The Citadel Mooresville
550 Glenwood Drive · Mooresville, NC · 28115 · 7046647494
130 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: $105,195 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
4 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.
$105,195 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: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.21 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.62 | 0.55–0.75 |
| Weekend hours / resident-day | 2.92 | ≈ weekday level |
| Nursing turnover / year | 52% | median 45% |
| Fines (3-yr window) | 2 · $201,886 |
Inspection citations (49 in the current record)
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Potential for harm · D May 15, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected May 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 15, 2025
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 May 17, 2025 · Quality of Life and Care
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Potential for harm · D May 15, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 17, 2025 · Quality of Life and Care
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Potential for harm · F May 15, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 17, 2025 · Nutrition and Dietary
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Potential for harm · D May 15, 2025
Provide and implement an infection prevention and control program.
Corrected May 17, 2025 · Infection Control
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Immediate jeopardy · J April 8, 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 15, 2025 · Resident Rights
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Immediate jeopardy · J April 8, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 15, 2025 · Quality of Life and Care
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Actual harm · G April 8, 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 May 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K February 1, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J February 1, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected March 5, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 1, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected March 5, 2024 · Resident Rights
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Potential for harm · D February 1, 2024
Ensure each resident receives an accurate assessment.
Corrected March 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 1, 2024
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected March 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 1, 2024
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected March 5, 2024 · Quality of Life and Care
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Potential for harm · D February 1, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected March 5, 2024 · Pharmacy Service
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Potential for harm · E February 1, 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 March 5, 2024 · Pharmacy Service
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Potential for harm · F February 1, 2024
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected March 5, 2024 · Nutrition and Dietary
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Potential for harm · D February 1, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · E February 1, 2024
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected March 5, 2024 · Administration
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Potential for harm · D February 1, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 5, 2024 · Infection Control
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Potential for harm · D February 1, 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 March 5, 2024 · Infection Control
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Potential for harm · D February 1, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 5, 2024 · Resident Rights
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Potential for harm · D February 1, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 5, 2024 · Quality of Life and Care
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Potential for harm · E February 1, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 5, 2024 · Quality of Life and Care
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Potential for harm · E February 1, 2024 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 5, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 8, 2025 | Fine | $105,195 |
| February 1, 2024 | Fine | $96,691 |
| February 1, 2024 | Payment Denial | 3 days |
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 345283 · certified since June 23, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.