Above average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Saint Joseph Of The Pines Health Center during CMS and state inspections, most recent first.
A resident with a PICC line for IV antibiotics did not have their dressing changed as ordered due to an incomplete order entry in the electronic system, resulting in the task not appearing on the TAR and the dressing remaining unchanged for over three weeks. Staff confirmed the oversight during interviews, and the lapse was identified during a clinic visit, though the resident showed no signs of infection at the time.
A discharge MDS assessment for a resident was completed but not transmitted to the State within the required 7-day period. The MDS nurse acknowledged the oversight during an interview, and the DON confirmed that timely submission of all MDS assessments is expected.
The facility failed to report allegations of abuse and misappropriation of property to APS for four residents. Despite notifying local law enforcement, APS was not informed in cases involving theft and abuse allegations. Interviews with facility leadership revealed they were unaware of the requirement to notify APS.
A facility failed to provide a CMS-10055 SNF ABN to a resident admitted under Medicare part A. The resident was informed of the end of Medicare coverage, but the SNF ABN was not issued due to an ongoing appeal of the NOMNC. The social worker and administrator believed it was necessary to wait for the appeal decision to avoid confusion.
The facility did not post daily nurse staffing sheets for one day due to a lapse in responsibility during a staffing transition. The DON, who usually handled the postings, was on vacation, and the new Staff Coordinator was still learning her duties. The Administrator expected daily postings.
Failure to Change PICC Line Dressing as Ordered
Penalty
Summary
A deficiency occurred when the facility failed to change the dressing on a resident's Peripherally Inserted Central Catheter (PICC) line as ordered. The resident, who was admitted with osteomyelitis and MRSA, had a nurse practitioner order for the PICC dressing to be changed every seven days using sterile technique. Observation revealed that the dressing had not been changed for over three weeks, with the last documented change dated 7/2/25. The treatment administration record (TAR) did not have staff initials or a scheduled timeframe for the dressing change, and the order was not correctly entered into the computer system, resulting in the task not appearing for nursing staff to complete. Interviews with facility staff confirmed that the dressing change order was not visible to the nursing staff due to the incomplete order entry. The Clinical Coordinator and DON both verified that the dressing had not been changed since the documented date, and the Infectious Disease clinic nurse practitioner also noted the lapse during a clinic visit. The resident did not exhibit signs of infection at the time of assessment, but the required dressing change had not been performed as ordered.
Failure to Transmit Discharge MDS Assessment Within Required Timeframe
Penalty
Summary
The facility failed to transmit a discharge Minimum Data Set (MDS) assessment within the required 7-day timeframe for one resident. Record review showed that the resident was admitted on a specified date and had a discharge MDS assessment completed on 5/7/25, coded as a discharge to home. However, the assessment was not transmitted or accepted by the State as required. During interviews, the MDS nurse confirmed that the assessment was completed but not submitted, attributing the lapse to an oversight. The Director of Nursing stated that all MDS assessments are expected to be completed and submitted within the required timeframe.
Failure to Report Allegations to APS
Penalty
Summary
The facility failed to report allegations of abuse and misappropriation of property to Adult Protective Services (APS) for four residents. In the first case, a resident alleged that $100 was stolen from her pocketbook, and although local law enforcement was notified, APS was not. Similarly, another resident reported $20 missing from her pocketbook, and again, APS was not informed. Interviews with the Director of Clinical Services and the Administrator revealed that they were unaware of the requirement to notify APS in such cases. In another incident, a resident alleged abuse by being pushed into a shower and left unattended, with local law enforcement being notified but not APS. The investigation concluded the allegation was unsubstantiated, and APS was not contacted. Additionally, a resident reported being hit by another resident, and while law enforcement was informed, APS was not. Interviews with facility leadership confirmed their lack of awareness regarding the necessity to report these allegations to APS.
Failure to Issue SNF ABN Notice
Penalty
Summary
The facility failed to issue a CMS-10055 Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) to a resident who was admitted under part A Medicare services. The resident was informed via telephone that Medicare coverage for skilled services would end, but the SNF ABN was not provided. The social worker revealed that the resident and family were informed of the private pay cost, but the SNF ABN was not issued because the family had appealed the Notice of Medicare Non-Coverage (NOMNC), and the social worker believed he needed to wait for the appeal decision before issuing the SNF ABN. The administrator confirmed that the SNF ABN had not been issued to avoid confusing the family before the NOMNC appeal decision was finalized.
Failure to Post Daily Nurse Staffing Sheets
Penalty
Summary
The facility failed to ensure that the daily nurse staffing sheets were completed and posted for one of the thirty days reviewed, specifically on 07/08/24. During an observation on 07/08/24 at 09:51 AM, it was noted that the staffing sheets displayed in the facility's lobby were outdated, covering the period from 06/28/24 to 07/01/24. The Administrator, who had been in the facility for about six weeks, acknowledged the oversight and attributed it to a recent change in staffing positions. He mentioned that the Director of Nursing (DON), who was responsible for posting the sheets, was on vacation, leading to the lapse in updates since 07/01/24. Further interviews revealed that the Staff Coordinator, who had assumed her role on 07/07/24, was still acclimating to her responsibilities and did not post the staffing information for 07/08/24. She explained that the DON had been managing certain tasks but was currently unavailable due to vacation. The Administrator expressed his expectation for the daily nurse staffing sheets to be completed and posted every day of the week.
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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 Pinehurst
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Inn At Quail Haven Village | 1.1 mi | ★★★★★ | 0 | 0 |
| Pinehurst Healthcare & Rehabilitation Center | 1.1 mi | ★★★★★ | 7 | 0 |
| The Greens At Pinehurst Rehabilitation & Living Ce | 1.3 mi | ★★★★★ | 11 | 0 |
| Penick Village | 4.8 mi | ★★★★★ | 3 | 0 |
| Dahlia Gardens Center For Nursing And Rehabilitati | 5 mi | ★★★★★ | 6 | 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.