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Lenoir Health and Rehabilitation Center

All states › North Carolina › Lenoir › Lenoir Health and Rehabilitation Center

322 Nuway Circle Lenoir, NC 28645 · Caldwell County

(828) 758-7326

All 3 nursing homes in Lenoir, NC (3 take Medicaid)

Accepts Medicare Accepts Medicaid 120 certified beds For profit

CMS certification number 345138 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Lenoir Health and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Lenoir Health and Rehabilitation Center as of October 2026.

CMS rates it 1 out of 5 stars overall, below the North Carolina average of 3.0. Inspectors issued 35 citations in the last three years. CMS imposed 4 penalties, including $65,953 in fines, in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 4 out of 5.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.55 hours per resident per day at Lenoir Health and Rehabilitation Center, about the same as the North Carolina median of 3.57 (US median: 3.72). About 0.67 of those hours are from registered nurses. On weekends it falls to 2.88 hours, 19% below its all-week average. Ask how weekends are staffed. 69.6% of nursing staff left within a year (North Carolina median 48.5%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.

Nursing care per resident per day 3.55 hours
About the North Carolina median Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.67 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.88 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 69.6% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 85.7% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds120
Residents per day 113 About 94% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceFebruary 1977
Part of a chainLifeworks Rehab
Legal business nameLENOIR OPERATOR LLC

Paying for care at Lenoir Health and Rehabilitation Center: Medicare and Medicaid

Lenoir Health and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on November 24, 2025 and found 7 deficiencies, plus 7 from complaint inspections in the same period. In total, inspectors issued 35 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 35 citations at Lenoir Health and Rehabilitation Center across 8 inspection dates, 23 of them from complaint investigations. 3 were at the actual-harm level (G–I), most recently on February 5, 2026. The most common areas cited were resident rights (8) and quality of life and care (7). The most serious was cited under the CMS rule to "ensure that residents are free from significant medication errors" (tag F0760, level G, February 5, 2026). 5 citations were under CMS's abuse, neglect and exploitation rules.

February 5, 2026 · 3 citations · includes complaint inspection

GEnsure that residents are free from significant medication errors.

Actual harm · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Deficient, Provider has date of correction (Mar 2, 2026)

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Mar 2, 2026)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Complaint inspection · Deficient, Provider has date of correction (Mar 2, 2026)

November 24, 2025 · 11 citations · includes complaint inspection

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Dec 19, 2025)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Dec 19, 2025)

DEnsure that residents are fully informed and understand their health status, care and treatments.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0552 · Deficient, Provider has date of correction (Dec 19, 2025)

DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Dec 19, 2025)

DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Complaint inspection · Deficient, Provider has date of correction (Dec 19, 2025)

DAssess the resident when there is a significant change in condition

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0637 · Deficient, Provider has date of correction (Dec 19, 2025)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Dec 19, 2025)

DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0693 · Deficient, Provider has date of correction (Dec 19, 2025)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Complaint inspection · Deficient, Provider has date of correction (Dec 19, 2025)

DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Dec 19, 2025)

BPost nurse staffing information every day.

Potential for minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · No revisit needed (Dec 19, 2025)

July 8, 2025 · 3 citations, includes actual harm · includes complaint inspection

GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Jun 9, 2025)

EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0925 · Complaint inspection · Deficient, Provider has date of correction (Jul 29, 2025)

DEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Deficient, Provider has date of correction (Jul 29, 2025)

October 30, 2024 · 5 citations · includes complaint inspection

DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Nov 16, 2024)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Nov 16, 2024)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Nov 16, 2024)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Complaint inspection · Deficient, Provider has date of correction (Nov 16, 2024)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Deficient, Provider has date of correction (Nov 16, 2024)

August 8, 2024 · 6 citations · includes complaint inspection

FHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Deficient, Provider has date of correction (Nov 15, 2024)

EProtect each resident from the wrongful use of the resident's belongings or money.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 · Complaint inspection · Past Non-Compliance (Mar 15, 2024)

EProvide activities to meet all resident's needs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Deficient, Provider has date of correction (Oct 30, 2024)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Complaint inspection · Deficient, Provider has date of correction (Oct 30, 2024)

DReasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0558 · Complaint inspection · Deficient, Provider has date of correction (Oct 30, 2024)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Oct 30, 2024)

December 4, 2023 · 3 citations · includes complaint inspection

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Dec 28, 2023)

DSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Potential for more than minimal harm · Administration Deficiencies · Tag F0867 · Complaint inspection · Deficient, Provider has date of correction (Dec 28, 2023)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Dec 28, 2023)

October 5, 2023 · 1 citation, includes actual harm · includes complaint inspection

GHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Actual harm · Resident Rights Deficiencies · Tag F0550 · Complaint inspection · Deficient, Provider has date of correction (Dec 4, 2023)

April 19, 2023 · 3 citations

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (May 12, 2023)

DKeep residents' personal and medical records private and confidential.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0583 · Deficient, Provider has date of correction (May 12, 2023)

BImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0580 · Deficient, Provider has date of correction (May 12, 2023)

Questions to ask on a tour of Lenoir Health and Rehabilitation Center

  1. Inspectors cited the home at the actual-harm level on February 5, 2026 under the rule on pharmacy service. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on November 24, 2025. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Weekend staffing is 19% below the all-week average. Who is on duty on Saturday nights?
  5. Nursing staff turnover was 69.6% a year. How many of the staff come from agencies?
  6. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  7. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

4 penalties in the last three years, including $65,953 in fines.

DateTypeAmount or length
Feb 5, 2026 Fine $35,464
Jul 8, 2025 Fine $9,620
Aug 8, 2024 Fine $20,869
Aug 8, 2024 Payment Denial 8 days of payments denied

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 1/5 2/5 4/5
August 2026 1/5 1/5 1/5 4/5
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Location

Hospitals near Lenoir Health and Rehabilitation Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 2.3 mi
    Caldwell Memorial Hospital Lenoir
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 3h 25m for patients treated and sent home
  • 16.4 mi
    Grace Hospital INC Morganton
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 53m for patients treated and sent home
  • 16.6 mi
    Broughton Hospital Morganton
    No ER listed in Medicare data

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Hibriten Mountain Nursing and Rehabilitation Lenoir · 3.3 mi away ★★★☆☆ Inspection 2/5 · Staffing 2/5 100 beds · Medicaid
Shaire Nursing Center Lenoir · 6.1 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 60 beds · Medicaid
Hickory Falls Health and Rehabilitation Granite Falls · 11.1 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 120 beds · Medicaid
Autumn Care of Drexel Morganton · 13.2 mi away ★★★★☆ Inspection 3/5 · Staffing 2/5 100 beds · Medicaid
College Pines Health and Rehabilitation Connelly Springs · 13.7 mi away ★★★★★ Inspection 4/5 · Staffing 4/5 100 beds · Medicaid

More nursing homes near Lenoir Health and Rehabilitation Center ›   All nursing homes in Lenoir ›

Compare Lenoir Health and Rehabilitation Center with the 3 closest homes side by side ›

Higher-rated nursing homes within 10 miles

Other Lifeworks Rehab nursing homes in North Carolina

Affiliation comes from CMS's affiliated-entity data, October 2026. All 64 Lifeworks Rehab nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/north-carolina/lenoir/lenoir-health-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.