★ | 3 | 0 |
| Edgewood Place At The Village At Brookwood | 9.9 mi | ★★★★★ | 0 | 0 |
| Peak Resources - Brookshire, Inc | 11.7 mi | ★★★★★ | 1 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Compass Healthcare And Rehab Hawfields, Inc..
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.