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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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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 21st out of 90 homes in North Carolina. 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 |
|---|---|---|
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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.
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4h 7m per day |
Occupancy lower than 85% suggests more openings may be available.
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, citation, 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
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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 nursing home (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 nursing home (3.4 vs. NC avg 4.6).↓ 26% better |
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Deficiencies per inspection
Average deficiencies per inspection.
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1.8 | 2.2 | This facility has 18% fewer deficiencies per inspection than a typical North Carolina nursing home (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 10% fewer total inspections than a typical North Carolina nursing home (19 vs. NC avg 21).↓ 10% better |
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Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
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14 | 19 | This facility has 26% fewer inspections with deficiencies than a typical North Carolina nursing home (14 vs. NC avg 19).↓ 26% better |
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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 nursing home (74% vs. NC avg 90%).↓ 16% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on July 15, 2025, identified deficiencies related to unclear medication orders and failure to report an allegation of physical abuse to the Health Care Personnel Registry. Earlier inspections showed a mixed pattern of issues, including problems with therapeutic diet menus and food consistency, medication documentation, and multiple building and safety code deficiencies. The main themes across reports involved medication management, reporting requirements, dietary compliance, and physical plant safety concerns. Complaint investigations were conducted, with the most recent involving an unsubstantiated allegation of staff slapping a resident, though the facility did not complete required reporting. The inspection history shows ongoing challenges in regulatory compliance with some corrections noted, but recent findings indicate areas needing continued attention.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNorth 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 average
North Carolina average: 1.3
100% better than North Carolina average
North Carolina average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
20% worse 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.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hours
No contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
No contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
No contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
0 contractor hours this quarter
No contractor roles were reported this quarter.
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 average
North 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 average
North 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 average
North Carolina average: 17.5%
Percent of long-stay residents whose ability to move independently worsened
11.2%
52% better than North Carolina average
North 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 average
North Carolina average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
6.0%
66% worse than North Carolina average
North Carolina average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
7.3%
16% worse than North Carolina average
North Carolina average: 6.3%
Percent of long-stay residents with a urinary tract infection
5.0%
89% worse than North Carolina average
North Carolina average: 2.6%
Percent of long-stay residents who lose too much weight
4.1%
45% better than North Carolina average
North Carolina average: 7.4%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than North Carolina average
North Carolina average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
7.4%
45% better than North Carolina average
North Carolina average: 13.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than North Carolina average
North Carolina average: 91.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than North Carolina average
North Carolina average: 94.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.6%
23% better than North Carolina average
North Carolina average: 79.9%
Percent of short-stay residents who newly received an antipsychotic medication
2.0%
32% worse than North Carolina average
North Carolina average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
82.3%
5% better than North Carolina average
North 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
55
Residents 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 based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #84 / 97Payroll — State benchmarkedThis home is ranked 84th out of 97 homes in North Carolina. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
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 information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.
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| The Rosewood Health Center – The Cypress of Raleigh |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Raleigh (North Raleigh) | 61 | 80.2% | +5% | 7.06 | +2% | +78% | $0 | 4 | 2.0 | - | 47 | - | 71 | The Cypress Of Raleigh LLC | $38.1M | $16.5M | 43.2% | 345546 | ||||
| College Pines Health and Rehabilitation Center |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Connelly Springs (Locust Street) | 104 | 88.6% | +16% | 3.98 | -11% | 0% | $16.8k | 4 | 2.0 | 2 | 92 | - | 6 | - | $15.2M | $7.7M | 50.8% | 345446 | ||||
| The Shaire Center |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Lenoir | 82 | 59.7% | -22% | 4.82 | -31% | +21% | $0 | 11 | 2.8 | - | 54 | - | 76 | Katherine Haire | $8.9M | $4.4M | 49.6% | 345483 | ||||
| Brookdale Carriage Club Providence |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
Charlotte (Olde Providence North) | 77 | 71.5% | -6% | 8.12 | +78% | +104% | $0 | 11 | 3.7 | - | 8 | A+ | 12 | Bkd Fm Holding Company LLC | $7.1M | $8.1M | 114.8% | 345482 | ||||
| Walnut Ridge |
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
Walnut Cove (Windmill Street) | 63 | 91.5% | +20% | 3.12 | -50% | -22% | $40.1k | 23 | 4.6 | 3 | 82 | A+ | 50 | Nita Davis | $12.9M | $3.9M | 29.9% | 345089 |
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 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.
Yes — there are 7 photos of The Shaire Center in the photo gallery on this page.
The Shaire Center is located at 1450 Shaire Center Drive Lenoir, NC 28645.
(828) 728-0878 will put you in contact with the team at The Shaire Center.
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