Nursing home report
Registered name: Hibriten Mountain Nursing and Rehabilitation
Lenoir, NC · Medicare-certified · 100 beds
Gateway Rehabilitation and Healthcare in Lenoir, NC has a 1-star overall rating, with a 1-star health inspection rating and 2-star staffing rating; reported nurse staffing is 3.15 hours per resident per day, below the 4.1 federal benchmark. It also had $16,801 in fines in the last 24 months and a recent abuse citation, though its quality measures rating is 4 stars.
Health inspections
Staffing
3.1515 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1515.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to protect residents from the wrongful use of their belongings or money. Cited December 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 602 — 42 CFR §483.12 — S/S: J
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited October 2023 — isolated incident, actual harm.
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: G
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited October 2023 — isolated incident, actual harm.
F-Tag 867 — 42 CFR §483.75 — S/S: G
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited February 2026 — limited pattern, potential for harm.
F-Tag 755 — 42 CFR §483.45 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 11 health deficiencies.
Health inspection found 4 health deficiencies.
A federal fine of $16,801 was recorded.
Health inspection found 8 health deficiencies.
On record with Medicare: 2 fines · $53,110 in total fines.
Federal fine
Dec 17, 2024
Federal fine
Sep 8, 2023
Now operated by Hibriten Mountain Nursing and Rehabilitation, previously Gateway Rehabilitation and Healthcare.
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.
