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Nursing homesNorth Carolina › Lotus Village Center for Nursing and Rehabilitatio

Lotus Village Center for Nursing and Rehabilitatio

179 Combs Street, Sparta, NC 28675 · 3363722441 · 90 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★☆☆☆☆ 1/5
Staffing★★☆☆☆ 2/5
Quality measures★★☆☆☆ 2/5
Special Focus: CMS lists this facility as SFF Candidate — among the facilities with the most serious ongoing compliance problems in the country.

Ownership group

Per CMS filings, this facility is affiliated with Simcha Hyman & Naftali Zanziper, a group operating 84 facilities in 6 states. Group record: average rating 2.5/5, 6 abuse citation icons, 4 facilities on the Special Focus list, $2,963,532 in federal fines. This facility rates below its group average (2.5/5).

See all 84 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 3.38 (North Carolina median: 3.53). RN hours: 0.28. Weekend total: 3.15. Nursing staff turnover: 54%.

Inspection deficiencies

All-time on record: 56 deficiency citations, including 8 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-05-15Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. JHealthcorrected 2026-01-10
2026-05-15Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. EHealthcorrected 2026-06-15
2026-05-15Ensure 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. EHealthcorrected 2026-06-15
2026-05-15Ensure that residents are fully informed and understand their health status, care and treatments. DHealthcorrected 2026-06-15
2026-05-15Honor 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. DHealthcorrected 2026-06-15
2026-05-15Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. DHealthcorrected 2026-06-15
2026-05-15Assure that each resident’s assessment is updated at least once every 3 months. DHealthcorrected 2026-06-15
2026-05-15Ensure each resident receives an accurate assessment. DHealthcorrected 2026-06-15
2026-05-15Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. DHealthcorrected 2026-06-15
2026-05-15Provide appropriate foot care. DHealthcorrected 2026-06-15
2026-05-15Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Dcomplaintcorrected 2026-06-15
2026-05-15Provide safe, appropriate pain management for a resident who requires such services. DHealthcorrected 2026-06-15
2026-05-15Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. DHealthcorrected 2026-06-15
2026-05-15Develop and implement policies and procedures for flu and pneumonia vaccinations. DHealthcorrected 2026-06-15
2026-05-15Educate 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. DHealthcorrected 2026-06-15
2026-03-19Provide appropriate treatment and care according to orders, resident’s preferences and goals. Dcomplaintcorrected 2026-05-15
2026-03-19Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Dcomplaintcorrected 2026-06-15
2025-05-22Ensure 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. EHealthcorrected 2025-06-13
2025-05-22Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. DHealthcorrected 2025-06-13
2025-05-22Assess the resident when there is a significant change in condition DHealthcorrected 2025-06-13
2025-05-22Assure that each resident’s assessment is updated at least once every 3 months. DHealthcorrected 2025-06-13
2025-05-22Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Dcomplaintcorrected 2025-06-13
2025-05-22Provide and implement an infection prevention and control program. DHealthcorrected 2025-06-13
2025-04-10Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Gcomplaintcorrected 2025-05-22
2025-04-10Ensure that residents are free from significant medication errors. Gcomplaintcorrected 2025-05-22
2025-04-10Ensure each resident receives an accurate assessment. Dcomplaintcorrected 2025-05-22
2025-04-10Provide appropriate treatment and care according to orders, resident’s preferences and goals. Dcomplaintcorrected 2025-05-22
2024-10-24Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2024-10-25
2024-09-27Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Jcomplaintcorrected 2024-09-20
2024-08-07Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Dcomplaintcorrected 2024-08-29
2024-08-07Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2024-08-29
2024-08-07Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Dcomplaintcorrected 2024-08-29
2024-04-08Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Kcomplaintcorrected 2024-05-04
2024-04-08Provide appropriate treatment and care according to orders, resident’s preferences and goals. Kcomplaintcorrected 2024-05-04
2024-04-08Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Jcomplaintcorrected 2024-05-04
2024-04-08Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Ecomplaintcorrected 2024-05-04
2024-02-22Honor 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. Fcomplaintcorrected 2024-05-04
2024-02-22Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Fcomplaintcorrected 2024-05-04
2024-02-22Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Ecomplaintcorrected 2024-05-04
2024-02-22Provide safe and appropriate respiratory care for a resident when needed. Ecomplaintcorrected 2024-05-04

Federal penalties

DateTypeAmount
2025-04-10Fine$102,102
2025-04-10Payment Denial36 days payment denial
2024-09-27Fine$16,055
2024-02-22Fine$197,071

Ownership & control records (CMS filings)

NameRoleType%Since
COALITION GROUP LLCDirect Ownership InterestOrganizationNOT APPLICABLEsince 07/01/2023
HC FAMILY TRUSTIndirect Ownership InterestOrganizationNOT APPLICABLEsince 07/01/2023
PPG EE GROUP LLCIndirect Ownership InterestOrganizationNOT APPLICABLEsince 07/01/2023
SHNZ HOLDINGS LLCIndirect Ownership InterestOrganizationNOT APPLICABLEsince 07/01/2023
ZANZIPER FAMILY TRUSTIndirect Ownership InterestOrganizationNOT APPLICABLEsince 07/01/2023
EMANUEL, YOSEFIndirect Ownership InterestIndividualNOT APPLICABLEsince 07/01/2023
ALLIANCE HEALTH GROUP LLCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 07/01/2023
EDWARDS, BRENDAOperational/Managerial ControlIndividualNOT APPLICABLEsince 07/01/2023

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 345261. Corrections: data@carerecords.org.