Above average — CMS composite of the measures below.
The next survey window likely opens around April 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 Wilson Rehabilitation And Nursing Center during CMS and state inspections, most recent first.
Failure to obtain medication-specific informed consent for psychotropic drugs: The facility administered antipsychotic medications to four residents with diagnoses including dementia, Parkinson’s disease, and psychotic disorders, but the EMR lacked documentation that the residents or their RRs/Guardian were informed in advance of the risks, benefits, and treatment alternatives. The only consents in the records were general psychotropic medication forms signed on admission, and interviews showed the DON, Administrator, Medical Director, and Psychiatric NP had differing understandings of who was responsible for obtaining informed consent.
MDS assessments were inaccurately coded for two residents receiving psychotropic meds. Each resident had a psychiatric provider note stating that an attempted GDR was likely to impair function and worsen underlying psychiatric conditions, yet the quarterly MDS marked that the physician had not documented GDR as clinically contraindicated. MDS nurses said the assessments were coded in error, and the Administrator stated her expectation was for MDS assessments to be accurate.
Missing No Smoking Sign at Main Entrance: The facility failed to post a No Smoking sign at the primary entrance even though its policy stated that smoking and vaping were prohibited and that signs must be clearly posted. Survey observations found no sign at the main entrance, while a No Smoking sign was observed on the oxygen storage room. The Administrator stated she was unaware a sign was required at the main entrance and confirmed the facility was non-smoking and aware of the policy.
Failure to Obtain Medication-Specific Informed Consent for Psychotropic Drugs
Penalty
Summary
The facility failed to obtain informed consent and failed to ensure residents or their resident representatives were informed in advance of the risks, benefits, and treatment alternatives for psychotropic medications for 4 of 4 residents reviewed. The record review and interviews showed that the facility relied on general psychotropic medication consent forms signed on admission, but those forms did not document medication-specific risks, benefits, or alternatives for the antipsychotic medications being administered. The Medical Director stated that informed consent was not completed when residents were admitted already receiving psychotropic medications, and the DON and Administrator stated they believed the psychiatric providers were responsible for explaining the risks and benefits. Resident #1 had Parkinson's disease, dementia with behavioral disturbance, anxiety, and depression, and had an active order for quetiapine fumarate at bedtime. The EMR contained no documented evidence that the resident or RR were informed in advance of the risks, benefits, and alternatives for quetiapine fumarate. The only consent in the record was a general psychotropic medication consent signed on admission, and the RR stated she was not notified by the facility about the risks, benefits, or treatment alternatives and reported the medication was prescribed by the resident's neurologist. Resident #2 had Lewy body neurocognitive disorder, dementia with psychotic disturbance, depression, and Parkinson's disease, and had an active order for pimavanserin tartrate daily; the record likewise contained no documented evidence of advance informed consent specific to that medication. Resident #62 had dementia, anxiety, and depression, and had an active order for aripiprazole daily. The EMR showed no documented evidence that the resident representative was informed in advance of the risks, benefits, and treatment alternatives for aripiprazole, and the only consent was a general psychotropic medication form signed on admission. Resident #46 had Parkinson's disease, schizoaffective disorder, and bipolar disorder with severe psychotic features, and had an active order for risperidone twice daily. The EMR contained no documented evidence that the Guardian was informed in advance of the risks, benefits, and treatment alternatives for risperidone, and the Guardian stated she had not signed an informed consent form for the antipsychotic medication until the facility contacted her on 5/20/26 to request her signature.
MDS assessments inaccurately coded physician-documented GDR contraindications
Penalty
Summary
The facility failed to accurately code whether a physician documented a clinical contraindication to a gradual dose reduction (GDR) of psychotropic medications for 2 of 25 residents reviewed for MDS assessment accuracy. Resident #1 was admitted with Parkinson's disease, dementia with behavioral disturbance, anxiety, and depression, and had an active order for quetiapine fumarate 12.5 mg at bedtime related to depression and Parkinson's disease. A psychiatric provider note stated that an attempted dosage reduction to the psychotropic regimen was likely to impair the resident's function and exacerbate underlying psychiatric conditions, but the quarterly MDS indicated that GDR had not been documented by the physician as clinically contraindicated. Resident #62 was admitted with dementia, anxiety, and depression and had an active order for aripiprazole 5 mg daily related to unspecified dementia without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety. A psychiatric provider note stated that an attempted dosage reduction to the psychotropic regimen was likely to impair the resident's function and exacerbate underlying psychiatric conditions, but the quarterly MDS also indicated that GDR had not been documented by the physician as clinically contraindicated. During interview, the MDS nurses stated this was an error and that the assessment should have been marked yes because the physician documented GDR as clinically contraindicated. The Administrator stated her expectation was for MDS assessments to be accurate.
Missing No Smoking Sign at Main Entrance
Penalty
Summary
The facility failed to place cautionary No Smoking signage at the primary entrance, despite its policy stating that smoking or vaping by employees, contractors, visitors, or residents is strictly prohibited within the facility, in company-owned vehicles, and on the grounds, and that No Smoking signs are clearly posted to notify visitors and others of the policy. Observations on 5/18/26 at 2:15 PM, 5/19/26 at 8:00 AM, and 5/19/26 at 4:00 PM showed there was no No Smoking sign at the main entrance. A later observation on 5/19/26 at 4:43 PM showed a No Smoking sign posted on the oxygen storage room. During an interview on 5/19/26 at 4:46 PM, the Administrator stated she was unaware that a No Smoking sign was required at the main entrance, and confirmed the facility was non-smoking and that she was aware of the facility policy.
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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 Wilson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Longleaf Neuro-medical Treatment Center | 0.8 mi | ★★★★★ | 16 | 0 |
| Wilson Healthcare And Rehabilitation Center | 1.9 mi | ★★★★★ | 0 | 0 |
| Wilson Pines Nursing And Rehabilitation Center | 1.9 mi | ★★★★★ | 0 | 0 |
| Harmony Park At Wilson | 2.4 mi | ★★★★★ | 1 | 0 |
| Rocky Mount Rehabilitation Center | 16.9 mi | ★★★★★ | 15 | 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.