Lotus Village Center for Nursing and Rehabilitatio
Nursing Home · Sparta, NC
CMS certification number345261
Contact & location
179 Combs StreetSparta, NC 28675
Alleghany County
- Phone
- (336) 372-2441
- ZIP code
- 28675 – all care providers
Facility details
- Certified beds
- 90
- Residents per day
- 77.6 (86% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Combs Street Operating Company LLC
- Chain
- Simcha Hyman & Naftali Zanziper (79 facilities, avg 2.6★)
- Medicare certified since
- June 23, 1987
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.38 (state 3.83 · U.S. 3.86)
- Registered nurses (RN)
- 0.28 (state 0.61 · U.S. 0.69)
- Licensed practical nurses
- 0.54 (state 0.89 · U.S. 0.86)
- Nurse aides
- 2.56 (state 2.34 · U.S. 2.32)
- Weekend total
- 3.15 (state 3.40 · U.S. 3.42)
- Nursing staff turnover
- 53.5 (state 49.0 · U.S. 45.8)%
- RN turnover
- 60.0 (state 45.7 · U.S. 42.9)%
- Administrators who left
- 2 in the last year
Inspections
- Last standard inspection
- May 15, 2026
- Health deficiencies (last cycle)
- 17.0 (state 4.8 · U.S. 9.3)
- From complaints
- 3
- Citations on record (3 years)
- 52 health · 17 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
J Immediate jeopardy to resident health or safety |
Corrected 2026-01-10 |
| 2026-05-15 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-15 |
| 2026-05-15 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-15 |
| 2026-05-15 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-15 |
| 2026-05-15 | Honor 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 directive. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-15 |
| 2026-05-15 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-15 |
| 2026-05-15 | Assure that each resident’s assessment is updated at least once every 3 months. F0638 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-15 |
| 2026-05-15 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-15 |
| 2026-05-15 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-15 |
| 2026-05-15 | Provide appropriate foot care. F0687 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-15 |
| 2026-05-15 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-15 |
| 2026-05-15 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-15 |
| 2026-05-15 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-15 |
| 2026-05-15 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-15 |
| 2026-05-15 | Educate 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 member's vaccination status. F0887 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-15 |
| 2026-03-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-15 |
| 2026-03-19 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-15 |
| 2025-05-22 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-13 |
| 2025-05-22 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-13 |
| 2025-05-22 | Assess the resident when there is a significant change in condition F0637 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-13 |
| 2025-05-22 | Assure that each resident’s assessment is updated at least once every 3 months. F0638 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-13 |
| 2025-05-22 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-13 |
| 2025-05-22 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-13 |
| 2025-04-10 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-05-22 |
| 2025-04-10 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-05-22 |
| 2025-04-10 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-22 |
| 2025-04-10 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-22 |
| 2024-10-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-10-25 |
| 2024-09-27 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-09-20 |
| 2024-08-07 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-29 |
| 2024-08-07 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-29 |
| 2024-08-07 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-29 |
| 2024-04-08 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-05-04 |
| 2024-04-08 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-05-04 |
| 2024-04-08 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-05-04 |
| 2024-04-08 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-04 |
| 2024-02-22 | Honor 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 directive. F0578 · Resident Rights Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-05-04 |
| 2024-02-22 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-05-04 |
| 2024-02-22 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-04 |
| 2024-02-22 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-04 |
| 2024-02-22 | Educate 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 member's vaccination status. F0887 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-05-04 |
| 2024-02-22 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. F0622 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-04 |
| 2024-02-22 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-04 |
| 2024-02-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-04 |
| 2024-02-22 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-04 |
| 2024-02-22 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. F0688 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-04 |
| 2024-02-22 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-04 |
| 2024-02-22 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. F0700 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-04 |
| 2024-02-22 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-04 |
| 2024-02-22 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-04 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
5 penalties in the last three years, including $337,573 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-03-19 | Fine | $22,345 |
| 2025-04-10 | Payment Denial | 36 days payment denial |
| 2025-04-10 | Fine | $102,102 |
| 2024-09-27 | Fine | $16,055 |
| 2024-02-22 | Fine | $197,071 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Alliance Health Group LLC (organization) | Administrator · NOT APPLICABLE | |
| Edwards, Brenda (individual) | Administrator · NOT APPLICABLE | |
| Piazza, Michael (individual) | Administrator · NOT APPLICABLE | |
| Coalition Group LLC (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| Emanuel, Yosef (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| HC Family Trust (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| PPG Ee Group LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Shnz Holdings LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Zanziper Family Trust (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Alliance Health Group LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Edwards, Brenda (individual) | Operational/managerial Control · NOT APPLICABLE | |
| HC Family Trust (organization) | Trustee Of The Snf · NOT APPLICABLE | |
| Zanziper Family Trust (organization) | Trustee Of The Snf · NOT APPLICABLE |
Frequently asked questions
What is the rating of Lotus Village Center for Nursing and Rehabilitatio?
Lotus Village Center for Nursing and Rehabilitatio has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in North Carolina.
How many beds does Lotus Village Center for Nursing and Rehabilitatio have?
It has 90 certified beds and cares for about 78 residents per day.
Has Lotus Village Center for Nursing and Rehabilitatio been fined?
Yes. CMS lists 5 penalties totaling $337,573 in the last three years.
Who owns Lotus Village Center for Nursing and Rehabilitatio?
It is part of Simcha Hyman & Naftali Zanziper and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Lotus Village Center for Nursing and Rehabilitatio?
(336) 372-2441. The facility is located at 179 Combs Street, Sparta, NC 28675.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.