25/100
Poor
179 Combs Street, Sparta, NC 28675
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.
Special Focus Facility
CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.
10 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.
$315,228 in federal fines
CMS has fined this facility across 3 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: May 15, 2026 (3 months ago).
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate jeopardy to resident health or safety
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.
No actual harm, potential for more than minimal harm
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
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
Part of SIMCHA HYMAN & NAFTALI ZANZIPER, which operates 84 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| COALITION GROUP LLC | Organization | DIRECT OWNERSHIP INTEREST | — |
| HC FAMILY TRUST | Organization | INDIRECT OWNERSHIP INTEREST | — |
| PPG EE GROUP LLC | Organization | INDIRECT OWNERSHIP INTEREST | — |
| SHNZ HOLDINGS LLC | Organization | INDIRECT OWNERSHIP INTEREST | — |
| ZANZIPER FAMILY TRUST | Organization | INDIRECT OWNERSHIP INTEREST | — |
| EMANUEL, YOSEF | Individual | INDIRECT OWNERSHIP INTEREST | — |
| ALLIANCE HEALTH GROUP LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| EDWARDS, BRENDA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| HC FAMILY TRUST | Organization | TRUSTEE OF THE SNF | — |
| ZANZIPER FAMILY TRUST | Organization | TRUSTEE OF THE SNF | — |
| ALLIANCE HEALTH GROUP LLC | Organization | ADP OF THE SNF | — |
| EDWARDS, BRENDA | Individual | ADP OF THE SNF | — |
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Lotus Village Center For Nursing And Rehabilitatio holds an ElderGrade of F (25 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.38 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 10 of the 56 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.
Yes, Lotus Village Center For Nursing And Rehabilitatio 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.