Above average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Whispering Pines Nursing & Rehab Center during CMS and state inspections, most recent first.
A resident with dysphagia choked while being fed dinner by staff. An LPN assessed the resident, used back blows to expel the food, and the resident returned to baseline with stable VS, but the physician and RP were not notified of the change in condition. The RN supervisor was aware of the event, and the physician later stated he expected notification of any resident change in condition.
Two residents’ MDS assessments were coded inaccurately. One resident with COPD had elected hospice care, but the annual MDS did not reflect hospice services. Another resident discharged home with HHC had a discharge assessment coded as an unplanned discharge even though staff documentation showed the discharge had been planned. The MDS Coordinator said both were errors, and the Administrator stated she expected MDS assessments to be completed accurately.
A resident admitted with PTSD and depression had a PASRR Level I screening submitted by the hospital that did not include those diagnoses, and the facility did not submit an updated PASRR request with all of the resident’s mental health diagnoses. The DTRS stated he was responsible for PASRR submissions but had not verified the screening details, and the Administrator stated the PASRR request should have included PTSD and depression at admission.
Failure to Notify Physician and RP After Choking Episode
Penalty
Summary
The facility failed to notify the physician when a resident with dysphagia had a choking episode while being fed dinner by a facility staff member. The resident had diagnoses that included diabetes mellitus type II, hemiplegia and hemiparesis following cerebral infarction, and dysphagia. During the meal, the resident began coughing while being fed breaded okra cut into small pieces, and staff immediately called a nurse to the room. The nurse assessed the resident and found that the resident was discolored and had choked on a piece of okra. The nurse placed the resident on her left side and gave back blows, which expelled the food orally. The resident’s color returned to normal, vital signs were stable, oxygen saturation was 94% on room air, and the resident began talking and joking as usual. The nurse documented the incident but did not notify the physician or the resident’s responsible party because the resident had returned to baseline. The RN supervisor was aware of the choking incident when she entered the room, observed the resident coughing out the food, and saw that the resident returned to baseline with stable vital signs. She did not report it to anyone because she expected the nurse to follow facility protocol and notify the physician and responsible party. The physician later stated he expected notification of any resident change in condition, and the DON stated the physician and responsible party should have been notified when the choking episode occurred.
MDS assessments were inaccurately coded for hospice status and discharge status
Penalty
Summary
The facility failed to accurately code the MDS for 2 residents. One resident with diagnoses including COPD had elected hospice care, and hospice NP documentation later noted the resident likely had less than six months of survival and was appropriate for hospice, but the resident’s most recent annual MDS was not coded to show hospice services had been received. In another case, a resident who had been discharged home with home health services had a discharge return not anticipated MDS assessment coded as an unplanned discharge. The MDS Coordinator stated an off-site MDS nurse coded the first assessment and that omitting hospice care was an error, and she also stated she missed seeing the discharge communication form indicating the second resident was planning to discharge and believed the discharge was unplanned. The Administrator stated she expected MDS assessments to be completed accurately.
PASRR Screening Missing Mental Health Diagnoses
Penalty
Summary
The facility failed to submit a request for an updated PASRR evaluation for a resident admitted with diagnoses including PTSD and depression. A PASRR Determination Notification letter showed the resident had a Level I PASRR with no expiration date, and the facility provided a North Carolina PASRR Level I screening form that had been submitted by the hospital Social Worker on 9/29/25 but did not include the diagnoses of PTSD or depression. The resident’s admission record showed diagnoses that included depression and PTSD, and the admission MDS indicated she was not currently considered by the state Level II PASRR process to have a serious mental illness or intellectual disability. The MDS also showed active psychiatric/mood disorder diagnoses of PTSD and depression, and that she received an antidepressant during the assessment period. During interviews, the Director of Transitional Services stated he was responsible for submitting PASRR requests, had not verified the diagnoses included in the hospital screening, and should have ensured all mental health diagnoses were included. The Administrator stated the Director of Transitional Services should have submitted a PASRR request with all diagnoses, including PTSD and depression, when the resident was admitted.
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Illustrative
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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 Fayetteville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Woodlands Nursing & Rehabilitation Center | 1.9 mi | ★★★★★ | 0 | 0 |
| Highland House Rehabilitation And Healthcare | 2.1 mi | ★★★★★ | 6 | 0 |
| Haymount Rehabilitation & Nursing Center, Inc. | 3 mi | ★★★★★ | 4 | 0 |
| Bethesda Health Care Facility | 4.2 mi | ★★★★★ | 3 | 0 |
| Village Green Health And Rehabilitation | 4.8 mi | ★★★★★ | 3 | 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 October 2026) and official state health department websites.