Above 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 Unc Rockingham Rehab & Nursing Care Center during CMS and state inspections, most recent first.
Multiple residents reported ongoing issues with food preferences not being honored, missing meal items, and tough meats that were difficult to chew, despite repeated complaints during Resident Council Meetings. Staff interviews revealed communication breakdowns between dietary staff and management, lack of follow-up on grievances, and failure to provide appropriate substitutes when preferred or alternate foods were unavailable. These deficiencies persisted over several months, affecting residents' satisfaction and dietary needs.
Staff failed to serve the correct portion sizes of fish and mashed potatoes to residents on moist and minced, regular, and mechanically altered diets. Residents received only half the required portions due to the use of incorrect scoops and lack of menu review by the Dietary Supervisor, resulting in noncompliance with the approved dietary menu.
Multiple residents reported that meals were bland, lacked seasoning, and included meat that was too tough to eat. A test tray review confirmed that the food was unseasoned and the fish was tough and rubbery. The Dietary Manager acknowledged that no seasonings were used in cooking, and salt and pepper packets were provided instead. Despite awareness of these concerns, the issues with food palatability and texture persisted.
A resident with multiple medical conditions did not consistently receive meals according to her documented food preferences, including missing key breakfast items and receiving unwanted substitutes. Staff interviews revealed that food shortages and errors in entering preferences into the menu system led to repeated omissions, and there was no reliable process to ensure missing items were replaced or additional food was requested.
The facility failed to complete MDS discharge assessments within the required time frame for two residents. One resident with Parkinsonism and repeated falls was discharged without a completed MDS discharge assessment due to a data entry error. Another resident with chronic respiratory failure and pulmonary hypertension also lacked a timely MDS discharge assessment, attributed to a similar error. The MDS coordinator acknowledged the oversight, and the administrator expected timely completion of these assessments.
Failure to Address Resident Food Preferences and Meal Quality Concerns
Penalty
Summary
The facility failed to promptly address and resolve grievances related to food preferences, missing food items, and the quality of meats served to residents, as reported during multiple Resident Council Meetings. Five residents who regularly attended these meetings consistently raised concerns that their food preferences were not being honored, meal tickets did not match what was served, and meats such as pork and beef were too tough to cut and chew. Some residents required their meat to be served in small bites per their diet orders, but this was not consistently provided. Additionally, when preferred or alternate food items were unavailable, no substitute was offered, resulting in missing food items on trays. Documentation showed that while some food preference forms were completed and concerns were verbally reported to the Administrator and Dietary Manager, there was a lack of follow-up and resolution. The Activities Director, responsible for documenting and reporting concerns, did not track whether issues were resolved, and old business was not consistently carried forward in meeting minutes. The Dietary Manager and hospital Food Service Director were aware of the issues but cited communication breakdowns and did not ensure that residents' preferences and dietary needs were met. Residents reported that management had promised to attend meetings to address concerns but failed to do so in a timely manner. Interviews with staff confirmed that food was prepared at a hospital and transported to the facility, with issues arising in both the availability and preparation of preferred items. Staff acknowledged that when residents disliked both the menu and alternate proteins, nothing was provided. Residents continued to experience missing or incorrect food items, tough meats, and lack of appropriate substitutes for months, despite repeated reporting of these issues through Resident Council Meetings and direct communication with facility management.
Failure to Serve Menu-Specified Portion Sizes for Mechanically Altered and Regular Diets
Penalty
Summary
The facility failed to follow the approved dietary menu regarding portion sizes for residents on both moist and minced diets as well as regular and mechanically altered diets. During a lunch meal service, five residents on a moist and minced diet received only 1.75 to 2 ounces of fish instead of the 4 ounces specified on the menu. The Dietary Supervisor used a #24 scoop, which holds 1.75 ounces, rather than the required 4-ounce scoop, despite having the correct utensil available. The supervisor was unaware that the menu, not the production sheet, specified the correct portion size and attempted to compensate by overfilling the smaller scoop, resulting in inconsistent portions. Additionally, 54 residents on regular or mechanically altered diets were served 2 ounces of mashed potatoes instead of the 4 ounces indicated on the menu. The Dietary Supervisor used a #16 scoop, which holds 2 ounces, and did not realize the menu required a larger portion because the production report did not list portion sizes. The supervisor did not review the menu for this information, leading to the incorrect serving size. These actions resulted in the facility not meeting the nutritional needs of the residents as outlined in the approved menu.
Failure to Provide Palatable and Appetizing Food
Penalty
Summary
Residents reported that the food provided was bland, lacked seasoning, and that the meat served was too tough to cut or chew. During a Resident Council meeting, several residents expressed dissatisfaction with the palatability and texture of their meals, specifically noting the absence of seasoning packets on their trays and the difficulty in consuming the meat. Observations during a test tray review confirmed these concerns, as the baked breaded fish was found to be tough and rubbery, and both the steamed white rice and boiled zucchini lacked any discernible seasoning. The Dietary Manager acknowledged that no seasonings were used during food preparation and that salt and pepper packets were added to trays to accommodate individual preferences. The Dietary Manager was aware of ongoing concerns regarding the toughness of the meat and had previously communicated with the main hospital kitchen to address these issues. Despite these efforts, the sampled meal continued to exhibit the same deficiencies in texture and flavor as reported by the residents. The Administrator confirmed that the facility attempted to resolve food palatability concerns as they arose, but the observations and resident feedback indicated that the issues persisted at the time of the survey.
Failure to Provide Resident Food Preferences and Complete Meals
Penalty
Summary
A resident with diagnoses including osteomyelitis, anemia, and diabetes was admitted to the facility and had a documented food preference form specifying desired and undesired foods. The form indicated preferences for chocolate nutritional supplements, hot grits, and a daily breakfast of eggs, bacon, and biscuits with gravy, while also listing foods the resident did not want. The resident was cognitively intact and required moderate assistance with meals, but had no dental or swallowing deficits. The care plan noted a risk for nutritional deficit and the use of a nutritional supplement. On multiple occasions, the resident did not receive the food items listed on her meal ticket or in accordance with her stated preferences. During one observation, the resident reported not receiving eggs and bacon as ordered, instead receiving a small sausage, and stated this was a recurring issue. She also reported receiving meals without meat and not always receiving requested items such as gravy or an English muffin. The resident expressed concern about being hungry and having lost weight prior to admission. Staff interviews confirmed that missing food items and unmet preferences were known issues, with explanations including insufficient food being sent from the hospital kitchen and human error in entering preferences into the menu system. The dietary and nursing staff were aware that food items were sometimes missing from trays, and substitutes were provided when possible, but not always in accordance with resident preferences. The system for entering dietary preferences required daily manual input, and omissions could occur, resulting in residents not receiving their chosen foods. There was no consistent process for ensuring that missing items were replaced or that additional food was requested from the hospital kitchen when shortages occurred.
Failure to Complete MDS Discharge Assessments on Time
Penalty
Summary
The facility failed to complete Minimum Data Set (MDS) discharge assessments within the regulated time frame for two residents. Resident #64, who had been admitted with diagnoses including Parkinsonism and repeated falls, was discharged to her home on December 19, 2023. Despite the completion of a 5-day Prospective Payment System (PPS) assessment, the MDS discharge assessment was not completed due to a data entry error. The MDS coordinator acknowledged that the discharge assessment should have been included with the 5-day PPS assessment but was missed. Similarly, Resident #43, who had re-entered the facility with chronic respiratory failure and pulmonary hypertension, was discharged on January 17, 2024. Although a 5-day PPS assessment was completed, the MDS discharge assessment was not conducted. The MDS coordinator again cited a data entry error as the reason for the omission. The facility administrator expressed an expectation that discharge assessments should be completed on time.
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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 Eden
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Eden Rehabilitation And Healthcare Center | 2.5 mi | ★★★★★ | 4 | 1 |
| Penn Nursing Center | 10.4 mi | ★★★★★ | 0 | 0 |
| Cypress Valley Center For Nursing And Rehabilitati | 10.5 mi | ★★★★★ | 0 | 0 |
| Jacob's Creek Nursing And Rehabilitation Center | 13 mi | ★★★★★ | 2 | 0 |
| Martinsville Health And Rehab | 13.4 mi | ★★★★★ | 20 | 0 |
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