Nursing homeActive

Piedmont Hills Center for Nursing and Rehab

109 S Holden Road, Greensboro, NC 274073365225600126 certified beds · 122 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
7
since 2023
Deficiencies
52
6397
Penalties · 3 yrs
$217,827
5 fines · 1 action
Last survey
2026-02-27
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 1
Quality 1
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · North Carolina Division of Health Service Regulation · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-02-27Standard000CMS-2567 (Care Compare)
2025-10-23Complaint011CMS-2567 (Care Compare)
2025-06-11Complaint001CMS-2567 (Care Compare)
2025-02-10Complaint011CMS-2567 (Care Compare)
2024-12-05Standard290CMS-2567 (Care Compare)
2024-07-17Complaint022CMS-2567 (Care Compare)
2023-12-04Standard4262CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · North Carolina Division of Health Service Regulation publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-10-23Complaint survey · 2 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-11-24Record 345116-20251023-F684
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-24Record 345116-20251023-F580
2025-06-11Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-04-26Record 345116-20250611-F689
2025-02-10Complaint survey · 2 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-02-21Record 345116-20250210-F689
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-21Record 345116-20250210-F657
2024-12-05Standard survey · 11 deficienciesOfficial report
F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-10Record 345116-20241205-F553
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-10Record 345116-20241205-F600
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-10Record 345116-20241205-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-10Record 345116-20241205-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-21Record 345116-20241205-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-10Record 345116-20241205-F658
F687Provide appropriate foot care.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-10Record 345116-20241205-F687
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-10Record 345116-20241205-F695
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-10Record 345116-20241205-F806
F584Honor 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.Scope/severity BPaperwork
Dignity & rights
Pattern; potential for minimal harm.Corrected 2024-12-30Record 345116-20241205-F584
F638Assure that each resident’s assessment is updated at least once every 3 months.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2024-12-30Record 345116-20241205-F638
2024-07-17Complaint survey · 4 deficienciesOfficial report
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity KHarm
Staffing
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-08-01Record 345116-20240717-F726
F880Provide and implement an infection prevention and control program.Scope/severity KHarm
Infection control
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-08-01Record 345116-20240717-F880
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-01Record 345116-20240717-F609
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-01Record 345116-20240717-F761
2023-12-04Standard survey · 32 deficienciesOfficial report
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-01-01Record 345116-20231204-F690
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-01-01Record 345116-20231204-F697
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-04Record 345116-20231204-F550
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345116-20231204-F561
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345116-20231204-F578
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345116-20231204-F580
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345116-20231204-F582
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345116-20231204-F584
F585Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345116-20231204-F585
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345116-20231204-F602
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345116-20231204-F607
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345116-20231204-F641
F642Ensure a qualified health professional conducts resident assessments.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345116-20231204-F642
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345116-20231204-F657
F660Plan the resident's discharge to meet the resident's goals and needs.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345116-20231204-F660
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345116-20231204-F677
F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345116-20231204-F727
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345116-20231204-F756
F758Implement 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 limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345116-20231204-F758
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345116-20231204-F761
F791Provide or obtain dental services for each resident.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345116-20231204-F791
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345116-20231204-F806
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345116-20231204-F812
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345116-20231204-F867
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345116-20231204-F883
F914Provide bedrooms that don't allow residents to see each other when privacy is needed.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345116-20231204-F914
F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345116-20231204-F944
F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-01Record 345116-20231204-F947
F575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2024-01-01Record 345116-20231204-F575
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2024-01-01Record 345116-20231204-F636
F638Assure that each resident’s assessment is updated at least once every 3 months.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2024-01-01Record 345116-20231204-F638
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2024-01-01Record 345116-20231204-F732

Penalties & enforcement

DateActionAmountSource
2025-10-23Civil money penalty$50,505CMS · Penalties
2025-06-11Civil money penalty$17,345CMS · Penalties
2024-12-05Civil money penalty$18,086CMS · Penalties
2024-07-17Civil money penalty$35,105CMS · Penalties
2023-12-04Civil money penalty$96,786CMS · Penalties
2023-12-04Denial of payment for new admissions
Payment denial for 2 days, from 2024-01-02
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.25
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day3.24
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours3.05
Facility
North Carolina
National
North Carolina 3.40 · National 3.42
Total nursing staff turnover47%
Facility
North Carolina
National
North Carolina 49% · National 46%
Registered nurse turnover71%
Facility
North Carolina
National
North Carolina 46% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityNorth CarolinaNational
Percentage of long-stay residents with pressure ulcers
lower is better
6.3%5.5%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.2%3.5%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
13.2%14.0%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.9%2.3%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
25.1%15.6%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
3.9%7.2%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
26.9%21.3%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Alliance Health Group LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Reagan, Jennifer
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Alliance Health Group LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Coalition Group LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Emanuel, Yosef
Individual
CORPORATE OFFICERNOT APPLICABLE
Reagan, Jennifer
Individual
ADP OF THE SNFNOT APPLICABLE
Tejan-Sie, Sheikh
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Alliance Health Group12 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or North Carolina.

No county cost figures on file for Guilford.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Whitestone a Masonic and Eastern Star Community
Greensboro
0.5 mi2026-05-20051
Camden Health and Rehabilitation
Greensboro
2.4 mi2026-06-25050
Friends Homes at Guilford
Greensboro
2.8 mi2026-01-08020
Blumenthal Health and Rehabilitation Center
Greensboro
3.6 mi2026-05-067407
Greenhaven Health and Rehabilitation Center
Greensboro
3.8 mi2025-09-041193
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01