NC DHSR ACLS: Inspections, Ratings and Penalties

Listing of Facilities with Penalties

This is a listing of penalties that have been imposed for adult care home and family care home violations in accordance with G.S. § 131D-34 within the last 36 months. Click on the link to access the inspection report related to the penalty. For any penalty where there is no link, please send an email to [email protected] to obtain a copy of the inspection report.

Alamance County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Above and Beyond Family Care	FCL-001-177	8/6/2025	10A NCAC 13G .1004(a) Medication Administration	A2	$1,000.00	12/18/2025
Alvarado's Family Care	FCL-001-101	4/24/2024	10A NCAC 13G .0302 (b) Design And Construction	A2	$1,000.00	6/12/2024	Paid in Full
Cape Point Memory Care Unit	HAL-001-171	1/2/2025	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$12,000.00	6/10/2025	Paid in Full
Cape Point Memory Care Unit	HAL-001-171	1/2/2025	10A NCAC 13F .1304 Special Care Unit Building Requirements	A2	$4,000.00	6/10/2025	Paid in Full
Divine Supportive Homes	FCL-001-190	4/3/2024	10A NCAC 13G .0503(a) Medication Administration Competency Evaluati	Unabated B	$12,500.00	9/18/2024	Settlement Agreement
Easton Family Care Home	FCL-001-189	6/24/2024	10A NCAC 13G .0302 (b) Design And Construction	Unabated B	$9,300.00	1/10/2025	Not Paid - Referred to Controller's Office
Ephron Family Care Home (Closed)	FCL-001-178	4/12/2023	10A NCAC 13G .1004(a) Medication Administration	A2	$2,000.00	7/7/2023	Not Paid - Referred to Controller's Office
Homeplace of Burlington	HAL-001-141	8/2/2023	10A NCAC 13F .1004(a) Medication Administration	Unabated B	$16,000.00	1/31/2024	Paid in Full
Making Visions Come True Assisted Living Facility	HAL-001-0167	3/13/2025	10A NCAC 13F .1004(a) Medication Administration	A2	$4,000.00	7/25/2025	Appealed
We Care Family Care	FCL-001-113	7/6/2023	10A NCAC 13G .0403(a) Qualifications of Medication Staff	Unabated B	$3,900.00	1/31/2024	Paid in Full
We Care Family Care	FCL-001-113	9/13/2023	10A NCAC 13G .1004(a) Medication Administration	A2	$1,000.00	1/31/2024	Paid in Full

Beaufort County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Pantego Rest Home	HAL-007-025	2/1/2024	10A NCAC 13F .0902(b) Health Care	A1	$7,000.00	5/17/2024	Paid in Full

Bertie County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Virginia's Place	FCL-008-029	12/29/2022	10A NCAC 13G .0902(b) Health Care	A2	$1,000.00	6/16/2023	Paid in Full
Windsor House	HAL-008-034	1/5/2023	10A NCAC 13F .1004(a) Medication Administration	Unabated B	$11,300.00	6/16/2023	Settlement Agreement
Windsor House	HAL-008-034	2/16/2024	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$1,000.00	6/12/2024	Paid in Full
Winston Gardens	HAL-008-042	1/13/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$1,500.00	6/16/2023	Settlement Agreement
Winston Gardens	HAL-008-042	1/13/2023	10A NCAC 13F .0901(c) Personal Care and Supervision	A1	$14,000.00	6/16/2023	Settlement Agreement
Winston Gardens	HAL-008-042	1/13/2023	10A NCAC 13F .0902(b) Health Care	A1	$16,000.00	6/16/2023	Settlement Agreement
Winston Gardens	HAL-008-042	1/13/2023	10A NCAC 13F .1801(b) Infection Prevention & Control Policies & Pro	A2	$1,500.00	6/16/2023	Settlement Agreement
Winston Gardens	HAL-008-042	4/5/2023	10A NCAC 13F .1004(a) Medication Administration	Unabated B	$28,600.00	3/27/2024	Settlement Agreement

Bladen County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Oak Grove Family Care Home	FCL-009-028	3/27/2024	10A NCAC 13G .0601 (b)(2) Management And Other Staff	A2	$1,000.00	9/4/2024	Paid in Full
Oak Grove Family Care Home #2	FCL-009-017	1/11/2024	10A NCAC 13G .0909 Residents' Rights	A1	$1,000.00	9/4/2024	Paid in Full
Oak Grove Family Care Home #2	FCL-009-017	1/11/2024	10A NCAC 13G .1701 (a) Infection Prevention & Control Policies & Pro	A2	$500.00	9/4/2024	Paid in Full
Oak Grove Family Care Home #2	FCL-009-017	1/11/2024	10A NCAC 13G .1701 (b) Infection Prevention & Control Policies & Pro	A2	$500.00	9/4/2024	Paid in Full
West Bladen Assisted Living	HAL-009-025	7/26/2023	10A NCAC 13F .0904(c)(7) Nutrition And Food Service	A2	$4,000.00	5/10/2024	Settlement Agreement

Brunswick County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
TerraBella Southport	HAL-010-010	4/12/2023	10A NCAC 13F .0901(c) Personal Care and Supervision	A1	$7,000.00	8/2/2023	Paid in Full
TerraBella Southport	HAL-010-010	6/7/2024	10A NCAC 13F .0902(b) Health Care	A1	$14,000.00	9/18/2024	Paid in Full
TerraBella Southport	HAL-010-010	5/14/2025	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$7,000.00	11/7/2025	Paid in Full
TerraBella Southport	HAL-010-010	5/14/2025	10A NCAC 13F .0909 Resident Rights	A1	$12,000.00	11/7/2025	Paid in Full
TerraBella Southport	HAL-010-010	7/29/2025	10A NCAC 13F .0901(c) Personal Care and Supervision	A1	$14,000.00	11/7/2025	Paid in Full
The Landings of Oak Island	HAL-010-013	5/5/2023	10A NCAC 13F .1004(a) Medication Administration	A2	$1,000.00	1/31/2024	Settlement Agreement
The Landings of Oak Island	HAL-010-013	5/17/2023	10A NCAC 13F .1004(a) Medication Administration	A1	$4,000.00	1/31/2024	Settlement Agreement
The Landings of Oak Island	HAL-010-013	7/15/2024	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$3,500.00	6/10/2025	Settlement Agreement
The Landings of Oak Island	HAL-010-013	7/15/2024	10A NCAC 13F .1004(a) Medication Administration	A1	$5,250.00	6/10/2025	Settlement Agreement
The Landings of Oak Island	HAL-010-013	3/10/2025	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$10,500.00	9/10/2025	Settlement Agreement
The Landings of Oak Island	HAL-010-013	3/10/2025	10A NCAC 13F .0909 Resident Rights	A1	$14,000.00	9/10/2025	Settlement Agreement

Buncombe County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Brookdale Asheville Overlook	HAL-011-036	4/29/2024	10A NCAC 13F .1004(a) Medication Administration	A1	$6,000.00	9/18/2024	Paid in Full
Chunn's Cove Assisted Living	HAL-011-262	7/26/2023	10A NCAC 13F .0904(e)(4) Nutrition and Food Service	Unabated B	$12,900.00	11/21/2023	Settlement Agreement
Chunn's Cove Assisted Living	HAL-011-262	1/16/2024	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$9,000.00	7/31/2024	Settlement Agreement
Chunn's Cove Assisted Living	HAL-011-262	1/16/2024	10A NCAC 13F .0901(c) Personal Care and Supervision	A2	$3,000.00	7/31/2024	Settlement Agreement
Chunn's Cove Assisted Living	HAL-011-262	7/29/2024	10A NCAC 13F .0902(b) Health Care	A1	$10,500.00	3/21/2025	Appealed
Chunn's Cove Assisted Living	HAL-011-262	7/29/2024	10A NCAC 13F .0909 Resident Rights	A2	$14,000.00	3/21/2025	Appealed
Chunn's Cove Assisted Living	HAL-011-262	12/12/2024	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$12,000.00	3/21/2025	Appealed
Chunn's Cove Assisted Living	HAL-011-262	12/12/2024	10A NCAC 13F .0909 Resident Rights	A1	$12,000.00	3/21/2025	Appealed
Chunn's Cove Assisted Living	HAL-011-262	12/12/2024	10A NCAC 13F .1212 (h) Reporting Of Accidents And Incidents	A1	$12,000.00	3/21/2025	Appealed
Harmony at Reynolds Mountain	HAL-011-361	4/4/2024	10A NCAC 13F .0909 Resident Rights	A1	$7,000.00	9/18/2024	Settlement Agreement
Harmony at Reynolds Mountain	HAL-011-361	8/20/2024	10A NCAC 13F .0901(c) Personal Care and Supervision	A1	$15,000.00	3/21/2025	Settlement Agreement
Harmony at Reynolds Mountain	HAL-011-361	8/20/2024	10A NCAC 13F .0902(b) Health Care	A1	$15,000.00	3/21/2025	Settlement Agreement
Harmony at Reynolds Mountain	HAL-011-361	8/20/2024	10A NCAC 13F .0902(c)(3-4) Health Care	A2	$9,000.00	3/21/2025	Settlement Agreement
Harmony at Reynolds Mountain	HAL-011-361	8/20/2024	10A NCAC 13F .0904(e)(4) Nutrition and Food Service	A1	$15,000.00	3/21/2025	Settlement Agreement
Harmony at Reynolds Mountain	HAL-011-361	8/20/2024	10A NCAC 13F .1004(a) Medication Administration	A2	$9,000.00	3/21/2025	Settlement Agreement
Harmony at Reynolds Mountain	HAL-011-361	8/20/2024	G.S. § 131D-25 Implementation	Unabated A1	$15,000.00	3/21/2025	Settlement Agreement
Harmony at Reynolds Mountain	HAL-011-361	4/4/2024	10A NCAC 13F .0701 (b) Admission Of Residents	A1	$7,000.00	9/18/2024	Settlement Agreement
Harmony at Reynolds Mountain	HAL-011-361	4/4/2024	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$7,000.00	9/18/2024	Settlement Agreement
Harmony at Reynolds Mountain	HAL-011-361	4/4/2024	G.S. § 131D-25 Implementation	A1	$12,000.00	9/18/2024	Paid in Full
Richmond Hill Assisted Living #1	HAL-011-376	9/15/2023	10A NCAC 13F .1004(a) Medication Administration	A1	$18,000.00	3/27/2024	Settlement Agreement
Richmond Hill Assisted Living #1	HAL-011-376	5/7/2025	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$12,000.00	12/18/2025	Appealed
Richmond Hill Assisted Living #1	HAL-011-376	5/7/2025	10A NCAC 13F .0909 Resident Rights	A2	$12,000.00	12/18/2025	Appealed
Richmond Hill Assisted Living #4	HAL-011-373	8/31/2023	10A NCAC 13F .0902(b) Health Care	A2	$4,000.00	1/31/2024	Settlement Agreement
Richmond Hill Assisted Living #4	HAL-011-373	8/31/2023	10A NCAC 13F .1004(a) Medication Administration	A2	$4,000.00	1/31/2024	Settlement Agreement
Richmond Hill Assisted Living #5	HAL-011-372	2/22/2024	10A NCAC 13F .0909 Resident Rights	A1	$16,000.00	6/12/2024	Settlement Agreement
Richmond Hill Rest Home #2	HAL-011-375	10/6/2022	10A NCAC 13F .1004(a) Medication Administration	Unabated A2	$148,500.00	5/10/2024	Settlement Agreement
Soundview II #4	FCL-011-381	9/29/2024	10A NCAC 13G .0901(b) Personal Care and Supervision	A1	$3,500.00	6/10/2025	Paid in Full
Wilham Ridge	HAL-011-377	7/29/2024	10A NCAC 13F .0902(b) Health Care	A2	$22,200.00	1/10/2025	Settlement Agreement
Wilham Ridge	HAL-011-377	12/10/2024	10A NCAC 13F .0902(b) Health Care	Unabated B	$7,000.00	1/10/2025	Appealed
Wilham Ridge	HAL-011-377	5/9/2024	10A NCAC 13F .0403(a) Qualifications Of Medication Staff	A2	$7,000.00	9/18/2024	Paid in Full
Wilham Ridge	HAL-011-377	5/9/2024	10A NCAC 13F .0505 Training On Care Of Diabetic Resident	A2	$4,000.00	9/18/2024	Paid in Full
Wilham Ridge	HAL-011-377	5/9/2024	10A NCAC 13F .0602 (b) Management Of Facilities with a Capacity of	A1	$12,000.00	9/18/2024	Paid in Full
Wilham Ridge	HAL-011-377	5/9/2024	10A NCAC 13F .0902(b) Health Care	A2	$4,000.00	9/18/2024	Paid in Full
Wilham Ridge	HAL-011-377	5/9/2024	10A NCAC 13F .0909 Resident Rights	A2	$7,000.00	9/18/2024	Paid in Full
Wilham Ridge	HAL-011-377	5/9/2024	10A NCAC 13F .1004(a) Medication Administration	A2	$4,000.00	9/18/2024	Paid in Full
Wilham Ridge	HAL-011-377	7/12/2024	10A NCAC 13F .1004(a) Medication Administration	Unabated A2	$54,000.00	1/10/2025	Settlement Agreement
Windwood Assisted Living	HAL-011-296	10/20/2023	10A NCAC 13F .0902(b) Health Care	A1	$8,000.00	7/25/2025	Appealed
Windwood Assisted Living	HAL-011-296	10/20/2023	10A NCAC 13F .1004(a) Medication Administration	A1	$16,000.00	7/25/2025	Appealed
Windwood Assisted Living	HAL-011-296	10/20/2023	10A NCAC 13F .1004(g) Medication Administration	A2	$6,000.00	7/25/2025	Appealed

Burke County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Morganton Long Term Care, Southview Facility (closed)	HAL-012-007	9/23/2024	10A NCAC 13F .0602 Management Of Facilities WIth A Capacity Or	A1	$14,000.00	4/30/2025	Not Paid - Referred to Controller's Office
Morganton Long Term Care, Southview Facility (closed)	HAL-012-007	9/23/2024	10A NCAC 13F .0909 Resident Rights	A1	$14,000.00	4/30/2025	Not Paid - Referred to Controller's Office
Morganton Long Term Care, Southview Facility (closed)	HAL-012-007	9/23/2024	10A NCAC 13F .09607(d)(e)Staffing For Facilities With A Census Of 13	A2	$7,000.00	4/30/2025	Not Paid - Referred to Controller's Office
Morganton Long Term Care, Southview Facility (closed)	HAL-012-007	9/23/2024	10A NCAC 13F .1501(a) Use Of Physical Restraints And Alternatives	A2	$7,000.00	4/30/2025	Not Paid - Referred to Controller's Office

Cabarrus County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Amika Manors	FCL-013-056	7/11/2025	10A NCAC 13G .0316 (e) Fire Safety and Emergency Preparedness Plan	A2	$2,000.00	12/18/2025	Settlement Agreement
Amika Manors	FCL-013-056	7/11/2025	10A NCAC 13G .0902(b) Health Care	A1	$2,000.00	12/18/2025	Settlement Agreement

Carteret County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Carteret House	HAL-016-018	4/20/2023	10A NCAC 13F .0902(b) Health Care	A2	$4,000.00	8/2/2023	Paid in Full
Carteret House	HAL-016-018	10/23/2024	10A NCAC 13F .1004(a) Medication Administration	A2	$2,000.00	6/10/2025	Settlement Agreement

Caswell County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Beverly Rucker Family Care #7 (Closed)	FCL-017-036	7/31/2025	10A NCAC 13G .0315 (a)(5) Housekeeping and Furnishings	A1	$6,000.00	10/24/2025	Not Paid - Referred to Controller's Office
Beverly Rucker Family Care #7 (Closed)	FCL-017-036	7/31/2025	10A NCAC 13G .0601(a) Management and Other Staff	A1	$7,000.00	10/24/2025	Not Paid - Referred to Controller's Office
Beverly Rucker Family Care #7 (Closed)	FCL-017-036	7/31/2025	10A NCAC 13G .0909 Residents' Rights	A2	$2,000.00	10/24/2025	Not Paid - Referred to Controller's Office
Beverly Rucker Family Care #7 (Closed)	FCL-017-036	7/31/2025	10A NCAC 13G .1004 (i) Medication Administration	A1	$6,000.00	10/24/2025	Not Paid - Referred to Controller's Office
Beverly Rucker Family Care #7 (Closed)	FCL-017-036	7/31/2025	10A NCAC 13G .1004(a) Medication Administration	A2	$2,000.00	10/24/2025	Not Paid - Referred to Controller's Office
Beverly Rucker Family Care #8 (Closed)	FCL-017-037	7/31/2025	10A NCAC 13G .0312 (g) Outside Entrance And Exits	A2	$1,000.00	10/24/2025	Not Paid - Referred to Controller's Office
Beverly Rucker Family Care #8 (Closed)	FCL-017-037	7/31/2025	10A NCAC 13G .0315 (a)(5) Housekeeping and Furnishings	A1	$2,000.00	10/24/2025	Not Paid - Referred to Controller's Office
Beverly Rucker Family Care #8 (Closed)	FCL-017-037	7/31/2025	10A NCAC 13G .0601(a) Management and Other Staff	A1	$3,500.00	10/24/2025	Not Paid - Referred to Controller's Office
Beverly Rucker Family Care #8 (Closed)	FCL-017-037	7/31/2025	10A NCAC 13G .0902(b) Health Care	A2	$1,000.00	10/24/2025	Not Paid - Referred to Controller's Office
Beverly Rucker Family Care #8 (Closed)	FCL-017-037	7/31/2025	10A NCAC 13G .0903 (d) Licensed Health Professional Support	A2	$1,000.00	10/24/2025	Not Paid - Referred to Controller's Office
Caswell House	HAL-017-054	3/13/2023	10A NCAC 13F .0902(b) Health Care	A1	$7,000.00	7/7/2023	Settlement Agreement
Caswell House	HAL-017-054	6/8/2023	10A NCAC 13F .0902(b) Health Care	Unabated A1	$85,000.00	3/27/2024	Settlement Agreement
Caswell House	HAL-017-054	6/8/2023	10A NCAC 13F .1004(a) Medication Administration	Unabated B	$21,800.00	3/27/2024	Settlement Agreement
Caswell House	HAL-017-054	6/8/2023	10A NCAC 13F .1205 Health Care Personnel Registry	Unabated B	$21,800.00	3/27/2024	Settlement Agreement
Higher Standard Assisted Living	FCL-017-061	7/25/2023	10A NCAC 13G .1004(a) Medication Administration	Unabated B	$10,800.00	1/31/2024	Settlement Agreement
Higher Standard Assisted Living	FCL-017-061	1/26/2024	10A NCAC 13G .0904 (d-d) Nutrition And Food Service	A2	$500.00	6/12/2024	Paid in Full
Humphrey Family Care	FCL-017-052	1/24/2025	10A NCAC 13G .0909 Residents' Rights	Unabated B	$10,800.00	7/25/2025	Paid in Full
Taylor Family Care Home #2 (closed)	FCL-017-058	8/21/2023	10A NCAC 13G .0601 (b)(1) Management And Other Staff	A1	$4,000.00	1/31/2024	Not Paid - Referred to Controller's Office
Taylor Family Care Home #2 (closed)	FCL-017-058	8/21/2023	10A NCAC 13G .0601(a) Management and Other Staff	A1	$8,000.00	1/31/2024	Not Paid - Referred to Controller's Office
Taylor Family Care Home #2 (closed)	FCL-017-058	8/21/2023	10A NCAC 13G .0904 (c-7) Nutrition And Food Service	A1	$7,000.00	1/31/2024	Not Paid - Referred to Controller's Office
Taylor Family Care Home #2 (closed)	FCL-017-058	8/21/2023	10A NCAC 13G .1004(a) Medication Administration	A2	$3,500.00	1/31/2024	Not Paid - Referred to Controller's Office
Terry Care	FCL-017-009	9/12/2024	10A NCAC 13G .0902(b) Health Care	A2	$500.00	6/10/2025	Paid in Full

Cleveland County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Golden Years Rest Home	HAL-023-041	6/16/2025	10A NCAC 13F .0909 Resident Rights	A1	$4,000.00	12/18/2025	Settlement Agreement
TerraBella Shelby	HAL-023-048	7/13/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$4,000.00	3/27/2024	Paid in Full
TerraBella Shelby	HAL-023-048	1/10/2025	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$2,000.00	7/25/2025	Appealed
Golden Years Rest Home	HAL-023-041	6/16/2025	10A NCAC 13F .0305 (m) Physical Environment	A2	$2,000.00	12/18/2025	Settlement Agreement

Craven County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Croatan Village (Closed)	HAL-025-037	5/10/2024	10A NCAC 13F .0902(b) Health Care	A2	$10,500.00	9/18/2024	Paid in Full
The Gardens of Trent	HAL-025-035	1/6/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$1,000.00	7/7/2023	Paid in Full
The Gardens of Trent	HAL-025-035	6/16/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$4,000.00	5/10/2024	Paid in Full
The Gardens of Trent	HAL-025-035	4/15/2025	10A NCAC 13F .1004 (a) Medication Administration	A1	$6,000.00	11/7/2025	Appealed
The Indigo at New Bern	HAL-025-046	6/19/2025	10A NCAC 13F .0305 (h)(4) Physical Environment	A2	$2,000.00	11/7/2025	Paid in Full

Cumberland County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Cardinal Care of Hope Mills	HAL-026-069	2/1/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$1,000.00	7/7/2023	Paid in Full
McLeod Family Care Center of Fayetteville (Closed)	FCL-026-008	1/31/2024	10A NCAC 13G .0902(b) Health Care	A1	$3,500.00	5/17/2024	Not Paid - Referred to Controller's Office
Morning Star Special Care Unit	HAL-026-066	3/13/2024	10A NCAC 13F .0909 Resident Rights	A2	$750.00	6/12/2024	Paid in Full
TerraBella Fayetteville	HAL-026-068	12/20/2024	10A NCAC 13F .1004(a) Medication Administration	A1	$4,000.00	7/25/2025	Paid in Full
TerraBella Fayetteville	HAL-026-068	3/14/2025	10A NCAC 13F .1004(a) Medication Administration	Uabated A1	$57,000.00	9/10/2025	Paid in Full
TerraBella Fayetteville	HAL-026-068	3/14/2025	10A NCAC 13F .0902(b) Health Care	A2	$4,000.00	7/25/2025	Paid in Full
Valley Pines Adult Care Home	HAL-026-052	3/21/2025	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$1,000.00	7/25/2025	Paid in Full

Currituck County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Currituck House	HAL-027-003	7/20/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$7,000.00	5/17/2024	Appealed
Currituck House	HAL-027-003	7/20/2023	10A NCAC 13F .1004(a) Medication Administration	A2	$7,000.00	5/17/2024	Appealed
Currituck House	HAL-027-003	6/5/2025	10A NCAC 13F .1004 (a) Medication Administration	A2	$3,000.00	11/7/2025	Appealed

Davidson County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Brookdale Lexington	HAL-029-006	5/16/2025	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$1,000.00	9/10/2025	Paid in Full
Brookdale Lexington	HAL-029-006	5/16/2025	10A NCAC 13F .1004(a) Medication Administration	A2	$1,000.00	9/10/2025	Paid in Full

Davie County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
PS Senior Living of Mocksville	HAL-030-010	5/10/2023	10A NCAC 13F .1004(a) Medication Administration	A2	$2,000.00	8/2/2023	Paid in Full
PS Senior Living of Mocksville	HAL-030-010	9/15/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$2,000.00	3/27/2024	Paid in Full
PS Senior Living of Mocksville	HAL-030-010	9/15/2023	10A NCAC 13F .0902(b) Health Care	A2	$2,000.00	3/27/2024	Paid in Full

Duplin County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Wallace Gardens	HAL-031-016	1/9/2025	10A NCAC 13F .0901(c) Personal Care and Supervision	A1	$12,000.00	7/25/2025	Appealed

Durham County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Durham Ridge Assisted Living	HAL-032-091	2/1/2024	10A NCAC 13F .0902(b) Health Care	A2	$1,500.00	6/12/2024	Paid in Full
Durham Ridge Assisted Living	HAL-032-091	2/2/2024	10A NCAC 13F .0901(c) Personal Care and Supervision	A1	$13,500.00	6/12/2024	Paid in Full
Jones Family Home	FCL-032-096	1/31/2025	10A NCAC 13G .0601(a) Management and Other Staff	Unabated B	$9,400.00	7/25/2025	Settlement Agreement
Our Promise Care Homes	FCL-032-178	4/18/2023	10A NCAC 13G .0302 (b) Design And Construction	A2	$800.00	7/7/2023	Paid in Full
Pleasant Living Family Care (closed)	FCL-032-150	5/11/2023	10A NCAC 13G .0302 (b) Design And Construction	Unabated B	$5,400.00	9/27/2023	Not Paid - Referred to Controller's Office
Pleasant Living Family Care (Closed)	FCL-032-150	11/22/2023	10A NCAC 13G .0202 The License	A2	$1,000.00	4/30/2024	Not Paid - Referred to Controller's Office
Pleasant Living Family Care (Closed)	FCL-032-150	11/22/2023	10A NCAC 13G .0909 Residents' Rights	A2	$1,000.00	4/30/2024	Not Paid - Referred to Controller's Office
Seasons at Southpoint	HAL-032-109	9/29/2023	10A NCAC 13F .0901(c) Personal Care and Supervision	A1	$5,250.00	3/27/2024	Paid in Full
Seasons at Southpoint	HAL-032-109	3/21/2024	10A NCAC 13F .1004(a) Medication Administration	A2	$2,000.00	6/12/2024	Paid in Full
Seasons at Southpoint	HAL-032-109	7/11/2024	10A NCAC 13F .0909 Resident Rights	A2	$2,000.00	1/10/2025	Paid in Full
Seasons at Southpoint	HAL-032-109	1/17/2025	10A NCAC 13F .0901(a) Personal Care and Supervision	A2	$3,500.00	7/25/2025	Appealed
Seasons at Southpoint	HAL-032-109	1/17/2025	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$5,250.00	7/25/2025	Appealed
Seasons at Southpoint	HAL-032-109	1/17/2025	10A NCAC 13F .0902(b) Health Care	Unabated B	$26,550.00	7/25/2025	Appealed
Seasons at Southpoint	HAL-032-109	1/17/2025	10A NCAC 13F .1308(a) Special Care Unit Staff	A2	$3,500.00	7/25/2025	Appealed
Spring Valley Living at Oak Grove	FCL-032-144	7/2/2024	10A NCAC 13G .0503(a) Medication Administration Competency Evaluati	Unabated B	$7,300.00	1/10/2025	Paid in Full
The Enclave at Pinedale	FCL-032-184	2/13/2025	10A NCAC 13G .0901(b) Personal Care and Supervision	A1	$12,000.00	7/25/2025	Appealed
The Enclave at Pinedale	FCL-032-184	2/13/2025	10A NCAC 13G .0902(b) Health Care	A1	$12,000.00	7/25/2025	Appealed

Edgecombe County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
A Child's Hope Family Care Home (closed)	FCL-033-016	7/10/2024	10A NCAC 13G .0601 (b)(1) Management And Other Staff	A1	$2,000.00	1/10/2025	Not Paid - Referred to Controller's Office
A Child's Hope Family Care Home (closed)	FCL-033-016	7/10/2024	10A NCAC 13G .0705 (g) Discharge Of Residents	A1	$2,000.00	1/10/2025	Not Paid - Referred to Controller's Office
A Child's Hope Family Care Home (closed)	FCL-033-016	7/10/2024	10A NCAC 13G .0901(b) Personal Care and Supervision	A1	$2,000.00	1/10/2025	Not Paid - Referred to Controller's Office
A Child's Hope Family Care Home (closed)	FCL-033-016	7/10/2024	10A NCAC 13G .0902(b) Health Care	A2	$2,000.00	1/10/2025	Not Paid - Referred to Controller's Office
A Child's Hope Family Care Home (closed)	FCL-033-016	7/10/2024	10A NCAC 13G .0909 Residents' Rights	A1	$2,000.00	1/10/2025	Not Paid - Referred to Controller's Office
A Child's Hope Family Care Home (closed)	FCL-033-016	9/6/2024	10A NCAC 13G .0901(b) Personal Care and Supervision	Unabated A1	$15,500.00	1/10/2025	Not Paid - Referred to Controller's Office
A Child's Hope Family Care Home (closed)	FCL-033-016	9/6/2024	10A NCAC 13G .0906 (f)(1)-(4) Other Resident Services	A2	$2,000.00	1/10/2025	Not Paid - Referred to Controller's Office
Almarch Family Care	FCL-033-018	10/17/2024	10A NCAC 13G .0702 (e) Tuberculosis Test And Medical Examination	A2	$4,000.00	6/10/2025	Settlement Agreement
Almarch Family Care	FCL-033-018	7/11/2025	10A NCAC 13G .0403(a) Qualifications of Medication Staff	Unabated B	$6,000.00	12/18/2025	Settlement Agreement
Almarch Family Care	FCL-033-018	7/11/2025	10A NCAC 13G .1004(a) Medication Administration	Unabated B	$8,500.00	12/18/2025	Settlement Agreement
Guiding Star Health Care Two	FCL-033-014	9/19/2023	10A NCAC 13G .0705 (f) Discharge Of Residents	A2	$500.00	3/27/2024	Settlement Agreement
Guiding Star Health Care Two	FCL-033-014	9/19/2023	10A NCAC 13G .0901(b) Personal Care and Supervision	A1	$2,000.00	3/27/2024	Settlement Agreement
Guiding Star Health Care Two	FCL-033-014	9/19/2023	10A NCAC 13G .0906 (f)(1)-(4) Other Resident Services	A2	$500.00	3/27/2024	Settlement Agreement
Guiding Star Health Care Two	FCL-033-014	9/19/2023	10A NCAC 13G .0909 Residents' Rights	A1	$3,500.00	3/27/2024	Settlement Agreement
Guiding Star Health Care Two	FCL-033-014	9/19/2023	10A NCAC 13G .1004(a) Medication Administration	A2	$1,000.00	3/27/2024	Settlement Agreement
Guiding Star Health Care Two	FCL-033-014	11/8/2023	10A NCAC 13G .0906 (f)(1)-(4) Other Resident Services	Unabated A2	$6,375.00	5/17/2024	Paid in Full
The Bridges of Hendricks Creek	HAL-033-006	6/1/2023	10A NCAC 13F .1004(a) Medication Administration	A1	$2,000.00	11/21/2023	Paid in Full
The Bridges of Hendricks Creek	HAL-033-006	8/30/2023	10A NCAC 13F .1004(a) Medication Administration	A2	$4,000.00	5/10/2024	Paid in Full

Forsyth County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Shuler Health Care/Record Villa	HAL-034-108	5/24/2023	10A NCAC 13F .0902(b) Health Care	A2	$2,000.00	9/27/2023	Settlement Agreement
Shuler Health Care/Record Villa	HAL-034-108	5/24/2023	10A NCAC 13F .1004(a) Medication Administration	A2	$2,000.00	9/27/2023	Settlement Agreement
Shuler Health Care/Storey Villa	HAL-034-107	5/25/2023	10A NCAC 13F .1004(a) Medication Administration	Unabated A2	$60,187.50	3/27/2024	Settlement Agreement
Brighton Gardens of Winston-Salem	HAL-034-026	2/24/2025	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$2,000.00	11/7/2025	Paid in Full
Brighton Gardens of Winston-Salem	HAL-034-026	2/24/2025	10A NCAC 13F .0909 Resident Rights	A1	$2,000.00	11/7/2025	Paid in Full
Brighton Gardens of Winston-Salem	HAL-034-026	2/24/2025	10A NCAC 13F .1004 (a) Medication Administration	A2	$1,000.00	11/7/2025	Paid in Full
Forest Heights Senior Living Community (closed)	HAL-034-087	8/31/2023	10A NCAC 13F .1004(a) Medication Administration	Unabated B	$21,000.00	1/31/2024	Settlement Agreement
Grand Villa Assisted Living at Winston	HAL-034-116	8/23/2024	10A NCAC 13F .0901(c) Personal Care and Supervision	A1	$12,000.00	6/10/2025	Paid in Full
Grand Villa Assisted Living at Winston	HAL-034-116	8/23/2024	10A NCAC 13F .0902(b) Health Care	A2	$500.00	6/10/2025	Paid in Full
Grand Villa Assisted Living at Winston	HAL-034-116	8/23/2024	10A NCAC 13F .0904(e)(4) Nutrition and Food Service	A1	$13,500.00	6/10/2025	Paid in Full
Grand Villa Assisted Living at Winston	HAL-034-116	8/23/2024	10A NCAC 13F .1004(a) Medication Administration	A2	$500.00	6/10/2025	Paid in Full
Grand Villa Assisted Living at Winston (Formerly Salem Terrace Assisted Living and Memory Care)	HAL-034-116	5/3/2023	10A NCAC 13F .1004(a) Medication Administration	A2	$1,500.00	9/27/2023	Paid in Full
Harmony at Brookberry Farm	HAL-034-112	4/25/2024	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$16,000.00	9/4/2024	Settlement Agreement
Harmony at Brookberry Farm	HAL-034-112	7/11/2024	10A NCAC 13F .0902(b) Health Care	Unabated B	$5,700.00	1/10/2025	Settlement Agreement

Franklin County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Southern Living for Seniors of Louisburg, NC (closed)	HAL-035-031	10/12/2023	10A NCAC 13F .0901(a) Personal Care and Supervision	A1	$16,000.00	3/27/2024	Not Paid - Referred to Controller's Office
Southern Living for Seniors of Louisburg, NC (closed)	HAL-035-031	10/12/2023	10A NCAC 13F .0902(b) Health Care	A1	$16,000.00	3/27/2024	Not Paid - Referred to Controller's Office
Southern Living for Seniors of Louisburg, NC (closed)	HAL-035-031	10/12/2023	10A NCAC 13F .1004(a) Medication Administration	A1	$16,000.00	3/27/2024	Not Paid - Referred to Controller's Office

Gaston County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Brookdale Robinwood	HAL-036-015	1/5/2024	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$7,000.00	7/12/2024	Settlement Agreement
Brookdale Robinwood	HAL-036-015	1/5/2024	10A NCAC 13F .0901(c) Personal Care and Supervision	A1	$7,000.00	7/12/2024	Settlement Agreement
Brookdale Robinwood	HAL-036-015	1/5/2024	10A NCAC 13F .0902(b) Health Care	A1	$7,000.00	7/12/2024	Settlement Agreement
Magnolia Gardens (Closed)	HAL-036-036	3/23/2023	10A NCAC 13F .0904(e)(4) Nutrition and Food Service	Unabated Type B	$21,600.00	8/2/2023	Settlement Agreement
Somerset Court of Cherryville	HAL-036-034	4/9/2025	10A NCAC 13F .0702 (c) Discharge Of Residents	A1	$3,500.00	7/25/2025	Settlement Agreement
Terrace Ridge Assisted Living	HAL-036-023	3/13/2024	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$2,000.00	7/31/2024	Paid in Full
Wellington House	HAL-036-031	11/1/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$2,000.00	5/17/2024	Paid in Full
Wellington House	HAL-036-031	3/20/2025	10A NCAC 13F .0909 Resident Rights	A1	$3,500.00	7/25/2025	Settlement Agreement
Wellington House	HAL-036-031	3/20/2025	10A NCAC 13F .1205 Health Care Personnel Registry	A2	$2,000.00	7/25/2025	Settlement Agreement
Woodlawn Haven	HAL-036-006	1/17/2024	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$14,000.00	5/17/2024	Settlement Agreement
Woodlawn Haven	HAL-036-040	6/16/2024	10A NCAC 13F .0901(c) Personal Care and Supervision	A1	$12,000.00	6/10/2025	Appealed

Gates County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Gates House (closed)	HAL-037-001	2/10/2023	10A NCAC 13F .0902(b) Health Care	A2	$2,000.00	7/7/2023	Paid in Full
Gates House (closed)	HAL-037-001	2/10/2023	10A NCAC 13F .0904(e)(4) Nutrition and Food Service	A2	$1,000.00	7/7/2023	Paid in Full

Guilford County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Agape Care Family Homes #1	FCL-041-084	10/31/2024	10A NCAC 13G .0312(g) Outside Entrance And Exits	A2	$750.00	6/10/2025	Paid in Full
Agape Care Family Homes #1	FCL-041-084	10/31/2024	#REF!	A2	$750.00	6/10/2025	Paid in Full
Agape Care Family Homes #1	FCL-041-084	6/28/2023	10A NCAC 13G .0909 Residents' Rights	A1	$2,000.00	1/31/2024	Paid in Full
Agape Care Family Homes #2	FCL-041-085	6/26/2023	10A NCAC 13G .0909 Residents' Rights	A1	$2,000.00	1/31/2024	Paid in Full
Carriage House Senior Living Community (closed)	HAL-041-065	3/17/2023	10A NCAC 13F .1004(a) Medication Administration	A2	$4,000.00	7/7/2023	Paid in Full
Guilford Adult Care #1	FCL-041-012	7/24/2024	10A NCAC 13G .0315(a)(1) Housekeeping and Furnishings	A2	$500.00	1/10/2025	Paid in Full
Guilford Adult Care #1	FCL-041-012	7/24/2024	10A NCAC 13G .1004(a) Medication Administration	A2	$1,000.00	1/10/2025	Paid in Full
Harmony at Greensboro	HAL-041-086	11/17/2023	10A NCAC 13F .0902(b) Health Care	A2	$1,000.00	5/17/2024	Paid in Full
Harmony at Greensboro	HAL-041-086	1/31/2024	10A NCAC 13F .0901(c) Personal Care and Supervision	A1	$1,000.00	6/12/2024	Paid in Full
Harmony at Greensboro	HAL-041-086	1/31/2024	10A NCAC 13F .1211 (b) Written Policies And Procedures	A1	$2,000.00	6/12/2024	Paid in Full
Whitestone: A Masonic and Eastern Star Community	NH0141	12/30/2025	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$20,000.00	1/9/2026	Appealed

Halifax County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Carolina Rest Home	HAL-042-005	8/8/2024	10A NCAC 13F .0305(h)(4) Physical Environment	A2	$5,250.00	6/10/2025	Paid in Full
Carolina Rest Home	HAL-042-005	5/15/2025	10A NCAC 13F .0902(b) Health Care	A2	$7,000.00	11/7/2025	Settlement Agreement
Carolina Rest Home	HAL-042-005	5/15/2025	10A NCAC 13F .0909 Resident Rights	A2	$9,000.00	11/7/2025	Settlement Agreement
Scotland House	HAL-042-006	11/15/2024	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$500.00	6/10/2025	Settlement Agreement
Scotland House	HAL-042-006	11/15/2024	10A NCAC 13F .1004(a) Medication Administration	A2	$500.00	6/10/2025	Settlement Agreement

Harnett County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Cardinal Care of Dunn	HAL-043-034	5/29/2025	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$1,000.00	9/10/2025	Paid in Full
Oak Hill Living Center	HAL-043-015	5/30/2025	10A NCAC 13F .0305 (h)(4) Physical Environment	A1	$2,000.00	11/7/2025	Paid in Full
Senior Citizens Village	HAL-043-006	12/6/2024	10A NCAC 13F .0902(b) Health Care	A1	$4,000.00	7/25/2025	Paid in Full
Senior Citizens Village	HAL-043-006	3/12/2025	10A NCAC 13F .0902(b) Health Care	A1	$12,000.00	7/25/2025	Paid in Full

Haywood County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Haywood House	HAL-044-042	3/16/2023	10A NCAC 13F .0602 (b) Management Of Facilities with a Capacity of	A1	$12,000.00	6/16/2023	Settlement Agreement
Haywood House	HAL-044-042	3/16/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$7,000.00	6/16/2023	Settlement Agreement
Haywood House	HAL-044-042	3/16/2023	10A NCAC 13F .0901(c) Personal Care and Supervision	A2	$2,000.00	6/16/2023	Settlement Agreement
Haywood House	HAL-044-042	3/16/2023	10A NCAC 13F .0902(b) Health Care	A2	$2,000.00	6/16/2023	Settlement Agreement
Haywood House	HAL-044-042	3/16/2023	10A NCAC 13F .0909 Resident Rights	A1	$12,000.00	6/16/2023	Settlement Agreement
Haywood House	HAL-044-042	3/16/2023	10A NCAC 13F .1205 Health Care Personnel Registry	A2	$4,000.00	6/16/2023	Settlement Agreement
Haywood Lodge and Retirment Center	HAL-044-009	7/20/2023	10A NCAC 13F .0909 Resident Rights	A1	$2,000.00	11/21/2023	Paid in Full
McCracken Rest Home (Closed)	HAL-044-046	6/2/2023	10A NCAC 13F .0909 Resident Rights	A1	$7,000.00	9/27/2023	Not Paid - Referred to Controller's Office
McCracken Rest Home (Closed)	HAL-044-046	6/2/2023	10A NCAC 13F .1104(b) Accounting For Resident's Personal Funds	A1	$7,000.00	9/27/2023	Not Paid - Referred to Controller's Office
Spicewood Cottages Elms	HAL-044-039	10/20/2023	10A NCAC 13F .0909 Resident Rights	A1	$4,000.00	5/17/2024	Paid in Full
Spicewood Cottages Elms	HAL-044-039	10/20/2023	10A NCAC 13F .1205 Health Care Personnel Registry	A1	$4,000.00	5/17/2024	Paid in Full
Spicewood Cottages Willows	HAL-044-041	10/9/2024	10A NCAC 13F .0909 Resident Rights	A1	$4,000.00	6/10/2025	Paid in Full

Henderson County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
TerraBella Hendersonville	HAL-045-130	11/1/2023	10A NCAC 13F .0901(c) Personal Care and Supervision	A1	$7,000.00	5/17/2024	Paid in Full
Terrabella Hendersonville	HAL-045-130	3/25/2024	10A NCAC 13F .0902(b) Health Care	A2	$3,000.00	7/31/2024	Paid in Full
The Gardens of Hendersonville	HAL-045-129	4/21/2023	10A NCAC 13F .1004(a) Medication Administration	Unabated B	$21,000.00	4/30/2025	Settlement Agreement
Tore's Home #22	FCL-045-127	12/6/2023	10A NCAC 13G .0909 Residents' Rights	A1	$1,000.00	7/12/2024	Paid in Full
Henderson's Assisted Living	HAL-045-113	11/21/2024	10A NCAC 13F .1205 Health Care Personnel Registry	A2	$4,000.00	6/10/2025	Paid in Full
McCullough's Rest Home	HAL-045-005	10/6/2023	10A NCAC 13F .0909 Resident Rights	A1	$4,000.00	3/27/2024	Paid in Full
TerraBella Hendersonville	HAL-045-130	9/1/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$7,000.00	3/27/2024	Paid in Full

Hertford County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Ahoskie Assisted Living	HAL-046-020	1/19/2024	10A NCAC 13F .0902(b) Health Care	A1	$2,000.00	6/12/2024	Paid in Full
Weaver's Pineview Home	FCL-046-013	8/11/2023	10A NCAC 13G .0315(a)(5) Housekeeping and Furnishings	A2	$1,000.00	1/31/2024	Settlement Agreement
Weaver's Pineview Home	FCL-046-013	8/11/2023	10A NCAC 13G .0904(a)(2) Nutrition and Food Service	A2	$1,000.00	1/31/2024	Settlement Agreement
Weaver's Pineview Home	FCL-046-013	8/11/2023	10A NCAC 13G .0909 Residents' Rights	A1	$2,000.00	1/31/2024	Settlement Agreement
Weaver's Pineview Home	FCL-046-013	10/19/2023	10A NCAC 13G .1004(a) Medication Administration	A2	$2,000.00	1/31/2024	Settlement Agreement
Weaver's Pineview Home	FCL-046-013	12/4/2023	10A NCAC 13G .0904(a)(2) Nutrition and Food Service	Unabated B	$4,500.00	5/17/2024	Paid in Full

Hoke County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Open Arms Retirement Center	HAL-047-014	8/25/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$3,500.00	5/10/2024	Paid in Full
Open Arms Retirement Center	HAL-047-014	10/18/2024	10A NCAC 13F .0902(b) Health Care	A1	$4,000.00	6/10/2025	Paid in Full
Sping Arbor Sandhills	HAL-047-016	5/21/2025	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$1,000.00	9/10/2025	Paid in Full
Spring Arbor of Sand Hills	HAL-047-016	7/11/2025	10A NCAC 13F .0902(b) Health Care	A2	$2,000.00	11/7/2025	Paid in Full
Spring Arbor of Sand Hills	HAL-047-016	7/11/2025	10A NCAC 13F .1004 (a) Medication Administration	A2	$4,000.00	11/7/2025	Paid in Full
Wickshire Creek Crossing	HAL-047-015	5/30/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$2,000.00	9/27/2023	Paid in Full
Wickshire Creek Crossing	HAL-047-015	8/29/2023	10A NCAC 13F .0901(c) Personal Care and Supervision	A1	$12,000.00	1/31/2024	Settlement Agreement
Wickshire Creek Crossing	HAL-047-015	9/8/2023	10A NCAC 13F .1212(g) Reporting of Accidents and Incidents	A2	$7,000.00	1/31/2024	Settlement Agreement
Wickshire Creek Crossing	HAL-047-015	11/2/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$12,000.00	7/31/2024	Settlement Agreement
Wickshire Creek Crossing	HAL-047-015	3/6/2024	10A NCAC 13F .1004(a) Medication Administration	A2	$12,000.00	7/31/2024	Settlement Agreement
Wickshire Creek Crossing	HAL-047-015	5/8/2024	10A NCAC 13F .1004(a) Medication Administration	A1	$14,000.00	7/31/2024	Settlement Agreement
Wickshire Creek Crossing	HAL-047-015	5/8/2024	10A NCAC 13F .1008 (a) Controlled Substances	A1	$14,000.00	7/31/2024	Settlement Agreement
Wickshire Creek Crossing (Closed)	HAL-047-015	1/8/2025	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$20,000.00	7/25/2025	Appealed

Iredell County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Meadow Lakes of Statesville	HAL-049-036	5/17/2024	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$9,000.00	9/18/2024	Appealed
Meadow Lakes of Statesville	HAL-049-036	5/17/2024	10A NCAC 13F .0902(b) Health Care	A2	$3,000.00	9/18/2024	Appealed
Meadow Lakes of Statesville	HAL-049-036	5/17/2024	10A NCAC 13F .1308(a) Special Care Unit Staff	A1	$14,000.00	9/18/2024	Appealed
Meadow Lakes of Statesville	HAL-049-036	7/24/2024	10A NCAC 13F .1004(a) Medication Administration	Unabated B	$8,600.00	1/10/2025	Appealed
Meadow Lakes of Statesville (formerly Heritage Place)	HAL-049-036	6/21/2023	10A NCAC 13F .0909 Resident Rights	A1	$8,000.00	11/21/2023	Settlement Agreement
Mill Creek Manor	HAL-049-033	12/1/2023	10A NCAC 13F .0902(b) Health Care	A1	$4,000.00	6/14/2024	Paid in Full

Jackson County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Morningstar Assisted Living	HAL-050-016	1/30/2025	10A NCAC 13F .0902(b) Health Care	A2	$4,000.00	11/7/2025	Appealed
Morningstar Assisted Living	HAL-050-016	1/30/2025	10A NCAC 13F .0904(e)(4) Nutrition and Food Service	A2	$4,000.00	11/7/2025	Appealed
Morningstar Assisted Living	HAL-050-016	1/30/2025	10A NCAC 13F .1004 (a) Medication Administration	A2	$4,000.00	11/7/2025	Appealed

Johnston County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Americares Adult Care Homes #2	HAL-051-072	11/21/2023	10A NCAC 13F .1004(a) Medication Administration	A2	$2,000.00	7/12/2024	Paid in Full
Americares Adult Care Homes #2	HAL-051-072	11/22/2024	10A NCAC 13F .0902(b) Health Care	A1	$4,000.00	7/25/2025	Settlement Agreement
Americares Adult Care Homes #2	HAL-051-072	11/22/2024	10A NCAC 13F .1004(a) Medication Administration	A1	$12,000.00	7/25/2025	Settlement Agreement
Americares Adult Care Homes #3	HAL-051-071	7/1/2025	10A NCAC 13F .0902(b) Health Care	A2	$7,000.00	11/7/2025	Paid in Full
Americares Adult Care Homes #3	HAL-051-071	7/1/2025	10A NCAC 13F .0909 Resident Rights	A1	$5,250.00	11/7/2025	Paid in Full
Americares Adult Care Homes #3	HAL-051-071	7/1/2025	10A NCAC 13F .1205 Health Care Personnel Registry	A2	$7,000.00	11/7/2025	Paid in Full
Classic Care #1 (Closed)	HAL-051-062	10/30/2023	10A NCAC 13F .0909 Resident Rights	A2	$1,000.00	6/12/2024	Not Paid - Referred to Controller's Office
Classic Care Homes #1 (Closed)	HAL-051-062	6/15/2023	10A NCAC 13F .1004(a) Medication Administration	A1	$4,000.00	11/21/2023	Not Paid - Referred to Controller's Office
Classic Care Homes #2 (Closed)	HAL-051-064	6/22/2023	10A NCAC 13F .1004(a) Medication Administration	A2	$2,000.00	11/21/2023	Not Paid - Referred to Controller's Office
Four Oaks Senior Living	HAL-051-060	5/11/2023	10A NCAC 13F .0901(c) Personal Care and Supervision	A2	$2,000.00	9/27/2023	Paid in Full
Four Oaks Senior Living	HAL-051-060	12/1/2023	10A NCAC 13F .0901(a) Personal Care and Supervision	A2	$3,000.00	6/12/2024	Paid in Full
Four Oaks Senior Living	HAL-051-060	12/1/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$2,000.00	6/12/2024	Paid in Full
Shining Star Adult Care Home (Closed)	FCL-051-082	3/10/2023	10A NCAC 13G .0202 The License	A2	$500.00	8/2/2023	Not Paid - Referred to Controller's Office
The Enclave at Eagle Point	FCL-051-073	8/11/2023	10A NCAC 13G .0901(a) Personal Care and Supervision	A2	$1,000.00	5/17/2024	Paid in Full
The Landings of Smithfield	HAL-051-065	7/8/2024	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$2,000.00	6/10/2025	Settlement Agreement

Lenoir County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Lenoir Assisted Living	HAL-054-068	2/1/2023	10A NCAC 13F .0306(a)(5) Housekeeping and Furnishings	Unabated B	$12,300.00	7/7/2023	Settlement Agreement
Lenoir Assisted Living	HAL-054-068	2/1/2023	10A NCAC 13F .0902(b) Health Care	Unabated B	$12,300.00	7/7/2023	Settlement Agreement
Spring Arbor of Kinston	HAL-054-071	1/31/2025	10A NCAC 13F .0902(b) Health Care	A2	$1,500.00	7/25/2025	Paid in Full
Spring Arbor of Kinston	HAL-054-071	1/31/2025	10A NCAC 13F .0909 Resident Rights	A2	$1,000.00	7/25/2025	Paid in Full
The Village of Kinston	HAL-054-067	4/18/2024	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$12,000.00	9/18/2024	Settlement Agreement

Macon County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Franklin House	HAL-056-006	12/12/2023	10A NCAC 13F .1004(a) Medication Administration	Unabated B	$11,400.00	5/17/2024	Settlement Agreement
Grandview Manor	HAL-056-001	1/8/2024	10A NCAC 13F .0309 (d) Plan For Evacuation	A1	$7,000.00	7/12/2024	Paid in Full
Grandview Manor	HAL-056-001	1/8/2024	10A NCAC 13F .0909 Resident Rights	A1	$5,250.00	7/12/2024	Paid in Full
Grandview Manor	HAL-056-001	1/8/2024	G.S. § 131D-25 Implementation	A1	$7,000.00	7/12/2024	Paid in Full
Grandview Manor Care Center	HAL-056-001	12/18/2024	10A NCAC 13F .0909 Resident Rights	A1	$12,000.00	7/25/2025	Paid in Full

Madison County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Mars Hill Retirement Community	HAL-057-010	9/13/2023	10A NCAC 13F .0902(c)(3-4) Health Care	A1	$3,000.00	3/27/2024	Paid in Full

Martin County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Fields Foundation	FCL-058-008	5/8/2023	10A NCAC 13G .1004(a) Medication Administration	A2	$1,000.00	8/2/2023	Paid in Full
Vintage Inn Retirement Community	HAL-058-010	5/11/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$12,000.00	8/2/2023	Settlement Agreement
Vintage Inn Retirement Community	HAL-058-010	5/11/2023	10A NCAC 13F .0902(b) Health Care	A1	$15,000.00	8/2/2023	Settlement Agreement
Vintage Inn Retirement Community	HAL-058-010	8/2/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	Unabated A1	$83,000.00	3/27/2024	Settlement Agreement
Vintage Inn Retirement Community	HAL-058-010	11/17/2023	10A NCAC 13F .0306(a)(5) Housekeeping and Furnishings	A2	$12,000.00	5/17/2024	Settlement Agreement
Vintage Inn Retirement Community	HAL-058-010	11/17/2023	10A NCAC 13F .0407(a)(2) Other Staff Qualifications	A2	$12,000.00	5/17/2024	Settlement Agreement
Vintage Inn Retirement Community	HAL-058-010	11/17/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$16,000.00	5/17/2024	Settlement Agreement
Vintage Inn Retirement Community	HAL-058-010	1/26/2024	10A NCAC 13F .0901(b) Personal Care and Supervision	Unabated A1	$56,800.00	9/18/2024	Settlement Agreement
Vintage Inn Retirement Community	HAL-058-010	1/26/2024	10A NCAC 13F .0909 Resident Rights	Unabated B	$8,640.00	9/18/2024	Settlement Agreement
Vintage Inn Retirement Community	HAL-058-010	5/8/2024	10A NCAC 13F .0902(b) Health Care	A1	$16,000.00	9/18/2024	Settlement Agreement
Vintage Inn Retirement Community	HAL-058-010	5/8/2024	10A NCAC 13F .0903 (d) Licensed Health Professional Support	A1	$16,000.00	9/18/2024	Settlement Agreement

McDowell County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Cedarbrook Residential Facility	HAL-059-021	1/26/2024	10A NCAC 13F .1212(g) Reporting of Accidents and Incidents	A1	$7,000.00	5/17/2024	Appealed
Marion Assisted Living	HAL-059-035	3/12/2025	10A NCAC 13F .0902(b) Health Care	A2	$2,000.00	7/25/2025	Paid in Full
Marion Assisted Living	HAL-059-035	3/12/2025	10A NCAC 13F .1004(a) Medication Administration	A2	$1,000.00	7/25/2025	Paid in Full

Mecklenburg County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Amata Estates	FCL-060-176	8/13/2025	10A NCAC 13G .0316 (d) Fire Safety and Emergency Preparedness Plan	A1	$6,000.00	11/7/2025	Settlement Agreement
Amata Estates	FCL-060-176	8/13/2025	10A NCAC 13G .0316 (e) Fire Safety and Emergency Preparedness Plan	A1	$6,000.00	11/7/2025	Settlement Agreement
Amata Estates	FCL-060-176	8/13/2025	10A NCAC 13G .0504(a) Competency Validation For Licensed Health	A2	$6,000.00	11/7/2025	Settlement Agreement
Amata Estates	FCL-060-176	8/13/2025	10A NCAC 13G .0601 (g) Mangement And Other Staff	A1	$2,000.00	11/7/2025	Settlement Agreement
Brighton Gardens of Charlotte	HAL-060-019	6/27/2024	10A NCAC 13F .0902(b) Health Care	A1	$7,000.00	3/21/2025	Paid in Full
Brighton Gardens of Charlotte	HAL-060-019	6/27/2024	10A NCAC 13F .1004(a) Medication Administration	A1	$7,000.00	3/21/2025	Paid in Full
Cadence Huntersville	HAL-060-160	11/15/2024	10A NCAC 13F .0902(b) Health Care	A1	$3,000.00	7/25/2025	Paid in Full
Charter Senior Living of Charlotte	HAL-060-171	8/3/2023	10A NCAC 13F .0902(b) Health Care	A1	$8,000.00	1/31/2024	Paid in Full
Cuthbertson Village at Aldersgate	HAL-060-059	2/10/2023	10A NCAC 13F .0902(b) Health Care	A2	$1,000.00	8/2/2023	Paid in Full
East Towne	HAL-060-149	8/14/2023	10A NCAC 13F .0906(f)(4) Other Resident Care and Services	A2	$4,000.00	5/10/2024	Paid in Full
Northlake House	HAL-060-150	4/19/2024	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$1,500.00	1/10/2025	Paid in Full
Ranson Ridge Assisted Living & Memory Care	HAL-060-172	10/26/2023	10A NCAC 13F .0909 Resident Rights	A2	$1,000.00	5/17/2024	Paid in Full
Summit Place of Southpark	HAL-060-116	1/3/2024	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$1,000.00	5/17/2024	Paid in Full
Sunrise on Providence	HAL-060-165	5/15/2025	10A NCAC 13F .0902(b) Health Care	A1	$2,000.00	11/7/2025	Paid in Full
TerraBella Little Avenue	HAL-060-156	8/3/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$1,000.00	3/27/2024	Paid in Full
TerraBella Little Avenue	HAL-060-156	5/27/2025	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$1,000.00	12/18/2025	Paid in Full
The Laurels in Highland Creek	HAL-060-161	8/23/2023	10A NCAC 13F .0901(c) Personal Care and Supervision	A1	$7,000.00	1/31/2024	Paid in Full
The Laurels in Highland Creek	HAL-060-161	2/13/2025	10A NCAC 13F .0901(a) Personal Care and Supervision	A1	$3,500.00	7/25/2025	Paid in Full
The Parc at Sharon Amity	HAL-060-125	1/2/2024	10A NCAC 13F .0909 Resident Rights	A1	$7,000.00	5/17/2024	Settlement Agreement
The Pines on Carmel Senior Living	HAL-060-168	6/28/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$2,000.00	9/27/2023	Paid in Full
The Pines on Carmel Senior Living	HAL-060-168	9/19/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	Unabated A2	$28,875.00	5/10/2024	Paid in Full
The Pines on Carmel Senior Living	HAL-060-168	5/6/2024	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$2,000.00	1/10/2025	Paid in Full
UP at 13931 Thompson (Closed)	FCL-060-135	7/9/2024	10A NCAC 13G .0403(a) Qualifications of Medication Staff	A1	$9,000.00	1/10/2025	Not Paid - Referred to Controller's Office
UP at 13931 Thompson (Closed)	FCL-060-135	7/9/2024	10A NCAC 13G .0601(a) Management and Other Staff	A1	$9,000.00	1/10/2025	Not Paid - Referred to Controller's Office
UP at 13931 Thompson (Closed)	FCL-060-135	7/9/2024	10A NCAC 13G .0901(c) Personal Care and Supervision	A1	$9,000.00	1/10/2025	Not Paid - Referred to Controller's Office
UP at 13931 Thompson (Closed)	FCL-060-135	7/9/2024	10A NCAC 13G .0902(b) Health Care	A1	$9,000.00	1/10/2025	Not Paid - Referred to Controller's Office
UP at 13931 Thompson (Closed)	FCL-060-135	7/9/2024	10A NCAC 13G .1002(a) Medication Orders	A1	$9,000.00	1/10/2025	Not Paid - Referred to Controller's Office
UP at 13931 Thompson (Closed)	FCL-060-135	7/9/2024	10A NCAC 13G .1004(a) Medication Administration	A1	$9,000.00	1/10/2025	Not Paid - Referred to Controller's Office
Waltonwood Cotswold	HAL-060-148	1/19/2024	10A NCAC 13F .0902(b) Health Care	A1	$4,000.00	7/12/2024	Paid in Full
Wickshire Steele Creek	HAL-060-166	8/3/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$18,000.00	1/31/2024	Settlement Agreement
Wickshire Steele Creek	HAL-060-166	9/11/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$14,000.00	1/31/2024	Settlement Agreement
Wickshire Steele Creek	HAL-060-166	9/11/2023	10A NCAC 13F .0902(b) Health Care	A2	$7,000.00	1/31/2024	Settlement Agreement
Wickshire Steele Creek	HAL-060-166	9/11/2023	10A NCAC 13F .0906(f)(4) Other Resident Care and Services	A2	$7,000.00	1/31/2024	Settlement Agreement
Wickshire Steele Creek	HAL-060-166	9/11/2023	10A NCAC 13F .0909 Resident Rights	A1	$12,000.00	1/31/2024	Settlement Agreement
Wickshire Steele Creek	HAL-060-166	11/20/2023	10A NCAC 13F .0505 Training On Care Of Diabetic Resident	Unabated B	$14,600.00	6/12/2024	Settlement Agreement
Wickshire Steele Creek	HAL-060-166	11/20/2023	10A NCAC 13F .0901(c) Personal Care and Supervision	A2	$16,000.00	6/12/2024	Settlement Agreement
Wickshire Steele Creek	HAL-060-166	11/20/2023	10A NCAC 13F .0902(b) Health Care	A1	$20,000.00	6/12/2024	Settlement Agreement
Wickshire Steele Creek	HAL-060-166	11/20/2023	10A NCAC 13F .1004(a) Medication Administration	A2	$16,000.00	6/12/2024	Settlement Agreement
Wickshire Steele Creek	HAL-060-166	11/20/2023	10A NCAC 13F .1004(g) Medication Administration	Unabated B	$14,600.00	6/12/2024	Settlement Agreement
Wickshire Steele Creek	HAL-060-166	11/20/2023	10A NCAC 13F .1309 Special Care Unit Staff Orientation And Train	Unabated B	$146,000.00	6/12/2024	Settlement Agreement
Wickshire Steele Creek	HAL-060-166	2/12/2024	10A NCAC 13F .0902(c)(3-4) Health Care	A1	$20,000.00	6/12/2024	Settlement Agreement
Wickshire Steele Creek	HAL-060-166	2/12/2024	10A NCAC 13F .0909 Resident Rights	A1	$20,000.00	6/12/2024	Settlement Agreement
Wickshire Steele Creek	HAL-060-166	2/12/2024	10A NCAC 13F .1004(a) Medication Administration	A1	$20,000.00	6/12/2024	Settlement Agreement
Wickshire Steele Creek	HAL-060-166	2/12/2024	10A NCAC 13F .1205 Health Care Personnel Registry	A1	$20,000.00	6/12/2024	Settlement Agreement
Wickshire Steele Creek	HAL-060-166	2/12/2024	10A NCAC 13F .1212(d) Reporting of Accidents and Incidents	A1	$20,000.00	6/12/2024	Settlement Agreement
Wickshire Steele Creek	HAL-060-166	2/12/2024	G.S. § 131D-25 Implementation	A1	$20,000.00	6/12/2024	Settlement Agreement
Wickshire Steele Creek	HAL-060-166	5/21/2024	10A NCAC 13F .0311(a) Other Requirements	A2	$20,000.00	7/12/2024	Settlement Agreement
Wickshire Steele Creek	HAL-060-166	5/21/2024	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$16,000.00	7/12/2024	Settlement Agreement
Wickshire Steele Creek	HAL-060-166	5/21/2024	10A NCAC 13F .1308(a) Special Care Unit Staff	A2	$20,000.00	7/12/2024	Settlement Agreement

Mitchell County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Mitchell House	HAL-061-011	6/12/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$2,000.00	11/21/2023	Settlement Agreement
Mitchell House	HAL-061-011	8/14/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	Unabated A2	$18,562.50	11/21/2023	Settlement Agreement
Mitchell House	HAL-061-011	8/14/2023	10A NCAC 13F .0902(b) Health Care	A2	$3,000.00	11/21/2023	Settlement Agreement
Mitchell House	HAL-061-011	8/14/2023	10A NCAC 13F .0909 Resident Rights	A1	$7,000.00	11/21/2023	Settlement Agreement
Mitchell House	HAL-061-011	8/14/2023	10A NCAC 13F .1004(a) Medication Administration	A2	$2,000.00	11/21/2023	Settlement Agreement
Mitchell House	HAL-061-011	8/14/2023	10A NCAC 13F .1205 Health Care Personnel Registry	A2	$7,000.00	11/21/2023	Settlement Agreement

Moore County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Seven Lakes Assisted Living	HAL-063-023	5/17/2024	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$16,000.00	1/10/2025	Settlement Agreement
Tara Plantation of Carthage	HAL-063-011	2/22/2024	10A NCAC 13F .1004(a) Medication Administration	A2	$1,000.00	9/4/2024	Paid in Full
TerraBella Southern Pines	HAL-063-025	7/1/2025	10A NCAC 13F .0901(a) Personal Care and Supervision	A1	$7,000.00	11/7/2025	Appealed

Nash County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Hunter Hill Senior Living	HAL-064-035	6/26/2023	10A NCAC 13F .0902(b) Health Care	A1	$4,000.00	9/27/2023	Paid in Full

New Hanover County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Brookdale Wilmington	HAL-065-019	11/17/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$4,000.00	4/30/2025	Paid in Full
Cedar Cove Assisted Living	HAL-065-035	7/24/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$2,000.00	3/27/2024	Settlement Agreement
Cedar Cove Assisted Living	HAL-065-035	7/24/2023	10A NCAC 13F .0902(b) Health Care	A1	$7,000.00	3/27/2024	Settlement Agreement
Cedar Cove Assisted Living	HAL-065-035	7/24/2023	10A NCAC 13F .0909 Resident Rights	A1	$18,000.00	3/27/2024	Settlement Agreement
Cedar Cove Assisted Living	HAL-065-035	7/24/2023	10A NCAC 13F .1004(a) Medication Administration	A2	$2,000.00	3/27/2024	Settlement Agreement
Cedar Cove Assisted Living	HAL-065-035	7/24/2023	10A NCAC 13F .1205 Health Care Personnel Registry	A1	$12,000.00	3/27/2024	Settlement Agreement
Champions Assisted Living	HAL-065-020	11/6/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$2,000.00	6/12/2024	Paid in Full
Champions Assisted Living	HAL-065-020	5/6/2025	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$3,000.00	11/7/2025	Paid in Full
Champions Assisted Living	HAL-065-020	7/3/2025	10A NCAC 13F .0909 Resident Rights	A1	$7,000.00	11/7/2025	Paid in Full
Morningside of Wilmington	HAL-065-045	10/19/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$14,000.00	3/27/2024	Settlement Agreement
Morningside of Wilmington	HAL-065-045	1/5/2024	10A NCAC 13F .1002(a) Medication Orders	A2	$12,000.00	7/12/2024	Settlement Agreement
Morningside of Wilmington	HAL-065-045	1/5/2024	10A NCAC 13F .1004(a) Medication Administration	A2	$12,000.00	7/12/2024	Settlement Agreement
Morningside of Wilmington	HAL-065-045	1/5/2024	G.S. § 131D-25 Implementation	A2	$12,000.00	7/12/2024	Settlement Agreement
Morningside of Wilmington	HAL-065-045	3/15/2024	10A NCAC 13F .0902(b) Health Care	A1	$18,000.00	7/12/2024	Settlement Agreement
Morningside of Wilmington	HAL-065-045	3/20/2025	10A NCAC 13F .0902(b) Health Care	A1	$12,000.00	9/10/2025	Paid in Full
Morningside of Wilmington	HAL-065-045	5/30/2025	10A NCAC 13F .0909 Resident Rights	A1	$12,000.00	10/24/2025	Paid in Full

Orange County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Carlisle at Carborro (closed)	HAL-068-036	1/19/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$750.00	7/7/2023	Paid in Full
Our Promise Care Homes at Heritage Hill	FCL-068-037	10/14/2024	10A NCAC 13G .0902(b) Health Care	A1	$8,000.00	6/10/2025	Paid in Full
The Stratford	HAL-068-025	6/17/2025	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$4,000.00	9/10/2025	Settlement Agreement

Pasquotank County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Waterbrooke of Elizabeth City	HAL-070-008	9/26/2024	10A NCAC 13F .0904(e)(4) Nutrition and Food Service	A1	$15,000.00	3/21/2025	Appealed
Brookdale Elizabeth City	HAL-070-005	9/8/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$2,000.00	3/27/2024	Paid in Full
Waterbrooke of Elizabeth City	HAL-070-008	1/6/2023	10A NCAC 13F .0901(a) Personal Care and Supervision	A2	$4,250.00	8/2/2023	Settlement Agreement
Waterbrooke of Elizabeth City	HAL-070-008	1/6/2023	10A NCAC 13F .0902(b) Health Care	A2	$7,000.00	8/2/2023	Settlement Agreement

Person County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Maple Heights Assisted Living	HAL-073-010	9/19/2024	10A NCAC 13F .0902(b) Health Care	A1	$4,000.00	4/30/2025	Settlement Agreement
Maple Heights Assisted Living	HAL-073-010	9/19/2024	10A NCAC 13F .0902(c)(3-4) Health Care	A2	$2,000.00	4/30/2025	Settlement Agreement
Maple Heights Assisted Living	HAL-073-010	9/19/2024	10A NCAC 13F .1004(a) Medication Administration	A1	$4,000.00	4/30/2025	Settlement Agreement
Maple Heights Assisted Living	HAL-073-010	12/17/2024	10A NCAC 13F .0601 (a) Management Of Facilities	A1	$16,000.00	4/30/2025	Settlement Agreement
Maple Heights Assisted Living	HAL-073-010	12/17/2024	10A NCAC 13F .0902 (d) Health Care	A2	$14,000.00	4/30/2025	Settlement Agreement
Maple Heights Assisted Living	HAL-073-010	12/17/2024	10A NCAC 13F .0909 Resident Rights	A1	$16,000.00	4/30/2025	Settlement Agreement
Maple Heights Assisted Living	HAL-073-010	12/17/2024	10A NCAC 13F .1004(a) Medication Administration	Unabated A1	$116,000.00	4/30/2025	Settlement Agreement
Maple Heights Assisted Living	HAL-073-010	12/17/2024	10A NCAC 13F .1801(b) Infection Prevention & Control Policies & Pro	Unabated B	$23,200.00	4/30/2025	Settlement Agreement
Maple Heights Assisted Living	HAL-073-010	8/21/2025	10A NCAC 13F .0902(b) Health Care	A1	$20,000.00	10/7/2025	Settlement Agreement
Maple Heights Assisted Living	HAL-073-010	8/21/2025	10A NCAC 13F .0909 Resident Rights	A1	$20,000.00	10/7/2025	Settlement Agreement
Maple Heights Assisted Living	HAL-073-010	8/21/2025	10A NCAC 13F .1004(a) Medication Administration	A2	$18,000.00	10/7/2025	Settlement Agreement
Roxboro Assisted Living OPCP LLC	HAL-073-019	5/3/2024	10A NCAC 13F .0305(h)(4) Physical Environment	A2	$4,000.00	9/4/2024	Settlement Agreement
Roxboro Assisted Living OPCP LLC	HAL-073-019	5/3/2024	10A NCAC 13F .0403(a) Qualifications Of Medication Staff	A2	$4,000.00	9/4/2024	Settlement Agreement
Roxboro Assisted Living OPCP LLC	HAL-073-019	5/3/2024	10A NCAC 13F .0505 Training On Care Of Diabetic Resident	A2	$4,000.00	9/4/2024	Settlement Agreement
Roxboro Assisted Living OPCP LLC	HAL-073-019	5/3/2024	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$7,000.00	9/4/2024	Settlement Agreement
Roxboro Assisted Living OPCP LLC	HAL-073-019	5/3/2024	10A NCAC 13F .0902(b) Health Care	A2	$4,000.00	9/4/2024	Settlement Agreement
Roxboro Assisted Living OPCP LLC	HAL-073-019	5/3/2024	10A NCAC 13F .0902(c)(3-4) Health Care	A1	$7,000.00	9/4/2024	Settlement Agreement
Roxboro Assisted Living OPCP LLC	HAL-073-019	5/3/2024	10A NCAC 13F .1002(a) Medication Orders	A2	$2,000.00	9/4/2024	Settlement Agreement
Roxboro Assisted Living OPCP LLC	HAL-073-019	5/3/2024	10A NCAC 13F .1004(a) Medication Administration	A1	$12,000.00	9/4/2024	Settlement Agreement
Roxboro Assisted Living OPCP LLC	HAL-073-019	5/28/2024	10A NCAC 13F .0604 (e)(1)(A)(B)(C) Personal Care And Other Staffing	A2	$16,000.00	9/18/2024	Settlement Agreement
Roxboro Assisted Living OPCP LLC	HAL-073-019	5/28/2024	10A NCAC 13F .0701 Admission Of Residents	A1	$16,000.00	9/18/2024	Settlement Agreement
Roxboro Assisted Living OPCP LLC	HAL-073-019	5/28/2024	10A NCAC 13F .0909 Resident Rights	A1	$18,000.00	9/18/2024	Settlement Agreement
Roxboro Assisted Living OPCP LLC	HAL-073-019	5/28/2024	10A NCAC 13F .1004(a) Medication Administration	A1	$20,000.00	9/18/2024	Settlement Agreement
Roxboro Assisted Living OPCP LLC	HAL-073-019	7/10/2024	10A NCAC 13F .0407(a)(7) Other Staff Qualifications	Unabated B	$11,200.00	1/10/2025	Settlement Agreement

Pitt County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Alpha Care One Assisted Living	HAL-074-046	8/4/2023	10A NCAC 13F .0504(a & b) Competency Eval & Validation For LHPS Tasks	A2	$500.00	5/10/2024	Paid in Full
Alpha Care One Assisted Living	HAL-074-046	8/4/2023	10A NCAC 13F .0902(b) Health Care	A1	$7,000.00	5/10/2024	Settlement Agreement
Alpha Care One Assisted Living	HAL-074-046	8/4/2023	10A NCAC 13F .0902(c)(3-4) Health Care	A1	$3,500.00	5/10/2024	Settlement Agreement
Alpha Care One Assisted Living	HAL-074-046	12/15/2023	10A NCAC 13F .0902(b) Health Care	Unabated B	$6,200.00	5/17/2024	Settlement Agreement
Alpha Care One Assisted Living	HAL-074-046	4/7/2025	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$3,500.00	11/7/2025	Paid in Full
Clemmie's Family Care Home II	FCL-074-041	10/6/2023	10A NCAC 13G .0902(b) Health Care	Unabated B	$6,000.00	6/12/2024	Settlement Agreement
Clemmie's Family Care Home II	FCL-074-041	12/13/2023	10A NCAC 13G .0902(c)(3)(4) Health Care	Unabated B	$3,900.00	6/12/2024	Settlement Agreement
L and C Family Care Home	FCL-074-050	2/9/2024	10A NCAC 13G .0902(b) Health Care	A2	$1,000.00	6/12/2024	Paid in Full
L and C Family Care Home	FCL-074-050	2/9/2024	10A NCAC 13G .1004(a) Medication Administration	A2	$1,000.00	6/12/2024	Paid in Full

Richmond County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Hermitage Retirement Center	HAL-077-012	6/6/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$16,000.00	1/31/2024	Paid in Full
Hermitage Retirement Center	HAL-077-012	6/6/2023	10A NCAC 13F .0901(c) Personal Care and Supervision	A2	$4,000.00	1/31/2024	Paid in Full
Hermitage Retirement Center	HAL-077-012	9/20/2024	10A NCAC 13F .0306(a)(5) Housekeeping and Furnishings	A2	$6,000.00	6/10/2025	Paid in Full

Robeson County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Cromartie Spring Village Rest Home	HAL-078-082	2/16/2024	10A NCAC 13F .0902(b) Health Care	A2	$2,000.00	6/12/2024	Settlement Agreement
Hope Springs	HAL-078-100	1/25/2024	10A NCAC 13F .1004(a) Medication Administration	A2	$2,000.00	5/17/2024	Paid in Full
Kim's Assisted Living	FCL-078-114	6/2/2023	10A NCAC 13G .1004(a) Medication Administration	A2	$1,000.00	9/27/2023	Paid in Full
Morning Star AL #4	HAL-078-067	2/26/2025	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$3,000.00	7/25/2025	Paid in Full
Mt. Olive Family Care Home #2	FCL-078-015	7/5/2023	10A NCAC 13G .0906 (f)(1)-(4) Other Resident Services	A2	$250.00	11/21/2023	Paid in Full
Mt. Olive Family Care Home #2	FCL-078-015	7/5/2023	10A NCAC 13G .0906 (f)(1)-(4) Other Resident Services	A2	$250.00	11/21/2023	Paid in Full

Rockingham County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Moyer's Agape Assisted Living (Closed)	HAL-079-107	3/14/2023	10A NCAC 13F .0909 Resident Rights	A1	$7,000.00	9/27/2023	Paid in Full
Moyer's Agape Assisted Living (Closed)	HAL-079-107	6/14/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$2,000.00	9/27/2023	Paid in Full
The Landings of Rockingham	HAL-079-106	2/13/2024	10A NCAC 13F .0909 Resident Rights	A1	$12,000.00	6/12/2024	Settlement Agreement

Rowan County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Bethamy Retirement Center	HAL-080-032	4/13/2023	10A NCAC 13F .0902(b) Health Care	A2	$2,000.00	8/2/2023	Settlement Agreement
Bethamy Retirement Center	HAL-080-032	4/13/2023	10A NCAC 13F .1004(a) Medication Administration	A1	$7,000.00	8/2/2023	Settlement Agreement
Bethamy Retirement Center	HAL-080-032	4/5/2024	10A NCAC 13F .0602 Management Of Facilities WIth A Capacity Or	A2	$2,000.00	6/12/2024	Paid in Full
Bethamy Retirement Center	HAL-080-032	4/5/2024	10A NCAC 13F .0909 Resident Rights	A1	$4,000.00	6/12/2024	Paid in Full
Bethamy Retirement Center	HAL-080-032	4/5/2024	G.S. § 131D-25 Implementation	A1	$4,000.00	6/12/2024	Paid in Full
Bethamy Retirement Center	HAL-080-032	9/16/2024	10A NCAC 13F .0901(c) Personal Care and Supervision	A1	$16,000.00	6/10/2025	Not Paid - Referred to Controller's Office
Bethamy Retirement Center	HAL-080-032	8/13/2025	10A NCAC 13F .0305 (h)(4) Physical Environment	A2	$14,000.00	10/24/2025	Appealed
Bethamy Retirement Center	HAL-080-032	8/13/2025	10A NCAC 13F .0306 (a)(1) Housekeeping And Furnishings	A2	$12,000.00	10/24/2025	Appealed
Bethamy Retirement Center	HAL-080-032	8/13/2025	10A NCAC 13F .0306 (a)(5) Housekeeping and Furnishings	A1	$16,000.00	10/24/2025	Appealed
Bethamy Retirement Center	HAL-080-032	8/13/2025	10A NCAC 13F .0909 Resident Rights	A1	$16,000.00	10/24/2025	Appealed
Bethamy Retirement Center	HAL-080-032	8/13/2025	10A NCAC 13F .1004 (a) Medication Administration	A2	$14,000.00	10/24/2025	Appealed
Bethamy Retirement Center	HAL-080-032	8/13/2025	10A NCAC 13F .1801(a) Infection Prevention & Control Policies & Pro	A2	$14,000.00	10/24/2025	Appealed
Bethamy Retreat (closed)	FCL-080-034	4/18/2024	10A NCAC 13G .0601(a) Management and Other Staff	A2	$2,000.00	7/31/2024	Paid in Full
Bethamy Retreat (closed)	FCL-080-034	4/18/2024	10A NCAC 13G .0601(d) Management and Other Staff	A2	$2,000.00	7/31/2024	Paid in Full
Bethamy Retreat (closed)	FCL-080-034	4/18/2024	10A NCAC 13G .0909 Residents' Rights	A1	$3,500.00	7/31/2024	Paid in Full

Surry County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Central Care	HAL-086-001	11/29/2022	10A NCAC 13F .0306(a)(4) Housekeeping And Furnishings	Unabated B	$8,600.00	7/7/2023	Paid in Full
Central Care	HAL-086-001	5/5/2023	10A NCAC 13F .0601 (a) Management Of Facilities	A1	$14,000.00	8/2/2023	Paid in Full
Central Care	HAL-086-001	5/5/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$4,000.00	8/2/2023	Paid in Full
Central Care	HAL-086-001	5/5/2023	10A NCAC 13F .1004(a) Medication Administration	A1	$14,000.00	8/2/2023	Paid in Full
Colonial Long Term Care Facility	HAL-086-002	6/28/2023	10A NCAC 13F .0305(h)(4) Physical Environment	A1	$7,000.00	9/27/2023	Paid in Full
Riverwood ALF	HAL-086-014	5/18/2023	10A NCAC 13F .0909 Resident Rights	A2	$2,000.00	9/27/2023	Paid in Full
Twelve Oaks	HAL-086-016	1/7/2025	10A NCAC 13F .1004(a) Medication Administration	A1	$4,000.00	7/25/2025	Settlement Agreement
Twelve Oaks	HAL-086-016	9/23/2022	10A NCAC 13F .0901(b) Personal Care and Supervision G.S. 131D-21(4) Declaration of Resident's Rights	A2	$500.00	6/16/2023	Paid in Full

Union County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
The Addison of Indian Trail	HAL-090-035	8/4/2023	10A NCAC 13F .0305(h)(4) Physical Environment	A2	$1,000.00	5/17/2024	Paid in Full
Woodridge Assisted Living Facility	HAL-090-036	9/6/2024	10A NCAC 13F .0901(a) Personal Care and Supervision	A1	$2,000.00	7/25/2025	Settlement Agreement
TerraBella Indian Trail (Formerly The Addison of Indian Trail)	HAL-090-035	11/8/2024	10A NCAC 13F .0902(b) Health Care	A1	$2,000.00	1/10/2025	Paid in Full

Vance County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
The Bridges on Parkview	HAL-091-012	7/14/2025	10A NCAC 13F .0902(b) Health Care	A1	$16,000.00	11/7/2025	Appealed
The Bridges on Parkview	HAL-091-012	7/14/2025	10A NCAC 13F .1004 (a) Medication Administration	A2	$2,000.00	11/7/2025	Appealed

Wake County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Avendelle Assisted Living on Lazy River	FCL-092-295	5/26/2023	10A NCAC 13G .0902(b) Health Care	A2	$1,000.00	9/27/2023	Paid in Full
Avendelle Assisted Living on Lazy River	FCL-092-295	5/26/2023	10A NCAC 13G .1004(a) Medication Administration	A2	$1,000.00	9/27/2023	Paid in Full
Brighton Gardens of Raleigh	HAL-092-024	10/30/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$7,000.00	3/27/2024	Paid in Full
Brookdale Cary	HAL-092-023	3/23/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$16,000.00	8/2/2023	Settlement Agreement
Calyx Living of Fuquay-Varina	HAL-092-227	3/31/2025	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$14,000.00	9/10/2025	Appealed
Destiny Family Care Home #4	FCL-092-290	4/12/2024	10A NCAC 13G .0901(b) Personal Care and Supervision	A1	$2,000.00	6/12/2024	Settlement Agreement
Destiny Family Care Home #4	FCL-092-290	5/14/2024	10A NCAC 13G .0901(b) Personal Care and Supervision	UA1	$12,500.00	1/10/2025	Appealed
Dunmore Senior Living of Zebulon (formerly Coventry House of Zebulon)	HAL-092-212	4/5/2024	10A NCAC 13F .1004(a) Medication Administration	A2	$2,000.00	7/31/2024	Paid in Full
Enriching Lives (Closed)	FCL-092-314	1/7/2025	10A NCAC 13G .0901(b) Personal Care and Supervision	A2	$750.00	7/25/2025	Not Paid - Referred to Controller's Office
Livewell Cary	FCL-092-305	2/9/2024	10A NCAC 13G .0901(b) Personal Care and Supervision	A2	$500.00	6/12/2024	Paid in Full
Morningside of Raleigh	HAL-092-217	1/4/2023	10A NCAC 13F .0305(h)(4) Physical Environment	Unabated B	$13,200.00	7/7/2023	Paid in Full
Morningside of Raleigh	HAL-092-217	4/14/2023	10A NCAC 13F .0305(f)(4) Physical Environment	A1	$7,000.00	7/7/2023	Paid in Full
Novelty Healthcare Services	FCL-092-206	3/1/2023	10A NCAC 13G .0317(d) Building Service Equipment	A2	$1,000.00	8/2/2023	Paid in Full
Phoenix Assisted Care	HAL-092-131	9/11/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$14,000.00	5/17/2024	Settlement Agreement
Phoenix Assisted Care	HAL-092-131	2/13/2025	10A NCAC 13F .0902(b) Health Care	A1	$3,000.00	7/25/2025	Settlement Agreement
Phoenix Assisted Care	HAL-092-131	2/13/2025	10A NCAC 13F .0909 Resident Rights	A1	$2,000.00	7/25/2025	Settlement Agreement
Spring Arbor of Apex	HAL-092-223	4/10/2024	10A NCAC 13F .0909 Resident Rights	A1	$1,500.00	7/12/2024	Paid in Full
TerraBella Fuquay-Varina (Formerly The Addison of Fuquay-Varina)	HAL-092-219	5/8/2024	10A NCAC 13F .1004(a) Medication Administration	A2	$16,000.00	1/10/2025	Paid in Full
TerraBella Fuquay-Varina (Formerly The Addison of Fuquay-Varina)	HAL-092-219	7/3/2024	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$15,000.00	1/10/2025	Paid in Full
TerraBella Northridge	HAL-092-207	11/9/2023	10A NCAC 13F .0902(b) Health Care	A1	$2,000.00	5/17/2024	Paid in Full
The Addison of Fuquay-Varina	HAL-092-219	3/14/2024	10A NCAC 13F .0909 Resident Rights	A1	$12,000.00	7/31/2024	Paid in Full
The Addison of Fuquay-Varina	HAL-092-219	5/15/2024	10A NCAC 13F .0305(h)(4) Physical Environment	A2	$12,000.00	10/3/2024	Paid in Full
The Addison of Fuquay-Varina	HAL-092-219	5/15/2024	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$14,000.00	10/3/2024	Paid in Full
The Reserve at Mills Farm (Closed)	HAL-092-221	2/3/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$2,000.00	8/2/2023	Paid in Full
The Reserve at Mills Farm (Closed)	HAL-092-221	2/3/2023	10A NCAC 13F .1004(a) Medication Administration	A2	$2,000.00	8/2/2023	Paid in Full
The Reserve at Mills Farm Villa #3	FCL-092-270	1/24/2023	10A NCAC 13G .1004(a) Medication Administration	Unabated Type B	$12,500.00	7/7/2023	Paid in Full
The Reserve at Mills Farm Villa #3	FCL-092-270	3/27/2023	10A NCAC 13G .1004(a) Medication Administration	A2	$1,000.00	7/7/2023	Paid in Full
Wake Assisted Living	HAL-092-144	12/15/2023	10A NCAC 13F .0909 Resident Rights	A1	$7,000.00	6/12/2024	Paid in Full
Windsor Point Continuing Care Retirement Community	NH0580	10/26/2023	10A NCAC 13F .0909 Resident Rights	A1	$20,000.00	11/8/2023	Paid in Full

Warren County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Alpha Magnolia Garden	HAL-093-010	10/17/2022	10A NCAC 13F .0305(h)(4) Physical Environment	A2	$1,500.00	7/7/2023	Paid in Full
Alpha Magnolia Garden	HAL-093-010	10/17/2022	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$1,500.00	7/7/2023	Paid in Full
Alpha Magnolia Garden	HAL-093-010	6/23/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$4,000.00	11/21/2023	Paid in Full
Alpha Magnolia Garden	HAL-093-010	6/23/2023	10A NCAC 13F .0902(b) Health Care	A2	$4,000.00	11/21/2023	Paid in Full
Alpha Magnolia Garden	HAL-093-010	4/29/2025	10A NCAC 13F .0305(h)(4) Physical Environment	A2	$12,000.00	9/10/2025	Settlement Agreement
Alpha Magnolia Garden	HAL-093-010	4/29/2025	10A NCAC 13F .0901(a) Personal Care and Supervision	A1	$16,000.00	9/10/2025	Settlement Agreement
Alpha Magnolia Garden	HAL-093-010	4/29/2025	10A NCAC 13F .0902(b) Health Care	A1	$16,000.00	9/10/2025	Settlement Agreement
Alpha Magnolia Garden	HAL-093-010	4/29/2025	10A NCAC 13F .0904(e)(4) Nutrition and Food Service	A2	$14,000.00	9/10/2025	Settlement Agreement
Alpha Magnolia Garden	HAL-093-010	4/29/2025	10A NCAC 13F .0909 Resident Rights	A1	$16,000.00	9/10/2025	Settlement Agreement
Alpha Magnolia Garden	HAL-093-010	4/29/2025	10A NCAC 13F .1004(a) Medication Administration	A1	$16,000.00	9/10/2025	Settlement Agreement
Alpha Magnolia Garden	HAL-093-010	7/8/2025	10A NCAC 13F .0901(b) Personal Care and Supervision	A1	$20,000.00	10/24/2025	Settlement Agreement
Alpha Magnolia Garden	HAL-093-010	7/8/2025	10A NCAC 13F .0902(b) Health Care	A1	$20,000.00	10/24/2025	Settlement Agreement

Wayne County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Countryside Village (Closed)	HAL-096-049	2/5/2024	10A NCAC 13F .0901(c) Personal Care and Supervision	A1	$14,000.00	9/18/2024	Paid in Full
Helping Hands Assisted Living (Closed)	HAL-096-052	12/7/2022	10A NCAC 13F .1004(a) Medication Administration	Unabated B	$11,800.00	11/21/2023	Settlement Agreement
Latter Days LTC	FCL-096-057	12/23/2024	10A NCAC 13G .0302 (b) Design And Construction	Unabated B	$4,300.00	7/25/2025	Paid in Full
Morning Glory Family Care	FCL-096-038	3/15/2023	10A NCAC 13G .0317(d) Building Service Equipment	A2	$1,000.00	7/7/2023	Paid in Full
Somerset Court of Goldsboro	HAL-096-047	6/20/2025	10A NCAC 13F .0901(c) Personal Care and Supervision	A1	$7,000.00	11/7/2025	Appealed
The Indigo at Pikeville	HAL-096-055	8/21/2025	10A NCAC 13F .0311 (d) Other Requirements	A2	$2,000.00	11/7/2025	Paid in Full

Wilson County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Hands that Cares (Closed)	FCL-098-039	4/20/2023	10A NCAC 13G .0902(b) Health Care	A1	$3,500.00	7/7/2023	Not Paid - Referred to Controller's Office
Hands that Cares (Closed)	FCL-098-039	4/20/2023	10A NCAC 13G .1004(a) Medication Administration	A1	$3,500.00	7/7/2023	Not Paid - Referred to Controller's Office
Morning Star Assisted Living #5	HAL-098-031	3/22/2023	10A NCAC 13F .0902(c)(3-4) Health Care	A1	$4,000.00	7/7/2023	Paid in Full
Morning Star Assisted Living #5	HAL-098-031	3/22/2023	10A NCAC 13F .1004(a) Medication Administration	A2	$1,000.00	7/7/2023	Paid in Full
Parkwood Village	HAL-098-030	4/4/2023	10A NCAC 13F .0901(a) Personal Care and Supervision	A1	$4,000.00	7/7/2023	Paid in Full
Parkwood Village	HAL-098-030	4/4/2023	10A NCAC 13F .1309 Special Care Unit Staff Orientation And Train	A2	$2,000.00	7/7/2023	Paid in Full
Parkwood Village	HAL-098-030	3/22/2024	10A NCAC 13F .1004(a) Medication Administration	A1	$12,000.00	9/4/2024	Settlement Agreement
Parkwood Village	HAL-098-030	5/29/2024	10A NCAC 13F .1004(a) Medication Administration	A2	$7,000.00	1/10/2025	Paid in Full
Wilson House	HAL-098-023	1/27/2023	10A NCAC 13F .1004(a) Medication Administration	A2	$12,000.00	10/25/2023	Settlement Agreement

Yadkin County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Pinebrook Residential Center II	HAL-099-016	10/27/2023	10A NCAC 13F .0901(b) Personal Care and Supervision	A2	$2,000.00	6/12/2024	Paid in Full
Pinebrook Residential Center II	HAL-099-016	10/27/2023	10A NCAC 13F .0909 Resident Rights	A2	$2,000.00	6/12/2024	Paid in Full
Pinebrook Residential Center II	HAL-099-016	1/26/2024	10A NCAC 13F .0901(b) Personal Care and Supervision	Unabated A2	$39,937.50	10/3/2024	Settlement Agreement
Pinebrook Residential Center II	HAL-099-016	1/26/2024	10A NCAC 13F .0909 Resident Rights	Unabated A2	$53,250.00	10/3/2024	Settlement Agreement
Pinebrook Residential Center II	HAL-099-016	11/26/2024	10A NCAC 13F .0901(a) Personal Care and Supervision	A1	$6,000.00	11/14/2025	Appealed
Pinebrook Residential Center II	HAL-099-016	11/26/2024	10A NCAC 13F .0902(b) Health Care	A2	$3,000.00	11/14/2025	Appealed
Pinebrook Residential Center II	HAL-099-016	11/26/2024	10A NCAC 13F .0909 Resident Rights	A1	$9,000.00	11/14/2025	Appealed
Pinebrook Residential Center II	HAL-099-016	8/6/2025	10A NCAC 13F .0909 Resident Rights	A1	$16,000.00	11/14/2025	Appealed

Yancey County

Facility	Facility License	Inspection Date & Nature of Validation	Rules Areas Cited	Level Cited	Penalty Amount	Date Penalty Imposed	Current Status
Yancey House	HAL-100-005	2/8/2023	10A NCAC 13F .1004(a) Medication Administration	Unabated B	$9,600.00	6/16/2023	Settlement Agreement

NC Division of Health Service Regulation

Adult Care Licensure Section