Average — CMS composite of the measures below.
A standard survey is most likely before around September 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 Longleaf Neuro-medical Treatment Center during CMS and state inspections, most recent first.
Unsafe Incontinence Care Led to Fall and Femur Fracture: A resident with dementia-related diagnoses, schizophrenia, and extensive ADL dependence fell during incontinence care while staff were changing her from her wheelchair using a gait belt and walker. After she said she was falling, staff could not reposition her safely, and she fell to her knees and side, later reporting knee pain. An x-ray showed a distal femoral shaft fracture with malalignment, and she was sent to the hospital.
A resident with dementia-related diagnoses, schizophrenia, and extensive ADL dependence was assisted by two HCTs during an in-room brief change when she began falling from her wheelchair. The HCTs tried to reposition the wheelchair, pulled her from under the bed with a gait belt, and rolled her to place a mechanical lift pad under her before a nurse assessed her. When the nurse arrived, the resident complained of knee pain, later x-ray showed a distal femoral shaft fracture, and the resident was sent to the hospital. The DON, Care Director, and Medical Director stated the resident should have been assessed by nursing before being moved.
Two residents, both severely cognitively impaired and fully dependent on staff, suffered significant injuries due to improper use of a mechanical lift during a transfer and a shower bed during bathing. In both cases, staff failed to follow protocols and ensure adequate supervision, resulting in falls that required emergency medical evaluation.
Unsafe Incontinence Care Resulted in Resident Fall and Femur Fracture
Penalty
Summary
The facility failed to provide care in a safe manner when a resident fell during incontinence care and sustained a fracture of the left distal femoral shaft with malalignment. The resident had diagnoses including major neurocognitive disorder due to vascular disease with behavioral disturbance and disorganized schizophrenia, and the care plan identified risks related to dementia, poor safety awareness, aggression, medication use, falls, and injury. The quarterly MDS documented that the resident used a wheelchair, required extensive to total assistance with ADLs including toileting hygiene, bathing, personal hygiene, and transfers, and was dependent for sit-to-stand transfers. According to staff interviews, two HCTs entered the resident’s room after she returned from activities because she repeatedly said she was wet. They changed her while she was in the wheelchair, using a walker in front of her and a gait belt. After the brief was changed and the gown was dropped, the resident said she was falling and began going down. Staff attempted to move the wheelchair under her and then tried to pull her farther back onto the wheelchair cushion with the gait belt, but were unable to do so. The resident fell to her knees and then to the side at an awkward angle, with one leg underneath the bed, and immediately complained of knee pain. After the fall, staff used the gait belt to pull the resident from under the bed, obtained a mechanical lift pad, rolled her to place the pad underneath her, and then notified the nurse. The nurse documented that the resident was on the floor with the mechanical lift pad already underneath her and later noted that the resident would not allow a ROM check but complained of knee pain. An x-ray showed a fracture of the distal femoral shaft with malalignment, and the resident was discharged from the facility and admitted to the hospital. The DON and facility director stated that staff frequently changed the resident from her wheelchair and that the resident should not have fallen during incontinence care.
Resident moved after fall before nursing assessment
Penalty
Summary
The facility failed to provide care and services in accordance with professional standards of practice when staff moved and repositioned a resident after a fall before a nursing assessment was completed. The resident had diagnoses including major neurocognitive disorder due to vascular disease with behavioral disturbance and disorganized schizophrenia, used a wheelchair for mobility, and required extensive to total assistance with ADLs, including transfers and toileting. The care plan addressed fall prevention related to dementia, poor safety awareness, aggression, and medication use, and the resident was documented as incontinent and dependent for transfers. On the day of the incident, two HCTs were changing the resident in her room after she returned from activities because she said she was wet. They assisted her to stand from the wheelchair using a walker, removed the wet brief, and placed a dry brief on her. After the gown was dropped, the resident said she was falling and began going down. The HCTs attempted to reposition the wheelchair under her, but she fell to her knees and then to the side, landing awkwardly with one leg under the bed. The HCTs then used a gait belt to pull her from under the bed, rolled her side to side to place a mechanical lift pad underneath her, and only then went to get the nurse. When the nurse arrived, the resident was lying on the floor on the lift pad and complained of knee pain. The nurse documented that the resident would not allow a ROM check, had no visible signs of injury, and an x-ray was ordered because of the knee pain. The x-ray showed a distal femoral shaft fracture with malalignment, and the resident was transferred to the hospital. The Medical Director, DON, and Care Director all stated that the resident should have been assessed by nursing before being moved, and that the HCTs should not have rolled the resident to place the lift pad under her prior to the nurse evaluating her for injuries.
Failure to Prevent Accidents During Resident Transfers and Bathing
Penalty
Summary
The facility failed to provide care in a safe manner and did not ensure adequate supervision to prevent accidents for two residents. In the first incident, a resident with severe vascular dementia and a movement disorder, who was dependent on staff for all activities of daily living and required a two-person assist for transfers, fell from a mechanical lift during a transfer from bed to chair. The fall occurred after the resident was lifted in the air and one of the sling's shoulder straps became undone, causing the resident to fall to the floor and sustain a 4-centimeter scalp laceration that required emergency room evaluation and wound closure with staples. Staff interviews revealed inconsistencies in the handling of the mechanical lift, with one health care technician having already attached the resident to the lift before calling for assistance, and the other technician arriving after the resident was already suspended. The mechanical lift protocol, which required two staff members and proper securing of the sling, was not followed as expected. In the second incident, another resident with a progressive neurological condition, cervical spinal stenosis, and severe cognitive impairment, who was non-verbal, non-ambulatory, and totally dependent on staff, fell from a shower bed during a shower. The resident began to squirm and slid down the shower bed when the head of the bed was lowered, ultimately falling through an opening at the end of the bed onto the floor. The resident sustained an occipital hematoma, a reddened area on the left elbow, and an abrasion to the left buttocks, requiring emergency room evaluation. Staff interviews indicated uncertainty regarding the correct positioning of the shower bed's head during use, and the health care technician was unable to prevent the resident from sliding off the bed. The shower bed was observed to have side rails only in the middle, leaving open spaces at both ends, including the area where the resident fell. Both incidents involved residents who were severely cognitively impaired and fully dependent on staff for mobility and personal care. In each case, staff failed to ensure the proper use of equipment and adequate supervision during transfers and bathing, resulting in significant injuries that required emergency medical evaluation. The deficiencies were identified through observations, record reviews, and interviews with staff, residents, and physicians.
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 43 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.
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 Wilson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Wilson Rehabilitation And Nursing Center | 0.8 mi | ★★★★★ | 3 | 0 |
| Wilson Healthcare And Rehabilitation Center | 2.7 mi | ★★★★★ | 0 | 0 |
| Wilson Pines Nursing And Rehabilitation Center | 2.7 mi | ★★★★★ | 0 | 0 |
| Harmony Park At Wilson | 3.2 mi | ★★★★★ | 1 | 0 |
| Rocky Mount Rehabilitation Center | 16.5 mi | ★★★★★ | 15 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Longleaf Neuro-medical Treatment Center.
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 July 2026) and official state health department websites.