5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Calculator: See prices in your area
The Shaire Center is an 82-bed memory care and rehabilitation facility at 1450 Shaire Center Drive, Lenoir, Caldwell County, North Carolina. It accepts Medicaid and provides memory care unit, rehabilitation services, hospice services, discharge planning, and care planning. Voted Best Nursing Home 2025. 3-star state rating.
A substantiated complaint investigation in July 2025 revealed failure to report physical abuse. Staff A slapped Resident #2 after the resident pinched staff. The facility investigated and deemed the incident unsubstantiated but failed to complete required 24-hour initial allegation report and 5-day investigation report to the Health Care Personnel Registry. Medication order clarification also failed for two of five residents involving multivitamin starts, inhaler changes, incomplete insulin orders, and antifungal cream.
Therapeutic diet and medication management failures characterize The Shaire Center’s regulatory record. Over four years, the facility averaged 8.5 deficiencies annually, 63 percent above North Carolina’s 5.2-deficiency baseline. February 2024 annual survey documented failure to provide matching therapeutic diet menus for physician-ordered pureed diets and failure to ensure proper consistency; pureed foods contained small pieces and were not smooth, with staff using mechanical soft menu as guidance. March 2018 documented inaccurate medication administration records for controlled substances (Xanax, Ativan, Oxycodone, Tramadol, Guaifenesin cough syrup with codeine) showing significant discrepancies between controlled drug logs and MAR, and missing physician order for assist bed rails used as restraints for a resident with fall history.
Fire safety infrastructure failures recur across construction surveys. July 2018 construction survey identified 19 deficiencies spanning special magnetic locking exits failing to unlock on emergency release activation, missing bathroom hand grips, corridor obstructions, improperly stored oxygen cylinders, missing fire suppression and extinguisher inspection documentation, non-functional emergency lights and exit signs, compromised fire-rated walls and ceilings, non-latching corridor doors, exposed sharp edges on hold-open devices, and non-functioning exhaust ventilation. August 2016 construction survey documented missing current sanitation and fire safety inspection reports, unsecured oxygen cylinders, algae growth in ice machine drain, missing fire rehearsal records, special locking doors not unlocking on fire alarm, and compromised fire-resistant construction. February 2024 follow-up construction survey confirmed all prior corrections completed with no further action required.
No fines or license suspensions appear in the record.
Families should ask about corrections for the July 2025 failure to report physical abuse, medication order and physician communication protocols, therapeutic diets, and fire safety.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 23rd out of 97 homes in North Carolina for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 47m per day | ▲ 27% State avg: 37m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 5m per day | ▲ 23% State avg: 53m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 50m per day | ▲ 22% State avg: 2h 19m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 57m per day | ▲ 15% State avg: 3h 26m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 77% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 27m per day | ▲ 13% State avg: 24m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
In North Carolina, the Department of Health and Human Services, Division of Health Service Regulation conducts unannounced surveys to ensure nursing and adult care homes meet safety standards.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the North Carolina state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 34 | 46 | This facility has 26% fewer total deficiencies than a typical North Carolina assisted living residence (34 vs. NC avg 46).↓ 26% better |
|
Deficiencies per year
Average deficiencies per year since 2016.
| 3.4 | 4.6 | This facility has 26% fewer deficiencies per year than a typical North Carolina assisted living residence (3.4 vs. NC avg 4.6).↓ 26% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.8 | 2.2 | This facility has 18% fewer deficiencies per inspection than a typical North Carolina assisted living residence (1.8 vs. NC avg 2.2).↓ 18% better |
Inspections
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 19 | 21 | This facility has had 10% fewer total inspections than the North Carolina average (19 vs. NC avg 21). More inspections can mean more regulatory scrutiny rather than worse care.↓ 10% fewer |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
| 14 | 19 | This facility has 26% fewer inspections with deficiencies than a typical North Carolina assisted living residence (14 vs. NC avg 19).↓ 26% better |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 74% | 90% | This facility has 16 percentage points lower inspection deficiency rate than a typical North Carolina assisted living residence (74% vs. NC avg 90%).↓ 16% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
North Carolina average 4
Last Health inspection on Aug 2025
North Carolina average 20.9
North Carolina average 4.99
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
10 of 11 citations resulted from standard inspections; and 1 of 11 resulted from complaint investigations.
100% better than North Carolina averageNorth Carolina average: 1.3
100% better than North Carolina averageNorth Carolina average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
20% fewer staff per resident than North Carolina average
0% compared with North Carolina average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 5 RN Staff are full-time employees. No contractors work on this role.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursAssists with medical care and medications.
All 13 LPN Staff are full-time employees. No contractors work on this role.
13
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursHelps with daily care and mobility.
All 39 CNA Staff are full-time employees. No contractors work on this role.
39
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 39 | 0 | 39 | 12,770 | 92 | 100% | 8.1 |
| Licensed Practical Nurse | 13 | 0 | 13 | 4,905 | 92 | 100% | 9 |
| Registered Nurse | 5 | 0 | 5 | 2,283 | 92 | 100% | 9.5 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,399 | 76 | 83% | 7.3 |
| Physical Therapy Aide | 3 | 0 | 3 | 1,271 | 67 | 73% | 7.3 |
| Administrator | 2 | 0 | 2 | 1,056 | 66 | 72% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 860 | 68 | 74% | 6.8 |
| Dietitian | 1 | 0 | 1 | 447 | 59 | 64% | 7.6 |
| Physical Therapy Assistant | 3 | 0 | 3 | 447 | 73 | 79% | 4.3 |
| Nurse Practitioner | 2 | 0 | 2 | 348 | 45 | 49% | 7.7 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 90 | 44 | 48% | 1.9 |
| Qualified Social Worker | 2 | 0 | 2 | 27 | 18 | 20% | 1.5 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.0
13% better than North Carolina averageNorth Carolina average: 11.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.2
17% better than North Carolina averageNorth Carolina average: 20.6
Percent of long-stay residents whose need for help with daily activities has increased
21.1%
20% worse than North Carolina averageNorth Carolina average: 17.5%
Percent of long-stay residents whose ability to move independently worsened
11.2%
52% better than North Carolina averageNorth Carolina average: 23.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.2%
10% better than North Carolina averageNorth Carolina average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
6.0%
66% worse than North Carolina averageNorth Carolina average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
7.3%
16% worse than North Carolina averageNorth Carolina average: 6.3%
Percent of long-stay residents with a urinary tract infection
5.0%
89% worse than North Carolina averageNorth Carolina average: 2.6%
Percent of long-stay residents who lose too much weight
4.1%
45% better than North Carolina averageNorth Carolina average: 7.4%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than North Carolina averageNorth Carolina average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
7.4%
45% better than North Carolina averageNorth Carolina average: 13.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than North Carolina averageNorth Carolina average: 91.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than North Carolina averageNorth Carolina average: 94.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
23% better than North Carolina averageNorth Carolina average: 79.9%
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
32% worse than North Carolina averageNorth Carolina average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
82.3%
5% better than North Carolina averageNorth Carolina average: 78.1%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
93% of new residents, usually for short-term rehab.
6% of new residents, often for short stays.
1% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
55Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for The Shaire Center from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #92 / 104Payroll — State benchmarkedThis home is ranked 92nd out of 104 homes in North Carolina for Payroll. Shows total annual staff payroll benchmarked to the North Carolina average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in North Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #27 / 104Payroll % — State benchmarkedThis home is ranked 27th out of 104 homes in North Carolina for Payroll %. Shows payroll as a percentage of revenue versus the North Carolina average. Well-run North Carolina facilities typically land around 49–62% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in North Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (93% of admissions), and a typical Medicare stay runs around 12 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Lenoir's city center to The Shaire Center's address, calculated via Google Maps.
Add your location
The Shaire Center is located in Lenoir, North Carolina.
Here are the financial assistance programs available to residents in North Carolina.
The Shaire Center has a walk score of 76. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to NC state health department records, The Shaire Center's license number is HAL-014-004.
The Shaire Center's occupancy is 59.7%.
No, The Shaire Center has a no-pet policy.
The Shaire Center is registered as a for-profit in NC.
The Shaire Center received a 3-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
The Shaire Center has 82 beds.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
