Premier Living and Rehab Center
106 Cameron Street · Lake Waccamaw, NC · 28450 · 9106463132
127 certified beds For profit - Individual
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $116,751 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
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
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.
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.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$116,751 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
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: 1 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $383,791 |
Inspection citations (56 in the current record)
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Actual harm · G June 26, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G June 26, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 15, 2025 · Quality of Life and Care
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Actual harm · G June 26, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected August 15, 2025 · Quality of Life and Care
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Potential for harm · D June 26, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 15, 2025 · Resident Rights
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Potential for harm · D June 26, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected August 15, 2025 · Resident Rights
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Potential for harm · D June 26, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 15, 2025 · Resident Rights
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Potential for harm · D June 26, 2025
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected August 15, 2025 · Resident Rights
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Potential for harm · D June 26, 2025
Ensure each resident receives an accurate assessment.
Corrected August 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 26, 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 August 15, 2025 · Quality of Life and Care
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Potential for harm · E June 26, 2025
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 15, 2025 · Pharmacy Service
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Potential for harm · E June 26, 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 August 15, 2025 · Pharmacy Service
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Potential for harm · E June 26, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 15, 2025 · Nutrition and Dietary
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Potential for harm · F June 26, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected August 15, 2025 · Administration
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Potential for harm · E June 26, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected August 15, 2025 · Administration
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Potential for harm · F June 26, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected August 15, 2025 · Administration
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Potential for harm · E June 26, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 15, 2025 · Quality of Life and Care
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Potential for harm · E June 26, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected August 15, 2025 · Pharmacy Service
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Potential for harm · E June 26, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 15, 2025 · Resident Assessment and Care Planning
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No harm found · B June 26, 2025
Assess the resident when there is a significant change in condition
Corrected August 15, 2025 · Resident Assessment and Care Planning
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No harm found · B June 26, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 15, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · K July 2, 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 21, 2024 · Resident Rights
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Immediate jeopardy · K July 2, 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 21, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K July 2, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected August 21, 2024 · Quality of Life and Care
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Immediate jeopardy · K July 2, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 21, 2024 · Pharmacy Service
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Immediate jeopardy · K July 2, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected August 21, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 26, 2025 | Fine | $116,751 |
| June 26, 2025 | Payment Denial | 21 days |
| July 2, 2024 | Fine | $267,040 |
| July 2, 2024 | Payment Denial | 45 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.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345185 · certified since September 29, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.