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C
Below Standard

Piedmont Health & Rehab Center

610 West Fisher Street · Salisbury, NC 28145

7046332781 · For profit - Corporation

58 beds42.8 residents87 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Piedmont Health & Rehab Center receives an overall staffing grade of C (Below Standard). With 3.8164 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4399 HPRD, below the recommended 0.75. It is 0.08 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 10.81% compared to weekdays. The facility uses a moderate level of agency staff (11.08% of hours), suggesting some reliance on temporary workers.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

⚠️Had 2 days with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
⚠️RN staffing (0.4399 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
Total Nurse HPRD
3.8164hrs/resident/day▼ 0.08
CMS benchmark: 3.48
RN HPRD
0.4399hrs/resident/day▼ 0.24
Recommended: 0.75
Weekend Drop-off
10.81%
3.9366 weekday → 3.5112 weekend
Agency Staff
11.08%
11.37% of RN hours from contractors
Days with Zero RN
2days this quarter
4+ days = auto 1-star
CNA HPRD
2.1906hrs/resident/day
Direct care aides
LPN HPRD
1.0148hrs/resident/day
Licensed practical nurses
Consistency
0.4466std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Rowan County Average-0.06 HPRD
3.88
03.82 HPRD
vs. North Carolina State Average+0.05 HPRD
3.77
03.82 HPRD
vs. National Average-0.08 HPRD
3.90
03.82 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Piedmont Health & Rehab Center ★
Salisbury · This facility
—
C
3.81640.4399★★★☆☆
Salisbury Rehabilitation and Nursing Center
Salisbury
1.5 mi
C
3.29650.4388★☆☆☆☆
Autumn Care of Salisbury
Salisbury
1.8 mi
C
3.2610.514★★★☆☆
Trinity Oaks
Salisbury
1.8 mi
A
4.75920.7698★★★★☆
Compass Healthcare and Rehab Rowan, LLC
Spencer
1.9 mi
D
3.0830.393★☆☆☆☆
Davidson Health & Rehab Center
Lexington
11.6 mi
D
3.54150.3641★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
14
Total Deficiencies
$8,512
Fines Assessed
Sep 11, 2025Health
5 deficiencies cited
▼
Jul 23, 2024Health
4 deficiencies cited· Includes actual harm
▼
Sep 28, 2023Health
5 deficiencies cited
▼

Penalty History

Jul 23, 2024Fine
$8,512
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.