Skip to main content
ReadyRule homepageReadyRule

Public Record

Woodhaven Nursing Center

Nursing HomeLumberton, NCCMS 345054
41 citations on record

From CMS

Facility profile

CMS overall rating
1 / 5

*CMS Five-Star

Certified beds
115

*CMS

Avg. residents per day
107.3

*CMS

Inspection record

On record from CMS

Citations on record
41

*CMS

Inspections on file
10

*CMS

Last inspection
2025-08-29

*CMS

Citations

41 citations on record

Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0761Generalpotential for harm

    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.

  • 0732Generalno actual harm

    Post nurse staffing information every day.

  • 0554Generalpotential for harm

    Allow residents to self-administer drugs if determined clinically appropriate.

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0812Generalpotential for harm

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

  • 0804Generalpotential for harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  • 0759Generalpotential for harm

    Ensure medication error rates are not 5 percent or greater.

  • 0923Generalpotential for harm

    Have proper medical gas storage and administration areas.

  • 0521Generalpotential for harm

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

  • 0914Generalpotential for harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

  • 0353Generalpotential for harm

    Inspect, test, and maintain automatic sprinkler systems.

  • 0684Generalpotential for harm

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

  • 0761Generalpotential for harm

    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.

  • 0756Generalpotential for harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  • 0600Seriousimmediate jeopardy

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • 0607Seriousimmediate jeopardy

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

  • 0684Seriousimmediate jeopardy

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

  • 0880Generalpotential for harm

    Provide and implement an infection prevention and control program.

  • 0686Generalpotential for harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • 0867Generalpotential for harm

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

  • 0745Generalpotential for harm

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

  • 0686Seriousactual harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  • 0745Seriousactual harm

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

  • 0657Generalpotential for harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  • 0867Generalpotential for harm

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

  • 0521Generalpotential for harm

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

  • 0511Generalpotential for harm

    Have properly installed electrical wiring and gas equipment.

  • 0363Generalpotential for harm

    Install corridor and hallway doors that block smoke.

  • 0321Generalpotential for harm

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

  • 0222Generalpotential for harm

    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.

  • 0211Generalpotential for harm

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

  • 0911Generalpotential for harm

    Meet requirements for the installation and maintenance of electrical systems.

  • 0914Generalpotential for harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

  • 0918Generalpotential for harm

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

  • 0625Generalpotential for harm

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

  • 0637Generalpotential for harm

    Assess the resident when there is a significant change in condition

  • 0641Generalno actual harm

    Ensure each resident receives an accurate assessment.

  • 0918Generalpotential for harm

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

  • 0293Generalpotential for harm

    Have properly located and lighted "Exit" signs.

  • 0222Generalpotential for harm

    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.

  • 0211Generalpotential for harm

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

Inspection history

Every health inspection on record

Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.

FAQ

Questions and answers

What is Woodhaven Nursing Center?
Woodhaven Nursing Center is a Medicare- and Medicaid-certified nursing home in Lumberton, NC, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 345054.
What is the CMS rating for Woodhaven Nursing Center?
Woodhaven Nursing Center has a CMS overall rating of 1 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
How many beds does Woodhaven Nursing Center have?
Woodhaven Nursing Center is certified for 115 beds. It serves an average of 107.3 residents per day.
How many citations does Woodhaven Nursing Center have?
Woodhaven Nursing Center has 41 citations on record from CMS health inspections, each tied to a federal deficiency tag.
When was Woodhaven Nursing Center last inspected?
Woodhaven Nursing Center was last inspected on August 29, 2025. CMS surveys nursing homes about once a year and after complaints.
What can I do if I have concerns about care at this facility?
Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.

*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.

/nursing-home/345054-woodhaven-nursing-center