Surry Community Health Center by Harborview
Medicare’s overall rating for this home. The inspection part of it is graded on a curve against other North Carolina homes, so a star here does not mean what it means in another state.
Staffing
Where the benchmark comes from
Staffing is the measure most closely linked to how residents do, and the one families almost never see. How much nursing care a resident needs depends on how sick they are, so we compare this home against the level its own residents are expected to need. The marker on the first two bars shows that level. It is a research benchmark, not a legal limit. The hours shown are the hours the home filed with Medicare, before any adjustment for how sick its residents are.
What inspectors found
Inspectors visit every nursing home and write up what they find. This home has 33 findings on record going back to 2022, 16 of them after someone filed a complaint. Of the 33, 26 are from the last three years.
The 9 serious findings here
Rights not honored
The home did not honor a resident’s rights, such as making their own choices or contacting people outside the home.
The home fixed this on April 24, 2024.
Medicare’s wording
Federal tag F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaints not handled
The home did not handle a complaint properly, or treated a resident badly for making one.
The home fixed this on April 24, 2024.
Medicare’s wording
Federal tag F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Belongings or money wrongly used
The home did not protect a resident’s money or belongings from being wrongly used.
The home fixed this on April 24, 2024.
Medicare’s wording
Federal tag F602Protect each resident from the wrongful use of the resident's belongings or money.
Involuntary seclusion
A resident was kept away from other residents, kept out of their own room, or confined to their room, against their will.
The home fixed this on April 24, 2024.
Medicare’s wording
Federal tag F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
Physical restraints
The home used a device to stop a resident moving freely when there was no medical need.
The home fixed this on April 24, 2024.
Medicare’s wording
Federal tag F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Abuse prevention rules
The home did not write or follow rules meant to stop abuse, neglect, and theft.
The home fixed this on April 24, 2024.
Medicare’s wording
Federal tag F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Pain
A resident’s pain was not properly treated.
The home fixed this on April 24, 2024.
Medicare’s wording
Federal tag F697Provide safe, appropriate pain management for a resident who requires such services.
Medicines not supplied properly
The home did not provide the medication services residents needed, or did not use a licensed pharmacist.
The home fixed this on April 24, 2024.
Medicare’s wording
Federal tag F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection control
The home did not follow proper practices to stop infections from spreading.
The home fixed this on April 24, 2024.
Medicare’s wording
Federal tag F880Provide and implement an infection prevention and control program.
Everything on record
410 of the 419 nursing homes in North Carolina have fewer findings of harm or immediate jeopardy on record than this one.
What these levels mean
JImmediate jeopardy The most serious finding there is. Medicare’s words: noncompliance that has caused, or is likely to cause, serious injury, harm, impairment, or death. About 2 in every 100 findings nationally.
GActual harm A resident was really hurt, not just put at risk. About 3 in every 100 findings.
The letter is Medicare’s own code for how many residents were involved. Immediate jeopardy covers J, K and L. Actual harm covers G, H and I. The later the letter, the more residents were affected.
The plain-English line under each finding describes the rule the inspector cited. It is not an account of what happened. Medicare’s own wording of the rule is printed with it, and the full inspection report is the record of the incident.
This home has 4 findings under three federal tags that are counted together, and they do not all mean abuse: F600 is abuse or neglect, F602 is the wrongful use of a resident’s belongings or money, and F603 is involuntary seclusion. Medicare also publishes a separate abuse warning icon, which is narrower and time-limited, and this home does not currently carry it.
What you can do
Numbers only go so far. These are two things most families do not know they can do.
Ask for today’s staffing sheet
Every nursing home must post how many nurses are working each shift, keep 18 months of it, and show it to you on request. Ask for today’s, then last Saturday’s. Weekends are when staffing thins out.
Call the ombudsman before you decide
Every state has a free, confidential long-term care ombudsman. You can ask how many complaints a specific home has had and what they were about. You can find your state’s office through its department of aging.
Where this comes from
Inspection findings, staffing hours, fines and star ratings on this page are published by the Centers for Medicare & Medicaid Services, a federal agency, and are current as of August 1, 2026. We reload after each monthly release, and the footer of every page shows both the release date and the date we loaded it. The federal ID for this home is 345191.
What these numbers do not say
Fines can be appealed and reduced. The amount shown is what CMS had recorded as of this release. Medicare’s penalties file covers a rolling window of the last few years rather than a home’s whole history, so this is what Medicare publishes today and not everything this home has ever been fined. The year beside the figure above is the earliest fine Medicare still lists for it.
The level of care residents here are expected to need, and the gap, are not Medicare figures. We work them out from this home’s own Medicare case-mix score using the published CASE formula (Harrington and others, Journal of the American Geriatrics Society, 2025). It is a research benchmark, not a legal limit.
Inspection findings are recorded by state inspectors on behalf of Medicare. Staffing hours come from payroll records the home files with Medicare, and Medicare audits a sample of them. Star ratings partly reflect quality measures the home reports about itself, which is why we show inspections and staffing separately rather than only the star.