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The Oaks of Alamance is a 69-bed assisted living and memory care facility at 1670 Westbrook Avenue, Burlington, Alamance County, North Carolina, licensed HAL-001-134 (Active), offering 24-hour monitoring with personal care, home-cooked meals, medication administration, laundry, housekeeping, individual care plans, wellness programs, transportation assistance, physician availability, activities director, exercise programs, community outings, religious activities. Current occupancy is 43 of 69 beds (62 percent) as of April 2025, lower than North Carolina average of 76.4 percent. The facility does not accept Medicaid or Medicare and does not offer respite care or rehabilitation services. Overall rating is 2/5.
Occupancy remains at 62 percent, reflecting potential resident or family hesitation regarding compliance and safety. Burlington is located in Alamance County in the Piedmont region of North Carolina; Alamance Regional Medical Center is the primary nearby acute-care resource.
The facility’s regulatory record reflects severe and persistent deficiencies across medication administration, physical plant safety, and fire code compliance, with a rate of 14.6 deficiencies per year, 181 percent worse than North Carolina average of 5.2. Recent findings document critical safety gaps.
The April 16, 2025, annual and follow-up survey identified 8 current deficiencies: non-operable window lacking screen in resident room; hazardous substances accessible in Special Care Unit despite requirement for locked storage; 29 oxygen tanks unsecured (23 in room 122, 6 in room 207) creating explosion hazard; failure to implement physician-ordered compression stockings; therapeutic diet orders not followed; insulin medication not administered as ordered; over-the-counter medications unsecured in resident bathrooms; pre-admission screening documentation absent for Special Care Unit residents. The January 22, 2025, construction follow-up confirmed zero deficiencies.
Earlier 2024 and 2023 surveys documented persistent and systemic medication administration failures including untrained medication staff failing state examinations, unauthorized continued administration of discontinued medications, missing inhaler medications, medication documentation delays, and unsecured bedside medications without physician orders. The April 24, 2024, follow-up found 6 deficiencies related to medication staff training, absent PCP notification for abnormal blood pressures, failure to serve milk three times daily, and misaligned therapeutic diets for 3 of 5 residents. The April 18, 2024, construction follow-up found 9 serious deficiencies in physical plant conditions including unsafe premises with 8 tripping hazards from cables, kitchen hood fire suppression system lacking required inspections and maintenance since October 2023, fire-resistance corridor doors not closing or latching properly, electrical panel obstructions, and disabled sprinkler system maintenance.
The January 11, 2024, annual survey substantiated 10 additional deficiencies spanning medication administration, staff training requirements, infection control protocols, and unsafe medication storage practices. The December 14, 2023, construction survey documented 15 building and fire code violations including exit door locks not operable by single hand motion, inadequate smoke detection in Special Care Unit, compromised fire-resistance enclosures with unsealed gaps, fire doors blocked or held open by unapproved devices, improperly oriented evacuation diagrams, and non-functioning exhaust ventilation.
Earlier surveys from 2015 through 2022 established a pattern of recurring deficiencies in fire safety, sanitation inspection documentation, and medication administration spanning a decade. The February 25, 2022, annual survey identified 15 deficiencies including unlocked hazardous chemical closets accessible to residents, 10 unsecured oxygen tanks, improper hot water temperatures exceeding safe limits, and widespread failure to follow physician orders for dietary compliance.
No fines or license suspensions appear in the record.
Multiple medication administration failures, unsecured hazardous materials, oxygen tank storage hazards, and persistent fire safety code violations create serious placement risk.
Families should ask about medication staff certification, medication administration oversight, hazardous substance and oxygen tank security, fire safety systems, and corrections since April 2025.
The Oaks features one-level living with furnished rooms available.
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.
| 117 | 46 | This facility has 154% more total deficiencies than a typical North Carolina nursing home (117 vs. NC avg 46).↑ 154% worse |
|
Deficiencies per year
Average deficiencies per year since 2015.
| 10.6 | 4.2 | This facility has 152% more deficiencies per year than a typical North Carolina nursing home (10.6 vs. NC avg 4.2).↑ 152% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 4.5 | 2.2 | This facility has 105% more deficiencies per inspection than a typical North Carolina nursing home (4.5 vs. NC avg 2.2).↑ 105% worse |
Inspections
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 26 | 21 | This facility has 24% more total inspections than a typical North Carolina nursing home (26 vs. NC avg 21).↑ 24% worse |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
| 24 | 19 | This facility has 26% more inspections with deficiencies than a typical North Carolina nursing home (24 vs. NC avg 19).↑ 26% worse |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 92% | 90% | This facility has 2 percentage points higher inspection deficiency rate than a typical North Carolina nursing home (92% vs. NC avg 90%).↑ 2% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on April 16, 2025 found multiple deficiencies related to physical environment issues, medication administration, dietary compliance, and documentation for special care unit residents. Earlier inspections showed a recurring pattern of deficiencies in medication management, staff training, physical plant maintenance, and fire safety, with several follow-up surveys noting incomplete corrections. Inspectors cited issues such as unsecured medications, failure to implement physician orders, unsafe storage of hazardous substances and oxygen tanks, and ongoing physical plant hazards including fire safety equipment and building maintenance. Complaint investigations were not listed in the available reports. The inspection history indicates persistent challenges with medication administration and environmental safety, with some corrections noted but deficiencies continuing in recent surveys.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection Reports
0.1 miles from city center
Estimated distance in miles from Burlington's city center to The Oaks of Alamance's address, calculated via Google Maps.
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The Oaks of Alamance is located in Burlington, 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 |
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. | 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 | ||||
| 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 | ||||
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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.
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 | ||||
| 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 | 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 |
The Oaks of Alamance has a walk score of 72. 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 Oaks of Alamance's license number is HAL-001-134.
The Oaks of Alamance's occupancy is 62%.
The Oaks of Alamance received a 2-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 Oaks of Alamance has 69 beds.
Yes — there are 9 photos of The Oaks of Alamance in the photo gallery on this page.
The Oaks of Alamance is located at 1670 Westbrook Avenue Burlington, NC 27215.
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