Nursing homeFAID #9033
Lotus Village Center for Nursing and Rehabilitatio
179 COMBS STREET, SPARTA, NC, 28675
(336) 372-2441
90 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing2/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
90
CMS facility ID
345261
Care type
Nursing home
County
Alleghany
Facility name
Lotus Village Center for Nursing and Rehabilitatio
Street address
179 COMBS STREET
City / state / ZIP
Sparta, NC 28675
Phone
(336) 372-2441
About this facility — Lotus Village Center for Nursing and Rehabilitatio
Lotus Village Center for Nursing and Rehabilitatio is a Medicare/Medicaid-certified skilled nursing facility in Sparta, North Carolina. It is licensed for 90 beds — close to the median for skilled nursing facilities in North Carolina (102 beds).
It is one of 2 senior care facilities in Sparta and 420 skilled nursing facilities across North Carolina. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Lotus Village Center for Nursing and Rehabilitatio 69 times across 15 inspections in the last three years, and CMS has imposed $337,573 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Parent company
Simcha Hyman & Naftali Zanziper
Ownership type
For profit - Corporation
Registered owners & officers
Alliance Health Group Llc
Operational control · Additional disclosable party — since 2023
Coalition Group Llc
Direct owner — since 2023
Edwards, Brenda
Operational control · Additional disclosable party — since 2023
Emanuel, Yosef
Indirect owner — since 2023
Hc Family Trust
Indirect owner · Trustee — since 2023
Piazza, Michael
Additional disclosable party — since 2023
Ppg Ee Group Llc
Indirect owner — since 2023
Shnz Holdings Llc
Indirect owner — since 2023
Zanziper Family Trust
Indirect owner · Trustee — since 2023
Regulatory standing
Licensed / certified since
1987-06-23
CMS overall rating
1 of 5 stars
Health deficiencies
17 at the last standard inspection
Federal fines
$337,573 total
Last standard inspection
2026-05-15
Nurse staffing
3.4 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$315 per day (≈ $9,580/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
85% Medicaid · 3% Medicare · 12% private/other
Occupancy
90% (fiscal year 2023)
Vs. state median
16% below the NC median of $373/day — full state cost breakdown
Services & coverage
Licensed beds
90
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
CleanNo food-safety or dietary citations in the last three years of federal inspections.
2026-05-15Health inspectionComplaint-triggered15 citations
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2026-06-15
F-0578
D · No harm found
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.
Corrected 2026-06-15
F-0636
D · No harm found
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2026-06-15
F-0638
D · No harm found
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2026-06-15
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2026-06-15
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-06-15
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-06-15
F-0687
D · No harm found
Provide appropriate foot care.
Corrected 2026-06-15
F-0689
J · Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-10
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-06-15
F-0697
D · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2026-06-15
F-0761
E · No harm found
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.
Corrected 2026-06-15
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-06-15
F-0883
D · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2026-06-15
F-0887
D · No harm found
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.
Corrected 2026-06-15
2026-03-19Health inspectionComplaint-triggered2 citations
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-05-15
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-06-15
10 earlier / fire-safety inspections (52 citations)
2025-05-22Health inspectionComplaint-triggered6 citations
F-0636
D · No harm found
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-06-13
F-0637
D · No harm found
Assess the resident when there is a significant change in condition
Corrected 2025-06-13
F-0638
D · No harm found
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2025-06-13
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-06-13
F-0761
E · No harm found
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.
Corrected 2025-06-13
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-06-13
2025-04-10Health inspectionComplaint-triggered4 citations
F-0580
G · Actual harmFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-05-22
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2025-05-22
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-22
F-0760
G · Actual harmFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2025-05-22
2024-10-24Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-25
2024-09-27Health inspectionComplaint-triggered1 citation
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-20
2024-08-07Health inspectionComplaint-triggered3 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-08-29
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-08-29
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-29
2024-04-08Health inspectionComplaint-triggered4 citations
F-0580
J · Immediate jeopardyFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-05-04
F-0600
K · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-05-04
F-0684
K · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-04
F-0867
E · No harm foundFrom a complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-05-04
2024-02-22Health inspectionComplaint-triggered16 citations
F-0561
E · No harm foundFrom a complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2024-05-04
F-0578
F · No harm foundFrom a complaint
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.
Corrected 2024-05-04
F-0622
D · No harm foundFrom a complaint
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.
Corrected 2024-05-04
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2024-05-04
F-0644
B · No harm foundFrom a complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-05-04
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-04
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-04
F-0688
D · No harm foundFrom a complaint
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.
Corrected 2024-05-04
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-05-04
F-0695
E · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-04
F-0700
D · No harm foundFrom a complaint
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.
Corrected 2024-05-04
F-0725
D · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-05-04
F-0761
D · No harm foundFrom a complaint
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.
Corrected 2024-05-04
F-0867
F · No harm foundFrom a complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-05-04
F-0883
D · No harm foundFrom a complaint
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-05-04
F-0887
E · No harm foundFrom a complaint
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.
Corrected 2024-05-04
2026-05-15Fire-safety inspection4 citations
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-09-01
K-0712
D · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2026-09-01
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-09-01
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2026-09-01
2025-05-22Fire-safety inspection10 citations
K-0211
D · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-09-01
K-0222
D · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-09-01
K-0271
D · No harm found
Have exits that are accessible at all times.
Corrected 2025-09-01
K-0345
D · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-09-01
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-01
K-0372
D · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-09-01
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2025-09-01
K-0712
D · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-09-01
K-0914
D · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-09-01
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-09-01
2024-02-22Fire-safety inspection3 citations
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-06-05
K-0521
D · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-06-05
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-06-05
Federal penalties
2026-03-19Fine$22,345
2025-04-10Fine$102,102
2024-09-27Fine$16,055
2024-02-22Fine$197,071
2025-04-10Medicare payment denial — 36 days
Total fines$337,573
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 345261.
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 69 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered