Staffing
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.33 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.33 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Mar 26, 2026 cited 1 deficiencies.
View inspection evidenceCMS-published records list 57 ownership or control parties.
CMS records show an ownership change effective June 2025.
View ownership evidenceCMS groups this facility with a chain covering 38 facilities across 4 states or territories.
View chain evidenceCMS records show a $17,345 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
38 currently connected nursing homes share this CMS organization identity with NU C II IRREVOCABLE TRUST.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: May 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · ADP OF THE SNF
Association date reported to CMS: May 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 17, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jun 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: May 1, 2025
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: May 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · 5% OR GREATER SECURITY INTEREST
Association date reported to CMS: May 1, 2025
CMS classifications: Real estate investment trust (REIT)
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · ADP OF THE SNF
Association date reported to CMS: May 1, 2025
CMS classifications: Real estate investment trust (REIT)
Other facilities connected through this exact CMS organization identity: 0 across NC.
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 17, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 24, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 17, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 17, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: May 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 17, 2025
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 42 across MS, NC, PA, VA.
Organization · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jun 1, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jun 1, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 15 across NC.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Jun 1, 2025
CMS classifications: Parent company, Holding company
Other facilities connected through this exact CMS organization identity: 37 across MS, NC, PA, VA.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 50%
Association date reported to CMS: Jun 1, 2025
CMS classifications: Parent company, Holding company
Other facilities connected through this exact CMS organization identity: 37 across MS, NC, PA, VA.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jun 1, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 37 across MS, NC, PA, VA.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jun 1, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jun 1, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 37 across MS, NC, PA, VA.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jun 1, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 37 across MS, NC, PA, VA.
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: May 1, 2025
Individual · MANAGING CONTROL - GOVERNING BODY
Association date reported to CMS: May 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2025
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 42 across MS, NC, PA, VA.
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across NC.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 843 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 38 | 2 | 2.2 |
| Mon Jun | 38 | 2 | 2.4 |
| Fri May | 38 | 2 | 2.4 |
| Wed Apr | 33 | 2.1 | 2.4 |
| Sun Mar | 14 | 2.1 | 2.3 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
Provide and implement an infection prevention and control program.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Apr 13, 2026)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 20, 2025)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Past Non-Compliance (Feb 8, 2025)
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 20, 2025)
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 20, 2025)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 18, 2024)
Make sure that a working call system is available in each resident's bathroom and bathing area.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 18, 2024)
Protect each resident from the wrongful use of the resident's belongings or money.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Past Non-Compliance (Jul 20, 2024)
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 24, 2024)
Keep residents' personal and medical records private and confidential.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 24, 2024)
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Past Non-Compliance (Jun 20, 2024)
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 24, 2024)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has plan of correction (Jul 24, 2024)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 24, 2024)
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 24, 2024)
No health-deficiency rows were deterministically linked to this inspection.
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 6, 2023)
No health-deficiency rows were deterministically linked to this inspection.
Penalties & enforcement
Published fine amount: $17,345.00
Published fine amount: $158,214.00
Questions to ask
Facility history
11 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: 6590 TRYON ROAD OPCO LLC.
CARY HEALTHCARE, LLC → 6590 TRYON ROAD OPCO LLC
CMS · Recorded event date · View related evidence
4 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
CMS recorded a $17,345 civil monetary penalty.
CMS · Recorded event date · View related evidence
CMS recorded a $158,214 civil monetary penalty.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
7 deficiencies were recorded.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 1 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.288 | 2.734 |
| RN categories | 0.368 | 0.23 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.026 lower than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.159 | 0.395 | 1.019 | 1.744 | 0% | 91 |
| 2025Q3 | 3.19 | 0.446 | 0.983 | 1.761 | 0% | 92 |
| 2025Q4 | 3.107 | 0.354 | 0.964 | 1.781 | 0% | 92 |
| 2026Q1 | 3.129 | 0.328 | 0.956 | 1.832 | 0% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.