Nursing Home

Adams Farm Living & Rehabilitation

5100 Mackay Road, Jamestown, NC 27282

Part of Century Care Managementsee all 9 affiliated facilities

120 certified beds 105 residents per day on average

CMS Five-Star Quality Rating

2 out of 5 Stars

Overall rating

Health inspections

From the three most recent annual inspection cycles and recent complaint investigations.

Staffing

Based on nurse staffing hours relative to the care needs of this facility’s residents.

Quality measures

Based on clinical quality measures reported for residents, from assessments and Medicare claims.

Source: CMS Five-Star Quality Rating System. These are CMS's own ratings, shown exactly as published — CareRanks does not adjust or re-weight them. How CMS calculates these ratings ↗

Medicare Outcome Measures

Source: CMS Skilled Nursing Facility Quality Reporting Program. Rates are risk-standardized by CMS; the comparison category is CMS's own, shown exactly as published.

Clinical Quality Measures

Source: CMS MDS quality measures (four-quarter average).

Nurse Staffing

Nurse staffing per resident per day
3.5 hours

NC average: 3.8 hours · National: 3.9 hours

All nursing staff combined: RNs, LPNs/LVNs, and nurse aides.

Registered nurse (RN) time per resident per day
0.4 hours

NC average: 0.6 hours · National: 0.7 hours

RN hours only — the most highly trained nursing staff.

Weekend nurse staffing per resident per day
3.0 hours

NC average: 3.4 hours · National: 3.4 hours

Total nurse staffing on Saturdays and Sundays, when staffing typically dips.

Nursing staff turnover in the past year
56.8%

NC average: 49.0% · National: 45.8%

Share of this facility’s nursing staff who stopped working there over 12 months.

Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.

Penalties & Enforcement

1 fine totaling $24,252 in the recent inspection window (most recent: May 1, 2025).

Federal enforcement actions from CMS's penalty file: civil money penalties (fines) and denials of Medicare payment tied to health-inspection deficiencies.

Ownership

Ownership type
For profit - Corporation
Chain
Century Care Management
Who owns this facility — 9 entries in CMS's ownership records expand ↓
  • Noah K Duncan Mrtl Tr Organization
    Direct owner (≥5%) 100% ownership since 04/30/2013
  • Adams Farm Living Inc Organization
    Direct owner (≥5%) since 04/01/2007
  • Gilliam, Robert Individual
    Managing employee (W-2) since 06/02/2008
  • Niles, Maria Individual
    Managing employee (W-2) since 05/08/2017
  • Boyette, Barbara Individual
    Corporate director since 04/01/2007
  • Gilliam, Robert Individual
    Corporate director since 06/02/2008
  • Gilliam, Robert Individual
    Corporate officer since 09/01/2021
  • Schmidlin, James Individual
    Corporate officer since 09/01/2021
  • Century Care Management, Inc. Organization
    Operational/managerial control since 04/01/2007

From CMS's nursing-home ownership file. Roles and percentages are as reported to CMS by the facility; one person or entity can hold several roles.

Inspections & Fire Safety — 1 health (NC avg 4.8) · 4 fire (NC avg 3.9) · ⚠ 3 serious Details

8 deficiencies cited across recent inspection cycles, including ⚠ 3 serious (actual harm or immediate jeopardy). Most recent survey: December 5, 2025.

Most recent inspection cycle: 1 health deficiency · NC average: 4.8 · National: 9.3

4 fire-safety deficiencies cited — most often smoke (3) and services (1).

Most recent fire-safety inspection (2023-10-13): 4 deficiencies · NC average: 3.9 · National: 4.5

Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.

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How Adams Farm Living & Rehabilitation compares nearby

Compared with the 8 other nursing homes within 25 miles — 9 facilities in all, CMS data only.

Among the 9 nursing homes within 25 miles, Adams Farm Living & Rehabilitation's overall star rating is 2★; the median among the 8 peers reporting it is 3★.

Measure This facility Nearby median Best nearby
Overall star rating reported by 8 of 8 nearby peers 2★ 3★ 5★
Health inspections reported by 8 of 8 nearby peers 3★ 3★ 5★
Staffing reported by 8 of 8 nearby peers 1★ 2.5★ 5★
Quality measures reported by 8 of 8 nearby peers 4★ 3.5★ 4★

The comparison group

Cohort: within 25 miles · CMS data period 2026-08 · method cohort-v1 · comparisons are never affected by claiming or payment. How nearby comparisons work

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