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Nursing home report card · Lillington, NC

Lillington Health and Rehabilitation Center

1995 East Cornelius Harnett Boulevard, Lillington, NC 27546

Call this home: (910) 983-5141

View this home on Medicare.gov ↗

Medicare abuse warning

Quick summary

Medicare shows an abuse warning

Medicare’s Care Compare site shows an abuse icon here. That is one of the strongest public warnings CMS publishes — dig into the inspection history and talk with an attorney if a loved one was hurt.

Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.

How recent is this information?
Medicare file prepared
Aug 1, 2026
Our record last updated
Oct 15, 2026
Last routine health inspection
May 23, 2025

These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.

Medicare ratings

One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.

Overall rating
1out of 5

Combines inspection, staffing, and care measures.

Among the lowest Medicare ratings

Health inspections
1out of 5

Based on problems found during health inspections.

Among the lowest Medicare ratings

Nursing staff
1out of 5

Based on staffing levels and related measures.

Among the lowest Medicare ratings

Health and care results
4out of 5

Based on reported health and care results.

Above average

What do the ratings and warnings mean?
Medicare ratings
One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
Inspection problems
Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
Abuse warning
Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
Nursing staff time
Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.

Learn about the records and their limits →

At a glance

These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.

Care and safety problems
35

Care, safety, and resident-rights issues on recent inspections

Fire-safety problems
0

Building, alarms, exits, and related safety citations

Reported fines
$14,945

Total fine amounts in the imported penalty records

Medicare file prepared
Aug 1, 2026

Medicare home ID: 345213

Inspection findings to read first

Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.

  • Immediate danger to residents · isolated case

    Apr 11, 2023 · Inspection rule 0600

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • Immediate danger to residents · isolated case

    Apr 11, 2023 · Inspection rule 0684

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • Caused actual harm · isolated case

    Apr 26, 2024 · Inspection rule 0684

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Read the inspection history →

Nursing staff time

These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.

Registered nurses (RNs)
0.29hours per resident per day

about 18 minutes per resident per day

All nursing staff
3.38hours per resident per day

about 3 hr 23 min per resident per day

Registered nurse time on weekends
0.14hours per resident per day

about 8 minutes per resident per day

Latest inspection summary

A summary of the most recent routine inspections. You can open the dated findings below.

We do not have a routine inspection summary for this home. Check the dated findings below and the Medicare.gov record.

How this home compares

Compared with state and national averages. The numbers may cover different periods.

  • Overall CMS rating: 1 stars
  • Health inspection rating: 1 stars
  • Staffing rating: 1 stars
  • Registered nurse time per resident: 0.29 hours/day
  • Total nurse time per resident: 3.38 hours/day
See the dates used for these averages

Medicare file dates: this home Aug 1, 2026; North Carolina averages Unavailable; U.S. averages Oct 1, 2026.

Other concerns in the records

These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.

  • Medicare shows an abuse warning icon for this home
  • Overall star rating is 2 or lower
  • Health inspection rating is 2 stars or lower
  • Inspectors have listed an unusually high number of problems
  • CMS has fined this home in the recent reporting period

How serious were the problems?

Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.

  • Immediate danger to residents2 citations
  • Caused actual harm1 citation
  • Could have caused harm29 citations
  • Low risk of harm3 citations

Why inspectors showed up

Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.

Complaints
0
Routine
35
Fire safety
0
Other
0

Who owns it

Names CMS lists as owners or managers · reported as For profit - Corporation.

  • We do not have individual owner names for this home.

Inspection history

Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.

August 13, 20254 findings
  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0755 · code D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • Nutrition and Dietary problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0812 · code F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0627 · code D

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

  • Environmental problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0908 · code D

    Keep all essential equipment working safely.

May 23, 202515 findings
  • Pharmacy Service problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0759 · code E

    Ensure medication error rates are not 5 percent or greater.

  • Pharmacy Service problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0760 · code E

    Ensure that residents are free from significant medication errors.

  • Nutrition and Dietary problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0812 · code E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • Freedom from Abuse, Neglect, and Exploitation problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0600 · code D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0656 · code D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0684 · code D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0689 · code D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0761 · code D

    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.

  • Nutrition and Dietary problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0805 · code D

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

  • Resident Rights problems
    Low risk of harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0628 · code B

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0558 · code D

    Reasonably accommodate the needs and preferences of each resident.

  • Resident Assessment and Care Planning problems
    Low risk of harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0641 · code B

    Ensure each resident receives an accurate assessment.

  • Nutrition and Dietary problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0802 · code F

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

  • Nutrition and Dietary problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0809 · code F

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

  • Nutrition and Dietary problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0814 · code F

    Dispose of garbage and refuse properly.

August 27, 20241 finding
  • Resident Assessment and Care Planning problems
    Low risk of harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0842 · code B

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

April 26, 20247 findings
  • Nutrition and Dietary problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0803 · code F

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

  • Freedom from Abuse, Neglect, and Exploitation problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0607 · code E

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  • Nutrition and Dietary problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0812 · code E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • Administration problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0867 · code E

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  • Freedom from Abuse, Neglect, and Exploitation problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0600 · code D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0745 · code D

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

  • Quality of Life and Care problems
    Caused actual harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0684 · code G

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

November 30, 20231 finding
  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0758 · code D

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is…

April 11, 20237 findings
  • Quality of Life and Care problems
    Immediate danger to residents · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0684 · code J

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • Resident Assessment and Care Planning problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0641 · code E

    Ensure each resident receives an accurate assessment.

  • Nutrition and Dietary problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0812 · code E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • Freedom from Abuse, Neglect, and Exploitation problems
    Immediate danger to residents · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0600 · code J

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0690 · code D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0757 · code D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

  • Administration problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0867 · code E

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Fines & penalties

These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.

  • Fine · Apr 26, 2024$14,945

Related topics

Questions about Lillington Health and Rehabilitation Center

What is Lillington Health and Rehabilitation Center's Medicare star rating?
As of August 1, 2026, Lillington Health and Rehabilitation Center in Lillington, North Carolina has an overall CMS rating of 1 out of 5 stars. Other CMS scores: health inspection 1 of 5, staffing 1 of 5, quality measures 4 of 5. These are CMS ratings based on inspection, staffing, and quality information, not consumer reviews.
Has Lillington Health and Rehabilitation Center been fined?
As of August 1, 2026, the imported penalty records list $14,945 in reported fines for Lillington Health and Rehabilitation Center. The individual penalty dates can differ from the Medicare file date; a listed fine does not establish that it was paid.
Does Lillington Health and Rehabilitation Center have a Medicare abuse warning?
Yes. Medicare Care Compare shows an abuse warning icon for Lillington Health and Rehabilitation Center in Lillington, North Carolina. CMS uses that icon after citations involving abuse, neglect, or exploitation.
How does Lillington Health and Rehabilitation Center compare with other nursing homes in North Carolina?
Its overall CMS rating is 1 out of 5. A rating comparison is withheld because a matching source date or a usable rating is missing. Use the North Carolina report card and dated inspection history for context; inspection totals alone are not a like-for-like performance comparison.

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