Nursing home
Piedmont Hills Center for Nursing and Rehab
109 S Holden Road, Greensboro, NC 27407 · Map
For profit - Limited Liability company · Part of Alliance Health Group (10 facilities) · 126 certified beds
Piedmont Hills Center for Nursing and Rehab is a Medicare-certified nursing home in Greensboro, North Carolina. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.25 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Dec 5, 2024 cited 14 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 5 fines totaling $249,761In CMS records: 6 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Piedmont Hills Center for Nursing and Rehab compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.25 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.28 | 0.59 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.43 | 2.33 | 2.34 | above avg |
| Nursing staff turnover | 59.6% | 50.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 14.0 | 5.6 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the October 23, 2025 inspection was corrected by November 24, 2025
Penalties in CMS records: 5 fines totaling $249,761, 6 total penalties, 1 Medicare payment denial.
What inspectors found at Piedmont Hills Center for Nursing and Rehab
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Oct 23, 2025 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Oct 23, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jun 11, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 10, 2025 · Full report (PDF) - Potential for harm
Develop 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 Deficiencies · Feb 10, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Dec 5, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Dec 5, 2024 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Dec 5, 2024 · Full report (PDF) - Potential for harm
Provide appropriate foot care.
Quality of Life and Care Deficiencies · Dec 5, 2024 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Dec 5, 2024 · Full report (PDF) - Potential for harm
Develop 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 Deficiencies · Dec 5, 2024 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Dec 5, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 109 S Holden Road
Greensboro, NC 27407 - CMS certification #
- 345116
- Ownership
- For profit - Limited Liability company
- Certified beds
- 126
- Avg residents/day
- 117.9
- Provider type
- Medicare and Medicaid
- First certified
- 1980-12-10
- Chain
- Alliance Health Group (10 facilities)
- Setting
- Urban
Part of Alliance Health Group
Alliance Health Group operates 10 nursing facilities across the United States. View all Alliance Health Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Piedmont Hills Center for Nursing and Rehab using Google Maps.
Other public records
- Workplace safety 2 OSHA workplace safety inspections since 2018, 13 violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Feb 15, 2019: follow-up inspection, partial (health). Case closed Feb 19, 2019. No violations cited. OSHA record. OSHA recorded the employer as 141160 - Carolina Pines at Greensboro LLC. Matched by street address; the name OSHA recorded differs from the community's.
- Apr 10, 2018: programmed (planned) inspection, complete (health). Case closed Oct 11, 2018. 13 violations cited (11 serious, 2 other). Penalties: $3,500 proposed, $2,450 now. OSHA record. OSHA recorded the employer as 137582 - Holden Operating Company LLC. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(g)(2)(iv)). Penalty $3,500 proposed, $2,450 now. To be fixed by Aug 13, 2018.
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(g)(2)(vii)(a)). Penalty $0 proposed, $0 now. To be fixed by Aug 13, 2018.
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(g)(2)(vii)(d)). Penalty $0 proposed, $0 now. To be fixed by Aug 13, 2018.
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(g)(2)(vii)(g)). Penalty $0 proposed, $0 now. To be fixed by Aug 13, 2018.
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(g)(2)(vii)(j)). Penalty $0 proposed, $0 now. To be fixed by Aug 13, 2018.
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(g)(2)(vii)(k)). Penalty $0 proposed, $0 now. To be fixed by Aug 13, 2018.
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(g)(2)(vii)(l)). Penalty $0 proposed, $0 now. To be fixed by Aug 13, 2018.
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(g)(2)(vii)(m)). Penalty $0 proposed, $0 now. To be fixed by Aug 13, 2018.
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(g)(2)(viii)). Penalty $0 proposed, $0 now. To be fixed by Aug 13, 2018.
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(h)(2)(i)(b)). Penalty $0 proposed, $0 now. To be fixed by Aug 13, 2018.
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(h)(2)(i)(c)). Penalty $0 proposed, $0 now. To be fixed by Aug 13, 2018.
- Other than serious: Personal protective equipment (general) (1910.132(d)(2)). Penalty $0 proposed, $0 now. To be fixed by Aug 13, 2018.
- Other than serious: Electrical equipment and installation (1910.303(g)(1)). Penalty $0 proposed, $0 now. To be fixed by Aug 13, 2018.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Moses H. Cone Memorial Hospital, The, Greensboro. 3.6 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Whitestone a Masonic and Eastern Star Community, Greensboro. 0.5 miles away, straight line.
- Nearest home health agency office
- Encompass Home Health Of North Carolina, Greensboro. 1.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- The Shops At Friendly Center Hart Pharmacy. 1.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 27407 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Randleman Road Dialysis, Greensboro, 4.0 miles away, straight line
Fresenius Kidney Care Garber-Olin, Greensboro, 4.0 miles away, straight line (CMS rating 3 of 5 stars)
Fmc Bma Northwest Greensboro Kidney Center, Greensboro, 4.3 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 11 Medicare hospices tell CMS they serve ZIP code 27407.
Authoracare Collective, office in Greensboro, 5.3 miles away, straight line (CMS family survey rating 4 of 5 stars)
Hospice Of The Piedmont Inc, office in High Point, 13.6 miles away, straight line (CMS family survey rating 5 of 5 stars)
Amedisys Hospice, office in Burlington, 19.7 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- The Moses H Cone Memorial Hospital Operating Corporation, Greensboro. 1.5 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane relatively moderate, inland flooding relatively moderate, wildfire very low, tornado relatively moderate, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
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 |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| 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 |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Piedmont Hills Center for Nursing and Rehab a good nursing home?
CMS gives Piedmont Hills Center for Nursing and Rehab an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Piedmont Hills Center for Nursing and Rehab staffed?
Piedmont Hills Center for Nursing and Rehab reports 3.25 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Piedmont Hills Center for Nursing and Rehab had inspection problems?
Its most recent CMS inspection cited 14 deficiencies.
How many beds does Piedmont Hills Center for Nursing and Rehab have?
Piedmont Hills Center for Nursing and Rehab is certified for 126 beds.