Assisted Living
Bethamy Retirement Center
909 N. Salisbury Avenue, Spencer, NC 28159 · Map
Licensed for 43 residents · Residence Care Services, LLC
Bethamy Retirement Center is a state-licensed assisted living community in Spencer, North Carolina. It is licensed for 43 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.
Prices
This community does not publish its prices.
Area costs
Lilisity’s independent report
What the public record shows
Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.
State inspections
Last state inspection: Sep 4, 2026. See the record
License
Active, 43 residents
Adult Care Home HAL-080-032. Licensee Residence Care Services, LLC.
State inspection recordDHSR star rating 0 stars, 3 Type A, 1 Type B
- DHSR star rating
- Not listed
- Last state inspection
- September 4, 2026 (ACLS Complaint)
- Inspections posted since October 15, 2023
- 10, 0 with no deficiencies cited
- Type A1 violations
- 2 death or serious harm, abuse, neglect or exploitation
- Type A2 violations
- 1 substantial risk of those
- Type B violations
- 1 detrimental to health, safety or welfare
- Other rules not met
- 6
- Penalties (last 36 months)
- 17, totaling $320,200
9 reports could not be read automatically; the counts above leave them out. Open them on the state’s site.
Penalties imposed by DHSR
- May 26, 2026: $42,000, Level Unabated A2, 10A NCAC 13F .0305 (h)(4) Physical Environment (inspection October 24, 2025, report). Settlement Agreement
- May 26, 2026: $20,000, Level A2, 10A NCAC 13F .0306 (a)(5) Housekeeping and Furnishings (inspection October 24, 2025, report). Settlement Agreement
- May 26, 2026: $20,000, Level A2, 10A NCAC 13F .0901(b) Personal Care and Supervision (inspection October 24, 2025, report). Settlement Agreement
- May 26, 2026: $8,200, Level Unabated B, 10A NCAC 13F .0904(a)(2) Nutrition and Food Service (inspection October 24, 2025, report). Settlement Agreement
- May 26, 2026: $42,000, Level Unabated A2, 10A NCAC 13F .1801(a) Infection Prevention & Control Policies & Pro (inspection October 24, 2025, report). Settlement Agreement
Show all 9
- May 26, 2026: $20,000, Level A1, 10A NCAC 13F .0909 Resident Rights (inspection November 24, 2025). Settlement Agreement
- May 26, 2026: $56,000, Level Unabated A1, 10A NCAC 13F .0909 Resident Rights (inspection October 24, 2025, report). Settlement Agreement
- October 24, 2025: $16,000, Level A1, 10A NCAC 13F .0306 (a)(5) Housekeeping and Furnishings (inspection August 13, 2025, report). Settlement Agreement
- and 9 more on the state’s site
Inspections since October 15, 2023
- September 4, 2026: ACLS Complaint, deficiencies cited. Report
- October 24, 2025: ACLS Complaint and Follow-up, deficiencies cited. Report
- August 19, 2025: Constr Complaint, deficiencies cited. Report
- August 19, 2025: Constr Biennial Follow-up, deficiencies cited. Report
- August 13, 2025: ACLS Annual, Complaint, and Follow-up, deficiencies cited. Report
Show all 10
- October 8, 2024: Constr Biennial, deficiencies cited. Report
- September 25, 2024: ACLS Complaint and Follow-up, deficiencies cited. Report
- September 16, 2024: DSS Complaint Investigation, deficiencies cited. Report
- June 26, 2024: ACLS Follow-up, deficiencies cited. Report
- April 5, 2024: ACLS Annual, Complaint, and Follow-up, 6 other rules not met, 2 Type A1 violations, 1 Type A2 violation, 1 Type B violation. Report
Violations cited, most recent first
- April 5, 2024: Type A2, Management of facilities with a capacity or census of seven to thirty residents 10A NCAC 13F .0602. DHSR: “Based on observations, record reviews and interviews, the facility failed to ensure that all residents were treated with respect and dignity and free from abuse and neglect including Staff C who injured a resident's (#1) foot by closing a Division of Health Service Regulation D door on her foot, residents being verbally abused by staff, and residents being afraid of retaliation if they voiced their concerns.” Report
- April 5, 2024: Type A1, Residents' rights under state law (G.S. 131D-21) must be protected 10A NCAC 13F .0909. DHSR: “Based on observations, record reviews and interviews, the facility failed to ensure that all residents were treated with respect and dignity and free from abuse and neglect including Staff C who injured a resident's (#1) foot by closing a door on her foot, residents being verbally abused by staff, and residents being afraid of retaliation if they voiced their concerns.” Report
- April 5, 2024: Type B, Health care personnel registry 10A NCAC 13F .1205. DHSR: “Based on observations, record reviews and interviews, the facility failed to report to the Health Care Personnel Registry (HCPR) within 24 hours of knowledge of an allegation against a staff member (Staff C) concerning pushing a door open and hurting a resident's foot, and forcefully manipulating the resident's motorized wheelchair against her will (Resident #1).” Report
- April 5, 2024: Type A1, State law: the home must carry out the Residents' Bill of Rights (G.S. 131D-25) G.S. 131D-25. DHSR: “Based on observations, record reviews and interviews, the facility failed to ensure that all residents were treated with respect and dignity and free from abuse and neglect including Staff C who injured a resident's (#1) foot by closing a door on her foot, residents being verbally abused by staff, and residents being afraid of retaliation if they voiced their concerns.” Report
Other rules found not met
- Building: living, dining, bedroom and bathroom spaces must meet the rule
- Building: the home must be clean, free of hazards and furnished as required
- New residents need a tuberculosis test, medical exam and immunization record
- Food must be safe and sanitary and meals must meet residents' nutrition and diet orders
- The home must run an activities program
- Medications and treatments must be given as ordered by the prescriber
Read every report on the state’s site → · DHSR star rating worksheet
What these terms mean
The DHSR star rating is the state's rating, not ours. DHSR: each facility “begins with a base score of 100 points. Based on the facility's compliance or non-compliance with rule areas during inspections, the facility earns merit or demerit points which are added or subtracted from the 100 base points.” Scale: 4 stars = 100 or more points on two consecutive annual surveys; 3 stars = 90.0 to 99.9 points (or 100 or more on one annual inspection); 2 stars = 80.0 to 89.9; 1 star = 70.0 to 79.9; 0 stars = 69.9 or lower.
DHSR: “months will typically pass between inspections and much could change for the better or worse in a facility between inspections. Therefore, it is advised that consumers visit the facility themselves before making such an important decision.”
Type A1 violation: “a violation by a facility of applicable laws and regulations governing a facility which results in death or serious physical harm, abuse, neglect, or exploitation of a resident.”
Type A2 violation: “a violation by a facility of applicable laws and regulations governing the licensure of a facility which results in substantial risk that death or serious physical harm, abuse, neglect, or exploitation will occur.”
Type B violation: “a violation by a facility of applicable laws and regulations governing a facility which is detrimental to the health, safety, or welfare of any resident, but which does not result in substantial risk that death or serious physical harm, abuse, neglect, or exploitation will occur.” There is no fine for a Type B violation; an “Unabated B” is one not corrected within 45 days, which can be fined up to $400 a day.
A deficiency cited without a violation type is a rule not met that DHSR did not classify as a Type A or Type B violation.
IDR pending means the facility asked for Informal Dispute Resolution, “a process that gives a facility the opportunity to dispute all or some of the findings of a state inspection.”
DHSR posts Statements of Deficiencies for inspections since November 1, 2014 where deficiencies were found; inspections with no deficiencies are listed as “No Deficiencies Cited” without a report. Violation counts cover inspections since October 15, 2023 and are read from DHSR’s reports; penalties cover the last 36 months. This home is licensed for 43 residents; larger homes are inspected and reported on more often, so read counts with size in mind. Source: North Carolina Division of Health Service Regulation, Adult Care Licensure Section, data as of October 15, 2026. Always visit in person and ask the community and the county Department of Social Services adult home specialist about anything listed here.
License and ownershipActive license, licensee Residence Care Services, LLC
- License type
- Adult Care Home
- License number
- HAL-080-032
- License status
- Active
- Licensed capacity
- 43
- Licensee
- Residence Care Services, LLC
- County
- Rowan County
Source: North Carolina state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.
Paying with Medicaid and other programsHow Medicaid pays for care in North Carolina, and other programs
How Medicaid pays for care in North Carolina
- NC Medicaid Personal Care Services (PCS). Yes. NC Medicaid's Personal Care Services benefit covers hands-on personal care for eligible residents of licensed adult care homes. (state page)
Ask the community whether it accepts Medicaid.
Staff pay and workplace safety1 federal wage case with violations found
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Feb 15, 2022 to Feb 14, 2024. Violations found: Minimum wage, Overtime. Back wages: $24,909 owed to 3 employees. Employer as DOL recorded it: Bethamy Retirement Center (Residence Care Services, LLC). Case 1990150.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Questions to ask on a tour10 questions picked for this community from its record
Picked for this community from its record. Ask them in person and write down the answers.
- The state recorded a finding in September 2026. What was it, and how was it fixed?
- The Department of Labor found wage violations here for a period ending February 2024. What changed in how staff are paid?
- What does the base rate include, and when did rates last go up?
- How many caregivers are on duty during the day and at night?
- What happens if care needs increase? When would someone need to move?
- What fees are charged at move-in?
- How do you tell families about falls, illness or changes?
- How long have the executive director and the head of care been here?
- Who gives medications, and what training do they have?
- For what reasons can a resident be asked to leave?
What we checked7 public sources we searched, with dates
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| North Carolina Division of Health Service Regulation, Adult Care Licensure Section inspection records | Oct 15, 2026 | See above |
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
Common questionsAnswers to 4 questions families ask
What type of care does Bethamy Retirement Center provide?
Bethamy Retirement Center is licensed by the state of North Carolina for assisted living in Spencer, North Carolina. Its licensed capacity is 43 residents.
Does Lilisity rate Bethamy Retirement Center?
No. We publish state licensing details for Bethamy Retirement Center but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.
How much does Bethamy Retirement Center cost?
Assisted Living in North Carolina typically starts at $3,700 to $6,000 a month. Based on 100 communities that publish prices. These are area figures, not this community's price. Bethamy Retirement Center does not publish its prices.
How do I contact Bethamy Retirement Center?
Visit Bethamy Retirement Center at 909 N. Salisbury Avenue, Spencer, NC 28159.
How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid