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.
Set in 61 acres of beautifully landscaped grounds at Thomasville, NC, Piedmont Crossing is a charming senior living community that offers independent living, assisted living, and comprehensive continuing care services. A variety of beautifully designed cottages, villas, and apartments await residents, providing them a variety of options to choose their ideal residence. The community offers extensive services, including healthcare, memory care, and rehabilitation to ensure residents are provided compassionate care that meets their physical and safety needs.
With 24-hour emergency system and night security services, as well as access to continuum of care, residents can freely focus on continuing an active lifestyle, with plenty of activities and amenities to explore on-site. Explore your favorite hobbies or try something new with a wide array of activities, classes, and resident programs offered. A variety of dining options with menus developed to meet resident preferences and overseen by a registered dietician, is offered to ensure residents always have the energy to stay active and engaged.
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.
Data period: Q4 2025 (October 1 – December 31, 2025).
This nursing home is ranked 14th out of 81 nursing homes we track 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.
5h 59mStandout metric: Registered nurse (RN) is +76% above North Carolina average
1 of 6 metrics below North Carolina average
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. All 15 are the facility's own employees; no agency contractors work in this role.
15 staff · 9.5-hour shifts
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. All 22 are the facility's own employees; no agency contractors work in this role.
22 staff · 9.4-hour shifts
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. All 57 are the facility's own employees; no agency contractors work in this role.
57 staff · 8.1-hour shifts
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.
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.
RN + LPN + aide · Sat–Sun
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.
Sat–Sun
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
145
118 employees · 27 contractors · 55 on an average day
145 total staff / 87 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.67 : 1
↓ 5% · NC 1.76This facility: 1.67 staff per resident, 5% below the North Carolina average of 1.76 (among North Carolina facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
145 staff ÷ 87 residents
See full North Carolina ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.3 h
↑ 4% · NC 8 hThis facility: 8.3 h, 4% above the North Carolina average of 8 h (among North Carolina facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
42,172 staff hours this quarter
See full North Carolina ranking →93% of staff hours were worked by the facility's own employees
North Carolina average: 86.6% · Contractors this quarter: Speech Language Pathologist (8), Qualified Social Worker (5), Physical Therapy Aide (5), Respiratory Therapy Technician (4), Physical Therapy Assistant (3), Medical Director (1), Occupational Therapy Assistant (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
A mid-sized community that may balance personal attention with shared amenities and social activities.
104
Rank #29 / 78Bed count — State benchmarked This nursing home is ranked 29th out of 78 nursing homes we track 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #104 / 111Walk Score — State benchmarked This nursing home is ranked 104th out of 111 nursing homes we track 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #54 / 68Occupancy rate — State benchmarked This nursing home is ranked 54th out of 68 nursing homes we track in North Carolina for occupancy. Shows this facility's occupancy rate versus the North Carolina average, with its Statewide rank out of 68. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Based on residents per day and 104 beds.
Lower than the North Carolina average: 82.5%
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
Source: CMS Provider Information, average daily residents (data as of Aug 2026)
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.
100% corrected
3 of 3 citations corrected Latest inspection: Feb 14, 2025 · 2 citations, all corrected
Most cited category: Resident Rights, 2 of 3 citations · 2 categories in total
Corrected
Corrected
Corrected
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
1 of 3 citations resulted from standard inspections; and 2 of 3 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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 · Data as of Aug 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
How residents at this home fare on health outcomes and preventive care, compared with the North Carolina average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
3
/ 5
Average
↑ 3% · NC 2.9This facility: 3.0, 3% above the NC average of 2.9 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 75% · NC 2.9This facility: 5.0, 75% above the NC average of 2.9 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
12.4
Score · lower is better
↑ 25% · NC 9.9This facility: 12.4, 25% above the NC average of 9.9 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
24.6
Score · lower is better
↑ 36% · NC 18.2This facility: 24.6, 36% above the NC average of 18.2 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 7 better, 5 worse, 1 near NC average
8 short-stay measures: 5 better, 3 compared with US only
People who live at the home · 13 measures
Percent of long-stay residents whose need for help with daily activities has increased
30.0%
↑ 92% · NC 15.6This facility: 30.0, 92% above the NC average of 15.6 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
20.2%
↑ 10% · NC 18.3This facility: 20.2, 10% above the NC average of 18.3 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.7%
↑ 15% · NC 20.7This facility: 23.7, 15% above the NC average of 20.7 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
1.6%
↓ 30% · NC 2.3This facility: 1.6, 30% below the NC average of 2.3 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
↑ 24% · NC 3.5This facility: 4.4, 24% above the NC average of 3.5 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
2.6%
↓ 53% · NC 5.5This facility: 2.6, 53% below the NC average of 5.5 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
4.7%
↓ 35% · NC 7.2This facility: 4.7, 35% below the NC average of 7.2 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
2.2%
↓ 63% · NC 5.9This facility: 2.2, 63% below the NC average of 5.9 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
11.5%
↓ 18% · NC 14.0This facility: 11.5, 18% below the NC average of 14.0 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 9% · NC 92.0This facility: 100.0, 9% above the NC average of 92.0 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.7%
↓ 4% · NC 94.1This facility: 90.7, 4% below the NC average of 94.1 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
2.44
↑ 38% · NC 1.77This facility: 2.44, 38% above the NC average of 1.77 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.57
↓ 14% · NC 1.82This facility: 1.57, 14% below the NC average of 1.82 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Rehab and recovery after a hospital stay · 8 measures
Percentage of residents at or above expected ability to care for themselves at discharge.
70.2%
↑ 31% · US 53.7This facility: 70.2, 31% above the US average of 53.7 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
54.1%
↑ 7% · US 50.6This facility: 54.1, 7% above the US average of 50.6 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
1.5%
↑ 91% · US 0.8This facility: 1.5, 91% above the US average of 0.8 (among US facilities reporting a recent figure).
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · NC 1.4This facility: 0.0, 100% below the NC average of 1.4 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.9%
↑ 23% · NC 80.6This facility: 98.9, 23% above the NC average of 80.6 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.5%
↑ 22% · NC 78.1This facility: 95.5, 22% above the NC average of 78.1 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
17.4%
↓ 24% · NC 22.9This facility: 17.4, 24% below the NC average of 22.9 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
6.0%
↓ 55% · NC 13.2This facility: 6.0, 55% below the NC average of 13.2 (among NC facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
29% of new residents, usually for short-term rehab.
63% of new residents, often for short stays.
8% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)
Total residents
87Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Part of a Continuing Care Retirement Community offering multiple care levels
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 Piedmont Crossing from 2012–2024, based on CMS SNF Cost Reports. Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 09/2024.
Based on CMS SNF Cost Report for fiscal year ending in 09/2024.
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 #22 / 79Payroll costs — State benchmarked This nursing home is ranked 22nd out of 79 nursing homes we track in North Carolina. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the North Carolina average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
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 #18 / 79Payroll % of net patient revenue — State benchmarked This nursing home is ranked 18th out of 79 nursing homes we track in North Carolina. Shows payroll as a percentage of net patient revenue versus the North Carolina average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
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).
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (63% of admissions), and a typical private pay stay runs around 4 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
3.4 miles from city center
Estimated distance in miles from Thomasville's city center to Piedmont Crossing's address, calculated via Google Maps.
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Piedmont Crossing is located in Thomasville, North Carolina.
Here are the financial assistance programs available to residents in North Carolina.
Piedmont Crossing has a walk score of 4. Car-dependent. Most errands require a car, with limited nearby walkable options.
Piedmont Crossing's occupancy is 76.3%.
Yes, Piedmont Crossing allows residents to bring their pets.
Piedmont Crossing is registered as a non-profit.
Piedmont Crossing received a 5-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
Piedmont Crossing has 104 beds.
Yes — there are 6 photos of Piedmont Crossing in the photo gallery on this page.
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