Average — CMS composite of the measures below.
The next survey window likely opens around January 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 Shoreland Health Care And Retirement Center Inc during CMS and state inspections, most recent first.
A resident with dementia, dysphagia, and severe cognitive impairment lost a lower denture and subsequently relied on a poorly fitting, painful temporary denture brought from home, which she often refused to wear. A grievance was filed by the family, and the Social Worker obtained consent paperwork and scheduled an in-house dental appointment for denture replacement several months later, without attempting to secure an earlier visit or contact an outside dentist, despite the resident’s swallowing difficulties and high choking risk identified by a FEES study. The resident’s care plan noted oral/dental problems and the need to coordinate dental care, and observations showed her eating soft bite-size foods without the lower denture, chewing slowly and with food smeared on her clothing, while staff and therapy providers acknowledged that having a full set of dentures was important for her eating and swallowing.
Surveyors found that staff failed to follow the facility’s Enhanced Barrier Precautions (EBP) policy for two residents with indwelling devices. One resident with a urinary catheter and another with a feeding tube both had EBP signage posted and PPE carts with gowns and gloves available outside their rooms, yet in each case a nurse provided high-contact care—changing a catheter bag and administering meds and water flushes via feeding tube, then adjusting bedding—while wearing only gloves and not donning a gown. Both nurses reported they did not notice the EBP signage or know the reason for the precautions, despite having received infection control training, and later acknowledged that gowns should have been worn along with gloves during these care activities.
A resident with high-risk prostate cancer, cognitively intact and dependent on staff for ADLs, had a scheduled oncology appointment for labs and a Lupron injection that was missed when a transportation aide could not take him due to a CPR class and another aide could not accommodate the trip. The appointment was rescheduled about a month later without notifying the DON or clinical team, and there was no documentation in the medical record about the missed appointment. The resident reported receiving Lupron every six months for years, expressed concern about the delay in treatment, and oncology later documented he was slightly overdue for his next dose.
Surveyors found that the facility failed to keep its medication error rate below 5%, identifying three insulin administration errors out of 25 opportunities (an 8% error rate) involving two residents with diabetes. A temporary agency nurse was assigned to perform all blood glucose checks and insulin administration on two halls and, due to unfamiliarity with the residents and their insulin needs, administered Humalog insulin after breakfast rather than before meals as ordered. One resident with diabetes and diabetic retinopathy received both scheduled and sliding-scale insulin when no breakfast tray was present and later reported receiving insulin after eating, while another resident with diabetes and chronic kidney disease similarly had insulin given after finishing breakfast. The NP, physician, and DON all stated that insulin was expected to be administered prior to meals and in accordance with the prescribed orders.
A resident with moderate cognitive impairment and a history of dementia and epilepsy exited a facility unsupervised due to a Nursing Assistant Instructor silencing the wander guard alarm without checking for residents at risk of elopement. The resident was found outside in a parking lot and was assisted back into the building. A wander guard was placed on the resident, but a subsequent incident occurred when the resident again exited unsupervised, highlighting a failure in supervision and alarm system management.
Failure to Timely Arrange Dental Services for Replacement of Missing Denture in Resident With Dysphagia
Penalty
Summary
The deficiency involves the facility’s failure to arrange necessary dental services to replace a missing lower denture for a resident with dysphagia and dementia. The resident was admitted with diagnoses including dysphagia and dementia and had a physician’s order for a modified texture diet of soft bite-size food with mildly thick liquids. A quarterly MDS assessment documented severe cognitive impairment, moderately impaired vision, and a need for setup or cleanup assistance with eating and oral hygiene. At the time of that assessment, the resident had no documented dental issues and was receiving a mechanical and therapeutic diet. A grievance was filed by the resident’s Responsible Party (RP) reporting that the resident’s lower denture was missing. The Social Worker documented that the family brought in an extra pair of dentures and that paperwork was being completed so the resident could receive in-house dental care, with the grievance resolution stating that in-house dental would come at the beginning of the year as the earliest time to start replacing dentures. The Social Worker reported she did not receive the completed paperwork back until several weeks later, at which time she scheduled an in-house dental appointment for denture replacement, with the earliest available date several months away. She did not attempt to obtain an earlier appointment or contact an outside dentist, despite the resident’s dysphagia diagnosis. The RP reported that the temporary lower denture brought from home did not fit well, caused the resident pain, and that the resident did not like to wear it. Staff interviews confirmed that the resident had a lower denture in the room that she did not like to wear because it caused pain, and that she could indicate pain by grimacing or saying no. A care plan revision documented oral and dental health problems with risk for further decline and decline in nutritional intake related to wearing dentures, with an intervention to coordinate dental care as needed. Observation showed the resident eating soft bite-size foods without the lower denture, chewing slowly and with food smeared on a towel. Therapy staff and the Speech Therapist noted the resident’s high risk of choking and the importance of a full set of dentures, and the DON later acknowledged awareness of the missing denture but not of the long delay in scheduling replacement, and stated that an outside dentist should have been used if the in-house appointment was six months away.
Failure to Follow Enhanced Barrier Precautions for Residents With Indwelling Devices
Penalty
Summary
The deficiency involves the facility’s failure to implement its infection control policy and procedures for Enhanced Barrier Precautions (EBP) during high-contact care for residents with indwelling medical devices. The facility’s Infection Control Policy dated 6/1/25 defined EBP as the use of gown and gloves during high-contact resident care activities that provide opportunities for transfer of multi-drug resistant organisms, specifically including care of urinary catheters and feeding tubes. Surveyors observed that one resident with an indwelling urinary catheter had an EBP sign posted outside the room and a PPE cart with gowns and gloves available, yet the assigned nurse changed the urinary catheter bag while wearing only gloves and did not don a gown. The nurse reported not realizing the resident was on EBP, stated she did not see the sign, and acknowledged she should have worn a gown along with gloves when performing the catheter care. A second deficiency event occurred with a resident who had a feeding tube and an EBP sign posted outside the room, with a PPE cart containing gowns and gloves in the hallway. During medication administration and water flushes through the feeding tube, followed by repositioning the resident’s blankets, the nurse wore gloves but did not don a gown. This nurse also stated she did not see the EBP sign and did not know why the resident was on EBP, despite having received infection control training, and acknowledged she should have read the sign and worn a gown with gloves when providing feeding tube care. The Infection Preventionist and the DON both confirmed that staff had been trained on EBP and that staff were expected to wear gowns and gloves when providing direct care to residents on EBP, including urinary catheter and feeding tube care.
Failure to Ensure Timely Oncology Appointment and Lupron Injection
Penalty
Summary
The deficiency involves the facility’s failure to ensure a resident received cancer-related care as ordered and scheduled. The resident was admitted with prostate cancer and had a care plan noting an ADL self-care deficit related to malignant prostate cancer. A quarterly MDS showed the resident was cognitively intact, did not reject care, and required staff assistance with ADLs. An after-visit summary from the cancer center documented a scheduled return appointment for labs and an oncology visit with a Lupron injection, which the resident had been receiving every six months for over five years. On the date of the scheduled oncology appointment and Lupron injection, the resident was not transported to the cancer center. The resident reported that the transportation aide told him she had a mandatory meeting and could not take him, and that the appointment would need to be rescheduled. The resident stated the appointment was ultimately rescheduled and occurred about one month later, and he expressed concern and dissatisfaction about the delay in his cancer treatment, stating he believed other arrangements could have been made to get him to the appointment. Record review from the date of the missed appointment through the later appointment showed no documentation in the medical record or progress notes regarding the missed oncology appointment. Transportation Aide #2 stated she did not take the resident to the appointment because she had a CPR class that day, and that she notified Transportation Aide #1 she was unable to transport him. Transportation Aide #1 stated she could not accommodate the appointment in her schedule and rescheduled it for a date four weeks later, without notifying the DON. The Medical Director confirmed the resident was followed by oncology for high-risk prostate cancer and Lupron therapy and noted the cancer center documented he was slightly overdue for his next dose. The DON stated she was not made aware that the cancer treatment appointment had been rescheduled with a four-week delay and that the transportation aides did not notify her when they could not take the resident to his cancer treatment appointment.
Failure to Administer Mealtime Insulin as Ordered Resulting in Elevated Medication Error Rate
Penalty
Summary
The deficiency involves the facility’s failure to maintain a medication error rate below 5%, with surveyors identifying 3 medication errors out of 25 opportunities, resulting in an 8% error rate. The errors occurred during a medication pass on the 200 and 300 halls, where Nurse #1, a temporary agency nurse, was responsible for all blood sugar checks and insulin administration. Breakfast meal trays for the 200 Hall were scheduled to be delivered at 7:30 AM and 7:40 AM, but insulin doses were observed being administered later, and not in accordance with physician orders specifying administration before meals. For Resident #29, who had diabetes, diabetic retinopathy, and long-term insulin use, physician orders directed administration of 10 units of Humalog insulin subcutaneously before meals, to be held if blood sugar was less than 100, along with a separate sliding-scale Humalog order before meals and at bedtime. During the observed medication pass at 9:15 AM, Nurse #1 obtained a blood sugar of 295 and administered a total of 14 units of Humalog (10 units scheduled plus 4 units sliding scale) when the resident’s breakfast tray was not present in the room. Resident #29 later reported that the insulin was administered after she finished her morning meal. The Nurse Practitioner, Physician, and DON each stated that insulin was expected to be administered prior to meals and in accordance with physician orders. For Resident #82, who had diabetes, chronic kidney disease, and long-term use of hypoglycemic drugs, a physician order directed sliding-scale Humalog insulin to be given subcutaneously before meals and at bedtime based on specific blood sugar ranges. During the same medication pass at 9:25 AM, Nurse #1 obtained a blood sugar of 256 and administered 4 units of Humalog insulin when the resident’s breakfast tray was not in the room. Resident #82 reported that nurses usually obtained his blood sugar before meals but that he typically received insulin after he finished eating, and on the observed date he ate breakfast and then received insulin afterward, later than usual. Nurse #1 stated she was unfamiliar with which residents required blood glucose monitoring or insulin, which caused delays and failure to administer insulin according to the physician’s orders.
Inadequate Supervision Leads to Resident Elopement
Penalty
Summary
The facility failed to provide adequate supervision to prevent a moderately cognitively impaired resident from exiting the building unsupervised. The resident, who had a history of dementia with behavioral disturbance, epilepsy, and falls, was found outside the facility in a parking lot, having positioned himself in an unlocked vehicle. This incident occurred after a Nursing Assistant Instructor entered the code on the wander guard system without ensuring that no residents with wander guard alarms had passed the threshold and exited the facility. The resident was able to propel himself independently in a wheelchair and had not previously exhibited wandering behavior. However, on the day of the incident, a family member alerted the facility that a resident was outside. Staff found the resident in the back passenger seat of a car, uninjured, and assisted him back into the building. Following this incident, a wander guard was placed on the resident, and it was checked to ensure it was functioning properly. A subsequent incident occurred when the resident again exited the facility unsupervised. The Nursing Assistant Instructor had silenced the wander guard alarm without checking for residents at risk of elopement. The resident was found outside by a staff member returning from a break and was brought back inside. The root cause was identified as the NA Instructor's failure to check the surroundings for residents at risk of wandering or elopement, allowing the resident to exit the building.
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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 Whiteville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Liberty Commons Nursing And Rehabilitation Center | 0.8 mi | ★★★★★ | 0 | 0 |
| Premier Living And Rehab Center | 10.6 mi | ★★★★★ | 0 | 0 |
| Bladen East Health And Rehab | 20.5 mi | ★★★★★ | 0 | 0 |
| Elizabethtown Healthcare & Rehab Center | 20.6 mi | ★★★★★ | 4 | 0 |
| Brunswick Health & Rehab Center | 21.9 mi | ★★★★★ | 7 | 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.