Lee County, North Carolina · Nursing home
Sanford Health & Rehabilitation Co
4 of 5 overall from CMS
2702 Farrell Road, Sanford, NC 27330
At a glance
- Overall rating 4 of 5 Above the state average of 2.9
- Nurse time per resident, per day 3.82 hours Below the state average of 3.85
- Nursing staff who left in a year 24.7% Below the state average of 49.0%
- Health citations, last 3 inspection cycles 13 1 at the harm level or above
- Fines in 3 years $10,527 1 fine
- Certified beds in use 77.9% of 131 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Sanford Health & Rehabilitation Co is a 131-bed nursing home in Sanford, North Carolina (Lee County). CMS rates it 4 of 5 stars overall as of Sep 2026. It reports 3.82 nurse staffing hours per resident per day, below the North Carolina average of 3.85. CMS lists 1 fine totaling $10,527 in the past three years.
- Certified beds
- 131
- Residents per day (average)
- 102.1
- Certified since
- 2005 (21 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Sanstone Health & Rehabilitation (18 homes)
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 Sanford Health & Rehabilitation Co
Chosen from this home's public data.
- CMS lists 1 fine totaling $10,527 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 5 health deficiencies in the latest inspection cycle (the standard inspection on Jul 23, 2026 plus complaint and infection-control inspections); the North Carolina average is 4.7. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 3.30 hours per resident on weekends against 3.82 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 North Carolina average 2.9
- Health inspections 4 of 5 North Carolina average 2.9
- Staffing 3 of 5 North Carolina average 2.7
- Quality measures 3 of 5 North Carolina average 3.3
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.
- All nursing staff 3.82 h North Carolina average 3.85
- Nurse aides 2.26 h North Carolina average 2.34
- Licensed practical nurses 1.32 h North Carolina average 0.89
- Registered nurses 0.25 h North Carolina average 0.62
- All staff, weekends 3.30 h North Carolina average 3.42
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.
- Nursing staff turnover24.7%
- North Carolina average49.0%
- Registered nurse turnover62.5%
- North Carolina average45.6%
- Administrators who left0
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
| Measure | This home | North Carolina | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 14.9% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 5.9% | 7.2% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% | 0.7% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.7% | 2.3% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.3% | 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 | 4.2% | 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 | 14.9% | 18.3% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.7% | 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 | 3.9% | 5.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.0% | 20.7% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 13.7% | 14.0% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.89 | 1.78 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.25 | 1.80 | 1.78 |
Short-stay residents
| Measure | This home | North Carolina | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.9% | 80.6% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% | 1.4% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% | 78.1% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.7% | 22.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 18.3% | 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 13 health deficiencies in the three most recent inspection cycles. Of these, 1 involved actual harm; the rest were graded as no actual harm. 2 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jun 13, 2024: Ensure that residents are free from significant medication errors.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jul 23, 2026 | 5 | 5 |
| Apr 4, 2025 | 1 | 10 |
| Jan 24, 2024 | 7 | 9 |
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 (13)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · Deficient, Provider has date of correction (Jul 24, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 29, 2026)
-
DPotential for more than minimal harm, isolated
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 28, 2026)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Aug 14, 2026)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Jul 28, 2026)
Show 8 more
-
DPotential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 18, 2025)
-
GActual harm, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jun 27, 2024)
-
DPotential for more than minimal harm, isolated
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 2, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 2, 2024)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Feb 2, 2024)
-
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.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Feb 2, 2024)
-
DPotential for more than minimal harm, isolated
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration · Deficient, Provider has date of correction (Feb 2, 2024)
-
DPotential for more than minimal harm, isolated
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · Deficient, Provider has date of correction (Feb 2, 2024)
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
| Date | Type | Amount |
|---|---|---|
| Jun 13, 2024 | Fine | $10,527 |
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
- Size89 of 419 by certified beds
- North Carolina average residents per day86.9
- ChainSanstone Health & Rehabilitation
- Chain average overall rating4.3 of 5
- Resident or family councilResident
- Homes in Sanford3
- Homes in Lee County3
Common questions
What is the CMS star rating for Sanford Health & Rehabilitation Co?
Sanford Health & Rehabilitation Co has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 4, staffing is 3 and quality measures is 3.
How many beds does Sanford Health & Rehabilitation Co have?
Sanford Health & Rehabilitation Co has 131 certified beds. It averages 102.1 residents per day, about 77.9% of its certified beds.
How much nursing care do residents get at Sanford Health & Rehabilitation Co?
The home reports 3.82 hours of nurse staffing per resident per day, including 0.25 hours from registered nurses. The North Carolina average is 3.85 hours and 0.62 hours from registered nurses.
Has Sanford Health & Rehabilitation Co been fined?
Yes. CMS lists 1 fine totaling $10,527 in the past three years.
Does Sanford Health & Rehabilitation Co 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
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 4 of 5 Westfield Rehabilitation and Health Center 83beds 95.4%in use 3.31nurse hours a day
- 2 of 5 Liberty Commons Nursing and Rehabilitation Center 80beds 93.5%in use 3.17nurse hours a day
- 2 of 5 The Laurels of Chatham 140beds 87.7%in use 3.72nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Lee County
Who to call in North Carolina
These offices serve residents of every nursing home in North Carolina.
- Long-term care ombudsman North Carolina Long-Term Care Ombudsman Program 919-855-3400 (Office of the State Long-Term Care Ombudsman, Raleigh. Regional ombudsmen (16 offices in Area Agencies on Aging) are listed by county in a document linked from the program page.) An advocate for residents and their families.
- File a complaint about a nursing home Complaint Intake Unit (Complaint Hotline) 1-800-624-3004 (Within N.C.; or 919-855-4500. Hours: 9 a.m.-12 p.m. and 1-4 p.m. weekdays, except holidays. Also by fax (919-715-7724), mail (Complaint Intake Unit, 2711 Mail Service Center, Raleigh, NC 27699-2711) or email; a printable complaint form is on the page.) The state agency that inspects nursing homes.
North Carolina staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 345534. 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.