Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Sanford Health & Rehabilitation Co during CMS and state inspections, most recent first.
A resident with psychotic and bipolar disorders was admitted and identified as needing a PASRR Level I screen. The facility failed to submit the additional documentation requested for the PASRR process, resulting in no determination letter for appropriate placement. The resident continued to experience mood distress, and the deficiency occurred after the responsible social worker left the facility.
A resident with a history of hypertension and coronary artery disease experienced a significant medication error when two blood pressure medications were administered outside of prescribed parameters, leading to a near syncope event. The resident's blood pressure dropped significantly, requiring emergency room evaluation. Nurse #1 admitted to not thoroughly reading the medication orders, resulting in the error. The resident was found unresponsive and sweating, but returned to the facility without further issues after emergency assessment.
Failure to Complete PASRR Documentation for Resident with Mental Health Diagnoses
Penalty
Summary
The facility failed to submit required follow-up documentation for the completion of a Preadmission Screening and Resident Review (PASRR) Level I screen for one resident with diagnoses of psychotic disorder and bipolar disorder. The resident's medical record and the North Carolina Medicaid Long Term Care Facility Level (FL)2 Form both listed these mental health diagnoses. A PASRR Level I screen was initiated, and additional information was requested, including the most recent history and physical, a physician-signed FL2, psychiatric notes, and comprehensive notes. However, the facility did not provide the requested documentation, and as a result, never received a letter of determination regarding the resident's appropriate placement. The resident was admitted with a history of psychotic and bipolar disorders and was noted to have ongoing mood distress, including little interest or pleasure in activities and feelings of depression or hopelessness. The quarterly Minimum Data Set (MDS) confirmed the resident was cognitively intact but continued to experience mood symptoms. The facility administrator stated that the social worker responsible for PASRR screenings left the position, and the required follow-up was not completed, leaving the PASRR process incomplete for this resident.
Medication Error Leads to Near Syncope in Resident
Penalty
Summary
The facility failed to prevent a significant medication error for a resident who was prescribed two blood pressure medications, Isosorbide mononitrate and hydralazine, which were not administered according to the physician's orders. The resident, who had a history of hypertension, coronary artery disease, and previous strokes, experienced a drop in blood pressure to 82/50, leading to a near syncope event and requiring emergency room evaluation. The resident was cognitively intact and had no behaviors or rejection of care noted in the most recent assessment. The medication administration record revealed that the resident's blood pressure was 112/61 at the time of medication administration, which was below the threshold for administering hydralazine and above the threshold for withholding Isosorbide mononitrate. Nurse #1, responsible for administering the medications, admitted to not thoroughly reading the orders and was unaware of the parameters for the medications. This oversight resulted in the administration of both medications outside of the prescribed parameters. The Director of Nursing was alerted to the situation by the resident's responsible party, who found the resident unresponsive and sweating in the courtyard. Upon assessment, the resident's vital signs indicated a significant drop in blood pressure, prompting a call to emergency medical services. The resident was transported to the emergency room, where she was found to be alert and oriented, with no new stroke symptoms. The emergency room records noted atrial fibrillation but no new treatments were administered, and the resident returned to the facility without further issues.
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 46 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 Sanford
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Westfield Rehabilitation And Health Center | 9.7 mi | ★★★★★ | 6 | 0 |
| Liberty Commons Nursing And Rehabilitation Center | 10.2 mi | ★★★★★ | 0 | 0 |
| The Laurels Of Chatham | 10.6 mi | ★★★★★ | 0 | 0 |
| The Arbor | 15.6 mi | ★★★★★ | 0 | 0 |
| Windsor Point Continuing Care | 18.3 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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 August 2026) and official state health department websites.