Below average — CMS composite of the measures below.
The next survey window likely opens around December 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 Stanly Manor during CMS and state inspections, most recent first.
Surveyors found that open containers of food in the kitchen's walk-in cooler and freezer were not labeled or dated, expired food items were not discarded, and open food was not properly secured. Additionally, a freezer compressor was dripping condensation onto open boxes of food. Staff interviews confirmed lapses in daily checks and labeling procedures.
A resident with end-stage renal disease fell from his wheelchair during transport to dialysis when the driver made a sudden stop. The driver, unqualified to assess injuries, attempted to transfer the resident back to his wheelchair but was unsuccessful. Instead of calling for emergency assistance, the driver continued to transport the resident while he was seated on the van floor, violating safety protocols.
Two residents experienced falls during transportation due to safety protocol failures. One resident slid out of a wheelchair when the driver braked suddenly, and another fell out of a van due to an unsecured lift gate. Both incidents involved improper use of safety equipment and inadequate response by the driver.
A resident with sensory neural hearing loss experienced difficulties due to improperly fitting hearing aids. Despite staff awareness, no referral for audiology services was made, and the resident resorted to using taped headphones. The facility failed to address the issue, impacting the resident's ability to hear effectively.
A facility failed to secure resident health information by leaving a medication cart laptop and shift report documentation unattended and exposed in a public area. A nurse admitted to forgetting to close the laptop and turn over the documentation. Interviews with nursing leadership confirmed the need for securing such information to prevent public access.
A resident with a feeding tube was found to have improperly labeled feeding formula, missing critical information such as the time it was hung and the flow rate. Despite the physician's order for continuous feeding at 45 ml per hour, the label only included the date, resident's name, and nurse's initials. Interviews revealed that staff were aware of the labeling requirements but did not consistently follow them, with the Interim DON noting that staff sometimes rushed tasks.
The facility failed to post cautionary signage for oxygen use outside the rooms of three residents receiving respiratory care. A resident with a tracheostomy, another with respiratory failure, and a third with acute respiratory failure were all observed receiving oxygen therapy without appropriate signage. The Interim DON and staff acknowledged the oversight, attributing it to a recent consolidation of residents to different halls.
The facility did not label and date an opened PPD vial in the medication room refrigerator, contrary to manufacturer's recommendations. The Interim DON and pharmacist, who have access to the refrigerator, were unaware of the oversight. The pharmacist confirmed that opened vials should be labeled with open and discard dates.
The facility did not have a licensed Administrator overseeing operations due to an expired license. The Administrator mistakenly believed she was eligible for a renewal extension due to a hurricane but was informed otherwise. A temporary license was later issued.
Failure to Properly Label, Date, and Store Food Items in Kitchen and Freezer
Penalty
Summary
Surveyors observed multiple deficiencies in the facility's food storage and handling practices during a kitchen tour. In the walk-in cooler, an open container of liquid eggs was found without a date indicating when it was opened, and an open container of potato salad was present with an open date of 12/25/25, which was expired and had not been discarded. Additionally, an open bag of white chocolate chips was found in an open plastic bag inside a box, with neither the bag nor the box labeled with an open date. The Dietary Manager confirmed that these items should have been labeled and expired items discarded, but this had not occurred. Staff interviews revealed that the cook had opened the liquid eggs that morning and forgot to label them, and there was uncertainty about when the white chocolate chips had been opened. In the walk-in freezer, frozen hashbrowns were found in an open box without a date, and the bag containing the hashbrowns was open to air. An open box of bagged frozen bread was stored under the freezer compressor, which was dripping condensation directly onto the box, and the bread inside was also open to air. The Dietary Manager was unaware of the compressor dripping and acknowledged that the food should have been properly secured. The Dietary Manager reported that daily checks for expired foods were typically performed but had not been completed prior to the survey due to returning from vacation. The Administrator stated that monthly inspections had not previously identified these issues and was not aware of the compressor problem.
Failure to Assess Resident After Fall During Transport
Penalty
Summary
The facility failed to provide a clinical assessment for a resident after a fall during transport to a dialysis appointment. The incident occurred when the transport van driver had to make a sudden stop to avoid pedestrians, causing the resident to slide out of his wheelchair onto the van floor. The driver, who was not qualified to assess the resident for injuries, attempted to transfer the resident back into his wheelchair but was unsuccessful. Instead of calling for emergency medical assistance, the driver continued to transport the resident to the dialysis center while he remained seated on the floor of the van. The resident involved in the incident was admitted to the facility with diagnoses including generalized weakness, end-stage renal disease, and hypertension. He was cognitively intact and required substantial assistance for mobility. During the incident, the resident's seatbelt loosened, leading to his fall. Despite the resident's request to remain on the floor, the driver did not follow the proper protocol of seeking immediate medical assessment, which was a significant oversight in ensuring the resident's safety. Interviews and video footage confirmed that the driver did not follow the established procedures for handling such incidents. The driver admitted to not contacting emergency services immediately and acknowledged the mistake of transporting the resident while unsecured on the floor. The facility's policies required drivers to report accidents and seek help if a resident was injured or in distress, which was not adhered to in this case. This deficiency was identified as a failure to provide appropriate treatment and care according to the resident's needs and safety protocols.
Removal Plan
- Inform Hospital system transportation services to remove Driver #1 from transporting facility residents to any off-campus appointments.
- Review and revise the policy, Motor Vehicle Accident & Emergency Reporting Procedure, to address skilled nursing facility residents and ensure drivers do not move patients until assessed by EMS or licensed nurse/physician.
- Provide education to all current van drivers on the revised procedures, with a requirement for any drivers not receiving education to complete it prior to working a scheduled shift.
- Require all van drivers hired to complete training and education upon hire, with education required during annual orientation.
- Ensure the Passenger Services Manager immediately notifies and provides all transportation services incident reports involving nursing home facility residents to the Administrator and Director of Nursing to ensure timely resident assessments post medical/vehicle emergencies.
Transportation Safety Failures Lead to Resident Falls
Penalty
Summary
The facility failed to provide safe transportation for two residents, leading to significant safety incidents. On one occasion, a resident was being transported to a dialysis center when the driver had to brake suddenly, causing the resident to slide out of his wheelchair onto the floor of the van. The seatbelt, which was supposed to secure the resident, came loose, and the driver was unable to assist the resident back into his wheelchair. Instead, the driver continued to the dialysis center with the resident on the floor, where emergency medical services were eventually called to assist. In another incident, a different resident was being unloaded from the transportation van when the driver failed to ensure the lift gate was in the elevated position. As a result, both the driver and the resident fell out of the back of the van, with the resident's wheelchair landing on top of the driver. The lift gate alarm sounded, indicating the risk, but the driver proceeded without addressing the hazard. Facility staff had to assist in getting the resident back into his wheelchair and inside the facility. Both incidents highlight a failure to follow proper safety protocols for securing and unloading residents from the transportation van. The manufacturer's instructions for the wheelchair securement system and lift gate use were not adhered to, leading to these accidents. The facility's documentation and communication regarding these incidents were also lacking, as evidenced by incomplete reports and delayed notifications to relevant parties.
Failure to Address Hearing Aid Issues for Resident
Penalty
Summary
The facility failed to adequately address the hearing needs of a resident with sensory neural hearing loss, whose hearing aids did not fit properly. The resident, who was admitted with cognitive decline and asymmetrical sensory-neural hearing loss, was observed to have difficulty hearing despite wearing bilateral hearing aids. The care plan included interventions such as involving the resident in activities that did not depend on hearing and speaking clearly, but it did not address the issue of the ill-fitting hearing aids. Multiple staff members, including nursing assistants and nurses, were aware of the resident's hearing difficulties and the improper fit of the hearing aids. However, there was a lack of clarity regarding whose responsibility it was to assist the resident with the hearing aids. Some staff attempted to help but were unsuccessful due to the shape of the hearing aids. Despite these challenges, no referral was made for an audiology appointment or hearing aid adjustment, and the issue was not escalated to the administration or the social worker for further action. Interviews with the resident's family and staff revealed that the hearing aids were not being used effectively, and the resident resorted to using taped headphones to watch television. The family had communicated the need for the hearing aids to be serviced, but there was no evidence that the facility took action to address this. The interim Director of Nursing and the unlicensed Administrator acknowledged the issue but did not ensure that the resident received the necessary audiology services or adjustments to the hearing aids.
Failure to Secure Resident Health Information
Penalty
Summary
The facility failed to secure residents' personal health information by leaving a medication cart laptop and shift report documentation unattended and exposed in a public area. During an observation on the 600 Hall, the medication cart laptop was found displaying resident personal health information, including names, medications, and diagnoses, while the shift report documentation was face up, revealing similar sensitive information. Staff members were observed passing by the unattended medication cart. Nurse #4, upon returning to the medication cart, acknowledged forgetting to close the laptop and turn over the shift report documentation. Interviews with the interim Director of Nursing and the Director of Nursing Services confirmed that the laptop should have been locked or the screen lowered, and the shift report documentation should have been flipped over to protect resident health information. The unlicensed Administrator also stated that the laptop screen should be minimized or the cart turned towards the wall to prevent public viewing of protected health information.
Improper Labeling of Feeding Formula
Penalty
Summary
The facility failed to properly label the gastrostomy feeding formula for a resident with a feeding tube, leading to a deficiency. The resident, who was admitted with anoxic brain injury, tracheostomy, and a persistent vegetative state, required a permanent feeding tube for nutrition. The physician's order specified continuous feeding at 45 ml per hour with hourly water flushes. However, during an observation, it was noted that the feeding formula was labeled only with the date, resident's name, and nurse's initials, lacking the time it was hung and the flow rate as per the order. Interviews with nursing staff revealed a lack of adherence to labeling protocols. Nurse #2 acknowledged the labeling should include the time and rate, while Nurse #3, who worked the night shift, confirmed she had been labeling feedings without including all required information and had not been corrected. The Interim DON stated that nurses were aware of the policy but sometimes cut corners to finish tasks quicker. The unlicensed Administrator was still investigating the findings and confirmed that proper labeling should always be done.
Failure to Post Oxygen Use Signage
Penalty
Summary
The facility failed to post cautionary and safety signage indicating the use of oxygen outside the rooms of three residents who were receiving respiratory care. Resident #40, who was admitted with a tracheostomy, was observed receiving oxygen therapy via a tracheostomy collar at 5 liters per minute without any signage indicating oxygen use near the room entrance. The Interim Director of Nursing (DON) acknowledged that the signage was not in place following a recent consolidation of residents to different halls, and it was the responsibility of the admitting nurse to ensure signage was posted. Resident #41, diagnosed with respiratory failure and seizure disorder, was also receiving oxygen therapy via a tracheostomy. Observations on multiple occasions revealed the absence of cautionary signage on the resident's door. Both Nurse #6 and the Interim DON confirmed that it was the responsibility of the nurse to place the signage upon admission or when an oxygen order was received. The Interim DON noted that the error occurred during the recent move of residents, and the signage did not follow the residents. Resident #56, admitted with acute respiratory failure with hypoxia, was observed using oxygen via a nasal cannula without any cautionary signage on the room door. Similar to the other cases, Nurse #6 and the Interim DON confirmed the lack of signage and attributed the oversight to the recent consolidation of residents. The unlicensed Administrator also acknowledged that staff did not ensure cautionary signage was placed on all rooms of residents receiving oxygen therapy after the move.
Failure to Label and Date Opened PPD Vial
Penalty
Summary
The facility failed to properly label and date an opened vial of Purified Protein Derivative (PPD) stored in the medication room refrigerator. According to the manufacturer's recommendation, PPD vials should be discarded if in use for more than 30 days due to potential oxidation and degradation affecting potency. During an observation of the medication room refrigerator, an opened PPD vial was found in a plastic pouch with a dispensed date but no open or discard date marked. The Interim Director of Nursing (DON) acknowledged that both nurses and the pharmacist had access to the refrigerator and expressed surprise that the opened and unlabeled PPD solution had not been discarded. The pharmacist, who inspects the medication room monthly, confirmed that any opened vial should be labeled with open and discard dates.
Facility Lacks Licensed Administrator Due to Expired License
Penalty
Summary
The facility failed to have a licensed Administrator in place to oversee the daily operations of the skilled nursing facility, which had the potential to affect all residents. The unlicensed Administrator's license had expired, and she had not renewed it due to a misunderstanding about an extension related to Hurricane [NAME]. She believed she was eligible for an extension but was informed by the NC Board of Nursing Home Administrators that she was not, as she was not in an affected area. Consequently, she had to reapply for her Administrator license and was granted a temporary license. The Executive Director of the NC Board of Nursing Home Administrators was notified by the unlicensed Administrator about the expiration of her license. The Executive Director confirmed that the license had expired and a temporary license was issued. The VP for Advocate Health, who oversees nursing home administrators, was also informed by the unlicensed Administrator about the license expiration. He acknowledged that it was the responsibility of the Administrators to ensure their licenses remained current and indicated that moving forward, he and his staff would work to ensure all Administrators have active licenses.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 47 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 Albemarle
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Trinity Place | 2.4 mi | ★★★★★ | 2 | 0 |
| Bethany Woods Nursing And Rehabilitation Center | 3.2 mi | ★★★★★ | 9 | 0 |
| Forrest Oakes Healthcare | 3.8 mi | ★★★★★ | 5 | 0 |
| Mountain Vista Health Park | 20 mi | ★★★★★ | 1 | 0 |
| Cabarrus Health And Rehabilitation Center | 20.8 mi | ★★★★★ | 2 | 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.