Pine Acres Center for Nursing and Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 149 Google reviews

Watch Pine Acres Center for Nursing and Rehabilitation
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
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 (11 vs median 4.0)
- High staff turnover (57%)
- High RN turnover (75%)
Bottom 25% in NC · Critically understaffed (RN) · Worst in ALLIANCE HEALTH GROUP chain · $122,460 in fines
What this means for your family
Pine Acres has shown a clear trend of improvement in recent years, with many families praising the current management and the quality of the therapy department. However, because multiple reviewers still report significant delays in staff response times and issues with dietary compliance, we strongly recommend that you visit during off-hours or weekends to observe staffing levels firsthand and ask specifically how they monitor medical diets.
Google Reviews
Google Reviews
149 reviews on Google“Pine Acres Center for Nursing and Rehabilitation receives highly polarized reviews, with many recent positive reports praising the facility's cleanliness, friendly staff, and effective therapy department. However, long-standing and recurring concerns persist regarding significant understaffing, slow response times to call lights, poor communication from administration, and inconsistent dietary care. Families should be aware that while many report a 'turnaround' in quality, others describe serious neglect and hygiene issues.”
Quality Themes
Tap a score for detailsStrengths
- Highly regarded physical and occupational therapy team
- Clean, well-maintained, and odor-free facility
- Welcoming and personable administrative staff
- Engaging activities and social events for residents
Concerns
- Significant understaffing leading to delayed response times (mentioned by 12 reviewers)
- Poor communication and difficulty reaching staff via phone (mentioned by 6 reviewers)
- Inconsistent dietary care and failure to follow medical diets (mentioned by 5 reviewers)
- Hygiene issues, including dirty rooms and unwashed linens (mentioned by 7 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 186 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1We've heard wonderful things about your therapy team; how often do residents typically participate in physical or occupational therapy sessions?
- 2It's great to see how much the administrative team engages with feedback; how do you ensure families can easily reach a nurse or supervisor if we have a question during the night?
- 3How do you manage specific dietary needs and medical diets to ensure every resident's nutritional plan is followed accurately?
- 4What is your process for ensuring that medication management is consistent and that all updates to a resident's care plan are communicated to the nursing staff?
- 5Could you tell us more about the social calendar and what kind of engaging activities are available to help residents stay connected with each other?
- 6In the event of a medical emergency or a sudden change in health, what are the immediate steps the nursing staff takes to coordinate care?
Personalized based on this facility's data
Key Review Excerpts
“The therapy team was outstanding. The physical, occupational, and speech therapists tailored every session to my needs and constantly encouraged me to push just a little further each day.”
“The staff is very caring and helpful taking care of my parent. They are short staffed which causes a delay at times when needing assistance going to the restroom, but very quick in an emergency situation.”
“My father needed inpatient treatment for 2 weeks. He begged to be checked out after 8 days. He called me on day 6 telling me to say goodbye because they were letting him die. In four days, his nurse was not able to unclog his feeding tube twice and basically left him starving.”
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
6
measures
4
measures
Residents vaccinated for the flu
Residents vaccinated for pneumonia
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents on antipsychotic medication
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 reported concerns triggering 12 deficiencies, with serious issues including abuse protection failures and medication errors. The facility shows recurring problems with medication management, care quality, and resident safety across multiple surveys from 2022 to 2026. While most deficiencies are marked as corrected, the pattern of repeated issues in critical areas like respiratory care and treatment quality suggests ongoing challenges families should carefully consider.
Jan 22, 2026Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
May 22, 2025Routine10
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.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure electrical receptacles or cover plates have distinctive color or marking.
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
May 22, 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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Mar 28, 2024Complaint8
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Mar 28, 2024Routine10
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Smoke Deficiencies
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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.
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Jul 14, 2022Routine2
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Federal Penalties
Fine
May 22, 2025
$15,028
Fine
Mar 28, 2024
$107,432
Ownership & Operations
Who Operates This Facility
Pine Acres Center for Nursing and Rehabilitation
for profit
Chain Affiliation
Alliance Health Group
12 facilities nationwide
Chain avg rating: 1.3/5 · Rank 8 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
149 reviews from families & visitors
Official Website
Visit pineacrescnr.com
Medicare data downloads
Original nursing home datasets
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.
Brookstone Retirement Center
< 1 miAssisted Living · Lexington, NC
Davidson Health & Rehab Center
2.2 miNursing Home · Lexington, NC
Lexington Health Care Center
2.9 miNursing Home · Lexington, NC
Brookdale Lexington
2.9 miAssisted Living · Lexington, NC
Mary's House Family Care Home
3.6 miAdult Family Home · Lexington, NC
Abbotts Creek Center
4.9 miNursing Home · Lexington, NC