Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Yanceyville Rehabilitation And Healthcare Center during CMS and state inspections, most recent first.
Failure to Provide Individualized Activity Programs: Three residents with severe cognitive impairment and other significant conditions did not receive activity programs matched to their preferences and needs. One resident with dementia and another with Alzheimer’s disease were repeatedly observed sitting alone or in bed without music, meaningful engagement, or documented 1:1 activities after moving to the rehab hallway, while staff said activity support did not come to that unit. A blind resident with severe cognitive impairment also had no documented music or outdoor activities despite stated preferences, and the AD noted staff had been too busy to provide those activities.
The facility was found deficient in maintaining cleanliness in its kitchen areas, with significant grease buildup on stove burners, dried food and liquid residues on equipment, and dusty ceiling vents. The kitchen staff failed to adhere to cleaning protocols, and the Dietary Manager was responsible for ensuring cleanliness but did not enforce the protocols.
The facility failed to properly contain garbage and refuse in three dumpsters and one grease interceptor container, leading to an accumulation of trash and debris in the surrounding area. Observations revealed overflowing garbage bags, loose paper products, and leaking grease. Interviews with staff indicated that housekeeping, dietary, and maintenance were responsible for maintaining the area, but inconsistent contractor pick-ups and lack of cleaning contributed to the issue.
The facility failed to provide an adequate activity program for cognitively impaired residents, leaving many without engagement or interaction during scheduled activities. Residents with specific interests in music, religious services, and group activities were not consistently involved, and documentation of participation was lacking. Additionally, a resident was observed without engagement or a working television, highlighting deficiencies in meeting individual needs.
A resident with Diabetes, who was cognitively intact, did not participate in care plan meetings due to a miscommunication with the Social Work Assistant. Despite receiving invitations, the resident was not facilitated to attend, and meetings proceeded without his involvement.
A facility failed to complete an admission MDS and CAA within the required timeframe for a resident with multiple health issues, including fall potential and Parkinson's Disease. The assessments were delayed due to understaffing in the MDS department, as reported by the MDS nurses and the Administrator.
A facility failed to complete a significant change MDS assessment within the required 14 days for a resident. The assessment was completed 16 days after the reference date due to understaffing in the MDS department. The Administrator was unaware of the delay, which was attributed to a high volume of assessments and low staffing.
The facility failed to provide dignified feeding assistance to three residents who required help with meals. Staff were observed standing beside the residents' beds while feeding them, rather than sitting, due to the absence of chairs in the rooms. This practice compromised the residents' dignity, as confirmed by staff interviews and observations.
A resident's credit card was misappropriated by a nurse aide, leading to unauthorized charges totaling $11,670.68. The issue was discovered when the resident's family noticed the charges and reported them to the police. The facility was informed of the investigation, and the nurse aide was suspended pending court proceedings. The facility failed to ensure the security of the resident's belongings, resulting in the misappropriation.
A resident with severe cognitive impairment was discharged from an LTC facility without receiving a written notification of transfer or discharge, including appeal rights. The Resident Representative confirmed the absence of written notice. Facility staff, including a social worker and the Administrator, were unaware of the requirement for written notification for discharges.
A resident with multiple mental health diagnoses was not readmitted to a facility after hospital discharge due to lack of paperwork and claimed bed unavailability, despite being stable. The ADON instructed staff not to accept the resident, leading to the family taking the resident to the emergency room. Interviews revealed beds were available, and the decision was not based on clinical reasons.
A resident assessed as a safe smoker was found with a lighter, contrary to facility policy. The resident, with conditions including COPD and diabetes, was allowed to keep cigarettes but not lighters. Staff interviews revealed inconsistencies in policy enforcement, as some staff believed the resident could keep a lighter. The facility's policy stated that lighters should be stored at the nursing station, highlighting a lapse in supervision and policy adherence.
Failure to Provide Individualized Activity Programs
Penalty
Summary
The facility failed to provide an ongoing activity program that met the individual interests and needs of three cognitively impaired residents. Resident #32 had diagnoses including dementia with psychotic behavior and Alzheimer's disease, was severely cognitively impaired, and was dependent on staff for all ADLs. Her MDS showed preferences for listening to music, keeping up with news, participating in group activities, and spending time outdoors. Although her care plan called for activities compatible with her abilities and interests, 1:1 bedside or in-room activities when she could not attend group events, and staff assistance and escort to activities, the record contained no activity notes after 3/9/26 through 5/28/26 showing participation in activities of interest. After Resident #32 transferred from the LEU to the 500 hallway, observations showed her sitting alone in a wheelchair in the dining room and near the nursing station, staring ahead or at a towel, with no music, television, or staff interaction. She was also observed lying in bed talking to herself while a television played at low volume on the opposite side of the room, out of her view. Nurse Aide #1 stated activity staff did not come to the rehab unit, the resident could not attend activities without assistance, and there was no music system or television available in the dining room. The Activity Director stated the resident enjoyed preaching, pastor services, color sorting, and matching games, acknowledged that no 1:1 activities were completed and no music or television was available in the dining room, and said the resident would not be triggered for 1:1 activities until the care plan was updated. Resident #44 had diagnoses including Alzheimer's disease, dementia, and major depressive disorder, was severely cognitively impaired, and was dependent on staff for all ADLs. Her MDS identified preferences for listening to music, being around pets, attending religious services, participating in group activities, and going outdoors in good weather. Her care plan required staff support for emotional, intellectual, and social needs, including inviting her to activities, matching activities to her interests and abilities, and providing assistance or escort. After she moved from the LEU to the 500 hallway, there were no activity notes or documentation, and observations showed her sitting alone in the dining room or near the nursing station with no television, music, or staff interaction, and later lying in bed while the television played at low volume and she appeared disinterested. Nurse Aide #1 stated activity staff never came to the rehab unit, there was no music or television available in the dining room, and she could not take the resident to group activities because she needed to provide care to other residents. The Activity Director stated the resident preferred music, acknowledged she had not received activities since moving to the 500 hallway, and said 1:1 visits occurred about once per month. Resident #9 had legal blindness and adjustment disorder with mixed anxiety and depressed mood, and his MDS showed severe cognitive impairment. His activity preferences included listening to music and going outside, but his care plan contained no goals or interventions related to activities. May 2026 documentation showed only self-directed activities such as watching TV and relaxing in his room, along with 1:1 notes for hydration and snacks, with no documentation that he listened to music or went outside. Observations found him lying in bed facing the wall with no music playing, no TV on, and no independent activities available in his room. Nurse Aide #2 stated he was blind, did not like group activities, and she had not seen activity staff provide music or outdoor activities. The Activity Director stated she knew his preferences included music and going outdoors, but due to a busy staff schedule, staff had not been able to provide those preferred activities.
Facility Fails to Maintain Cleanliness in Kitchen Areas
Penalty
Summary
The facility failed to maintain cleanliness in the food preparation and service areas, as observed during two kitchen inspections. The inspections revealed significant grease buildup on stove burners, walls, and the front of the stove, along with burnt food and dried liquid splatters. Additionally, the plate warmers contained dried liquid spills and food particles, while the steam table had floating food particles in standing water and greasy buildup on the lids. The drying racks and meal carts also exhibited dried food and liquid residues, indicating a lack of proper cleaning. Furthermore, the ceiling vents above the food preparation and service areas were covered in black dust and debris, which was observed blowing over the steam table and clean dishware storage racks. Interviews with the Maintenance Director and Regional Dietary Director confirmed that the kitchen vents had not been cleaned in several months, and the kitchen staff had not adhered to the cleaning protocols. The Dietary Manager was identified as responsible for ensuring the cleanliness of the kitchen, but the cleaning protocols were not followed, leading to the observed deficiencies.
Improper Garbage Disposal and Maintenance
Penalty
Summary
The facility failed to properly contain garbage and refuse in three dumpsters and one grease interceptor container, leading to an accumulation of trash and debris in the surrounding area. During an initial observation, surveyors noted that the dumpsters and grease interceptor were located near a wooded area at the back of the facility, with large amounts of garbage bags overflowing from the tops. Additionally, loose paper products, boxes, mattresses, furniture, old pallets, clothing, blankets, and food products were found outside the dumpsters on the ground. The grease interceptor container was also leaking grease onto the ground and parking lot. A follow-up observation confirmed that the trash bags filled with garbage remained on the ground, and the area had not been thoroughly cleaned, as evidenced by the remaining paper and food products, pallets, blankets, clothing, and grease around the dumpsters. Interviews with the Maintenance Director and Regional Dietary Director revealed that the dumpster area had been in this condition for some time, with inconsistent pick-ups by the contractor responsible for larger items. The Maintenance Director acknowledged that housekeeping, dietary, and maintenance staff were responsible for maintaining the dumpster area daily, while the Regional Dietary Director was unaware of the last cleaning of the grease interceptor container, which should have been cleaned monthly. The Administrator also confirmed that housekeeping, maintenance, and dietary staff were responsible for keeping the dumpster area clean daily.
Failure to Provide Adequate Activity Program for Cognitively Impaired Residents
Penalty
Summary
The facility failed to provide an ongoing activity program that met the individual interests and needs of several cognitively impaired residents. Observations and interviews revealed that scheduled activities were not consistently conducted, and many residents, including those with specific interests in music, religious services, and group activities, were not engaged in meaningful activities. For instance, on multiple occasions, activities such as daily devotion, puzzles, and painting were either not conducted or only involved a select few residents, leaving others without engagement or interaction. Resident #29, who had a preference for music, news, and current events, was observed sitting without any activity or interaction during scheduled activity times. Similarly, Resident #52, who enjoyed music and religious services, was not provided with the necessary materials or engagement during activities. Resident #137, who had interests in music and group activities, was also left without participation in scheduled activities. The lack of documentation for these residents' participation in activities further highlighted the deficiency in meeting their needs. Additionally, Resident #68, who was severely cognitively impaired and preferred activities like listening to music and being around pets, was observed lying in bed without any engagement or working television. Interviews with staff, including the Activity Director, revealed a lack of awareness and documentation regarding the activities provided to Resident #68. The Activity Director, who was new to the position, had not completed assessments or documentation for the residents, contributing to the deficiency in providing appropriate activities for the residents.
Resident Participation in Care Plan Meetings Not Facilitated
Penalty
Summary
The facility failed to ensure that a resident participated in the development and implementation of their person-centered plan of care. Resident #110, who was cognitively intact and diagnosed with Diabetes, was admitted to the facility and was scheduled for care plan meetings on multiple occasions. Despite receiving invitation letters for these meetings, there was no documentation of Resident #110's participation. The resident confirmed that he had not attended any care plan meetings since his admission, as no one facilitated his attendance. The Social Work Assistant revealed that she expected the resident to reach out to her to choose a time slot for the meetings, which led to a miscommunication. She did not follow up with the resident after handing him the invitation letter to confirm his participation, resulting in the meetings proceeding without his involvement. The Administrator acknowledged the miscommunication between the resident and the Social Work Assistant, which contributed to the resident's lack of participation in his care plan meetings.
Delayed MDS and CAA Completion Due to Staffing Issues
Penalty
Summary
The facility failed to complete an admission Minimum Data Set (MDS) and Care Area Assessments (CAA) within the required 14 days of admission for a resident. The resident was admitted with conditions including fall potential related to medications, neuromuscular issues, incontinence, Parkinson's Disease, nutritional problems, hydration issues, and potential for skin breakdown. The admission MDS was completed 13 days late, and the CAA was completed 10 days late, with care plan decisions finalized 6 days after the CAA. Interviews with MDS nurses revealed that the department was understaffed in December 2024, leading to delays in completing assessments. The Administrator was unaware of the delay and attributed it to the high volume of assessments and low staffing in the MDS department.
Delayed Completion of Significant Change MDS Assessment
Penalty
Summary
The facility failed to complete a significant change Minimum Data Set (MDS) assessment within the required 14 days of the Assessment Reference Date for one resident. Resident #61, who was admitted to the facility, had a significant change MDS assessment with an Assessment Reference Date of 12/13/24. However, the assessment was not signed off as completed until 12/29/24, which was 16 days after the reference date, exceeding the regulatory timeframe. Interviews with the MDS nurses revealed that the MDS department was understaffed during December 2024, leading to difficulties in completing assessments on time. The Administrator was unaware of the delay and attributed it to the high volume of assessments and low staffing in the MDS department.
Failure to Provide Dignified Feeding Assistance
Penalty
Summary
The facility failed to promote care in a dignified manner for three residents who required assistance with meals. Observations revealed that staff members were standing beside the residents' beds while providing feeding assistance, rather than sitting down, which compromised the residents' dignity. Resident #62, who was moderately cognitively impaired and under hospice care, was observed being fed by a nurse aide who stood beside the bed due to the absence of a chair in the room. Similarly, Resident #14, who was severely cognitively impaired, was assisted with eating by a nurse aide standing beside the bed, as there were no chairs available in the room. Resident #68, also severely cognitively impaired and on a special diet due to malnutrition risk, was fed by a nurse aide standing beside the bed, again due to the lack of a chair in the room. Interviews with the nurse aides confirmed that they frequently assisted these residents with feeding while standing, as chairs were not available in the rooms. The facility's administrator acknowledged that staff were trained to sit while assisting residents with eating, but this practice was not followed, leading to the deficiency in providing dignified care.
Misappropriation of Resident's Credit Card by Staff
Penalty
Summary
The facility failed to protect a resident's right to be free from misappropriation of property, resulting in a suspected monetary loss of $11,670.68. The incident involved a resident who was cognitively intact and had been admitted to the facility. The issue came to light when the resident's family noticed unauthorized charges on the resident's credit card statement and reported it to the local police department. The police investigation revealed that the charges began two days after the resident was admitted to the facility. The investigation identified Nurse Aide #7 as the suspect in the unauthorized use of the resident's credit card. The facility's Administrator and Assistant Director of Nursing were informed by a County Deputy about the ongoing investigation and the impending charges against the nurse aide. Despite being contacted by the facility, Nurse Aide #7 denied the allegations. The facility suspended the nurse aide pending the outcome of the court proceedings. Interviews with the resident's family and the arresting officer confirmed the unauthorized use of the credit card while the resident was at the facility. The Business Office Manager was unaware that the resident had a credit card upon admission, and the facility discouraged residents from keeping cash or credit cards on their person. The facility provided lock boxes for safekeeping of valuables, but it appears this measure was not utilized in this case. The facility's failure to ensure the security of the resident's belongings led to the misappropriation of the resident's property.
Failure to Provide Written Discharge Notification
Penalty
Summary
The facility failed to provide a written notification of transfer or discharge, including notification of appeal rights, to a resident and their representative. The resident, who had severe cognitive impairment, was initially transferred to the hospital for psychiatric evaluation and involuntary commitment. Upon returning to the facility, the resident was discharged home without receiving the required written notice. The Resident Representative confirmed that neither she nor the resident received a written notice of the discharge. Interviews with facility staff, including a social worker and the Administrator, revealed a lack of awareness regarding the requirement to provide written notification for discharges to the hospital or community.
Facility Fails to Readmit Resident After Hospital Discharge
Penalty
Summary
The facility failed to permit a resident to return after hospitalization, despite the hospital assessing the resident as stable and ready for discharge back to the facility. The resident, who had multiple diagnoses including anxiety, depression, schizophrenia, and bipolar disorder, was initially involuntarily committed due to aggressive behaviors and medication refusal. Upon stabilization, the hospital discharged the resident back to the facility, but the facility did not accept the resident due to a lack of discharge paperwork and claimed unavailability of beds. The Assistant Director of Nursing (ADON) instructed staff not to accept the resident back without proper paperwork, despite the resident being stable and having no behavioral issues upon return. The facility did not have documentation of unmanageable behaviors upon the resident's return, and the ADON did not contact the hospital for discharge orders until the following day. The resident's family was informed they needed to pick up the resident, and the resident was eventually taken to the emergency room by the family due to the facility's refusal to readmit her. Interviews with staff and the resident's representative revealed that the facility had available beds at the time of the resident's return, contradicting the initial claim of unavailability. The facility's decision not to readmit the resident was based on the lack of discharge paperwork and the ADON's instructions, rather than any clinical reason. The resident's representative felt pressured to take the resident home, despite being unable to care for her, leading to the resident being taken to the emergency room for further care.
Failure to Secure Smoking Materials for Resident
Penalty
Summary
The facility failed to secure smoking materials, specifically a lighter, for a resident who was assessed as a safe smoker. The resident, who had diagnoses including chronic obstructive pulmonary disease, diabetes mellitus type 2, and nicotine dependence, was readmitted to the facility and assessed as cognitively intact. The care plan indicated that the resident could smoke independently and did not require supervision, with smoking supplies to be stored at the nurse's station. However, during observations, the resident was found to have a lighter in her possession, which was against the facility's policy that no residents should keep lighters or matches. Staff interviews revealed inconsistencies in the understanding and enforcement of the smoking policy. A Medication Aide stated that the resident was a safe smoker and could keep her smoking materials, including a lighter, which contradicted the facility's policy. The Assistant Director of Nursing and the Assistant Social Worker confirmed that while the resident could keep cigarettes, lighters should be stored at the nursing station. The Administrator reiterated that residents assessed as safe smokers should not have lighters, indicating a lapse in policy enforcement and supervision, leading to the deficiency.
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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 Yanceyville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Stratford Healthcare Center | 11.8 mi | ★★★★★ | 0 | 0 |
| Riverside Health & Rehab Cntr | 13 mi | ★★★★★ | 0 | 0 |
| Piney Forest Health And Rehabilitation Center | 13.7 mi | ★★★★★ | 0 | 0 |
| Roman Eagle Rehabilitation And Health Care Center | 14.5 mi | ★★★★★ | 0 | 0 |
| Penn Nursing Center | 18.1 mi | ★★★★★ | 0 | 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.