Hibriten Mountain Nursing and Rehabilitation
2030 Harper Avenue Nw · Lenoir, NC · 28645 · 8287543888
100 certified beds Non profit - Other Chain: Avardis Health
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- 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.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.49 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.60 | 0.55–0.75 |
| Weekend hours / resident-day | 3.08 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 2 · $53,110 |
Inspection citations (49 in the current record)
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Potential for harm · D February 26, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 23, 2026 · Resident Rights
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Potential for harm · D February 26, 2026
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 March 24, 2026 · Resident Rights
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Potential for harm · D February 26, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected March 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 26, 2026
Provide appropriate foot care.
Corrected March 23, 2026 · Quality of Life and Care
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Potential for harm · E February 26, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 26, 2026 · Pharmacy Service
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Potential for harm · D February 26, 2026
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 March 23, 2026 · Pharmacy Service
-
Potential for harm · D February 26, 2026
Provide and implement an infection prevention and control program.
Corrected March 23, 2026 · Infection Control
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Potential for harm · D February 26, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected March 23, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 26, 2026 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected March 23, 2026 · Pharmacy Service
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Immediate jeopardy · J July 22, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 15, 2025 · Quality of Life and Care
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Potential for harm · D July 22, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 7, 2025 · Resident Rights
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Potential for harm · D July 22, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 13, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 22, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected July 23, 2025 · Pharmacy Service
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Immediate jeopardy · J December 17, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected June 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 17, 2024
Ensure each resident receives an accurate assessment.
Corrected January 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 17, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 17, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 17, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 8, 2025 · Quality of Life and Care
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Potential for harm · D December 17, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 8, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 17, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 8, 2025 · Quality of Life and Care
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No harm found · B December 17, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 14, 2024 · found via complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected July 9, 2024 · Resident Rights
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Potential for harm · D June 14, 2024 · found via complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected July 9, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 17, 2024 | Fine | $16,801 |
| September 8, 2023 | Fine | $36,309 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345329 · certified since October 3, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.