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Nursing home report

Gastonia Health & Rehab Center

Gastonia, NC · Medicare-certified · 60 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

Gastonia Health & Rehab Center in Gastonia, NC has an overall rating of 1 out of 5 stars, with a 1-star staffing rating and 2-star health inspection rating. It reported 3.56 nurse hours per resident per day versus the federal benchmark of 4.1, had $15,808 in fines in the last 24 months, and carries a recent federal penalty flag.

Facility ratings

Health inspections

Staffing

3.5591 hrs/resident/day

Quality measures

Last inspection: December 18, 2025Penalties, last 24 months: $15,808recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5591.

Staffing detail

Registered nurses
0.60
Licensed practical nurses
1.16
Nurse aides
1.80
Weekend nursing
3.09

Hours per resident per day.

Total staff turnover: 85%
Registered nurse turnover: 67%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

15.2%8.8%Improving

Residents with a fall causing major injury

0%10.3%Worsening

Residents with pressure ulcers (bedsores)

5%0%Improving

Residents with a urinary tract infection

6.7%0%Improving

Residents who lost too much weight

2.5%8.3%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

10%5.6%Improving

Residents whose ability to walk got worse

7.7%

Long-stay residents on antianxiety or sleep medication

20%21.6%Worsening

Short-stay residents newly given an antipsychotic

0%4%Worsening

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

19.3%12.3%Improving

Residents with depressive symptoms

0%8.1%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

96.1%

Long-stay residents given the pneumonia vaccine

80%66.7%Worsening

Short-stay residents given the seasonal flu vaccine

40.5%

Short-stay residents given the pneumonia vaccine

36.5%56.7%Improving

What the inspectors found

The nursing home failed to protect residents from abuse and neglect by others. Cited September 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: J

The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited September 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 607 — 42 CFR §483.12 — S/S: J

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: G

The nursing home failed to coordinate resident assessments with required screening and make needed service referrals. Cited December 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 644 — 42 CFR §483.20 — S/S: E

The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited September 2023 — limited pattern, potential for harm.

View the original federal record

F-Tag 867 — 42 CFR §483.75 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal payment denial was recorded.

  4. PENALTY

    A federal fine of $10,868 was recorded.

  5. PENALTY

    A federal fine of $4,940 was recorded.

  6. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  7. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $15,808 in total fines · 1 payment denial.

  • Medicare/Medicaid payment denial

    Oct 23, 2025

    49 days
  • Federal fine

    Oct 23, 2025

    $10,868
  • Federal fine

    Oct 23, 2025

    $4,940

Operator & ownership

Recent ownership change · Dec 1, 2022

Now operated by Gastonia Health & Rehab Center, previously Alexandria Place.

Ownership
For profit - Limited Liability company
Chain
Part of SABER HEALTHCARE GROUP · 127 homes · 2.9 stars avg
Occupancy
52.2 residents on an average day (87% of 60 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 33 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.