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Nursing HomeMedicaid Investigative

Pine Acres Center for Nursing and Rehabilitation

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

279 Brian Center Drive, Lexington, NC 27292106 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 149 Google reviews

5
4
3
2
1
Pine Acres Center for Nursing and Rehabilitation Nursing Home in Lexington, NC — Street View
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6/ 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 (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

Source: Medicare data

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 details
Food5.0Staff6.0Clean7.0Activities8.0Meds3.0Memory4.0Comms2.0ValueN/A

Strengths

  • 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

234'14(1)'17(5)'19(5)'21(5)'23(11)'25(84)'26(21)

Distribution · 186 analyzed

5
133
4
12
3
3
2
4
1
34
33 reviews posted between Jul 31, 2025Jul 31, 2025 · 31 were 5-star

How They Respond to Reviews

70%response rate

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.

Rehab patient · 2025★★★★★

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.

Long-term resident's family · 2026★★★★★

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.

Long-term resident's family · 2021☆☆☆☆
Source: 149 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.21hrs
28%
Registered nurses for medical care
Total Nursing
3.35hrs
82%
All nurses + aides combined
Staff Turnover
53%
Lower is better (< 30% = good)
RN Turnover
43%
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

6

measures

Mixed Results

4

measures

Long-Stay Residents
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility68.8%
Worse than Avg
Here
68.8%
US
95.5%
NC
94.1%
Davidson
87.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility93.8%
Better than Avg
Here
93.8%
US
93.4%
NC
91.7%
Davidson
77.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility31.4%
Worse than Avg
Here
31.4%
US
15.3%
NC
20.2%
Davidson
22.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.3%
Better than Avg
Here
0.3%
US
12.1%
NC
5.4%
Davidson
15.4%

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

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility28.0%
Worse than Avg
Here
28.0%
US
14.4%
NC
16.4%
Davidson
17.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.4%
Better than Avg
Here
8.4%
US
15.4%
NC
14.1%
Davidson
12.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility86.2%
Better than Avg
Here
86.2%
US
81.8%
NC
80.1%
Davidson
69.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility70.3%
Mixed vs Avgs
Here
70.3%
US
79.7%
NC
78.1%
Davidson
66.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
1.6%
NC
1.5%
Davidson
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
2penalties
Well above state avg (5.6)
12 complaint-triggered
$122,460 in fines

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, 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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

May 22, 2025Routine
10
0726Actual harm · IsolatedCorrected

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.

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0917Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure electrical receptacles or cover plates have distinctive color or marking.

0693Potential for harm · IsolatedCorrected

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.

0755Potential for harm · IsolatedResolved (past non-compliance)

Pharmacy Service Deficiencies

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

0628Minimal · WidespreadCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0732Minimal · PatternCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

May 22, 2025Complaint
2
0689Actual 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.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

Mar 28, 2024Complaint
8
0600Immediate jeopardy · PatternCorrected

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.

0684Immediate jeopardy · PatternCorrected

Quality of Life and Care Deficiencies

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

0760Immediate jeopardy · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0607Immediate jeopardy · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0660Immediate jeopardy · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Plan the resident's discharge to meet the resident's goals and needs.

0550Actual harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0867Actual harm · IsolatedCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Mar 28, 2024Routine
10
0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0883Potential for harm · PatternResolved (past non-compliance)

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0916Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have a battery powered remote alarm panel in a location accessible by operating personnel.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0565Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

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.

0887Potential for harm · IsolatedResolved (past non-compliance)

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, 2022Routine
2
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0695Potential for harm · IsolatedCorrected

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

Owner / Operator

Pine Acres Center for Nursing and Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

Alliance Health Group

Chain Size

12 facilities nationwide

Chain avg rating: 1.3/5 · Rank 8 of 10 (Worst)

Ownership & Management

Key personnel

Emanuel, YosefOfficer / DirectorAlliance Health Group LLCManagerEmanuel, YosefManagerAlliance 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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