Guilford Health Care Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 339 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (14 vs median 4.0)
- High staff turnover (54%)
Bottom 25% in NC · Critically understaffed (RN) · Worst in LIFEWORKS REHAB chain · No penalties on record
What this means for your family
This facility is highly regarded for its physical therapy and clean environment, making it a strong candidate for short-term rehab. However, families must be vigilant; please ensure you have a clear plan for monitoring medication administration and call bell response times, as these are the most frequently cited areas of concern.
Google Reviews
Google Reviews
339 reviews on Google“Guilford Health Care Center receives polarized feedback, with many families praising the facility's cleanliness, friendly staff, and effective physical therapy programs. However, significant concerns regarding inconsistent nursing care, slow response times for call bells, and occasional neglectful treatment of residents persist. Families should be aware that while many report a positive experience, there are recurring reports of communication breakdowns and staffing shortages affecting basic patient needs.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical and occupational therapy programs
- Clean and well-maintained facility
- Friendly and welcoming front-desk and administrative staff
- Compassionate nursing assistants and therapists
Concerns
- Slow response times for call bells and basic patient assistance (mentioned by 6 reviewers)
- Inconsistent or poor quality of nursing care and medication management (mentioned by 5 reviewers)
- Inadequate staffing levels leading to neglect (mentioned by 4 reviewers)
- Poor food quality and failure to follow dietary restrictions (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 218 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1It is wonderful to see how much the administrative team engages with the community online; how do you ensure that the feedback from families is actually implemented into daily care?
- 2We have heard great things about the physical and occupational therapy programs here; could you tell us more about how the therapists work with residents to maintain their mobility?
- 3With the facility being so well-maintained and clean, what specific protocols do you have in place to ensure that dietary restrictions and meal quality are strictly managed for every resident?
- 4How does the nursing team manage call bell responses during the night shifts to ensure residents receive timely assistance with their basic needs?
- 5Could you walk us through your process for medication management and how you ensure accuracy and consistency for residents with complex schedules?
- 6In the event of a medical emergency after hours, what is the specific protocol for contacting physicians and coordinating urgent care?
Personalized based on this facility's data
Key Review Excerpts
“The wound care nurse is great as are the therapists, but most of the employees don’t care and act neglectful. The bathrooms don’t have showers so they often get skipped.”
“I’m currently under rehab care here in Guilford Rehab. While I have to say that the nurse practitioners, therapists and front office personnel and activities departments are exceptionally good, overall the nursing care is subpar.”
“The PT/OT programs are fantastic and should be a serious consideration for short term or long term rehab.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
7
measures
5
measures
5
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents who lost too much weight
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed complaints leading to 9 deficiencies, including concerns about abuse protection and resident care planning. The facility shows recurring issues with nutrition and dietary services, medication management, and resident rights across multiple surveys from 2022-2025. While all deficiencies show correction dates, the pattern of repeated problems in core care areas suggests ongoing quality challenges that families should discuss during visits.
Mar 18, 2026Routine5
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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.
Apr 17, 2025Routine20
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
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.
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
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.
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Apr 17, 2025Complaint10
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Resident Rights Deficiencies
Prepare residents for a safe transfer or discharge from the nursing home.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Resident Rights Deficiencies
Prepare residents for a safe transfer or discharge from the nursing home.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Jan 24, 2024Routine20
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
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.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
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.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Construction Deficiencies
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
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.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Nov 9, 2023Complaint1
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.
Jun 15, 2023Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Ownership & Operations
Who Operates This Facility
Guilford Health Care Center
for profit
Chain Affiliation
Lifeworks Rehab
66 facilities nationwide
Chain avg rating: 2.1/5 · Rank 55 of 57 (Worst)
Ownership & Management
Owners
Guilford Holdings Ill
Owner · Organization
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 LLC
Owner (parent company) · Organization
Leps 2003 Family Trust
Owner (parent company) · Organization
Norman 5571 & Family LLC
Owner (parent company) · Organization
Norman 5571 LLC
Owner (parent company) · Organization
Rl 2008 Family 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
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
339 reviews from families & visitors
Official Website
Visit guilfordrehab.com
Medicare data downloads
Original nursing home datasets
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