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Nursing HomeMedicaid Investigative

Hibriten Mountain Nursing and Rehabilitation

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

2030 Harper Avenue Nw, Lenoir, NC 28645100 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.3/5

based on 14 Google reviews

5
4
3
2
1
Hibriten Mountain Nursing and Rehabilitation Nursing Home in Lenoir, 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.

  • Abuse citation on record
  • Low overall rating (2/5 stars)
  • Above-median deficiencies (12 vs median 4.0)

Below average in NC · Below recommended RN staffing · $53,110 in fines · Abuse citation

Source: Medicare data

What this means for your family

While some families appreciate the local therapy team, the reports of unmonitored medication and failure to notify families of hospitalizations are major red flags. If you are considering this facility, I strongly recommend asking for their specific protocols on family notification and pressure sore prevention, and verifying their recent state inspection reports.

Google Reviews

Google Reviews

14 reviews on Google
Hibriten Mountain Nursing and Rehabilitation receives highly polarized feedback, with some families praising the local, dedicated staff and therapy team, while others report severe neglect and safety failures. Critical concerns include unmonitored medication, failure to notify families of hospitalizations, and residents developing pressure sores due to lack of mobility assistance. Families considering this facility should be aware of these significant inconsistencies in basic care standards.

Quality Themes

Tap a score for details
FoodN/AStaff5.0Clean7.0ActivitiesN/AMeds1.0MemoryN/AComms2.0ValueN/A

Strengths

  • Dedicated local nursing staff
  • Knowledgeable therapy team
  • Clean facility environment
  • Personalized care approach

Concerns

  • Failure to notify family of hospital transfers or medical changes (mentioned by 2 reviewers)
  • Neglect regarding mobility and pressure sore prevention (mentioned by 2 reviewers)
  • Medication management and safety issues (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.72025(9)3.32026(7)

Distribution · 16 analyzed

5
10
4
0
3
0
2
0
1
6

How They Respond to Reviews

79%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to online feedback; what is your preferred process for keeping families updated on a loved one's daily health status or any sudden changes?
  • 2Given the recent focus on skin integrity and mobility in the industry, what specific protocols do you have in place to ensure residents are repositioned regularly and monitored for pressure sores?
  • 3Can you walk me through your medication management system and how you ensure accuracy and safety for residents with complex health needs?
  • 4With 100 residents in the facility, how do you balance the need for personalized care with the current staffing levels to ensure every resident gets the attention they require?
  • 5I see your therapy team is highly regarded; how do they collaborate with the nursing staff to help residents maintain or improve their mobility on a daily basis?
  • 6What kind of social activities or community engagement programs are available to keep residents active and connected throughout the week?

Personalized based on this facility's data


Key Review Excerpts

Great therapy team who is caring, personal and knowledgeable in their skills. Facility is clean and has a personal touch compared to other facilities that are larger and who hire more traveling staff.

Long-term resident's family · 2025★★★★★

They let her lay in bed for 6 days! Now she complains on horrible hip pain, can't move, doesn't eat! Even gave her morphine without notifying me as her medical POA and her hospice nurse.

Memory care family member · 2026☆☆☆☆

Two separate occasions, this facility has failed to notify the family on my grandfathers hospital transfer. On occasion one, my grandfather, who is bed ridden and requires a hoyer lift for transfers, ended up in the hospital with a broken hip.

Long-term resident's family · 2025☆☆☆☆
Source: 14 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.60hrs
80%
Registered nurses for medical care
Total Nursing
3.49hrs
85%
All nurses + aides combined
Staff Turnover
50%
Lower is better (< 30% = good)
RN Turnover
40%
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
4/ 5
Better Than Avg

10

measures

Worse Than Avg

6

measures

Mixed Results

1

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility2.3%
Better than Avg
Here
2.3%
US
15.3%
NC
20.2%
Caldwell
15.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility2.8%
Better than Avg
Here
2.8%
US
14.4%
NC
16.4%
Caldwell
16.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility27.5%
Worse than Avg
Here
27.5%
US
19.4%
NC
21.0%
Caldwell
15.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
12.1%
NC
5.4%
Caldwell
5.6%

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

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
NC
91.7%
Caldwell
95.6%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility19.6%
Worse than Avg
Here
19.6%
US
15.5%
NC
14.1%
Caldwell
11.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility95.9%
Better than Avg
Here
95.9%
US
81.8%
NC
80.1%
Caldwell
89.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility74.6%
Worse than Avg
Here
74.6%
US
79.8%
NC
78.1%
Caldwell
76.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.3%
Better than Avg
Here
1.3%
US
1.6%
NC
1.5%
Caldwell
2.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies
2penalties
Well above state avg (5.6)
27 complaint-triggered
$53,110 in fines

With 25 complaint-triggered deficiencies out of 60 total, this facility has faced significant family concerns requiring federal intervention. The most recurring problems involve care planning and resident assessments, daily living assistance, and medication management. Recent surveys through 2025 show ongoing issues with safety hazards and medication errors, indicating persistent problems despite correction attempts across multiple years.

Feb 26, 2026Routine
9
0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

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.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0761Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Feb 26, 2026Complaint
2
0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Jul 22, 2025Complaint
4
0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0580Potential for harm · IsolatedCorrected

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.

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.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Dec 17, 2024Routine
7
0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0911Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0656Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Dec 17, 2024Complaint
3
0602Immediate jeopardy · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jun 14, 2024Complaint
4
0622Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

0626Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Dec 17, 2024

$16,801

Fine

Sep 8, 2023

$36,309

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hibriten Mountain Nursing and Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

Avardis Health

Chain Size

38 facilities nationwide

Chain avg rating: 2.3/5 · Rank 14 of 35

Ownership & Management

Owners

Nw Lenoir Parentco LLC

Owner · Organization

Caldwell Holdco LLC

Owner (parent company) · Organization

Ncop Holdco LLC

Owner (parent company) · Organization

Nu C II Irrevocable Trust

Owner (parent company) · Organization

Nu C Irrevocable Trust

Owner (parent company) · Organization

Snf Care Centers LLC

Owner (parent company) · Organization

Zenith Holdco II LLC

Owner (parent company) · Organization

Zenith Holdco LLC

Owner (parent company) · Organization

Key personnel

Cse Lenoir Lp5% or Greater Security InterestHoback, TiffanyManaging Control - Governing BodySemones, BrandiManaging Control - Governing BodySnf Mgr LLCManagerClark, KevinManager
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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