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Caswell House is a 100-bed assisted living and special care unit facility at 535 US Highway 158 West, Yanceyville, Caswell County, North Carolina. Current occupancy is 46 percent (46 of 100 licensed beds), indicating declining demand.
Serious resident care failures, medication administration errors, and critical fire safety infrastructure failures define Caswell House’s regulatory record. Over nine years, the facility averaged 20 deficiencies annually, 285 percent above North Carolina’s 5.2-deficiency benchmark. October 2025 annual survey documented 15 deficiencies spanning physical plant deterioration, fire safety system malfunctions, and systemic clinical care failures. Building conditions showed buckled and torn flooring, walls with black marks and missing paint, poor furnishings, and hazardous fixtures.
Sprinkler and fire alarm systems were malfunctioning with failure to conduct fire watch. HVAC system broken since June 2025 created excessive heat in dining and activity rooms. Medication administration errors involved dementia, iron, pain, gout, and blood pressure medications; unsecured medications with unknown cream on sink edge; and expired controlled substance not destroyed timely. Healthcare referrals were not completed, therapeutic diets not served as ordered, and county DSS not notified of emergency hospitalizations.
Special care unit staff lacked required orientation and training.
A substantiated March 2023 complaint investigation identified serious resident safety failures. The facility failed to maintain a clean hazard-free environment, provide adequate supervision resulting in a resident fall with head injury requiring sutures, ensure immediate response to accidents, provide appropriate health care follow-up, maintain residents free of physical and mental abuse, administer medications as ordered, report injuries to the Health Care Personnel Registry within 24 hours, and notify county DSS of emergency medical evaluations.
Fire safety infrastructure failures persist across inspection cycles. April 2025 complaint follow-up documented fire sprinkler system intermittently out of service since August 2023 with fire watch in place, fire alarm system troubles, and electrical equipment non-functional. August 2025 construction survey found emergency override switch non-functional, no approved current fire and building safety inspection report, exit doors lacking sounding devices, persistent unpleasant odors, obstructed means of egress, and inadequate exhaust ventilation. Hot water supply measured at 90 degrees, below the required 100-116 degree range.
June 2024 annual survey documented staffing shortages across assisted living and special care units.
Families should ask about fire safety system repairs, infection controls, medication administration, special care unit staff training, county DSS emergency notification protocols, and staffing ratios.
Lower than the North Carolina average: 76.4%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
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 180 | 46 | This facility has 291% more total deficiencies than a typical North Carolina nursing home (180 vs. NC avg 46).↑ 291% worse |
|
Deficiencies per year
Average deficiencies per year since 2015.
| 16.4 | 4.2 | This facility has 290% more deficiencies per year than a typical North Carolina nursing home (16.4 vs. NC avg 4.2).↑ 290% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 4.7 | 2.2 | This facility has 114% more deficiencies per inspection than a typical North Carolina nursing home (4.7 vs. NC avg 2.2).↑ 114% worse |
Inspections
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 38 | 21 | This facility has 81% more total inspections than a typical North Carolina nursing home (38 vs. NC avg 21).↑ 81% worse |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
| 36 | 19 | This facility has 89% more inspections with deficiencies than a typical North Carolina nursing home (36 vs. NC avg 19).↑ 89% worse |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 95% | 90% | This facility has 5 percentage points higher inspection deficiency rate than a typical North Carolina nursing home (95% vs. NC avg 90%).↑ 5% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on October 3, 2025 identified multiple deficiencies including damaged flooring and walls, malfunctioning sprinkler and HVAC systems, medication administration errors, inadequate food supply, failure to conduct fire watch, and incomplete staff training for the special care unit. Earlier inspections showed recurring issues with fire safety equipment maintenance, building repairs, medication administration, staffing shortages, and therapeutic diet compliance. Complaint investigations noted substantiated concerns related to resident safety, medication errors, environmental hazards, and reporting failures, but enforcement actions such as fines or license suspensions were not listed in the available reports. The facility has had ongoing challenges with maintaining physical plant safety and resident care requirements over several years. Recent findings suggest that these issues have persisted or worsened rather than improved over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection Reports
1.7 miles from city center
Estimated distance in miles from Yanceyville's city center to Caswell House's address, calculated via Google Maps.
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Caswell House is located in Yanceyville, North Carolina.
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The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.
| Carol Woods |
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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. | Chapel Hill (Carol Woods) | 119 | 76.7% | 0% | 5.94 | +239% | +49% | $0 | 7 | 3.5 | - | 23 | A+ | 13 | The Chapel Hill Residential Retirement Center, Inc. | $46.7M | $18.0M | 38.5% | 345199 | ||||
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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 | ||||
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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.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Pineville (Lakeview Drive) | 106 | 68.3% | -11% | 3.96 | +39% | 0% | $116.0k | 45 | 9.0 | 3 | 84 | A+ | 25 | Ncnh Holdings LLC | $12.1M | $5.7M | 47% | 345415 | ||||
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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 | 100.0% | +31% | 3.12 | -50% | -22% | $40.1k | 23 | 4.6 | 3 | 63 | A+ | 50 | Nita Davis | $12.9M | $3.9M | 29.9% | 345089 |
According to NC state health department records, Caswell House's license number is HAL-017-054.
Caswell House's occupancy is 46%.
Caswell House 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.
Caswell House has 100 beds.
Yes — there are 2 photos of Caswell House in the photo gallery on this page.
Caswell House is located at 535 US Highway 158 West Yanceyville, NC 27379.
(336) 694-1555 will put you in contact with the team at Caswell House.
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