Pricing ranges from
    $3,834 – 4,600/month

    Highlands Senior Living Forest City

    2270 Oakland Rd, Forest City, NC 28043
    • Assisted Living

    Compassionate staff, clean secure facility

    I feel very comfortable leaving my mom here - the staff are warm, caring and go above and beyond (Nurse Lisa is amazing), the place is clean, secure and feels like family, and meals/snacks are excellent. The building is older but renovations and new ownership are making positive changes daily, so I have real peace of mind and am grateful for the attentive, compassionate team.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.21·(28)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.3
    • Staff

      4.7
    • Meals

      3.0
    • Amenities

      2.5
    • Value

      2.5

    Pros

    • Compassionate, family‑oriented staff
    • Engaged nursing and caregiving team
    • Warm, home‑like community atmosphere
    • Dedicated housekeeping efforts and attention to sanitation
    • Consistent meal program (three meals and three snacks)
    • Active social activities and resident interaction
    • Affordable pricing
    • Supportive ownership and ongoing improvement efforts
    • Welcoming admission practices and resident orientation

    Cons

    • Cleanliness issues in resident rooms and select common areas
    • Inconsistent facility maintenance and aging infrastructure
    • Operational and managerial disorganization
    • Medication administration and documentation weaknesses
    • Variable care quality and inconsistent operational performance
    • Renovation‑related disruption to the resident environment
    • Allegations of financial misconduct by ownership
    • Mixed family communication and responsiveness

    Summary of reviews

    Reviews of Highlands Senior Living Forest City show a facility with a pronounced strength in interpersonal care and community atmosphere, paired with operational and facility maintenance challenges. A recurring theme is that staff — including licensed nurses and caregiving personnel — are described as warm, compassionate, and family‑focused. Multiple accounts praise individual caregivers, nursing attention, crisis support, and a generally welcoming culture (welcome baskets, resident engagement, and friendliness from other residents). Families and visitors frequently note that staff provide emotional support and companionship, which many say contributes to residents’ sense of security and social connection.

    Clinical care impressions are mixed. Many reviewers emphasize caring nursing and direct‑care staff who go above and beyond routine duties, and some specifically commend particular team members. At the same time, there are consistent indications of uneven operational performance: reviewers described concerns with medication administration areas and processes, and some expressed uncertainty about medication handling and documentation. These comments suggest a need for clearer medication‑management protocols and oversight to ensure consistency across shifts.

    Dining and activities are generally seen as positive. The facility’s meal program is frequently noted as robust — three meals and three snacks daily — and several families complimented the quality of food and staff engagement during meals. Recreational and social programming receive positive mentions as well, with reports of active interactions, seasonal events, and staff encouragement that support resident engagement. Such programming appears to contribute to the home‑like feel reported by many families.

    Facility condition and housekeeping assessments are mixed. While some reviewers praise dedicated housekeeping staff and an overall pleasant scent in common areas, others cite cleanliness concerns in resident rooms, bathing or shower areas, and dining spaces. Physical infrastructure is also characterized as aging: reviewers mention concrete walls, older finishes, and areas that could use upgrades. Renovations and “sprucing up” efforts are underway according to several accounts, but those projects are also noted as a source of temporary disruption to the resident environment.

    Management and organizational issues are another recurring topic. Several comments point to organizational and managerial disorganization that can affect daily operations and family communication. Conversely, other reviewers describe recent positive change under supportive ownership and an active improvement trajectory. There is at least one serious claim framed as an allegation regarding ownership financial priorities; that claim is isolated within the set of summaries but warrants attention and, if present, follow‑up through appropriate channels.

    Overall pattern: Highlands appears to offer a strong, compassionate caregiving culture and active social environment that many families find comforting. Simultaneously, the facility faces operational challenges — uneven cleanliness, aging infrastructure, medication‑process concerns, and some management inconsistencies — that have produced polarized impressions. Prospective residents and families should weigh the evident strengths in staff engagement and programming against the noted areas for operational improvement, and consider an on‑site visit that inspects resident rooms, medication procedures, dining areas, and the status of ongoing renovations. Asking management about recent quality‑improvement actions, medication‑management protocols, housekeeping schedules, and documentation of any ownership‑related complaints will help clarify current performance and trajectory.

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    Location

    Map showing location of Highlands Senior Living Forest City

    Highlands Senior Living Forest City is located at 2270 Oakland Rd, Forest City, NC, 28043.

    About Highlands Senior Living Forest City

    Highlands Senior Living Forest City sits near downtown Forest City and the Blue Ridge Mountains, offering a quiet place for seniors to live. The building has only one floor, which helps with mobility and wheelchair access, and the inside has both private studio apartments with living areas and baths, plus common spaces for relaxing and visiting with others. Residents get freshly prepared meals with snacks between, and there are meal options for different diets, family-style meals, and picnics outside when the weather's nice. The community doesn't allow pets, so folks with allergies or concerns about animals won't have to worry. Studio apartments come in various price ranges, though the exact numbers aren't listed, and the rent covers most things like Wi-Fi, cable, daily meals, maintenance, housekeeping, laundry, and trash removal. There's help for bathing, dressing, grooming, feeding, toileting, and medication reminders, with staff always nearby 24 hours daily. The community supports many care levels including independent living, assisted living, memory care for those with Alzheimer's or dementia, companion care, and even nursing home options for folks who need extra support. Seniors can get help using wheelchairs, transferring, managing personal care needs, and even reminders for appointments, phone calls, and oral hygiene. Highlands Senior Living Forest City brings in medical alert systems, home security, medication dispensers, health checks, and the grounds have serene spots for residents to enjoy nature and visit with family who drop by. There are senior-specific technology services like Wi-Fi, internet in the units, and cable TV. Hearing aid resources include brands like Jabra and MDHearingAid, and the community shares reviews and information for seniors considering over-the-counter hearing aids, which isn't something you find everywhere. Community areas offer games, music, arts and crafts, special events throughout the year, and spaces for families to join residents for dinner as guests. The staff helps set up transportation for medical appointments, grocery runs, or shopping trips, and assists with scheduling and reminders. Seniors can also use services like pest control, linen changes, and maintenance without having to call someone from outside. Fitness and wellness activities, salon services, and dietary planning go on regularly, and folks with memory care needs get extra support to prevent wandering and reduce confusion. The place is clean and described as friendly and family-like, and staff earn praise for being caring and down-to-earth. Residents have access to affordable financial guidance, and the facility accepts several payment methods including Medicaid, state programs, credit cards, checks, and private pay. The community aims to keep things comfortable, warm, and respectful, and the setting helps folks keep their independence while getting the attention they need as they age. Reviews have been positive, often mentioning the quality of meals, the clean environment, and the individualized support, and families like the simple process for getting connected to the right kind of care through a free service. Privacy, safety, comfort, and help with daily living are all taken seriously here, with extra touches to help residents feel secure and supported in their day-to-day routines.

    People often ask...

    Highlands Senior Living Forest City offers competitive pricing, with rates starting at a cost of $3,834 per month.

    Highlands Senior Living Forest City offers assisted living.

    There are 9 photos of Highlands Senior Living Forest City on Mirador.

    The full address for this community is 2270 Oakland Rd, Forest City, NC 28043.

    No, Highlands Senior Living Forest City does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In North Carolina, the Division of Health Service Regulation licenses adult care and assisted living facilities, posting annual, complaint, and follow-up inspection results.

    License number940543
    Facility typeAdult Care Home
    Capacity44 residents
    View the official license record

    Inspection Reports

    35

    Reports

    12

    Type A Citations

    11

    Type B Citations

    13

    Complaints

    11

    Years

    09 Sept 2025Construction
    Investigated a mold-related complaint and found black mold on closet ceilings and asbestos in building finishes, with moisture sources unaddressed.
    • 10A NCAC 13F .0306(a)(1)Housekeeping-Clean and repaired
    • 10A NCAC 13F .0306Housekeeping And Furnishings
    28 May 2024Follow-Up
    Found that there was no posted calendar for May 2024 activities and residents could not reference an activity schedule.
    • 10A NCAC 13F .0905 (d)Activities Program
    28 May 2024Follow-Up
    Found deficiencies in the activities program, including no posted monthly calendar of planned activities and no evidence of 14 hours per week of planned group activities, due to the vacancy of the Activities Director.
    • 10A NCAC 13F .0905(c)Activities Program
    • 10A NCAC 13F .0905(d)Activities Program
    21 Nov 2023Complaint
    Investigated a complaint and found multiple deficiencies, including a staff member residing in a licensed resident room, burnt meals served to residents, failures in medication administration, and commingling of resident funds.
    • 10A NCAC 13F .0301Application Of Physical Plant Requirements
    • 10A NCAC 13F .0909Resident Rights
    • 10A NCAC 13F .1004 (i)Medication Administration
    • 10A NCAC 13F .1104 (d)Accounting For Resident's Personal Funds
    21 Feb 2023Follow-Up
    Identified deficiencies in staff background checks, activity programming, and medication administration records.
    • 10A NCAC 13F .0407(a)(7)Other Staff Qualifications
    • 10A NCAC 13F .0905 (d)Activities Program
    • 10A NCAC 13F .1004(j)Medication Administration
    04 Jan 2023Follow-Up
    Investigated multiple deficiencies across management, resident safety, medication administration, and dietary services, including untrained staff giving meds, improper discharge practices, missing care plans, and inadequate activity and snack oversight.
    • Type A10A NCAC 13F .0302 (b)Design And Construction
    • Type A10A NCAC 13F .0407(a)(7)Other Staff Qualifications
    • Type A10A NCAC 13F .0501Personal Care Training And Competency
    • Type A10A NCAC 13F .0601Management Of Facilities
    • Type A10A NCAC 13F .0702(b)Discharge Of Residents
    • Type A10A NCAC 13F .0801(b)Resident Assessment
    • 10A NCAC 13F .0904(c)Nutrition And Food Service
    • 10A NCAC 13F .0904(d)(2)Nutrition And Food Service
    • 10A NCAC 13F .0905 (d)Activities Program
    • Type A10A NCAC 13F .0909Resident Rights
    • 10A NCAC 13F .1004 (b)Medication Administration
    • 10A NCAC 13F .1004 (j)Medication Administration
    • 10A NCAC 13F .1005(a)Self-Administration Of Medications
    • 10A NCAC 13F .1009(a)(1)Pharmaceutical Care
    • 10A NCAC 13F .1212(d)Reporting of Accidents and Incidents
    04 Jan 2023Follow-Up
    Investigated a complaint and found multiple deficiencies in staff background checks, training, and care practices, including dietary substitutions and snack provision.
    • Background checks
    • Staff training—personal care
    • Staff orientation and background checks
    • Dietary substitutions not documented
    • Snack/dietary compliance
    • Resident status/transfer documentation
    • Continued monitoring of snacks and menu
    22 Sept 2021Inspection
    Investigative findings showed deficiencies in meal planning and serving, insulin administration, and infection-control practices during the visit.
    22 Sept 2021Inspection
    Identified deficiencies in menu management, medication administration, and infection prevention and control. The findings showed missing kitchen menus, improper insulin administration, and inadequate visitor/staff PPE practices.
    • 10A NCAC 13F .0904(c)(2)Nutrition And Food Service
    • 10A NCAC 13F .1004(a)Medication Administration
    • 10A NCAC 13F .1801 (b)Infection Prevention & Control Program
    18 Sept 2019Construction
    Identified multiple building safety, sanitation, and maintenance deficiencies during an on-site review, including missing current safety reports and several unsafe conditions.
    • 10A NCAC 13F .0302Must Have Current Sanitation & Fire Safety Reports
    • 10A NCAC 13F .0305Food Storage-Comply with Sanitation
    • 10A NCAC 13F .0305Exit Door Locks-Single Hand Motion
    • 10A NCAC 13F .0305Outside Premises-Clean, Safe
    • 10A NCAC 13F .0306Housekeeping and Furnishings-Clean, Repaired
    • 10A NCAC 13F .0306Housekeeping-Maintained Free of Hazards
    • 10A NCAC 13F .0306Housekeeping-Curtains, Blinds, Res. Privacy
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F .0311Night Lights
    25 Sept 2018Follow-Up
    Identified multiple deficiencies in exit safety, maintenance, fire safety, and lighting that remained from a prior follow-up.
    • 10A NCAC 13F .0305Exit Door Locks-Single Hand Motion
    • 10A NCAC 13F .0306Housekeeping and Furnishings
    • 10A NCAC 13F .0306(a)(5)Housekeeping-Maintained Free of Hazards
    • 10A NCAC 13F .0311(a)Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F .0311(f)General Lighting
    25 Sept 2018Follow-Up
    Investigated a complaint and found deficiencies in safety-related building maintenance, housekeeping, and facility furnishings that needed correction.
    • 10A NCAC 13F .0306Housekeeping and Furnishings
    • 10A NCAC 13F .0300 or 13F .03xx (Physical Plant/Facilities)Physical Plant – General Safety and Maintenance
    27 Jun 2018Follow-Up
    Identified multiple deficiencies in corridors, exterior lighting, housekeeping, hazards, safety equipment, and general lighting; some issues were noted as corrected during the survey.
    • 10A NCAC 13F .0305Corridors-Free of equipment and Obstructions
    • 10A NCAC 13F .0305Outside Premises-Outdoor Lighting
    • 10A NCAC 13F .0306Housekeeping and Furnishings-Clean, Repaired
    • 10A NCAC 13F .0306Housekeeping-Maintained Free of Hazards
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F .0311General Lighting
    27 Jun 2018Follow-Up
    Identified deficiencies in safety features and housekeeping, with some repairs completed after the survey.
    • Continued From page 2 – doors do not completely close and latch
    • Continued From page 1 – inadequate hallway lighting
    • 10A NCAC 13F .0306Housekeeping and Furnishings-Clean, Repaired
    06 Mar 2018Construction
    Investigated multiple safety and maintenance issues across several areas, with ongoing repairs and documented improvements.
    • Outside Premises Maintenance
    • Continued From page
    • Continued From page
    • Continued From page
    • Continued From page
    • Fire Safety-Rehearsals
    06 Mar 2018Construction
    Found multiple safety and maintenance deficiencies, including missing bathroom hand grips, exterior damage, poor lighting, and fire safety issues.
    • 10A NCAC 13F .0305(e)Bathrooms-Hand Grips
    • 10A NCAC 13F .0305(m)Outside Premises-Clean, Safe
    • 10A NCAC 13F .0305(m)Outside Premises-Outdoor Lighting
    • 10A NCAC 13F .0306Housekeeping and Furnishings-Clean, Repaired
    • 10A NCAC 13F .0306Housekeeping-Maintained Free of Hazards
    • 10A NCAC 13F .0309Fire Safety-Rehearsals on Each Shift
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    20 Sept 2017Follow-Up
    Identified multiple deficiencies in housekeeping, pest control, fire safety equipment, activities programming, and resident outings.
    • 10A NCAC 13F .0306(a)(1)Housekeeping And Furnishings
    • Type B10A NCAC 13F .0306(a)(5)Housekeeping and Furnishings
    • Type B10A NCAC 13F .0311(a)Other Requirements
    • 10A NCAC 13F .0905 (d)Activities Program
    • 10A NCAC 13F .0905 (f)Activities Program
    • Type BG.S. 131D-21(2)Declaration of Residents' Rights
    20 Sept 2017Follow-Up
    Investigators found multiple deficiencies related to unsafe and unsanitary conditions, inadequate housekeeping, and failure to protect residents’ rights and provide adequate activities.
    • Type BContinued From page 2
    • Type BContinued From page 4
    • Type BContinued From page 12
    • Type B10A NCAC 13F.0905 (f)Activities Program
    • Type BG.S. 131D-21(2)Declaration of Residents' Rights
    27 Oct 2016Follow-Up
    Found multiple deficiencies related to safety hazards, health care follow-up, and inadequate resident activities and outings.
    • 10A NCAC 13F .0306(a)(5)Housekeeping and Furnishings
    • 10A NCAC 13F .0902(b)Health Care
    • 10A NCAC 13F .0905 (d)Activities Program
    • 10A NCAC 13F .0905 (f)Activities Program
    02 Aug 2016Follow-Up
    Investigated found multiple life-safety deficiencies, including obstructed exit access and numerous fire-safety and building maintenance issues requiring remediation.
    • 10A NCAC 13F .0306(a)(5); 10A NCAC 13F .0306(e)Housekeeping and Furnishings
    • 10A NCAC 13F .0311(a); 10A NCAC 13F .0311(k)Building Equipment Maintained Safe, Operating
    02 Aug 2016Follow-Up
    Inspected found several fire-safety and facility-maintenance deficiencies, including a nonfunctional fire alarm system and doors that could allow the spread of fire and smoke when not properly closed.
    • Type A10A NCAC 13F .0300Physical Plant - Fire safety
    • Type A10A NCAC 13F .0300Physical Plant - Fire safety
    • Type A10A NCAC 13F .0300Physical Plant - Fire safety
    21 Jul 2016Construction
    Investigated a bed bug-related complaint and found issues with how donated clothing and bed bugs were handled in multiple rooms.
    • Continued From page 1
    21 Jul 2016Construction
    Identified bed bugs in 15 resident rooms and noted cleaning/maintenance deficiencies.
    • 10A NCAC 13F .0306Housekeeping and Furnishings-Clean, Repaired
    18 Jul 2016Follow-Up
    Investigated multiple deficiencies including significant housekeeping and maintenance failures, bed bug concerns, inadequate activities and outings, improper medication handling, and insufficient staff training and oversight.
    • 10A NCAC 13F .0306(a)(1)Housekeeping And Furnishings
    • Type B10A NCAC 13F .0306(a)(5)Housekeeping And Furnishings
    • 10A NCAC 13F .0901Personal Care and Supervision
    • 10A NCAC 13F .0904(b)(2)Nutrition And Food Service
    • 10A NCAC 13F .0905(d)Activities Program
    • 10A NCAC 13F .0905(f)Activities Program
    • 10A NCAC 13F .1004(a)Medication Administration
    • 10A NCAC 13F .1008(b)Controlled Substance
    • G.S. § 131D-4.5B(b)ACH Medication Aides; Training and Competency
    • G.S. 131D-21(2)Declaration of Residents' Rights
    18 Jul 2016Follow-Up
    An inspection identified multiple deficiencies across housekeeping, resident care, nutrition, activities, medication management, and records, including bed bug issues, unsafe furnishings, inadequate nail care, improper tableware, insufficient activities, and medication administration problems.
    • 10A NCAC 13F .0306(a)(1)Housekeeping And Furnishings
    • Type B10A NCAC 13F .0306(a)(5)Housekeeping And Furnishings
    • 10A NCAC 13F .0901Personal Care and Supervision
    • 10A NCAC 13F .0904(b)Nutrition And Food Service
    • 10A NCAC 13F .0905(d)Activities Program
    • 10A NCAC 13F .0905(f)Activities Program - Outings
    • 10A NCAC 13F .1004(a)Medication Administration
    • 10A NCAC 13F .1008(b)Controlled Substances
    • G.S. 131D-21(2)Declaration of Residents' Rights
    • G.S. § 131D-4.5B(b)ACH Medication Aides; Training and Competency
    01 Jun 2016Construction
    Found unvented and portable electric heaters in use, violating heating requirements and prohibitions on such devices.
    • 10A NCAC 13F .0311Unvented & Portable Electric Heaters Prohibited
    01 Jun 2016Construction
    Found deficiencies for soot buildup in the living area and an unvented fireplace heater.
    • 10A NCAC 13F .0306HOUSEKEEPING AND FURNISHINGS
    • 10A NCAC 13F .0311OTHER REQUIREMENTS
    01 Jun 2016Follow-Up
    Found multiple fire-safety and building defects, including a nonfunctional fire alarm system and compromised fire-rated barriers.
    • 10A NCAC 13F .0311Physical Plant
    01 Jun 2016Follow-Up
    Identified several safety deficiencies, including a dirty smoke-detector sampling tube, doors that do not close properly, and damaged attic structural components.
    • Continued From page 2 – occupancy findings
    20 May 2016Complaint
    Investigated a complaint and found extensive cleanliness, maintenance, safety, and furnishing deficiencies across resident rooms and common areas.
    • 10A NCAC 13F .0306(a)(1)Housekeeping And Furnishings
    • 10A NCAC 13F .0306(a)(3)Housekeeping And Furnishings
    • Type B10A NCAC 13F .0306(a)(5)Housekeeping And Furnishings
    • 10A NCAC 13F .0306(a)(6)Housekeeping And Furnishings
    • 10A NCAC 13F .0306(a)(9)Housekeeping And Furnishings
    • 10A NCAC 13F .0306(b)(1)Housekeeping And Furnishings
    • 10A NCAC 13F .0306(b)(8)Housekeeping And Furnishings
    • G.S. 131D-21(2)Declaration of Residents' Rights
    11 Feb 2016Construction
    Identified safety and physical-plant deficiencies requiring corrective actions, including prohibition of portable electric heaters and concerns about building equipment safety.
    • Type A10A NCAC 13F.0300PHYSICAL PLANT
    • Type A10A NCAC 13F.0300PHYSICAL PLANT
    11 Feb 2016Construction
    Identified multiple safety and maintenance deficiencies, including missing fire safety reports and several hazards to exits, wiring, and fixtures. Found numerous issues related to accessibility, cleanliness, and heating equipment.
    • 10A NCAC 13F .0302Current sanitation and fire safety inspection reports
    • 10A NCAC 13F .0305Physical Environment - Hand Grips
    • 10A NCAC 13F .0305Physical Environment - Hand Grips
    • 10A NCAC 13F .0306Housekeeping and Furnishings
    • 10A NCAC 13F .0306Housekeeping and Furnishings
    • 10A NCAC 13F .0306Housekeeping and Furnishings
    • 10A NCAC 13F .0306Housekeeping and Furnishings
    • 10A NCAC 13F .0306Housekeeping and Furnishings
    • 10A NCAC 13F .0306Housekeeping and Furnishings
    • 10A NCAC 13F .0306Housekeeping and Furnishings
    • 10A NCAC 13F .0306Housekeeping and Furnishings
    • 10A NCAC 13F .0306Housekeeping and Furnishings
    • 10A NCAC 13F .0311Other Requirements
    • 10A NCAC 13F .0311Other Requirements
    • 10A NCAC 13F .0311Other Requirements
    • 10A NCAC 13F .0311Other Requirements
    • 10A NCAC 13F .0311Other Requirements
    • 10A NCAC 13F .0311Other Requirements
    • 10A NCAC 13F .0311Other Requirements
    • 10A NCAC 13F .0311Other Requirements
    • 10A NCAC 13F .0311Other Requirements
    05 Aug 2015Follow-Up
    Investigated an activities and resident engagement deficiency, noting residents had limited participation and few meaningful activities.
    • 10A NCAC 13F .0905 (e)Activities Program
    05 Aug 2015Follow-Up
    Investigated a complaint about activities and resident engagement; observed residents largely uninterested in activities and gaps in documenting the activity calendar.
    • 10A NCAC 13F .0905 (e) Activities ProgramActivities program
    05 Aug 2015Follow-Up
    Found that residents lacked adequate opportunities for activities and one-to-one engagement, with schedules and participation not meeting the required program guidelines.
    • 10A NCAC 13F .0905 (e)Activities Program

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