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Nursing HomeMedicaid Investigative

Adams Farm Living & Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

5100 Mackay Road, Adams Farm · Jamestown, NC 27282120 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 4 Google reviews

Adams Farm Living & Rehabilitation Nursing Home in Jamestown, NC — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (6 vs median 4.0)
  • High staff turnover (56%)

Below average in NC · Below recommended RN staffing · Worst in CENTURY CARE MANAGEMENT chain · $37,310 in fines

Source: Medicare data

What this means for your family

While the facility is highly regarded for its administrative support in navigating memory care and financial planning, potential residents should be cautious regarding nursing responsiveness. We recommend asking specifically about their protocols for medication delivery and how they accommodate patients with sensory impairments to ensure your loved one's needs are met promptly.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.39hrs
52%
Registered nurses for medical care
Total Nursing
3.59hrs
88%
All nurses + aides combined
Staff Turnover
59%
Lower is better (< 30% = good)
RN Turnover
55%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility34.5%
Worse than Avg
Here
34.5%
US
15.3%
NC
20.2%
Guilford
23.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
12.1%
NC
5.4%
Guilford
4.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility15.5%
Better than Avg
Here
15.5%
US
19.5%
NC
21.5%
Guilford
24.2%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
NC
94.1%
Guilford
96.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility14.2%
Better than Avg
Here
14.2%
US
14.4%
NC
16.4%
Guilford
19.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility17.9%
Better than Avg
Here
17.9%
US
19.4%
NC
21.0%
Guilford
22.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.4%
Better than Avg
Here
98.4%
US
81.8%
NC
80.1%
Guilford
76.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility94.4%
Better than Avg
Here
94.4%
US
79.7%
NC
78.1%
Guilford
78.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.2%
Mixed vs Avgs
Here
1.2%
US
1.6%
NC
1.5%
Guilford
1.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
1penalties
Above state avg (5.6)
6 complaint-triggered
$37,310 in fines

Families have filed multiple complaints against this facility, triggering half of the 12 deficiencies found across recent surveys. Key problem areas include medication management, fire safety systems, and physician oversight of resident care. While the facility has provided correction dates for all issues, the pattern of family complaints raises concerns about communication with families, proper medical documentation, and following doctor's orders that families should investigate during visits.

Dec 5, 2025Routine
1
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

May 1, 2025Complaint
5
0580Actual harm · IsolatedResolved (past non-compliance)

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0684Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0711Actual harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Aug 21, 2024Routine
1
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Aug 21, 2024Complaint
1
0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

Oct 13, 2023Routine
4
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0521Potential for harm · PatternCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Federal Penalties

Fine

May 1, 2025

$24,252

Ownership & Operations

Who Operates This Facility

Owner / Operator

Adams Farm Living & Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

Century Care Management

Chain Size

7 facilities nationwide

Chain avg rating: 4.1/5 · Rank 7 of 7 (Worst)

Ownership & Management

Owners

Adams Farm Living INC

Owner · Organization

Noah K Duncan Mrtl Tr

Owner · Organization

100%

Key personnel

Gilliam, RobertW-2 Managing EmployeeNiles, MariaW-2 Managing EmployeeBoyette, BarbaraOfficer / DirectorGilliam, RobertOfficer / DirectorGilliam, RobertOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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