01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-03-28 | 1 | 2025-03-28 | 0 |
| Cycle 2 | 2024-01-05 | 0 | 2024-01-05 | 0 |
| Cycle 3 | 2022-12-01 | 0 | 2022-12-01 | 0 |
CMS CCN 3452782026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Northern Regional Hospital
830 Rockford Street · Mount Airy, NC 27030 · Surry County
Certified beds33CMS provider file
Recent citation rows1current CMS citation release
Penalty rows0current 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.
02 / CITATION DETAIL
1 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 0 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-03-28 · 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 · 2025-04-1703 / 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.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- HICKLING, ANDREAIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 08/01/2013
- HILL, EARLIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 10/06/2014
- ATKINS, DARONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/2011
- CARTER, DWAYNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2002
- COOK, PHILLIPIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/1999
- GILLESPIE, DAVIDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/1999
- GOLDING, RUBENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2010
- LEWIS, TERESAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/01/2014
- MOODY, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/1992
- PATTERSON, PAULIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2013
- RIGGS, TOMMYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/04/1999
- SHOCKLEY, DAVIDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2013
- SNOW, PHILLIPIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2003
- VENABLE, MONTYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2003
- WOLTZ, WILLIAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 12/27/1989
- HICKLING, ANDREAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/19/2013
- HILL, EARLIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/06/2014
- WHITE, DEREKIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/18/1999
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 hours4.79per resident day
RN hours1.72per resident day
Weekend nurse hours3.85per resident day
Staff turnover18.4%CMS reported field
06 / LOCAL RECORDS
Open the Mount Airy ledger →