Skip to the page
Get started free

Data / Nursing homes / North Carolina / Lotus Village Center for Nursing and Rehabilitatio

Lotus Village Center for Nursing and Rehabilitatio, Sparta, NC: 1 star rating, fined $329,752 across 4 fines and had 1 payment denial

Lotus Village Center for Nursing and Rehabilitatio in Sparta, NC is owned by Coalition Group LLC, is rated 1 of 5 stars by Medicare, and was fined $329,752 across 4 fines and had 1 payment denial in the three years to October 1, 2026. CMS lists 52 health citations from inspections in that time, the latest survey on May 15, 2026, and 7 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in North Carolina
Address
179 Combs Street, Sparta, NC 28675
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measure rating
3 of 5
Certified beds
90
Residents per day
74 on average
Ownership type
For profit, corporation
Legal business name
Combs Street Operating Company LLC
Chain
Simcha Hyman & Naftali Zanziper, 79 facilities
Fines
$329,752 across 4 fines, three years to October 1, 2026
Payment denials
1
Health citations
52, of which 7 with actual harm or immediate jeopardy
Latest survey
May 15, 2026
CMS Certification Number
345261
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
March 19, 2026Fine$14,524Not listeddata.cms.gov
April 10, 2025Fine$102,102Not listeddata.cms.gov
April 10, 2025Payment denialNot listedMay 8, 202536data.cms.gov
September 27, 2024Fine$16,055Not listeddata.cms.gov
February 22, 2024Fine$197,071Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
May 15, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyPast noncomplianceJanuary 10, 2026data.cms.gov
May 15, 2026F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 15, 2026data.cms.gov
May 15, 2026F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 15, 2026data.cms.gov
May 15, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 15, 2026data.cms.gov
May 15, 2026F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 15, 2026data.cms.gov
May 15, 2026F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 15, 2026data.cms.gov
May 15, 2026F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 15, 2026data.cms.gov
May 15, 2026F687Provide appropriate foot care.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 15, 2026data.cms.gov
May 15, 2026F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 15, 2026data.cms.gov
May 15, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 15, 2026data.cms.gov
May 15, 2026F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 15, 2026data.cms.gov
May 15, 2026F638Assure that each resident’s assessment is updated at least once every 3 months.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 15, 2026data.cms.gov
May 15, 2026F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 15, 2026data.cms.gov
May 15, 2026F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 15, 2026data.cms.gov
May 15, 2026F552Ensure that residents are fully informed and understand their health status, care and treatments.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 15, 2026data.cms.gov
March 19, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 15, 2026data.cms.gov
March 19, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 15, 2026data.cms.gov
May 22, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 13, 2025data.cms.gov
May 22, 2025F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 13, 2025data.cms.gov
May 22, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 13, 2025data.cms.gov
May 22, 2025F638Assure that each resident’s assessment is updated at least once every 3 months.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 13, 2025data.cms.gov
May 22, 2025F637Assess the resident when there is a significant change in conditionD: isolated, no actual harm, potential for more than minimal harmCorrectedJune 13, 2025data.cms.gov
May 22, 2025F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 13, 2025data.cms.gov
April 10, 2025F760Ensure that residents are free from significant medication errors.G: isolated, actual harmCorrectedMay 22, 2025data.cms.gov
April 10, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.G: isolated, actual harmCorrectedMay 22, 2025data.cms.gov
April 10, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 22, 2025data.cms.gov
April 10, 2025F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 22, 2025data.cms.gov
October 24, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 25, 2024data.cms.gov
September 27, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyPast noncomplianceSeptember 20, 2024data.cms.gov
August 7, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
August 7, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
August 7, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 29, 2024data.cms.gov
April 8, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.K: pattern, immediate jeopardyCorrectedMay 4, 2024data.cms.gov
April 8, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K: pattern, immediate jeopardyCorrectedMay 4, 2024data.cms.gov
April 8, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.J: isolated, immediate jeopardyCorrectedMay 4, 2024data.cms.gov
April 8, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 4, 2024data.cms.gov
February 22, 2024F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 4, 2024data.cms.gov
February 22, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 4, 2024data.cms.gov
February 22, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 4, 2024data.cms.gov
February 22, 2024F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 4, 2024data.cms.gov
February 22, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 4, 2024data.cms.gov
February 22, 2024F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 4, 2024data.cms.gov
February 22, 2024F695Provide safe and appropriate respiratory care for a resident when needed.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 4, 2024data.cms.gov
February 22, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 4, 2024data.cms.gov
February 22, 2024F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 4, 2024data.cms.gov
February 22, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 4, 2024data.cms.gov
February 22, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 4, 2024data.cms.gov
February 22, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.B: pattern, minimal harm potentialCorrectedMay 4, 2024data.cms.gov
February 22, 2024F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 4, 2024data.cms.gov
February 22, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 4, 2024data.cms.gov
February 22, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.F: widespread, no actual harm, potential for more than minimal harmCorrectedMay 4, 2024data.cms.gov
February 22, 2024F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 4, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 8 individual or personal trusts (3 owners, 1 managers, 2 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Coalition Group LLCDirect ownerNot listedJuly 1, 2023data.cms.gov
PPG Ee Group LLCIndirect ownerNot listedJuly 1, 2023data.cms.gov
SHNZ Holdings LLCIndirect ownerNot listedJuly 1, 2023data.cms.gov
Alliance Health Group LLCOperational or managerial controlNot listedJuly 1, 2023data.cms.gov
Alliance Health Group LLCAdditional disclosable partyNot listedMarch 11, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.