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Union County, North Carolina · Nursing home

Stratford Manor Health & Rehab

3 of 5 overall from CMS

204 Old Highway 74 East, Monroe, NC 28112

Call (704) 800-0601Directions

At a glance

Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.

Stratford Manor Health & Rehab is a 60-bed nursing home in Monroe, North Carolina (Union County). CMS rates it 3 of 5 stars overall as of Sep 2026. It reports 2.89 nurse staffing hours per resident per day, below the North Carolina average of 3.85. CMS lists no fines in the past three years.

Certified beds
60
Residents per day (average)
50.7
Certified since
1991 (35 yrs)

For profit - Limited Liability company Participates in Medicare and Medicaid

Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.

Terms used on this page
CMS
The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
Certified beds
The number of federally certified beds CMS lists for the home.
Deficiency or citation
A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
Actual harm
Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
Immediate jeopardy
Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
Inspection cycle
A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
Special Focus Facility (SFF)
A home CMS has placed under closer oversight because of its inspection record. More about the program

Questions to ask Stratford Manor Health & Rehab

Chosen from this home's public data.

  1. Nursing staff turnover is 71.0%, above the North Carolina average of 49.0%. How often would the same aides care for my relative?Turnover in CMS data
  2. Registered nurse time is 0.56 hours per resident per day; the North Carolina average is 0.62. Is an RN on site overnight?RN staffing in CMS data
  3. What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices

More in what to ask on a nursing home tour.

CMS star ratings

The vertical line marks the North Carolina average. Ratings run from 1 to 5. How to read CMS star ratings

Nurse staffing

Hours of care per resident per day, as the home reported to CMS.

What these roles do

Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.

How much nurse staffing is enough? All bars share one scale, 0 to 13 hours. The vertical line marks the North Carolina average; the national average for all nursing staff is 3.86 hours.

Quality measures

CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the North Carolina and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.

Long-stay residents

MeasureThis homeNorth CarolinaU.S.
★ Percentage of long-stay residents whose need for help with daily activities has increased 6.0% 15.6% 13.9%
Percentage of long-stay residents who lose too much weight 8.8% 7.2% 5.2%
★ Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0% 0.7% 0.8%
★ Percentage of long-stay residents with a urinary tract infection 0.0% 2.3% 1.6%
Percentage of long-stay residents who have depressive symptoms 0.6% 5.9% 12.8%
Percentage of long-stay residents who were physically restrained 0.0% 0.0% 0.1%
★ Percentage of long-stay residents experiencing one or more falls with major injury 2.6% 3.5% 3.2%
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0% 92.0% 93.6%
★ Percentage of long-stay residents whose ability to walk independently worsened 2.6% 18.3% 14.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 19.3% 21.3% 19.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0% 94.1% 95.5%
★ Percentage of long-stay residents with pressure ulcers 6.8% 5.5% 4.6%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 8.1% 20.7% 19.0%
★ Percentage of long-stay residents who received an antipsychotic medication 15.8% 14.0% 15.4%
★ Number of hospitalizations per 1000 long-stay resident days Too few residents or stays to report 1.78 1.90
★ Number of outpatient emergency department visits per 1000 long-stay resident days Too few residents or stays to report 1.80 1.78

Short-stay residents

MeasureThis homeNorth CarolinaU.S.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.3% 80.6% 82.0%
★ Percentage of short-stay residents who newly received an antipsychotic medication 5.2% 1.4% 1.6%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 91.1% 78.1% 79.8%
★ Percentage of short-stay residents who were rehospitalized after a nursing home admission 15.4% 22.9% 23.8%
★ Percentage of short-stay residents who had an outpatient emergency department visit 40.9% 12.9% 12.0%

Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov

Inspection history

Inspectors cited 20 health deficiencies in the three most recent inspection cycles. Of these, 3 involved actual harm; the rest were graded as no actual harm. 3 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jun 17, 2022: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Deficiencies by inspection cycle
Standard inspectionHealthFire safety
Apr 10, 202541
Nov 30, 2023510
Jun 17, 2022113

North Carolina homes averaged 4.7 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.

Health citations, three most recent inspection cycles (20)

  1. DPotential for more than minimal harm, isolated

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

    Quality of Life and Care · Deficient, Provider has date of correction (Apr 25, 2025)

  2. DPotential for more than minimal harm, isolated

    Provide and implement an infection prevention and control program.

    Infection Control · Deficient, Provider has date of correction (Apr 25, 2025)

  3. BPotential for minimal harm, pattern

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Resident Rights · Deficient, Provider has plan of correction (Apr 25, 2025)

  4. BPotential for minimal harm, pattern

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Resident Rights · Deficient, Provider has plan of correction (Apr 25, 2025)

  5. DPotential for more than minimal harm, isolated

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

    Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 7, 2025)

Show 15 more

  1. DPotential for more than minimal harm, isolated

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 7, 2025)

  2. FPotential for more than minimal harm, widespread

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Administration · Deficient, Provider has date of correction (Dec 20, 2023)

  3. EPotential for more than minimal harm, pattern

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Resident Rights · Deficient, Provider has date of correction (Dec 20, 2023)

  4. DPotential for more than minimal harm, isolated

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

    Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (Sep 7, 2023)

  5. GActual harm, isolated

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

    Resident Rights · Deficient, Provider has date of correction (Jul 1, 2022)

  6. GActual harm, isolated

    Provide enough food/fluids to maintain a resident's health.

    Quality of Life and Care · Deficient, Provider has date of correction (Jul 1, 2022)

  7. GActual harm, isolated

    Ensure 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.

    Quality of Life and Care · Deficient, Provider has date of correction (Jul 1, 2022)

  8. FPotential for more than minimal harm, widespread

    Have 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.

    Nursing and Physician Services · Deficient, Provider has date of correction (Jul 1, 2022)

  9. EPotential for more than minimal harm, pattern

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 1, 2022)

  10. EPotential for more than minimal harm, pattern

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

    Environmental · Deficient, Provider has date of correction (Jul 1, 2022)

  11. DPotential for more than minimal harm, isolated

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

    Quality of Life and Care · Deficient, Provider has date of correction (Jul 1, 2022)

  12. DPotential for more than minimal harm, isolated

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Quality of Life and Care · Deficient, Provider has date of correction (Jul 1, 2022)

  13. DPotential for more than minimal harm, isolated

    Ensure 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.

    Pharmacy Service · Deficient, Provider has date of correction (Jul 1, 2022)

  14. DPotential for more than minimal harm, isolated

    Provide and implement an infection prevention and control program.

    Infection Control · Deficient, Provider has date of correction (Jul 1, 2022)

  15. BPotential for minimal harm, pattern

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

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 1, 2022)

What severity letters A to L mean

Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".

Penalties, past three years

CMS lists no fines or payment denials for this home in the past three years.

North Carolina homes averaged 1.2 fines and $36,617 in fine amounts; the national averages are 0.9 and $30,972.

Cost

Not in the public data. CMS does not publish what a nursing home charges.

Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.

Compared within North Carolina

Common questions

What is the CMS star rating for Stratford Manor Health & Rehab?

Stratford Manor Health & Rehab has an overall rating of 3 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 4, staffing is 1 and quality measures is 3.

How many beds does Stratford Manor Health & Rehab have?

Stratford Manor Health & Rehab has 60 certified beds. It averages 50.7 residents per day, about 84.5% of its certified beds.

How much nursing care do residents get at Stratford Manor Health & Rehab?

The home reports 2.89 hours of nurse staffing per resident per day, including 0.56 hours from registered nurses. The North Carolina average is 3.85 hours and 0.62 hours from registered nurses.

Has Stratford Manor Health & Rehab been fined?

CMS lists no fines for this home in the past three years.

Does Stratford Manor Health & Rehab accept Medicare or Medicaid?

CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.

Guides for families looking at this home

Nearest nursing homes

Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Union County

Who to call in North Carolina

These offices serve residents of every nursing home in North Carolina.

North Carolina staffing, bed-hold and Medicaid rules · Residents' rights in every state

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Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 345345. See this home's official record on Medicare.gov

See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.