Alamance Health Care Center

1987 Hilton Road · Burlington, NC · 27217 · 3362260848

180 certified beds For profit - Limited Liability company Chain: Lifeworks Rehab

  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

2 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

RN staffing in the bottom 10% nationally

0.24 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 44
Serious harm & abuse 20% 88
Staffing 20% 51
Federal penalties 15% 77
Trend 10% 88
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.333.48 min · 4.1 strong
RN hours / resident-day0.240.55–0.75
Weekend hours / resident-day3.09≈ weekday level
Nursing turnover / year50%median 45%
Fines (3-yr window)1 · $8,034

Inspection citations (25 in the current record)

  • Potential for harm · D May 1, 2025 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected May 27, 2025 · Resident Rights

  • Potential for harm · E May 1, 2025 · found via complaint

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected May 27, 2025 · Resident Rights

  • Potential for harm · D May 1, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected May 27, 2025 · Quality of Life and Care

  • Potential for harm · E May 1, 2025 · found via complaint

    Assist a resident in gaining access to vision and hearing services.

    Corrected May 27, 2025 · Quality of Life and Care

  • Potential for harm · E May 1, 2025 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 27, 2025 · Nutrition and Dietary

  • Potential for harm · F May 1, 2025 · found via complaint

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected May 27, 2025 · Environmental

  • Potential for harm · D November 20, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected November 8, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 23, 2024

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected May 7, 2024 · Resident Rights

  • Potential for harm · D April 23, 2024

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected May 7, 2024 · Quality of Life and Care

  • Potential for harm · E April 23, 2024

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected May 7, 2024 · Pharmacy Service

  • Potential for harm · E April 23, 2024 · found via complaint

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected May 7, 2024 · Administration

  • Potential for harm · D April 23, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected May 7, 2024 · Quality of Life and Care

  • Potential for harm · D November 2, 2023

    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

    Corrected November 22, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E November 2, 2023

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected November 22, 2023 · Pharmacy Service

  • Potential for harm · E November 2, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 22, 2023 · Nutrition and Dietary

  • Potential for harm · D November 2, 2023

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected November 22, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E November 2, 2023

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected November 22, 2023 · Administration

  • Potential for harm · D November 2, 2023 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected October 16, 2023 · Quality of Life and Care

  • Potential for harm · D November 2, 2023 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected November 22, 2023 · Pharmacy Service

  • Potential for harm · D August 2, 2023 · found via complaint

    Ensure medication error rates are not 5 percent or greater.

    Corrected September 12, 2023 · Pharmacy Service

  • Immediate jeopardy · J July 6, 2023 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected August 26, 2023 · Quality of Life and Care

  • Immediate jeopardy · J July 6, 2023 · found via complaint

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected August 26, 2023 · Pharmacy Service

  • Potential for harm · D July 6, 2023 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected August 26, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 6, 2023 · found via complaint

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected August 26, 2023 · Pharmacy Service

  • Potential for harm · E July 6, 2023 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected August 26, 2023 · Pharmacy Service

Federal penalties

DateTypeAmount / length
November 20, 2024Fine$8,034

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345420 · certified since April 23, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.