Nursing Care Index

Carolina Rehab Center Of Cumberland

Fayetteville, Cumberland County, North Carolina · CCN 345505 · For-profit (Corporation) · part of Lifeworks Rehab (64 facilities, chain average 2.1 stars)

CMS rates Carolina Rehab Center Of Cumberland 3 of 5 overall as of August 2026. 136 certified beds, 131 residents a day on average. 25 citations on record from the current inspection cycles, 2 at immediate jeopardy; 5 fines totalling $97,936.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★☆☆ 3 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / 4 of 5

Staffing

Total nurse staffing3.7753 hours per resident per day
Registered nurses0.55014 hours per resident per day
Weekend total3.3231 hours per resident per day
Nursing staff turnover51.7% (registered nurses 70.8%)
Administrators who left1

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-01-21
complaint survey
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-02
2025-07-02 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-07-10
2025-03-05
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2025-03-13
2024-11-04
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
J Immediate jeopardy to resident health or safety; isolated Past Non-Compliance
2024-08-23
2024-11-04
complaint survey
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · tag F0583
D No actual harm, with potential for more than minimal harm; isolated Past Non-Compliance
2024-09-27
2024-11-04
complaint survey
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-05
2024-10-11
complaint survey
Provide appropriate care/assistance for a resident with a prosthesis.
Quality of Life and Care Deficiencies · tag F0696
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-11-04
2024-10-11
complaint survey
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-11-04
2024-08-21
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Past Non-Compliance
2024-08-13
2024-05-03
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2024-05-24
2024-05-03
complaint survey
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · tag F0700
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2024-05-24
2024-05-03
complaint survey
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · tag F0867
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2024-05-24
2024-05-03
complaint survey
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-24
2024-05-03 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-24
2024-05-03 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · tag F0883
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-24
2024-05-03
complaint survey
Give the resident's representative the ability to exercise the resident's rights.
Resident Rights Deficiencies · tag F0551
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-24
2024-05-03
complaint survey
Honor the resident's right to manage his or her financial affairs.
Resident Rights Deficiencies · tag F0567
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-24
2024-05-03
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-24
2024-05-03
complaint survey
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-24
2024-03-25
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
J Immediate jeopardy to resident health or safety; isolated Past Non-Compliance
2024-03-16
2024-03-25
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Past Non-Compliance
2024-03-02
2024-03-25
complaint survey
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · tag F0744
D No actual harm, with potential for more than minimal harm; isolated Past Non-Compliance
2024-03-16
2024-03-25
complaint survey
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · tag F0867
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-03
2023-02-02 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · tag F0585
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-02-25
2023-02-02 Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Quality of Life and Care Deficiencies · tag F0742
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-02-25

Fines and payment denials

DatePenaltyAmount
2025-03-05Fine$15,015
2024-10-11Fine$16,801
2024-05-03Fine$49,319
2024-03-25Fine$10,951
2024-03-25Fine$5,850

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Carolina Cumberland Holdings LLC
Organization
5% or greater direct ownership interest100%2021-05-28
Charles 1994 Family Grantor Trust
Organization
5% or greater indirect ownership interest2021-05-28
Ck 2008 Family Trust
Organization
5% or greater indirect ownership interest2021-05-28
Drm South LLC
Organization
5% or greater indirect ownership interest2021-05-28
Edward 1998 Family Grantor Trust
Organization
5% or greater indirect ownership interest2021-05-28
Lauren 2020 Family Grantor Trust
Organization
5% or greater indirect ownership interest2021-05-28
Lauren 2020 LLC
Organization
5% or greater indirect ownership interest2021-05-28
Leps 2003 Family Trust
Organization
5% or greater indirect ownership interest2021-05-28
Norman 5571 & Family LLC
Organization
5% or greater indirect ownership interest2021-05-28
Norman 5571 Family Grantor Trust
Organization
5% or greater indirect ownership interest2021-05-28
Norman 5571 LLC
Organization
5% or greater indirect ownership interest2021-05-28
Rl 2008 Family Trust
Organization
5% or greater indirect ownership interest2021-05-28
Robin 2008 Family Grantor Trust
Organization
5% or greater indirect ownership interest2021-05-28
Robin 2008 LLC
Organization
5% or greater indirect ownership interest2021-05-28
Saul 2012 Family Grantor Trust
Organization
5% or greater indirect ownership interest2021-05-28
Springrock South LLC
Organization
5% or greater indirect ownership interest2021-05-28
Summer South LLC
Organization
5% or greater indirect ownership interest2021-05-28
Rsbrm South Manager LLC
Organization
operational/managerial control2021-05-28
Maher, Cindy
Individual
w-2 managing employee2021-05-28

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Cumberland County.