Hickory Falls Health and Rehabilitation
100 Sunset Street, Granite Falls, NC 28630
Hickory Falls Health and Rehabilitation, a 120-bed for profit - limited liability company nursing facility in Granite Falls, NC, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #138 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 8283962387
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- 4 / 5
- Above average · CMS overall · nat'l 3.0
- #138 of 415
- In-state rank among rated NC homes
- 3.62
- Below average · nurse hrs/day · nat'l 3.86
- 3
- Inspection findings · 1 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
Hickory Falls Health and Rehabilitation, a 120-bed for profit - limited liability company nursing facility in Granite Falls, NC, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #138 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
- 4 / 5
- CMS overall · national 3.0
- #138 of 415
- In-state rank among rated NC homes
- 3.62
- Nurse hrs/resident-day · national 3.86
- 3
- Inspection findings · 1 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 419 NC nursing homes split by ownership sector
This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 345246
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 120
- Residents
- 114
- In Hospital
- No
- County
- Caldwell
- Last Inspection
- Jun 10, 2026
Staffing Data
How the 3.62 total nursing hours per resident-day are staffed:
- RN Hours
- 0.38 (nat'l avg: 0.69)
- LPN Hours
- 0.57
- CNA Hours
- 2.66
- Total Nursing Hours
- 3.62 (nat'l avg: 3.86)
- PT Hours
- 0.09
- Nursing Turnover
- 32.5%
- RN Turnover
- 31.3%
What the CMS Record Reveals About Hickory Falls Health and Rehabilitation
According to CMS Nursing Home Compare, Hickory Falls Health and Rehabilitation ranks #138 of 415 rated nursing homes in NC on overall stars (tie-broken by health+staffing+quality, then fewer fines). Hickory Falls Health and Rehabilitation operates 120 certified beds in Granite Falls, NC with approximately 114 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 3★ · quality 3★).
The inspection file contains 3 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 1 penalty totaling $51K levied against this facility. Staffing is reported at 3.62 total nursing hours per resident day (national average 3.86), with RN coverage at 0.38 per resident day.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Hickory Falls Health and Rehabilitation falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 32.5% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (3 most recent)
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: May 23, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: May 23, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: May 16, 2024
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.6% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.7% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.8% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.6% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.1% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.2% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.5% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 2.5% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 15.8% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 99.7% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 29.2% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 16.4% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 99.5% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 97.0% | No |
Penalty History 1 penalties totaling $51K
| Date | Type | Amount |
|---|---|---|
| May 31, 2024 | Fine | $51K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Hickory Falls Health and Rehabilitation, both outside NC so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside NC (120 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside NC (3.68 here).
Nearby Nursing Homes in NC
418 other nursing homes are on record in NC; 6 are shown here.
Abbotts Creek Center
Lexington, NC
Abernathy Laurels
Newton, NC
Accordius Health at Gastonia
Gastonia, NC
Accordius Health at Rose Manor LLC
Durham, NC
Adams Farm Living & Rehabilitation
Jamestown, NC
Ahoskie Health and Rehabilitation Center
Ahoskie, NC
Understanding Nursing Home Data
What the CMS records show for Hickory Falls Health and Rehabilitation
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The NC registry aggregates state averages and the highest-rated homes in this cohort. View NC registry
- Peer homes near 120 beds show how CMS stars vary at a similar scale in NC. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Hickory Falls Health and Rehabilitation?
Where does Hickory Falls Health and Rehabilitation rank among nursing homes in NC?
What are the staffing levels at Hickory Falls Health and Rehabilitation?
How many beds does Hickory Falls Health and Rehabilitation have?
Does Hickory Falls Health and Rehabilitation have any deficiencies on record?
Has Hickory Falls Health and Rehabilitation received any fines or penalties?
Who owns Hickory Falls Health and Rehabilitation?
When was Hickory Falls Health and Rehabilitation last inspected?
What quality measures are tracked for Hickory Falls Health and Rehabilitation?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
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