Piedmont Hills Center for Nursing and Rehab
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 143 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.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (14 vs median 4.0)
- High staff turnover (60%)
- High RN turnover (75%)
Bottom 25% in NC · Critically understaffed (RN) · Worst in ALLIANCE HEALTH GROUP chain · $249,761 in fines · Abuse citation
What this means for your family
While the facility has a strong admissions and physical therapy team, the recurring reports of neglect regarding hygiene and medication management are critical red flags. If you choose this facility, ensure you have a plan for frequent, unscheduled visits to monitor your loved one's daily care and hygiene needs.
Google Reviews
Google Reviews
143 reviews on Google“Piedmont Hills Center for Nursing and Rehab receives highly polarized feedback, with many families reporting significant concerns regarding cleanliness, neglect, and poor communication. While some reviewers praise specific staff members and the physical therapy department, others describe a facility that is understaffed, unresponsive to basic needs, and failing to provide consistent care for residents.”
Quality Themes
Tap a score for detailsStrengths
- Effective physical therapy department
- Helpful and professional admissions staff
- Some highly attentive and compassionate individual nurses
- Smooth transition and intake process for new residents
Concerns
- Facility cleanliness and persistent odors (mentioned by 9 reviewers)
- Neglect of basic patient needs (hygiene, feeding, call bells) (mentioned by 12 reviewers)
- Poor communication with families and unprofessional staff (mentioned by 8 reviewers)
- Medication management errors and delays (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 115 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1I noticed the facility has a very active physical therapy department; how do you integrate those therapy goals into the resident's daily routine outside of scheduled sessions?
- 2Given the recent feedback regarding facility maintenance, what specific protocols are currently in place to ensure consistent cleanliness and odor management in resident living areas?
- 3Could you walk me through your process for ensuring timely medication administration and how you keep families updated if a delay or error occurs?
- 4I see that you are active in responding to family feedback online; what is your preferred method for maintaining transparent, ongoing communication with families regarding their loved one’s daily care and hygiene needs?
- 5How do you ensure that staff are consistently available to respond to call bells and assist with basic needs like feeding and grooming during peak hours?
- 6In light of your current staffing ratings, what steps is the leadership team taking to improve staff retention and ensure that residents receive attentive, compassionate care throughout the day?
Personalized based on this facility's data
Key Review Excerpts
“Within 20 days, I was pushed out of my bed by the CNA, almost died because no one would get help for me (I needed emergency surgery), have had personal items stolen from me”
“The nurses, Cna's, PT and OT therapist took excellent care of me. In less than 20 days I walked out of there but when I arrived I couldn't even use the bathroom by myself.”
“They took excellent care of my father during his time there. They were receptive to his needs and the family as we navigated the terminal diagnosis and kept him very comfortable with complete respect until his last day.”
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
6
measures
10
measures
1
measures
Residents whose walking got worse
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
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
This facility has significant ongoing issues with 93 deficiencies across 7 surveys, including 29 complaints filed by families. The most recurring problems involve resident assessment and care planning, medication management, and fire safety compliance. Recent surveys in 2024-2025 continue to find deficiencies in basic care areas like treatment according to orders, accident prevention, and infection control, indicating persistent quality concerns despite corrections being reported for previous violations.
Oct 23, 2025Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Jun 11, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Feb 10, 2025Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Dec 5, 2024Routine11
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
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.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Egress Deficiencies
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Services Deficiencies
Have elevators that firefighters can control in the event of a fire.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
Dec 5, 2024Complaint10
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
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.
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.
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.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Jul 17, 2024Complaint4
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Federal Penalties
Fine
Oct 23, 2025
$50,505
Fine
Jun 11, 2025
$17,345
Fine
Dec 5, 2024
$18,086
Fine
Jul 17, 2024
$35,105
Fine
Dec 4, 2023
$96,786
Payment Denial
Dec 4, 2023
2-day denial
Ownership & Operations
Who Operates This Facility
Piedmont Hills Center for Nursing and Rehab
for profit
Chain Affiliation
Alliance Health Group
12 facilities nationwide
Chain avg rating: 1.3/5 · Rank 6 of 10 (Worst)
Ownership & Management
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
143 reviews from families & visitors
Official Website
Visit piedmonthillscnr.com
Medicare data downloads
Original nursing home datasets
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