Nursing HomeInspections

Lotus Village Center for Nursing and Rehabilitatio

Nursing home in Sparta, NC

Medicare & Medicaid certified1★ overall (CMS)

Call (336) 372-2441Send a messageMap ↗

Public-record details

Address
179 Combs Street, Sparta, NC 28675
Phone
(336) 372-2441
Listed under
For-profit
Medicare CCN
345261
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
2 of 5
Certified beds
90
Average residents per day
78
Ownership
For-profit, corporation
Legal business name
Combs Street Operating Company LLC
Chain
Simcha Hyman & Naftali Zanziper (79 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 23, 1987
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 345261. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 15, 2026. CMS lists 52 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 22, 2024 to May 15, 2026): 33 from complaint inspections, 7 at the “actual harm” level or higher, including 5 at “immediate jeopardy”.

InspectionCitationSeverity
May 15, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights		D
Potential for more than minimal harm, isolated
May 15, 2026Honor 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…
Resident Rights		D
Potential for more than minimal harm, isolated
May 15, 2026Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 15, 2026Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 15, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 15, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 15, 2026Provide appropriate foot care.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 15, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
May 15, 2026Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 15, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 15, 2026Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control		D
Potential for more than minimal harm, isolated
May 15, 2026Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff…
Infection Control		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 52. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 4 fines totalling $337,573 and 1 denial of Medicare payment for new admissions in the last three years.

Mar 19, 2026Fine: $22,345
Apr 10, 2025Fine: $102,102
Apr 10, 2025Payment denial for 36 days from May 8, 2025
Sep 27, 2024Fine: $16,055
Feb 22, 2024Fine: $197,071

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.38 hours
Registered nurse (RN) time per resident per day
0.28 hours
Nurse aide time per resident per day
2.56 hours
Total nurse staffing on weekends
3.15 hours
Nursing staff turnover (yearly)
54%
RN turnover (yearly)
60%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.