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Data / Nursing homes / North Carolina / Piedmont Hills Center for Nursing and Rehab

Piedmont Hills Center for Nursing and Rehab, Greensboro, NC: 1 star rating, fined $217,827 across 5 fines and had 1 payment denial

Piedmont Hills Center for Nursing and Rehab in Greensboro, NC is run by Holden Road Operating Company, LLC, with no owner listed in the CMS ownership file, is rated 1 of 5 stars by Medicare, and was fined $217,827 across 5 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 February 27, 2026, and 7 of them found actual harm or immediate jeopardy.

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Address
109 S Holden Road, Greensboro, NC 27407
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measure rating
1 of 5
Certified beds
126
Residents per day
120 on average
Ownership type
For profit, limited liability company
Legal business name
Holden Road Operating Company, LLC
Chain
Alliance Health Group, 13 facilities
Fines
$217,827 across 5 fines, three years to October 1, 2026
Payment denials
1
Health citations
52, of which 7 with actual harm or immediate jeopardy
Latest survey
February 27, 2026
CMS Certification Number
345116
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
October 23, 2025Fine$50,505Not listeddata.cms.gov
June 11, 2025Fine$17,345Not listeddata.cms.gov
December 5, 2024Fine$18,086Not listeddata.cms.gov
July 17, 2024Fine$35,105Not listeddata.cms.gov
December 4, 2023Fine$96,786Not listeddata.cms.gov
December 4, 2023Payment denialNot listedJanuary 2, 20242data.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
October 23, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedNovember 24, 2025data.cms.gov
October 23, 2025F580Immediately 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 harmCorrectedNovember 24, 2025data.cms.gov
June 11, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyPast noncomplianceApril 26, 2025data.cms.gov
February 10, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedFebruary 21, 2025data.cms.gov
February 10, 2025F657Develop 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 harmCorrectedFebruary 21, 2025data.cms.gov
December 5, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 10, 2025data.cms.gov
December 5, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 10, 2025data.cms.gov
December 5, 2024F687Provide appropriate foot care.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 10, 2025data.cms.gov
December 5, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 10, 2025data.cms.gov
December 5, 2024F657Develop 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 harmCorrectedFebruary 21, 2025data.cms.gov
December 5, 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 harmCorrectedFebruary 10, 2025data.cms.gov
December 5, 2024F641Ensure each resident receives an accurate assessment.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 10, 2025data.cms.gov
December 5, 2024F638Assure that each resident’s assessment is updated at least once every 3 months.B: pattern, minimal harm potentialPlan of correctionDecember 30, 2024data.cms.gov
December 5, 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 harmCorrectedFebruary 10, 2025data.cms.gov
December 5, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.B: pattern, minimal harm potentialPlan of correctionDecember 30, 2024data.cms.gov
December 5, 2024F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 10, 2025data.cms.gov
July 17, 2024F880Provide and implement an infection prevention and control program.K: pattern, immediate jeopardyCorrectedAugust 1, 2024data.cms.gov
July 17, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.K: pattern, immediate jeopardyCorrectedAugust 1, 2024data.cms.gov
July 17, 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 1, 2024data.cms.gov
July 17, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 1, 2024data.cms.gov
December 4, 2023F697Provide safe, appropriate pain management for a resident who requires such services.J: isolated, immediate jeopardyCorrectedJanuary 1, 2024data.cms.gov
December 4, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.G: isolated, actual harmCorrectedJanuary 1, 2024data.cms.gov
December 4, 2023F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2024data.cms.gov
December 4, 2023F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2024data.cms.gov
December 4, 2023F914Provide bedrooms that don't allow residents to see each other when privacy is needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2024data.cms.gov
December 4, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2024data.cms.gov
December 4, 2023F867Set 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 harmCorrectedJanuary 1, 2024data.cms.gov
December 4, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2024data.cms.gov
December 4, 2023F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2024data.cms.gov
December 4, 2023F791Provide or obtain dental services for each resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2024data.cms.gov
December 4, 2023F761Ensure 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 harmCorrectedJanuary 1, 2024data.cms.gov
December 4, 2023F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2024data.cms.gov
December 4, 2023F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2024data.cms.gov
December 4, 2023F732Post nurse staffing information every day.C: widespread, minimal harm potentialPlan of correctionJanuary 1, 2024data.cms.gov
December 4, 2023F727Have 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2024data.cms.gov
December 4, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2024data.cms.gov
December 4, 2023F660Plan the resident's discharge to meet the resident's goals and needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2024data.cms.gov
December 4, 2023F657Develop 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 harmCorrectedJanuary 1, 2024data.cms.gov
December 4, 2023F642Ensure a qualified health professional conducts resident assessments.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2024data.cms.gov
December 4, 2023F641Ensure each resident receives an accurate assessment.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2024data.cms.gov
December 4, 2023F638Assure that each resident’s assessment is updated at least once every 3 months.B: pattern, minimal harm potentialPlan of correctionJanuary 1, 2024data.cms.gov
December 4, 2023F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.B: pattern, minimal harm potentialPlan of correctionJanuary 1, 2024data.cms.gov
December 4, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2024data.cms.gov
December 4, 2023F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2024data.cms.gov
December 4, 2023F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2024data.cms.gov
December 4, 2023F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2024data.cms.gov
December 4, 2023F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2024data.cms.gov
December 4, 2023F580Immediately 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 harmCorrectedJanuary 1, 2024data.cms.gov
December 4, 2023F578Honor 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 harmCorrectedJanuary 1, 2024data.cms.gov
December 4, 2023F575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.C: widespread, minimal harm potentialPlan of correctionJanuary 1, 2024data.cms.gov
December 4, 2023F561Honor 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 harmCorrectedJanuary 1, 2024data.cms.gov
December 4, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 4, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 4 individual or personal trusts (1 managers, 1 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Alliance Health Group LLCOperational or managerial controlNot listedJanuary 16, 2025data.cms.gov
Alliance Health Group LLCAdditional disclosable partyNot listedDecember 11, 2024data.cms.gov
Coalition Group LLCAdditional disclosable partyNot listedJanuary 1, 2024data.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.