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Nursing HomeMedicaid Investigative

Alamance Health Care Center

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

1987 Hilton Road, Burlington, NC 27217180 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 293 Google reviews

5
4
3
2
1
Alamance Health Care Center Nursing Home in Burlington, 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 (53%)

Below average in NC · Critically understaffed (RN) · $157,560 in fines

Source: Medicare data

What this means for your family

The facility's therapy department is highly regarded and often cited as a highlight for recovery. However, families should be aware of persistent reports regarding slow response times to call lights and inconsistent room cleanliness; we recommend visiting during off-hours to observe staffing levels firsthand.

Google Reviews

Google Reviews

293 reviews on Google
Alamance Health Care Center receives highly polarized feedback, with many families praising the dedicated nursing and therapy staff while others report serious concerns regarding sanitation and responsiveness. While recent reviews highlight improvements under new administration and a strong therapy department, recurring complaints about call light wait times and inconsistent hygiene remain significant issues for potential families to monitor.

Quality Themes

Tap a score for details
Food4.0Staff7.0Clean3.0Activities8.0Meds4.0MemoryN/AComms4.0ValueN/A

Strengths

  • Highly skilled and compassionate therapy department
  • Friendly and professional front desk staff
  • Positive, welcoming culture under new leadership
  • Attentive nursing staff on specific units

Concerns

  • Slow response times to call lights (mentioned by 5 reviewers)
  • Poor room cleanliness and sanitation issues (mentioned by 7 reviewers)
  • Understaffing leading to neglect of basic hygiene (mentioned by 6 reviewers)
  • Poor communication from management regarding patient care/discharges (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2344.52022(42)4.52023(44)4.42024(50)4.62025(54)4.12026(15)

Distribution · 205 analyzed

5
157
4
21
3
7
2
4
1
16

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1It is wonderful to see such a welcoming front desk team; how does the new leadership ensure that this positive culture extends to the daily care provided in the resident rooms?
  • 2Since the therapy department has such a great reputation, how closely do the therapists work with the nursing staff to coordinate a resident's daily physical care?
  • 3What specific steps are being taken to ensure that room cleanliness and sanitation standards are consistently met for every resident?
  • 4How does the nursing team manage call light response times to ensure that residents receive prompt assistance with their immediate needs?
  • 5Can you tell me about the communication process between management and families, especially regarding updates on care plans or upcoming discharges?
  • 6What is the protocol for handling medical emergencies after hours, and how is the medical staff notified?

Personalized based on this facility's data


Key Review Excerpts

The facility itself is somewhat dated (exterior, furniture, analog TV, etc), the most important part of a nursing home is going to be the staff. It was my understanding that the facility had some significant issues in the past, and a poor reputation, but that new ownership had stepped in a couple of years

Rehab patient family member · 2025★★★★★

The activity director (Caitie Jones) and her staff created the most beautifully decorated table complete with lace, flowers and china tea cups. The residents were able to select their tea flavor and dainty sweets.

Visitor · 2024★★★★★

The call lights stay on way to long, if they got to go to the bathroom even if Lunch Time They can’t hold it. In the morning there beds the ones I know are soaked.

Long-term resident's family · 2024★★★★
Source: 293 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.24hrs
32%
Registered nurses for medical care
Total Nursing
3.33hrs
81%
All nurses + aides combined
Staff Turnover
50%
Lower is better (< 30% = good)
RN Turnover
44%
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
5/ 5
Better Than Avg

8

measures

Worse Than Avg

7

measures

Mixed Results

2

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility82.0%
Worse than Avg
Here
82.0%
US
93.4%
NC
91.7%
Alamance
97.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility5.3%
Better than Avg
Here
5.3%
US
14.4%
NC
16.4%
Alamance
17.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility84.5%
Worse than Avg
Here
84.5%
US
95.5%
NC
94.1%
Alamance
88.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility9.5%
Better than Avg
Here
9.5%
US
15.3%
NC
20.2%
Alamance
18.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility14.7%
Better than Avg
Here
14.7%
US
19.4%
NC
21.0%
Alamance
20.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility7.0%
Mixed vs Avgs
Here
7.0%
US
12.1%
NC
5.4%
Alamance
1.0%

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

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility49.7%
Worse than Avg
Here
49.7%
US
81.8%
NC
80.1%
Alamance
95.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility52.7%
Worse than Avg
Here
52.7%
US
79.7%
NC
78.1%
Alamance
84.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.6%
Worse than Avg
Here
1.6%
US
1.6%
NC
1.5%
Alamance
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)
19 complaint-triggered
$157,560 in fines

Families have filed multiple complaint reports against this facility, with ongoing concerns about medication management, care quality, and safety systems appearing across recent surveys. The facility has struggled with medication errors, proper treatment according to care plans, and maintaining fire safety systems, with many of these same issues recurring from 2023 through 2025 despite reported corrections.

May 1, 2025Complaint
6
0925Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor 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.

0685Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

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.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

May 1, 2025Routine
10
0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0914Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0271Potential for harm · IsolatedCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0341Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0919Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

Nov 20, 2024Complaint
1
0600Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Apr 23, 2024Routine
7
0919Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the use of electrical equipment.

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.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor 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.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Apr 23, 2024Complaint
3
0867Potential for harm · PatternCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Nov 2, 2023Routine
10
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

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.

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.

0867Potential for harm · PatternCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0646Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

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.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Federal Penalties

Fine

Nov 20, 2024

$8,034

Ownership & Operations

Who Operates This Facility

Owner / Operator

Alamance Health Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Lifeworks Rehab

Chain Size

66 facilities nationwide

Chain avg rating: 2.1/5 · Rank 30 of 57

Ownership & Management

Owners

Alamance Holdings LLC

Owner · Organization

100%

Charles 1994 Family Grantor Trust

Owner (parent company) · Organization

Ck 2008 Family Trust

Owner (parent company) · Organization

Drm South LLC

Owner (parent company) · Organization

Edward 1998 Family Grantor Trust

Owner (parent company) · Organization

Lauren 2020 Family Grantor Trust

Owner (parent company) · Organization

Lauren 2020 LLC

Owner (parent company) · Organization

Leps 2003 Family Trust

Owner (parent company) · Organization

Norman 5571 & Family LLC

Owner (parent company) · Organization

Norman 5571 Family Grantor Trust

Owner (parent company) · Organization

Rl 2008 Family Trust

Owner (parent company) · Organization

Robin 2008 Family Grantor Trust

Owner (parent company) · Organization

Robin 2008 LLC

Owner (parent company) · Organization

Saul 2012 Family Grantor Trust

Owner (parent company) · Organization

Springrock South LLC

Owner (parent company) · Organization

Summer South LLC

Owner (parent company) · Organization

Key personnel

Staples, HowardW-2 Managing EmployeeRsbrm South Manager LLCManager
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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