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Nursing HomeMedicaid Investigative

Lotus Village Center for Nursing and Rehabilitatio

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

179 Combs Street, Sparta, NC 2867590 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 37 Google reviews

5
4
3
2
1
Lotus Village Center for Nursing and Rehabilitatio Nursing Home in Sparta, 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 (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (10 vs median 4.0)
  • High staff turnover (58%)

Bottom 25% in NC · Critically understaffed (RN) · Worst in SIMCHA HYMAN & NAFTALI ZANZIPER chain · $418,422 in fines

Source: Medicare data

What this means for your family

While Lotus Village shows success in physical therapy and maintaining a clean environment, the serious reports of neglect and delayed response times are concerning. We strongly recommend that families conduct unannounced visits during off-hours and weekends to verify the level of care, and ask management specifically about their protocols for call-button response and hygiene monitoring.

Google Reviews

Google Reviews

37 reviews on Google
Lotus Village Center for Nursing and Rehabilitation receives highly polarized feedback, with many families praising the facility for its cleanliness, compassionate staff, and successful physical therapy outcomes. However, there are serious, recurring allegations regarding neglect, including reports of residents being left in soiled diapers for extended periods, delayed call-button response times, and failures in medication and wound care management.

Quality Themes

Tap a score for details
Food4.0Staff6.0Clean9.0Activities8.0Meds2.0Memory7.0Comms6.0ValueN/A

Strengths

  • Effective physical and rehabilitation therapy
  • Clean, odor-free facility environment
  • Compassionate and attentive nursing staff
  • Strong social work and administrative support

Concerns

  • Neglect and hygiene issues (e.g., left in soiled diapers) (mentioned by 2 reviewers)
  • Slow response times to call buttons (mentioned by 2 reviewers)
  • Inconsistent quality of nursing care and medication management (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.72024(15)4.32025(16)4.32026(8)

Distribution · 39 analyzed

5
30
4
4
3
1
2
0
1
4

How They Respond to Reviews

73%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed you are very active in responding to feedback online; how does that open communication translate to how you address family concerns once a resident is moved in?
  • 2Given that physical therapy is a noted strength here, how do you coordinate those sessions with daily nursing care to ensure my loved one remains comfortable and clean throughout the day?
  • 3What specific protocols do you have in place to ensure call buttons are answered promptly, especially during shift changes or overnight hours?
  • 4Could you walk me through your process for medication management and how you ensure accuracy and consistency for residents with complex needs?
  • 5What does the daily schedule look like for residents, and how do you ensure they are engaged and socially active outside of their therapy sessions?
  • 6With recent health inspection reports in mind, what specific steps has the facility taken recently to improve hygiene standards and resident care oversight?

Personalized based on this facility's data


Key Review Excerpts

She has went from being able to only move her right arm some not even enough to lift her own drink to her mouth to getting up and walking!!!! She is drawing again which is a great passion of hers!!!

Rehab patient's family · 2024★★★★★

She was there only close to 3 months she was left in her diaper multiple times for up to 12 hrs at a time. SHE WAS REFUSED WATER!!!

Rehab patient's family · 2025☆☆☆☆

The Administrator I have recently spoken with has been proactive in helping me resolve the concerns I have with my LOs care. She has been helpful, supportive and responsive when I’ve spoken with her.

Long-term resident's family · 2025★★★☆☆
Source: 37 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.27hrs
36%
Registered nurses for medical care
Total Nursing
2.86hrs
70%
All nurses + aides combined
Staff Turnover
59%
Lower is better (< 30% = good)
RN Turnover
64%
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
2/ 5
Better Than Avg

7

measures

Worse Than Avg

10

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility43.8%
Worse than Avg
Here
43.8%
US
19.5%
NC
21.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility32.6%
Worse than Avg
Here
32.6%
US
15.3%
NC
20.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility27.7%
Worse than Avg
Here
27.7%
US
14.4%
NC
16.4%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility17.8%
Worse than Avg
Here
17.8%
US
5.3%
NC
7.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility82.9%
Worse than Avg
Here
82.9%
US
93.4%
NC
91.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.6%
Better than Avg
Here
1.6%
US
12.1%
NC
5.4%

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 Facility46.4%
Worse than Avg
Here
46.4%
US
81.8%
NC
80.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility76.8%
Worse than Avg
Here
76.8%
US
79.8%
NC
78.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
NC
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
5penalties
Above state avg (5.6)
36 complaint-triggered
$418,422 in fines

This facility has serious ongoing problems with families filing multiple complaints about abuse protection, proper medical treatment, and accident prevention across recent years. Federal inspectors have found 71 deficiencies spanning protection from abuse and neglect, quality of medical care, and resident assessments, with families reporting concerns that triggered 34 complaint investigations. While the facility reports correcting each issue, the pattern of repeated problems in the same critical care areas - particularly around protecting residents from harm, providing appropriate treatment, and maintaining safety standards - suggests persistent challenges in fundamental care delivery that families should carefully evaluate.

Mar 19, 2026Complaint
2
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

May 22, 2025Routine
15
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.

0636Potential for harm · IsolatedCorrected

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.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0638Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

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

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0271Potential for harm · IsolatedCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0914Potential for harm · IsolatedCorrected

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.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

May 22, 2025Complaint
1
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.

Apr 10, 2025Complaint
4
0580Actual 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.

0760Actual harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Oct 24, 2024Complaint
1
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.

Sep 27, 2024Complaint
1
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.

Federal Penalties

Fine

Apr 10, 2025

$102,102

Payment Denial

Apr 10, 2025

36-day denial

Fine

Sep 27, 2024

$16,055

Fine

Feb 22, 2024

$197,071

Fine

Jul 12, 2023

$103,194

Ownership & Operations

Who Operates This Facility

Owner / Operator

Lotus Village Center for Nursing and Rehabilitatio

Organization Type

for profit

Chain Affiliation

Chain Name

Simcha Hyman & Naftali Zanziper

Chain Size

85 facilities nationwide

Chain avg rating: 2.3/5 · Rank 79 of 94 (Worst)

Ownership & Management

Owners

Coalition Group LLC

Owner · Organization

Hc Family Trust

Owner (parent company) · Organization

Ppg Ee Group LLC

Owner (parent company) · Organization

Shnz Holdings LLC

Owner (parent company) · Organization

Zanziper Family Trust

Owner (parent company) · Organization

Emanuel, Yosef

Owner (parent company)

Key personnel

Alliance Health Group LLCManagerEdwards, BrendaManagerHc Family TrustTrustee of the SnfZanziper Family TrustTrustee of the SnfAlliance Health Group LLCAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

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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 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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