Piedmont Hills Center for Nursing and Rehab
109 S Holden Road · Greensboro, NC · 27407 · 3365225600
126 certified beds For profit - Limited Liability company Chain: Alliance Health Group
Why this verdict
- 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).
- Federal penalties on record: $121,041 in fines in the last 24 months.
- 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
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.
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.
$121,041 in federal fines in the last 24 months
4 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.16 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
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 | 3.04 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.16 | 0.55–0.75 |
| Weekend hours / resident-day | 2.81 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 5 · $217,827 |
Inspection citations (52 in the current record)
-
Actual harm · G October 23, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 24, 2025 · Quality of Life and Care
-
Potential for harm · D October 23, 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 November 24, 2025 · Resident Rights
-
Immediate jeopardy · J June 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 26, 2025 · Quality of Life and Care
-
Immediate jeopardy · J February 10, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 21, 2025 · Quality of Life and Care
-
Potential for harm · D February 10, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 21, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D December 5, 2024 · found via complaint
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected February 10, 2025 · Resident Rights
-
Potential for harm · D December 5, 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 February 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E December 5, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected February 10, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D December 5, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 10, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D December 5, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 21, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D December 5, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected February 10, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D December 5, 2024 · found via complaint
Provide appropriate foot care.
Corrected February 10, 2025 · Quality of Life and Care
-
Potential for harm · D December 5, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 10, 2025 · Quality of Life and Care
-
Potential for harm · D December 5, 2024 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected February 10, 2025 · Nutrition and Dietary
-
No harm found · B December 5, 2024
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected December 30, 2024 · Resident Assessment and Care Planning
-
No harm found · B December 5, 2024 · 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 December 30, 2024 · Resident Rights
-
Immediate jeopardy · K July 17, 2024 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected August 1, 2024 · Nursing and Physician Services
-
Immediate jeopardy · K July 17, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected August 1, 2024 · Infection Control
-
Potential for harm · D July 17, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 1, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E July 17, 2024 · found via complaint
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 August 1, 2024 · Pharmacy Service
-
Immediate jeopardy · J December 4, 2023
Provide safe, appropriate pain management for a resident who requires such services.
Corrected January 1, 2024 · Quality of Life and Care
-
Actual harm · G December 4, 2023 · 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 January 1, 2024 · Quality of Life and Care
-
Potential for harm · D December 4, 2023
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 January 1, 2024 · Resident Rights
-
Potential for harm · D December 4, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 1, 2024 · Resident Rights
-
Potential for harm · D December 4, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected January 1, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 23, 2025 | Fine | $50,505 |
| June 11, 2025 | Fine | $17,345 |
| December 5, 2024 | Fine | $18,086 |
| July 17, 2024 | Fine | $35,105 |
| December 4, 2023 | Fine | $96,786 |
| December 4, 2023 | Payment Denial | 2 days |
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.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345116 · certified since December 10, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.