St Andrews Operator, LLC
State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-04-29 — IMMEDIATE JEOPARDY (tag F0609, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2025-04-29 — IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2021-10-28 — IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2021-10-28 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing, from payroll records
Nursing hours / resident / day
3.26
state median 3.28
Weekend staffing gap
−10%
fewer nursing hours on weekends · state median −9%
RN hours / resident / day
0.25
registered nurses only
Contract (agency) staff
16%
share of all nursing hours
Nursing staff turnover
79%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
3 enforcement action(s), totaling $52,910 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-07-17 | Fine | $5,947 |
| 2025-07-17 | Fine | $5,948 |
| 2025-04-29 | Fine | $41,015 |
Ownership
Ownership type: For profit - Individual. Part of the YAD HEALTHCARE chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Kenansville Rehabilitation and Healthcare Center (Kenansville, NC) —
- Laurel Park Rehabilitation and Healthcare Center (Elizabeth City, NC) —
- Warsaw Rehabilitation and Healthcare Center (Warsaw, NC) —
- Asheboro Rehabilitation and Healthcare Center (Asheboro, NC) —
- Rockwell Park Rehabilitation and Healthcare Center (Charlotte, NC) —
- Fletcher Rehabilitation and Healthcare Center (Fletcher, NC) —
- Ramseur Rehabilitation and Healthcare Center (Ramseur, NC) —
- Brunswick Rehabilitation and Healthcare Center (Bolivia, NC) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-07-17 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-07-17 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-07-17 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-17 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-07-17 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-07-17 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2025-07-17 | F0867 | Administration Deficiencies | F | not recorded |
| 2025-07-17 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2025-04-29 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2025-04-29 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2025-04-29 | F0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-04-29 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-04-29 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2025-04-29 | F0689 | Quality of Life and Care Deficiencies | F | not recorded |
| 2024-01-24 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-01-24 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-01-24 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-01-24 | F0688 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-01-24 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-01-24 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-01-24 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-01-24 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2023-07-12 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2021-10-28 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2021-10-28 | F0583 | Resident Rights Deficiencies | F | not recorded |
| 2021-10-28 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2021-10-28 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2021-10-28 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2021-10-28 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2021-10-28 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2021-10-28 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2021-10-28 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-10-28 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2021-10-28 | F0692 | Quality of Life and Care Deficiencies | D | not recorded |
| 2021-10-28 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2021-10-28 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2021-10-28 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2021-10-28 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2021-10-28 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2021-10-28 | F0919 | Environmental Deficiencies | D | not recorded |