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 Heartland Living & Rehab At The Moses H Cone Memor during CMS and state inspections, most recent first.
A resident with moderate cognitive impairment and an indwelling urinary catheter had a used leg bag containing urine left on the bathroom sink for several days. After the resident returned from a urology visit and the leg bag was changed to an overnight drainage bag, an RN removed the leg bag and left it on the bathroom counter instead of discarding it per facility policy. A housekeeper later observed the bag during routine cleaning and cleaned around it without reporting or removing it, believing nursing staff had left it there intentionally and noting she had not been educated to report such items. A NA who used the bathroom to obtain water for personal hygiene did not recall seeing the bag. The DON later confirmed the used catheter bag remained on the sink despite the resident not using the bathroom.
Two residents with chronic respiratory failure and hypoxia did not receive oxygen at the physician-ordered flow rates. One resident, with moderate cognitive impairment and limited mobility, had an order and care plan for oxygen at 3 L/min via nasal cannula, but surveyors observed the concentrator set at 4 L/min, even though the resident could not physically reach the device and staff denied changing the setting. Another resident, cognitively intact but dependent for bed mobility and transfers, had an order and care plan for continuous oxygen at 3 L/min, yet was twice observed with the concentrator set at 2 L/min while lying in bed and unable to reach the machine; documentation indicated 3 L/min, and staff later confirmed the concentrator was actually at 2 L/min. In both cases, staff interviews confirmed that nurses were responsible for setting and monitoring oxygen flow rates and that the NP and DON expected the ordered oxygen settings to be followed.
The facility did not schedule an RN for at least eight consecutive hours a day, seven days a week, on nine occasions across three months. The DON acknowledged the staffing issue, and the Administrator, who was not in position during the deficiency, confirmed the expectation for daily RN presence.
The facility failed to ensure a safe and clean environment in two rooms. In one room, dried stool stains were left on the wall for several days, unnoticed by staff. In another room, a call light panel was improperly secured, causing resident concern. Staff were unaware of these issues, indicating lapses in maintenance and housekeeping responsibilities.
A resident with obstructive uropathy and impaired cognition was observed with their urinary catheter bag and tubing in contact with the floor, violating infection control practices. Staff confirmed the improper positioning, and the facility's DON and Infection Preventionist were informed of the issue.
Failure to Discard Used Catheter Leg Bag Left on Bathroom Sink
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment when a used urinary catheter leg bag was left on a resident’s bathroom sink for multiple days. The resident involved had a moderately impaired cognitive status per the admission MDS and used an indwelling urinary catheter. During an interview and observation with the resident’s responsible party, a leg bag containing approximately 50 ml of urine was observed lying on the bathroom counter next to the sink, with no urine visible on the sink itself. The responsible party reported visiting almost daily and seeing the leg bag in the bathroom for at least a few days but did not report it to staff because she was unsure if it was there for a specific purpose and noted that the resident did not use the bathroom. Nurse #3 later stated that on a prior date she had been assigned to the resident when the resident returned from a urology appointment and the catheter leg bag was changed to an overnight drainage bag. She reported removing the leg bag, believed she had emptied it, and then left it on the bathroom counter when she was called away to assist another resident, despite facility policy requiring catheter bags to be discarded after use. Housekeeper #1, who had been consistently assigned to the room, reported seeing the catheter leg bag on the bathroom counter during cleaning and stated she cleaned around it but did not move or report it, believing nursing staff had left it there intentionally and noting she had not been educated to report undiscared catheter bags. A nurse aide assigned to the resident on subsequent days reported using the bathroom to obtain water for personal hygiene but did not recall seeing the leg bag and stated she would have discarded it and notified the nurse if she had seen it. The DON confirmed the presence of the catheter leg bag on the sink and reiterated that facility policy required catheter bags to be discarded after use.
Failure to Follow Physician Orders for Oxygen Flow Rates for Two Residents
Penalty
Summary
The deficiency involves the facility’s failure to administer oxygen therapy according to physician orders for two residents with chronic respiratory failure and hypoxia. For one resident with chronic respiratory failure, COPD, hypertension, and moderate cognitive impairment, the care plan and physician order specified oxygen at 3 L/min via nasal cannula on day and night shifts. Surveyors observed this resident in bed with the nasal cannula in place and the oxygen concentrator positioned about two feet from the bed, with the flow meter set at 4 L/min when viewed at eye level. The resident indicated she had not changed the oxygen flow rate, and staff interviews, including with a nurse aide and the assigned nurse, indicated the resident was not physically able to reach the concentrator from bed and that staff had not changed the setting from the ordered rate. Further interviews confirmed that the nurse had checked the oxygen at the start of her shift and recalled it being set at 3 L/min, and the DON verified from the record that the order was for 3 L/min. When the DON went to the room, she confirmed the concentrator was set at 4 L/min. The Nurse Practitioner stated she expected the oxygen order to be followed and that an oxygen level set at 4 L/min could cause an overload of oxygen for this resident. The Administrator also stated she expected the resident’s oxygen order to be followed. For the second resident, who had chronic respiratory failure with hypoxia, was cognitively intact, and required continuous oxygen, the physician order specified oxygen at 3 L/min via nasal cannula on day and night shifts. Surveyors twice observed this resident lying on her back in bed with the nasal cannula in place and the concentrator about two feet from the bed, with the flow meter set at 2 L/min when viewed at eye level. The resident reported being unable to reach the concentrator and denied changing the flow rate. The MAR documented that the nurse had recorded the oxygen at 3 L/min for that shift, but when the assigned nurse and a medication aide checked the concentrator after reviewing the order, they found it set at 2 L/min. Staff interviews indicated the resident was not physically able to adjust the concentrator, that nurses were responsible for setting and monitoring the oxygen flow rate, and that the NP and DON expected the oxygen order of 3 L/min to be followed, with the NP stating that 2 L/min could cause respiratory distress for this resident.
Failure to Schedule RN for Required Hours
Penalty
Summary
The facility failed to schedule a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week, for nine days across September, October, and November 2024. Specifically, there was no RN scheduled for at least eight hours on September 6, 7, 21, and 22; October 6 and 20; and November 3, 16, and 17. During an interview, the Director of Nursing acknowledged the staffing issue and confirmed awareness of the absence of an RN for the required hours on the specified dates. The Administrator, who was not in position during the months in question, stated the expectation for RN presence daily but had reviewed the Plan of Correction initiated at that time.
Deficiencies in Room Cleanliness and Maintenance
Penalty
Summary
The facility failed to maintain a safe, clean, and homelike environment in two resident rooms on the 100 hall. In room A, the wall beside the bed had two dried, dark brown stains measuring 4 centimeters by 3 centimeters, which were identified as dried stool. These stains were observed over three consecutive days, indicating a lack of timely cleaning. Interviews with staff revealed that housekeeping was responsible for cleaning the walls, but the stains went unnoticed by both the assigned nurse aide and housekeeper. The administrator was unaware of the stains and stated that walls should be cleaned daily and as needed. In room B, the call light panel above the resident's bed was detached from the wall, protruding by 1 inch, with visible wiring and broken caulk around the edges. This condition persisted over several days, and the resident expressed fear that the panel might fall. The Maintenance Director, who had been with the facility for about a month, was unaware of the issue and noted that the panel had been improperly repaired with caulk. The administrator, present during the observation, was also unaware of the problem and stated that the panel should be securely attached to the wall.
Infection Control Deficiency: Catheter Bag and Tubing on Floor
Penalty
Summary
The facility failed to maintain proper infection control practices for a resident with an indwelling urinary catheter. The deficiency was identified when observations revealed that the urinary catheter bag and tubing of a resident were in contact with the floor on multiple occasions. The resident, who had obstructive uropathy and moderately impaired cognition, was observed sitting in a wheelchair with the catheter bag hanging, allowing part of the bag and tubing to touch the floor. A subsequent observation found the resident in bed with a significant portion of the catheter bag and tubing again lying on the floor. Staff interviews confirmed the inappropriate positioning of the catheter bag and tubing. A nurse aide acknowledged that the catheter system should not be on the floor, and the facility's Director of Nursing and Infection Preventionist were informed of the issue. The Infection Preventionist confirmed that the catheter system was replaced after being found on the floor, indicating a lapse in maintaining the catheter system off the ground to prevent infection risks.
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Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Greensboro
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Linden Place Center For Nursing And Rehabilitation | 0.4 mi | ★★★★★ | 12 | 0 |
| Kindred Hospital East Greensboro | 3 mi | ★★★★★ | 7 | 0 |
| Blumenthal Health And Rehabilitation Center | 3 mi | ★★★★★ | 33 | 0 |
| Maple Grove Health And Rehabilitation Center | 3.7 mi | ★★★★★ | 2 | 0 |
| Guilford Health Care Center | 3.7 mi | ★★★★★ | 5 | 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.