ElderGrade
C

56/100

Average

Adams Farm Living & Rehabilitation

5100 Mackay Road, Jamestown, NC 27282

CMS 2/5 stars #16 of 20 in Guilford County (336) 855-5596
Certified beds
120
Occupancy
88%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 3 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $24,252 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 18/30 Staffing 13/30 Stability 5/15 Outcomes 12/15 Enforcement 8/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

18/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -12 for 3 actual-harm citation(s) in the last 3 years

Staffing

13/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.49 total nurse hours per resident per day (national median 3.77)
  • 0.36 RN hours per resident per day
  • Weekend staffing drops 13% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 57% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $24,252 in federal fines across 1 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.48 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.36 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.02 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 56.80%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: December 5, 2025 (8 months ago).

D Dec 5, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

G May 1, 2025 F0580 From a complaint

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.

Actual harm to a resident

G May 1, 2025 F0684 From a complaint

Quality of Life and Care Deficiencies

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

Actual harm to a resident

G May 1, 2025 F0711 From a complaint

Nursing and Physician Services Deficiencies

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Actual harm to a resident

D May 1, 2025 F0756 From a complaint

Pharmacy Service Deficiencies

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

No actual harm, potential for more than minimal harm

D May 1, 2025 F0842 From a complaint

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

No actual harm, potential for more than minimal harm

E Aug 21, 2024 F0761 From a complaint

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...

No actual harm, potential for more than minimal harm

E Aug 21, 2024 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of CENTURY CARE MANAGEMENT, which operates 7 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
GILLIAM, ROBERT Individual W-2 MANAGING EMPLOYEE
NILES, MARIA Individual W-2 MANAGING EMPLOYEE
BOYETTE, BARBARA Individual CORPORATE DIRECTOR
GILLIAM, ROBERT Individual CORPORATE DIRECTOR
GILLIAM, ROBERT Individual CORPORATE OFFICER
SCHMIDLIN, JAMES Individual CORPORATE OFFICER
CENTURY CARE MANAGEMENT, INC. Organization OPERATIONAL/MANAGERIAL CONTROL
ADAMS FARM LIVING INC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST
NOAH K DUNCAN MRTL TR Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Adams Farm Living & Rehabilitation

What is the ElderGrade for Adams Farm Living & Rehabilitation? +

Adams Farm Living & Rehabilitation holds an ElderGrade of C (56 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Adams Farm Living & Rehabilitation? +

Residents receive an average of 3.48 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Adams Farm Living & Rehabilitation been cited for harming residents? +

Yes. 3 of the 8 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Adams Farm Living & Rehabilitation accept Medicaid? +

Yes, Adams Farm Living & Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.