Above average — CMS composite of the measures below.
The next survey window likely opens around March 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 Conover Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
The facility failed to accurately code the MDS assessments for two residents, leading to deficiencies in documenting their medical conditions. One resident, who was edentulous, was not correctly documented in the MDS, while another resident receiving insulin for diabetes was not recorded as receiving hypoglycemic medication. These oversights were confirmed by the MDS Coordinator and noted by the DON and Administrator.
The facility failed to update care plans for two residents receiving oxygen therapy. One resident with hypoxemia and another with a cerebral infarction had physician orders for oxygen, but their care plans did not reflect this. The MDS Coordinator admitted to overlooking the updates, and both the DON and Administrator confirmed the care plans should have included oxygen therapy.
A resident with hypoxemia experienced a deficiency in respiratory care due to improper maintenance of their oxygen concentrator. Observations revealed a dusty filter and a missing component, despite protocols for weekly cleaning. Nursing staff interviews indicated inconsistencies in maintenance routines, and the DON was unaware of the issue, as audits did not report the deficiency.
Two residents with cognitive impairments had medicated ointments left unsecured in their rooms without physician orders. The DON confirmed that no medications should be left at the bedside without such orders, indicating a failure in medication storage protocols.
Inaccurate MDS Coding for Oral/Dental Status and Hypoglycemic Medication
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) assessments for two residents, leading to deficiencies in the documentation of their medical conditions. Resident #27, who was admitted to the facility in April 2017, had six teeth extracted and was edentulous as of July 2024. However, the annual MDS assessment did not reflect this change in oral/dental status. Observations over several days confirmed that Resident #27 was indeed lacking teeth, and interviews with the MDS Coordinator and the Director of Nursing revealed that this was an oversight. Similarly, Resident #71, admitted in November 2024 with a diagnosis of diabetes, was prescribed and received Insulin Glargine daily as per physician orders. Despite this, the quarterly MDS assessment failed to indicate that Resident #71 was receiving hypoglycemic medication. The MDS Coordinator acknowledged the oversight, and the Director of Nursing and the Administrator both expressed expectations for accurate MDS coding. These inaccuracies in the MDS assessments were identified during a review of 20 residents' assessments.
Failure to Update Care Plans for Oxygen Therapy
Penalty
Summary
The facility failed to update the care plans for two residents who were receiving oxygen therapy. Resident #16, who was admitted with hypoxemia, had physician orders for oxygen therapy, but the care plan was not updated to include this treatment. The MDS Coordinator, who was new to the role, admitted to overlooking the inclusion of oxygen therapy in the care plan. Interviews with the Director of Nursing and the Administrator confirmed that the care plan should have included oxygen therapy to guide the resident's care. Similarly, Resident #23, admitted with a cerebral infarction and receiving supplemental oxygen therapy, did not have oxygen therapy included in the care plan. The MDS Coordinator again acknowledged the oversight, and both the Director of Nursing and the Administrator stated that the care plan should have reflected the resident's need for oxygen therapy. The failure to update the care plans for these residents was identified through observations, record reviews, and staff interviews.
Deficiency in Oxygen Concentrator Maintenance
Penalty
Summary
The facility failed to ensure proper maintenance of an oxygen concentrator for a resident with hypoxemia, leading to a deficiency in respiratory care. Resident #16, who was cognitively intact and required supplemental oxygen, had physician orders for oxygen administration and regular maintenance of the oxygen concentrator, including cleaning the filter weekly. However, observations revealed that the oxygen concentrator's filter was covered with dust, and a filter was missing from one side of the machine. Despite the facility's protocol for weekly cleaning, the filter's condition indicated neglect in maintenance. Interviews with nursing staff revealed inconsistencies in the maintenance routine. Nurse #1 acknowledged the dusty filter and missing component, while Nurse #2, who was responsible for cleaning the filter on a specific date, could not recall if the filter was missing at that time. The Director of Nursing was unaware of the issue, as audits did not report the deficiency. The Administrator expected the filters to be clean and in place, highlighting a gap between expectations and practice in maintaining the oxygen concentrator for Resident #16.
Failure to Secure Medications in Resident Rooms
Penalty
Summary
The facility failed to secure medicated ointments and skin protectants in residents' rooms, as observed in the cases of Resident #49 and Resident #27. Resident #49, who was admitted with non-Alzheimer's dementia and was moderately cognitively impaired, had a tube of triple antibiotic ointment left on her dresser. This ointment was brought by a family member and applied by them, but the resident could not recall the last usage. The ointment was observed on multiple occasions over several days, and the Director of Nursing (DON) confirmed that there was no physician order allowing the medication to be left at the bedside. Similarly, Resident #27, diagnosed with Alzheimer's disease and also moderately cognitively impaired, had two tubes of skin protectant with Zinc Oxide on her dresser. The resident mentioned that staff applied the cream occasionally, but she could not remember the last application. These tubes were also observed over several days, and the DON confirmed the absence of a physician order permitting the medication to remain in the room. Both instances highlight the facility's failure to adhere to medication storage protocols, as no medications should be left at the bedside without a physician's order.
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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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Nursing homes near Conover
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Greens At Hickory | 4.2 mi | ★★★★★ | 14 | 0 |
| Abernathy Laurels | 4.9 mi | ★★★★★ | 1 | 0 |
| Trinity Village | 6.2 mi | ★★★★★ | 3 | 0 |
| The Greens At Viewmont | 7 mi | ★★★★★ | 1 | 1 |
| Trinity Ridge | 7.3 mi | ★★★★★ | 1 | 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.