SNF
Carolina Rehab Center of Cumberland
CCN: 345505 · Fayetteville, NC 28306 · Cumberland County
Overview
- Address
- 4600 Cumberland Road, Fayetteville, NC 28306
- Phone
- 9104291690
- Certified beds
- 136
- Avg daily residents
- 132 (97% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 2000-10-26
- Setting
- Urban
2 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.45 | 4.61 | 2.89 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.49 | 0.81 | 0.41 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.07 | 1.02 | 0.89 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 1.89 | 2.78 | 1.58 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.56 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.11 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.03
hrs / resident / day
RN (weekend)
0.31
hrs / resident / day
Total nurse (adjusted, weekend)
2.53
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
60.5%
annual
RN turnover
60.9%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.63
higher acuity than avg
Case-Mix Index Ratio
1.19
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-07-02 | 3 | 1 | 2 | 32 | 1 | 32 |
| Cycle 2/3 (prior) | 2024-05-03 | 20 | 10 | 18 | 192 | 1 | 192 |
Total weighted health score
72.0
lower is better
Deficiencies (25)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
18 D/E/F Actual harm — potential for minor
5 G/H/I Actual harm
2 J/K/L Immediate jeopardy
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2026-01-21 | 2026-02-02 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-07-02 | 2025-07-10 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2025-03-05 | 2025-03-13 |
| 0583 | Keep residents' personal and medical records private and confidential. | D | 2024-11-04 | 2024-09-27 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-11-04 | 2024-08-23 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2024-11-04 | 2024-11-05 |
| 0696 | Provide appropriate care/assistance for a resident with a prosthesis. | E | 2024-10-11 | 2024-11-04 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2024-10-11 | 2024-11-04 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-08-21 | 2024-08-13 |
| 0760 | Ensure that residents are free from significant medication errors. | E | 2024-05-03 | 2024-05-24 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2024-05-03 | 2024-05-24 |
| 0551 | Give the resident's representative the ability to exercise the resident's rights. | D | 2024-05-03 | 2024-05-24 |
| 0567 | Honor the resident's right to manage his or her financial affairs. | D | 2024-05-03 | 2024-05-24 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-05-03 | 2024-05-24 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-05-03 | 2024-05-24 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-05-03 | 2024-05-24 |
| 0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | 2024-05-03 | 2024-05-24 |
| 0700 | 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. | G | 2024-05-03 | 2024-05-24 |
| 0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | G | 2024-05-03 | 2024-05-24 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2024-03-25 | 2024-03-16 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-03-25 | 2024-03-02 |
| 0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2024-03-25 | 2024-03-16 |
| 0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2024-03-25 | 2024-04-03 |
| 0585 | 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. | D | 2023-02-02 | 2023-02-25 |
| 0742 | 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. | D | 2023-02-02 | 2023-02-25 |
Penalties (5)
Fines issued
5
last 3 years
Total fines
$97,936
| Date | Type | Fine amount |
|---|---|---|
| 2024-03-25 | Fine | $5,850 |
| 2024-03-25 | Fine | $10,951 |
| 2025-03-05 | Fine | $15,015 |
| 2024-10-11 | Fine | $16,801 |
| 2024-05-03 | Fine | $49,319 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 20.3% Medicaid 57.7% Other 22.0%
Operating performance
Operating Margin
2.9%
Total Margin
5.2%
Occupancy Rate
95.7%
Cost per Resident Day
$60
Revenue & costs
Net Patient Revenue
$19.1M
Total Costs
$2.9M
Net Income
$1.0M
Balance sheet
Total Assets
$32.4M
Total Liabilities
$33.9M
Fund Balance
-$1.5M
Current Ratio
0.11
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: LIFEWORKS REHAB
- Chain ID
768- Facilities in chain
- 59
- Legal business name
- CAROLINA CUMBERLAND OPERATOR LLC
Chain-average star ratings (for peer context)
Overall
2.1
Health
2.1
Staffing
1.5
QM
3.9
Owner / manager organizations (18)
| Organization | Role | Association |
|---|---|---|
| CAROLINA CUMBERLAND HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 05/28/2021 |
| CHARLES 1994 FAMILY GRANTOR TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 05/28/2021 |
| CK 2008 FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 05/28/2021 |
| DRM SOUTH LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 05/28/2021 |
| EDWARD 1998 FAMILY GRANTOR TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 05/28/2021 |
| LAUREN 2020 FAMILY GRANTOR TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 05/28/2021 |
| LAUREN 2020 LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 05/28/2021 |
| LEPS 2003 FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 05/28/2021 |
| NORMAN 5571 & FAMILY LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 05/28/2021 |
| NORMAN 5571 FAMILY GRANTOR TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 05/28/2021 |
| NORMAN 5571 LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 05/28/2021 |
| RL 2008 FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 05/28/2021 |
| ROBIN 2008 FAMILY GRANTOR TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 05/28/2021 |
| ROBIN 2008 LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 05/28/2021 |
| SAUL 2012 FAMILY GRANTOR TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 05/28/2021 |
| SPRINGROCK SOUTH LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 05/28/2021 |
| SUMMER SOUTH LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 05/28/2021 |
| RSBRM SOUTH MANAGER LLC | OPERATIONAL/MANAGERIAL CONTROL | since 05/28/2021 |
Owner / manager individuals (1)
| Name | Role | Association |
|---|---|---|
| MAHER, CINDY | W-2 MANAGING EMPLOYEE | since 05/28/2021 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $60 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.11 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 57.7% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 20.3% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $1,005,018 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $19,053,906 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 95.7% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 2.9% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $32,388,212 | metrics.total_assets |
| Cost Report | Total Costs ($) | $2,854,864 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-1,486,980 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $33,875,192 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 5.2% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.89446 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.58473 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.41299 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 2.89218 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.53454 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 131.8 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 1.02273 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.77956 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.80614 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.60843 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 4.06185 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.1 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.1 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.9 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 1.5 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 768 | Chain ID |
| Provider Information | Chain Name | LIFEWORKS REHAB | Chain Name |
| Provider Information | City/Town | Fayetteville | City/Town |
| Provider Information | CMS Certification Number (CCN) | 345505 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Cumberland | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 2000-10-26 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 2 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 35.0078 | Latitude |
| Provider Information | Legal Business Name | CAROLINA CUMBERLAND OPERATOR LLC | Legal Business Name |
| Provider Information | Location | 4600 Cumberland Road,Fayetteville,NC,28306 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -78.962 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 136 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 59 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 5 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.63256 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.18503 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 2 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 4600 Cumberland Road | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | Carolina Rehab Center of Cumberland | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 250 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 32 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 2 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 1 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-07-02 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 32 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 3 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 10 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-05-03 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 192 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 18 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 192 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 20 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.31026 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 60.9 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.56058 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.06763 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 1.89155 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.11287 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.49295 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.45212 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 3 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 1 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | NC | State |
| Provider Information | Telephone Number | 9104291690 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 97936.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.02525 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 5 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 60.5 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 72.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 28306 | ZIP Code |