CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 3452332026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Deer Park Health And Rehabilitation

306 Deer Park Road · Nebo, NC 28761 · Mc Dowell County

CMS OVERALL RATING★☆☆☆☆1/5CMS field—not our score or recommendation
Certified beds140CMS provider file
Recent citation rows50current CMS citation release
Penalty rows5current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-06-24202024-04-257
Cycle 22024-04-25152022-12-012
Cycle 32022-12-0142021-04-122
02 / CITATION DETAIL

50 rows in the current release

10 rows carry G–L scope/severity codes; 7 carry J–L. 9 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2025-08-14 · HEALTHF0580Severity J · isolated immediate jeopardy

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.

Correction field: Deficient, Provider has date of correction · 2025-08-30 · complaint
2025-08-14 · HEALTHF0600Severity J · isolated immediate jeopardy

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.

Correction field: Deficient, Provider has date of correction · 2025-08-30 · complaint
2025-08-14 · HEALTHF0684Severity J · isolated immediate jeopardy

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-08-30 · complaint
2025-06-24 · HEALTHF0602Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Correction field: Deficient, Provider has date of correction · 2025-08-14 · complaint
2025-06-24 · HEALTHF0641Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2025-08-14
2025-06-24 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-08-14
2025-06-24 · HEALTHF0658Severity E · pattern; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Correction field: Deficient, Provider has date of correction · 2025-08-14
2025-06-24 · HEALTHF0684Severity J · isolated immediate jeopardy

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-08-30 · complaint
2025-06-24 · HEALTHF0689Severity J · isolated immediate jeopardy

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2025-08-14 · complaint
2025-06-24 · HEALTHF0695Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-08-14 · complaint
2025-06-24 · HEALTHF0698Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Correction field: Deficient, Provider has date of correction · 2025-08-14 · complaint
2025-06-24 · HEALTHF0757Severity E · pattern; potential for more than minimal harm

Pharmacy Service Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-08-14 · complaint
2025-06-24 · HEALTHF0759Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Correction field: Deficient, Provider has date of correction · 2025-08-14 · complaint
2025-06-24 · HEALTHF0760Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Correction field: Deficient, Provider has date of correction · 2025-08-14
2025-06-24 · HEALTHF0761Severity D · isolated; 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 drugs.

Correction field: Deficient, Provider has date of correction · 2025-08-14
2025-06-24 · HEALTHF0777Severity G · isolated actual harm

Administration Deficiencies

Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

Correction field: Deficient, Provider has date of correction · 2025-08-14
2025-06-24 · HEALTHF0803Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Correction field: Deficient, Provider has date of correction · 2025-08-14
2025-06-24 · HEALTHF0809Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Correction field: Deficient, Provider has date of correction · 2025-08-14 · complaint
2025-06-24 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-08-14
2025-06-24 · HEALTHF0880Severity E · pattern; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-08-14
2024-08-16 · HEALTHF0689Severity J · isolated immediate jeopardy

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Past Non-Compliance · 2024-08-10 · complaint
2024-07-02 · HEALTHF0689Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has plan of correction · 2024-08-10 · complaint
2024-04-25 · HEALTHF0554Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-05-21
2024-04-25 · HEALTHF0561Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Correction field: Deficient, Provider has date of correction · 2024-05-21 · complaint
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2025-06-24Fine$8,6720
2025-06-24Fine$8,6730
2025-06-24Fine$175,6430
2024-07-02Fine$16,8010
2024-04-25Fine$63,6780
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • CTNC HOLDINGS LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    38% · since 06/11/2025
  • FISCHER, DAVIDIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    29% · since 03/04/2022
  • LEFKOWITZ, ZEVIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    29% · since 03/04/2022
  • ETNC HOLDINGS LLCOrganization · DIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 06/11/2025
  • TREFF, CYNTHIAIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    38% · since 06/11/2025
  • TREFF, ESTHERIndividual · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 06/11/2025
  • 306 DEER PARK ROAD LLCOrganization · 5% OR GREATER MORTGAGE INTEREST
    NOT APPLICABLE · since 03/04/2022
  • FISCHER, DAVIDIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 03/04/2022
  • LEFKOWITZ, ZEVIndividual · MANAGING CONTROL - GOVERNING BODY
    NOT APPLICABLE · since 03/04/2022
  • COOK, MELISSAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 03/05/2024
  • FISCHER, DAVIDIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 03/04/2022
  • 306 DEER PARK ROAD LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 03/04/2022
  • BRAND SONNENSCHINE LLPOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 03/04/2022
  • BRIGHTON MANAGEMENT LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 03/04/2022
  • CTNC HOLDINGS LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 03/04/2022
  • FORVIS MAZARS LLPOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 03/04/2022
  • COOK, MELISSAIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 03/05/2024
  • FISCHER, DAVIDIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 03/04/2022

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.41per resident day
RN hours0.79per resident day
Weekend nurse hours3.06per resident day
Staff turnover78.5%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the North Carolina ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.