
Report
TheVardellReport
Premier Living and Rehab Center
Skilled nursing facility and nursing facility
106 Cameron Street
Lake Waccamaw, NC 28450

TheVardellReport
Skilled nursing facility and nursing facility
106 Cameron Street
Lake Waccamaw, NC 28450
Life by Vardell Presents
The deeper story, beautifully organized. Available records, historical context, and questions worth asking.
This report is free. Vardell does not certify, grade or endorse; it shows what the record documents.
The Essentials
Across 3 inspections from July 2024 to August 2026, state surveyors documented 60 findings at Premier Living and Rehab Center; 49 have a recorded correction and 11 await one; CMS lists 4 enforcement actions in the window.
* Partial year, through October 1, 2026.
| Year | Inspections | Findings | Of which, actual harm (level G or above) |
|---|---|---|---|
| 2024 | 1 | 29 | 5 |
| 2025 | 1 | 20 | 3 |
| 2026 | 1 | 11 | 0 |
Chronology
Every inspection in the record window, newest first. A finding is a deficiency an inspector cited. CMS publishes what a complaint investigation cited, not what the complaint alleged.
11 findings
The same visit included a complaint investigation.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
20 findings
The same visit included a complaint investigation.
Enforcement Action
Civil money penalty, $117,690 imposed June 26, 2025. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of June 26, 2025, the nearest before the penalty date.
Enforcement Action
Denial of payment imposed June 26, 2025. Status: Closed, August 15, 2025. CMS does not tie a penalty to a survey; listed with the standard health inspection of June 26, 2025, the nearest before the penalty date.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
29 findings
The same visit included a complaint investigation.
Enforcement Action
Civil money penalty, $267,040 imposed July 2, 2024. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of July 2, 2024, the nearest before the penalty date.
Enforcement Action
Denial of payment imposed July 2, 2024. Status: Closed, September 15, 2024. CMS does not tie a penalty to a survey; listed with the standard health inspection of July 2, 2024, the nearest before the penalty date.
Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)
Severity levels follow the CMS scope and severity grid. A–C: potential for minimal harm. D–F: no actual harm, potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy.
Context
A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.
Inspectors cited F550 in July 2024 and June 2025. This citation covers residents’ right to dignity, to make their own choices and to communicate. None rose above level D (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F580 in July 2024 and June 2025. This citation covers whether the resident, their doctor and a family member are told promptly about an injury, a decline or another significant change. The most serious of these was recorded at level K (immediate jeopardy). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F600 in July 2024 and June 2025. This citation covers whether residents are protected from abuse and neglect by anyone. The most serious of these was recorded at level K (immediate jeopardy). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F641 in July 2024 and June 2025. This citation covers whether each resident’s assessment correctly records their condition. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F656 in July 2024 and June 2025. This citation covers whether each resident has a written care plan that meets their needs, with goals that can be measured. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F684 in July 2024 and June 2025. This citation covers whether residents receive the treatment their orders, preferences and goals call for. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F686 in July 2024 and June 2025. This citation covers how the home prevents and treats pressure injuries (bedsores). The most serious of these was recorded at level G (actual harm). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F756 in July 2024 and June 2025. The agency describes it this way: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F760 in July 2024 and June 2025. This citation covers whether residents are free from significant medication errors. The most serious of these was recorded at level K (immediate jeopardy). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
Inspectors cited F842 in July 2024 and June 2025. This citation covers whether resident records are complete, accurate and kept confidential. None rose above level E (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.
F602 was cited in August 2026. The agency describes it this way: Protect each resident from the wrongful use of the resident's belongings or money. The most serious was level D (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F657 was cited in July 2024 and August 2026. This citation covers whether care plans are written on time and revised by a team that includes the resident’s caregivers. The most serious was level E (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F689 was cited in July 2024 and August 2026. This citation covers whether residents are protected from accident hazards and supervised closely enough to prevent accidents, including falls. The most serious was level D (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F692 was cited in July 2024 and August 2026. This citation covers whether residents get enough food and fluids to stay healthy. The most serious was level E (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F697 was cited in July 2024, June 2025 and August 2026. The agency describes it this way: Provide safe, appropriate pain management for a resident who requires such services. The most serious was level K (immediate jeopardy). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F699 was cited in August 2026. The agency describes it this way: Provide care or services that was trauma informed and/or culturally competent. The most serious was level D (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F732 was cited in August 2026. The agency describes it this way: Post nurse staffing information every day. The most serious was level C (potential for minimal harm). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F755 was cited in July 2024 and August 2026. This citation covers pharmacy services and the licensed pharmacist who oversees them. The most serious was level K (immediate jeopardy). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F761 was cited in July 2024, June 2025 and August 2026. This citation covers how drugs are labeled and kept locked, including controlled drugs. The most serious was level E (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F851 was cited in June 2025 and August 2026. The agency describes it this way: Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. The most serious was level F (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
F880 was cited in July 2024 and August 2026. This citation covers hand hygiene, isolation practice and the home’s infection-prevention program. The most serious was level F (no actual harm, potential for more). The August 2026 citation has no recorded correction date; its status reads “Deficient, Provider has no plan of correction.” The record does not show whether the problem was fixed.
For Your Next Visit
Bring these to the tour. Each one comes from something in the record; the reason is under the question.
How do staff learn each resident’s preferences, and how is a complaint about dignity handled?
Dignity and Resident Rights: cited in two inspections, most seriously at level D.
How quickly will we hear about a fall, an injury or a change in condition, and from whom?
Telling Families About Changes: cited in two inspections, most seriously at level K.
What happened after the abuse or neglect citation, and what changed in training or supervision?
Protection From Abuse and Neglect: cited in two inspections, most seriously at level K.
Who completes resident assessments, and how are they checked for accuracy?
Accurate Assessments: cited in two inspections, most seriously at level E.
How is a care plan written and reviewed here, and how do families take part in it?
Care Plans: cited in two inspections, most seriously at level E.
How do nurses make sure a doctor’s orders are carried out, and how are families told when something is missed?
Quality of Care: cited in two inspections, most seriously at level E.
How often are residents checked for pressure injuries and repositioned, and who is responsible for it?
Pressure Injury Care: cited in two inspections, most seriously at level G.
What changed after F756 was cited, and how do you check it now?
Citation F756: cited in two inspections, most seriously at level E.
What happened after the medication error citation, and how are high-risk drugs double-checked?
Significant Medication Errors: cited in two inspections, most seriously at level K.
How can a family request a resident’s records, and how are they kept accurate?
Medical Records: cited in two inspections, most seriously at level E.
What changed after F602 was cited, and how do you check it now?
Citation F602: cited in one inspections, most seriously at level D. The August 27, 2026 citation has no recorded correction date.
How often are care plans revised, and who takes part in the review?
Care Plan Timing and Review: cited in two inspections, most seriously at level E. The August 27, 2026 citation has no recorded correction date.
What changed in fall prevention and supervision after the last citation, and how do you check that it is still working?
Accident Hazards and Supervision: cited in two inspections, most seriously at level D. The August 27, 2026 citation has no recorded correction date.
How are weight and fluid intake tracked, and what happens when a resident starts losing weight?
Nutrition and Hydration: cited in two inspections, most seriously at level E. The August 27, 2026 citation has no recorded correction date.
What changed after F697 was cited, and how do you check it now?
Citation F697: cited in three inspections, most seriously at level K. The August 27, 2026 citation has no recorded correction date.
What changed after F699 was cited, and how do you check it now?
Citation F699: cited in one inspections, most seriously at level D. The August 27, 2026 citation has no recorded correction date.
What changed after F732 was cited, and how do you check it now?
Post nurse staffing information every day: cited in one inspections, most seriously at level C. The August 27, 2026 citation has no recorded correction date.
How often does the consultant pharmacist review each resident’s medications?
Pharmacy Services: cited in two inspections, most seriously at level K. The August 27, 2026 citation has no recorded correction date.
How are medications stored and secured, and who checks the medication carts?
Medication Labeling and Storage: cited in three inspections, most seriously at level E. The August 27, 2026 citation has no recorded correction date.
What changed after F851 was cited, and how do you check it now?
Citation F851: cited in two inspections, most seriously at level F. The August 27, 2026 citation has no recorded correction date.
Who leads infection control here, and how often are hand-hygiene and isolation practices audited?
Infection Control: cited in two inspections, most seriously at level F. The August 27, 2026 citation has no recorded correction date.
How many nurses and aides are on each shift, including nights and weekends, for the unit we are considering?
No staffing citation appears in this window. Staffing levels are published separately by CMS and are worth asking about directly.
What led to the 2025 fine, and has it been paid?
A $117,690 civil money penalty was imposed June 26, 2025. CMS publishes the fine, not whether it has been paid. The record holds four enforcement actions in the window.
The Evidence
Inspection results and penalties are published by the Centers for Medicare & Medicaid Services from surveys conducted by the North Carolina state survey agency.
North Carolina state survey agency
Inspection Jul 2, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
North Carolina state survey agency
Inspection Jun 26, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
North Carolina state survey agency
Inspection Aug 27, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026
Centers for Medicare & Medicaid Services
Published Oct 1, 2026 · Retrieved Nov 1, 2026
Centers for Medicare & Medicaid Services · 345185
Published Oct 1, 2026 · Retrieved Nov 1, 2026
Record windowJuly 2, 2024 – October 1, 2026
Historical coverage varies by agency and location. Missing records do not mean that no complaint or violation occurred.
Data architecture: Cierto supplies the source-backed machine-readable bundle. Life by Vardell independently creates the narrative, design, and consumer report.