Central Care
Nursing Home & Skilled Nursing · Mount Airy, NC
CMS overall rating Info 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.

Central Care

Nursing Home & Skilled Nursing · Mount Airy, NC
CMS overall rating Info 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.
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Central Care accepts Medicare, Medicaid, and private pay.

Overview of Central Care

Central Continuing Care is a skilled nursing facility located in Mt Airy, North Carolina. It has been family-owned and operated since 1991, providing high-quality care in a home-like environment. The facility is dedicated to ensuring the comfort and safety of its residents.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
Health Inspection Info 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.
Staffing Info 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.
Quality Measures Info 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.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to state averages

Total nursing care / resident Info 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.
3h 55m per day
Rank #52 / 97Nurse hours — State benchmarkedThis home is ranked 52nd out of 97 homes in North Carolina for Nurse Hours. Shows adjusted nurse hours per resident per day benchmarked to the North Carolina average, with a ranking across 97 North Carolina facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.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.
vs avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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. 27m per day
LPN / LVN Info 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. 48m per day
Nurse Aide Info 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 30m per day
Weekend Total Nursing Info 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 20m per day
Physical Therapist Info 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. 3m per day
Weekend RN Info 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. 18m per day

Capacity and availability

Avg. Length of Stay Info 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.
187 days
Bed community size
53-bed community Rank #290 / 389Bed count — State benchmarkedThis home is ranked 290th out of 389 homes in North Carolina for Bed Count. Shows this facility's certified or reported bed count compared to other North Carolina facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.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.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 74 / 100 Rank #14 / 573Walk Score — State benchmarkedThis home is ranked 14th out of 573 homes in North Carolina for Walk Score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across North Carolina facilities. Higher scores benefit residents, families, and staff.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.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate
59%
Rank #165 / 241Occupancy rate — State benchmarkedThis home is ranked 165th out of 241 homes in North Carolina for Occupancy. Shows this facility's occupancy rate versus the North Carolina average, with its Statewide rank out of 241. Higher occupancy signals strong local demand and financial stability.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.
Lower than the North Carolina average: 76.4%
Occupied beds
31 / 53
Average occupied beds in North Carolina homes 85 beds

License Details

StatusActive
CountySurry
License NumberHAL-086-001

Staffing & Medical

1 service
24-Hour Staffing

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Skilled Nursing Services
Certified Nursing Assistants
Lpns
Rns
Dietary Department
Housekeeping
Laundry
Activities Department
Social Workers
Maintenance Staff

Performance summary

Key indicators of commitment to quality care and safety.

Ratings

Overall Rating
3 / 5

health inspections, staffing, and quality measures

Division Of Health Service Rating
3/4

Scores

DHSR Score
96.00 / 200

Quality score (0-200). Higher scores indicate better performance in inspections and compliance.

Contact Central Care

Inspection History

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.

Since 2015 · 11 years of data 110 deficiencies 39 inspections 0 penalties 35 inspections with deficiencies

Inspection Scorecard Info 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.

Since 2015 vs. North Carolina state average
Overall vs. NC average 4 Worse Metrics worse than North Carolina average:
• Total deficiencies (139% above)
• Deficiencies per year (138% above)
• Deficiencies per inspection (27% above)
• Inspections with deficiencies (84% above)
1 At Avg Metrics at North Carolina average:
• Inspection deficiency rate (at NC avg)
0 Better No metrics in this bucket.
Latest Inspection March 26, 2025 Complaint Investigation

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityNC Averagevs. NC Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 11046 This facility has 139% more total deficiencies than a typical North Carolina assisted living residence (110 vs. NC avg 46).↑ 139% worse
Deficiencies per year Info Average deficiencies per year since 2015. 104.2 This facility has 138% more deficiencies per year than a typical North Carolina assisted living residence (10 vs. NC avg 4.2).↑ 138% worse
Deficiencies per inspection Info Average deficiencies per inspection. 2.82.2 This facility has 27% more deficiencies per inspection than a typical North Carolina assisted living residence (2.8 vs. NC avg 2.2).↑ 27% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityNC Averagevs. NC Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 3921 This facility has had 86% more total inspections than the North Carolina average (39 vs. NC avg 21). More inspections can mean more regulatory scrutiny rather than worse care.↑ 86% more
Inspections with deficiencies Info Inspections that resulted in at least one regulatory deficiency. 3519 This facility has 84% more inspections with deficiencies than a typical North Carolina assisted living residence (35 vs. NC avg 19).↑ 84% worse
Inspection deficiency rate Info Percentage of inspections that resulted in at least one deficiency. 90%90% This facility has inspection deficiency rate in line with the North Carolina average (90 vs. NC avg 90).— At avg

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The most recent inspection on March 26, 2025 found no deficiencies and unsubstantiated complaints regarding plumbing fixture operability.
  • The November 14, 2024 follow-up survey cited four deficiencies including damaged window blinds, lack of comfortable chairs, insufficient aide staffing hours for half the shifts sampled, and incomplete infection control training.
  • Deficiencies have consistently involved physical environment issues, staffing shortfalls, and infection control training failures from 2023 through 2024, showing a pattern of recurring problems despite follow-up surveys.

Health Inspection History

Inspections since 2022
Total health inspections 3

State average N/A


Last Health inspection on Jan 2025

Total health citations
25 Rank #76 / 101Health citations — State benchmarkedThis home is ranked 76th out of 101 homes in North Carolina for Health Citations. Shows this facility's total health deficiency citations benchmarked to the North Carolina State average, with a ranking across all 101 NC facilities. Lower citation counts earn a better rank.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.

State average N/A

Citations per inspection
8.33 Rank #94 / 101Citations per inspection — State benchmarkedThis home is ranked 94th out of 101 homes in North Carolina for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the North Carolina mean across 101 facilities with citation data. Lower is better.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.

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

23 of 25 citations resulted from standard inspections; and 2 of 25 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 4 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
1
In line with State average

State average: N/A

0 critical citations State average: N/A

1 serious citation State average: N/A

21 moderate citations State average: N/A

3 minor citations State average: N/A
Citations history (last 4 years)
Quality of Care moderate citation Jan 09, 2025
Corrected

Resident Rights minor citation Jan 09, 2025
Corrected

Administration moderate citation Nov 16, 2023
Corrected

Administration moderate citation Nov 16, 2023
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 133
Employees 128
Contractors 5
Staff to resident ratio 1.48 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 55
Average shift 7.4 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 37,212

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 15 total: 14 full-time employees and 1 contractor. 15
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 20 LPN Staff are full-time employees. No contractors work on this role. 20
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 62 CNA Staff are full-time employees. No contractors work on this role. 62
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.2 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

0.6%

221 contractor hours this quarter

Medical Director: 1 Occupational Therapy Assistant: 1 Registered Nurse: 1 Occupational Therapy Aide: 1 Feeding Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant6206217,49692100%7.2
Licensed Practical Nurse200205,88992100%8.4
Medication Aide/Technician130134,4679199%7.6
Registered Nurse141152,97992100%7.4
RN Director of Nursing2021,1116773%9.2
Speech Language Pathologist5059818390%6.6
Dietitian1015236672%7.9
Other Dietary Services Staff1015216874%7.7
Nurse Practitioner1015126470%8
Clinical Nurse Specialist2025036166%8
Qualified Social Worker1014766065%7.9
Physical Therapy Assistant2024456368%5.6
Mental Health Service Worker1013924953%8
Respiratory Therapy Technician2023685155%7.1
Administrator1013444347%8
Occupational Therapy Aide011811718%4.8
Occupational Therapy Assistant011563841%1.5
Medical Director011521314%4
Feeding Assistant011181516%1.2
62 Certified Nursing Assistant
% of Days 100%
20 Licensed Practical Nurse
% of Days 100%
13 Medication Aide/Technician
% of Days 99%
15 Registered Nurse
% of Days 100%
2 RN Director of Nursing
% of Days 73%
5 Speech Language Pathologist
% of Days 90%
1 Dietitian
% of Days 72%
1 Other Dietary Services Staff
% of Days 74%
1 Nurse Practitioner
% of Days 70%
2 Clinical Nurse Specialist
% of Days 66%
1 Qualified Social Worker
% of Days 65%
2 Physical Therapy Assistant
% of Days 68%
1 Mental Health Service Worker
% of Days 53%
2 Respiratory Therapy Technician
% of Days 55%
1 Administrator
% of Days 47%
1 Occupational Therapy Aide
% of Days 18%
1 Occupational Therapy Assistant
% of Days 41%
1 Medical Director
% of Days 14%
1 Feeding Assistant
% of Days 16%

Penalties and fines

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.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 7.4
36% better than State average

State average: 11.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 15.0
27% better than State average

State average: 20.6

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 11.9%
32% better than State average

State average: 17.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 12.7%
45% better than State average

State average: 23.3%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 20.4%
5% better than State average

State average: 21.4%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.9%
75% better than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.9%
23% better than State average

State average: 6.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than State average

State average: 2.6%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.4%
13% better than State average

State average: 7.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.7%
85% better than State average

State average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 20.3%
51% worse than State average

State average: 13.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 50.5%
45% worse than State average

State average: 91.6%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 88.6%
6% worse than State average

State average: 94.1%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 52.8%
34% worse than State average

State average: 79.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 1.5%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 73.5%
6% worse than State average

State average: 78.1%

Breakdown by payment type

Medicare

36% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

37% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

28% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 90
Medicare
8
8.9% of residents
Medicaid
70
77.8% of residents
Private pay or other
12
13.3% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 09/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info 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."
$11.8M
Net patient income Info 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."
-$276.7K
For-profit Operated by a single business entity.
Net patient revenue Info 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."
$11.8M Rank #90 / 104Revenue — State benchmarkedThis home is ranked 90th out of 104 homes in North Carolina for Revenue. Shows this facility's annual revenue compared to the North Carolina average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.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.
Net patient income Info 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."
-$276.7K
Other income Info 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.
$91.4K
Payroll costs Info 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 #55 / 104Payroll — State benchmarkedThis home is ranked 55th 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.
$4.5M 38.2% of net patient revenue Info 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 #3 / 104Payroll % — State benchmarkedThis home is ranked 3rd 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.
Other operating costs Info 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).
$7.6M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$12.0M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under private pay (37% of admissions), and a typical private pay stay runs around 1 - 2 months.

Admissions
174 total

Coverage residents most often arrive under.

Medicare 36%
Private pay 37%
Medicaid 28%
Discharges
180 total

Coverage residents most often leave under.

Medicare 26%
Private pay 31%
Medicaid 44%

Places of interest near Central Care

Address 0.0 miles from city center Info Estimated distance in miles from Mount Airy's city center to Central Care's address, calculated via Google Maps.

Calculate Travel Distance to Central Care

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Frequently Asked Questions about Central Care

Is Central Care in a walkable area?

Central Care has a walk score of 74. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Central Care?

According to NC state health department records, Central Care's license number is HAL-086-001.

What is the occupancy rate at Central Care?

Central Care's occupancy is 59%.

Are pets allowed at Central Care?

No, Central Care has a no-pet policy.

Does Central Care operate as a for-profit or non-profit?

Central Care is registered as a for-profit in NC.

What is the overall rating for Central Care?

Central Care 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.

How many beds does Central Care have?

Central Care has 53 beds.

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