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Nursing HomeMedicaid Investigative

Piedmont Hills Center for Nursing and Rehab

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

109 S Holden Road, Lindley Park · Greensboro, NC 27407126 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 143 Google reviews

5
4
3
2
1
Piedmont Hills Center for Nursing and Rehab Nursing Home in Greensboro, NC — Street View
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8/ 10
critical 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 (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

Source: Medicare data

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 details
Food2.0Staff4.0Clean1.0Activities6.0Meds2.0MemoryN/AComms3.0Value5.0

Strengths

  • 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

2345.0'19(2)1.02.5'21(6)3.02.3'23(9)3.84.7'25(22)4.4'26(24)

Distribution · 115 analyzed

5
69
4
12
3
3
2
2
1
29

How They Respond to Reviews

57%response rate

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

Rehab patient · 2024☆☆☆☆

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.

Rehab patient · 2024★★★★★

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.

Long-term resident's family · 2024★★★★★
Source: 143 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.16hrs
21%
Registered nurses for medical care
Total Nursing
3.04hrs
74%
All nurses + aides combined
Staff Turnover
53%
Lower is better (< 30% = good)
RN Turnover
60%
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

6

measures

Worse Than Avg

10

measures

Mixed Results

1

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility36.9%
Worse than Avg
Here
36.9%
US
15.3%
NC
20.2%
Guilford
23.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility29.4%
Worse than Avg
Here
29.4%
US
14.4%
NC
16.4%
Guilford
19.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility79.7%
Worse than Avg
Here
79.7%
US
93.4%
NC
91.7%
Guilford
92.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility28.1%
Worse than Avg
Here
28.1%
US
19.4%
NC
21.0%
Guilford
21.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility24.7%
Worse than Avg
Here
24.7%
US
19.5%
NC
21.5%
Guilford
23.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility9.3%
Mixed vs Avgs
Here
9.3%
US
12.1%
NC
5.4%
Guilford
4.4%

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 Facility43.4%
Worse than Avg
Here
43.4%
US
81.8%
NC
80.1%
Guilford
79.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility77.8%
Worse than Avg
Here
77.8%
US
79.7%
NC
78.1%
Guilford
79.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.1%
Worse than Avg
Here
2.1%
US
1.6%
NC
1.5%
Guilford
1.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
6penalties
Near state avg (5.6)
29 complaint-triggered
$249,761 in fines

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, 2025Complaint
2
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

Jun 11, 2025Complaint
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.

Feb 10, 2025Complaint
2
0689Immediate jeopardy · 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.

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.

Dec 5, 2024Routine
11
0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0781Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0225Potential for harm · IsolatedCorrected

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0531Potential for harm · IsolatedCorrected

Services Deficiencies

Have elevators that firefighters can control in the event of a fire.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0638Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

Dec 5, 2024Complaint
10
0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0553Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

0600Potential for harm · IsolatedCorrected

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.

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0806Potential for harm · IsolatedCorrected

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.

0584Minimal · 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.

Jul 17, 2024Complaint
4
0726Immediate jeopardy · PatternCorrected

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.

0880Immediate jeopardy · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

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.

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.

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

Owner / Operator

Piedmont Hills Center for Nursing and Rehab

Organization Type

for profit

Chain Affiliation

Chain Name

Alliance Health Group

Chain Size

12 facilities nationwide

Chain avg rating: 1.3/5 · Rank 6 of 10 (Worst)

Ownership & Management

Key personnel

Emanuel, YosefOfficer / DirectorAlliance Health Group LLCManagerReagan, JenniferManagerAlliance Health Group LLCAdp of the SnfCoalition Group LLCAdp of the Snf
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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