Pine Acres Center for Nursing and Rehabilitation
279 Brian Center Drive · Lexington, NC · 27292 · 3362497521
106 certified beds For profit - Corporation Chain: Alliance Health Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $15,028 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
5 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 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.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
RN staffing in the bottom 10% nationally
0.21 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 | 3.35 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.21 | 0.55–0.75 |
| Weekend hours / resident-day | 3.06 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 2 · $122,460 |
Inspection citations (27 in the current record)
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Potential for harm · D January 22, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 5, 2026 · Quality of Life and Care
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Potential for harm · D January 22, 2026 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 5, 2026 · Quality of Life and Care
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Actual harm · G May 22, 2025
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 June 19, 2025 · Nursing and Physician Services
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Actual harm · G May 22, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 19, 2025 · Quality of Life and Care
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Potential for harm · E May 22, 2025
Ensure each resident receives an accurate assessment.
Corrected June 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 22, 2025
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected June 19, 2025 · Quality of Life and Care
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Potential for harm · D May 22, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 11, 2024 · Pharmacy Service
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Potential for harm · E May 22, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 19, 2025 · Nutrition and Dietary
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Potential for harm · E May 22, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 19, 2025 · Quality of Life and Care
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No harm found · C May 22, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected June 19, 2025 · Resident Rights
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No harm found · B May 22, 2025
Post nurse staffing information every day.
Corrected June 19, 2025 · Nursing and Physician Services
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Immediate jeopardy · K March 28, 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 April 23, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J March 28, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected February 15, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J March 28, 2024 · found via complaint
Plan the resident's discharge to meet the resident's goals and needs.
Corrected April 23, 2024 · Resident Assessment and Care Planning
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Immediate jeopardy · K March 28, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 23, 2024 · Quality of Life and Care
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Immediate jeopardy · K March 28, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 23, 2024 · Pharmacy Service
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Actual harm · G March 28, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 23, 2024 · Resident Rights
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Actual harm · G March 28, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 23, 2024 · Quality of Life and Care
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Actual harm · G March 28, 2024 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected April 23, 2024 · Administration
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Potential for harm · D March 28, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected April 23, 2024 · Resident Rights
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Potential for harm · D March 28, 2024
Ensure each resident receives an accurate assessment.
Corrected April 23, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 28, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 23, 2024 · Pharmacy Service
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Potential for harm · D March 28, 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 April 23, 2024 · Pharmacy Service
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Potential for harm · E March 28, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected December 20, 2023 · Infection Control
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Potential for harm · D March 28, 2024
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected December 20, 2023 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 22, 2025 | Fine | $15,028 |
| March 28, 2024 | Fine | $107,432 |
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 345011 · certified since February 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.