Lotus Village Center for Nursing and Rehabilitatio
179 Combs Street · Sparta, NC · 28675 · 3363722441
90 certified beds For profit - Limited Liability company Chain: Simcha Hyman & Naftali Zanziper
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $118,157 in fines in the last 24 months.
- 5 citations involved actual harm to residents.
- 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
8 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$118,157 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.27 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.86 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 2.86 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.27 | 0.55–0.75 |
| Weekend hours / resident-day | 2.84 | ≈ weekday level |
| Nursing turnover / year | 59% | median 45% |
| Fines (3-yr window) | 4 · $418,422 |
Inspection citations (57 in the current record)
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Potential for harm · D March 19, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 1, 2026 · Quality of Life and Care
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Potential for harm · D March 19, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 1, 2026 · Resident Assessment and Care Planning
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Potential for harm · D May 22, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected June 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 22, 2025
Assess the resident when there is a significant change in condition
Corrected June 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 22, 2025
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected June 13, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 22, 2025
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 June 13, 2025 · Pharmacy Service
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Potential for harm · D May 22, 2025
Provide and implement an infection prevention and control program.
Corrected June 13, 2025 · Infection Control
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Potential for harm · D May 22, 2025 · found via complaint
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 June 13, 2025 · Quality of Life and Care
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Actual harm · G April 10, 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 May 22, 2025 · Resident Rights
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Actual harm · G April 10, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected May 22, 2025 · Pharmacy Service
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Potential for harm · D April 10, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected May 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 10, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 22, 2025 · Quality of Life and Care
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Potential for harm · D October 24, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 25, 2024 · Quality of Life and Care
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Immediate jeopardy · J September 27, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 20, 2024 · Quality of Life and Care
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Potential for harm · D August 7, 2024 · 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 29, 2024 · Resident Rights
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Potential for harm · D August 7, 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 August 29, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 7, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 29, 2024 · Quality of Life and Care
-
Immediate jeopardy · J April 8, 2024 · 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 May 4, 2024 · Resident Rights
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Immediate jeopardy · K April 8, 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 May 4, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K April 8, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 4, 2024 · Quality of Life and Care
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Potential for harm · E April 8, 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 4, 2024 · Administration
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Potential for harm · E February 22, 2024 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected May 4, 2024 · Resident Rights
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Potential for harm · F February 22, 2024 · found via complaint
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 4, 2024 · Resident Rights
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Potential for harm · D February 22, 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 May 4, 2024 · Resident Rights
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Potential for harm · D February 22, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected May 4, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 10, 2025 | Fine | $102,102 |
| April 10, 2025 | Payment Denial | 36 days |
| September 27, 2024 | Fine | $16,055 |
| February 22, 2024 | Fine | $197,071 |
| July 12, 2023 | Fine | $103,194 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345261 · certified since June 23, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.