All states › North Carolina › Wilmington › Azalea Health & Rehab Center
3800 Independence Boulevard Wilmington, NC 28412 · New Hanover County
All 11 nursing homes in Wilmington, NC (10 take Medicaid)
CMS certification number 345557 · See this home on Medicare Care Compare
Is Azalea Health & Rehab 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 Azalea Health & Rehab Center as of October 2026.
CMS rates it 2 out of 5 stars overall, below the North Carolina average of 3.0.
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 3.59 hours per resident per day at Azalea Health & Rehab Center, about the same as the North Carolina median of 3.57 (US median: 3.72). About 0.72 of those hours are from registered nurses. On weekends it falls to 3.03 hours, 16% below its all-week average. Ask how weekends are staffed. 49.4% of nursing staff left within a year (North Carolina median 48.5%).
About this nursing home
Paying for care at Azalea Health & Rehab Center: Medicare and Medicaid
Azalea Health & Rehab 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 July 30, 2026 and found 3 deficiencies. In total, inspectors issued 26 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 26 citations at Azalea Health & Rehab Center across 5 inspection dates, 10 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on July 19, 2024 (complaint inspection). The most common areas cited were nutrition and dietary (6) and quality of life and care (5). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, July 19, 2024).
July 30, 2026 · 3 citations
EEnsure that residents are fully informed and understand their health status, care and treatments.
EHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
May 30, 2025 · 3 citations · includes complaint inspection
EEnsure that residents are free from significant medication errors.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
July 19, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
May 31, 2024 · 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.
April 2, 2024 · 17 citations · includes complaint inspection
FProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FDispose of garbage and refuse properly.
FAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
EGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
EProvide enough food/fluids to maintain a resident's health.
EHave 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.
EEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
EEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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.
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.
CPost nurse staffing information every day.
BEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
BEnsure each resident receives an accurate assessment.
Questions to ask on a tour of Azalea Health & Rehab Center
- Inspectors cited the home at the immediate-jeopardy level on July 19, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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
2 penalties in the last three years, including $24,470 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jul 19, 2024 | Fine | $16,452 |
| Apr 2, 2024 | Fine | $8,018 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 3/5 | 3/5 |
| August 2026 | 2/5 | 2/5 | 3/5 | 3/5 |
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Location
Hospitals near Azalea Health & Rehab Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 1.2 mi
-
1.8 mi
New Hanover Regional Medical Center WilmingtonEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 24m for patients treated and sent home
- 9.9 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Azalea Health & Rehab Center › All nursing homes in Wilmington ›
Compare Azalea Health & Rehab Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Cypress Pointe Rehabilitation Center · Wilmington · 5 stars · 2.2 mi
- Bradley Creek Health Center · Wilmington · 5 stars · 5.6 mi
- Brunswick Cove Nursing Center · Winnabow · 3 stars · 3.9 mi
Other Saber Healthcare Group nursing homes in North Carolina
- Autumn Care of Statesville · Statesville · 5 stars
- Autumn Care of Fayetteville · Fayetteville · 5 stars
- Autumn Care of Biscoe · Biscoe · 5 stars
- Autumn Care of Cornelius · Cornelius · 4 stars
- Autumn Care of Drexel · Morganton · 4 stars
- Davie Nursing and Rehabilitation Center · Mocksville · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 126 Saber Healthcare Group 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.