Shallotte, NC

Autumn Care of Shallotte

3-star overall rating with 3-star inspections with $51,348 in total fines with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

237 Mulberry Street, Shallotte, NC

(910) 754-8858

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

Certified beds

Average residents

95

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Saber Healthcare Group

Operator or chain grouping

Approved since

1989-01-24

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.93

Registered nurse staffing

LPN hours / resident day

0.68

Licensed practical nurse staffing

Aide hours / resident day

1.91

Nurse aide staffing

Weekend hours

3.00

Weekend nurse staffing

RN turnover

33%

Annual RN turnover

Total nurse turnover

54%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.0
1.8
1.2 pts worse
1.9
1.1 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.8
1.8
1 pts better
1.8
1 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.4%
91.5%
6.9 pts better
93.4%
5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.6%
94.1%
3.5 pts better
95.5%
2.1 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 1.6%
3.6%
2 pts better
3.3%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 1.4%
4.8%
3.4 pts better
11.4%
10 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 7.9%
7.2%
0.7 pts worse
5.4%
2.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 24.8%
21.6%
3.2 pts worse
19.6%
5.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 8.1%
15.0%
6.9 pts better
16.7%
8.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 23.8%
21.5%
2.3 pts worse
16.3%
7.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 18.3%
16.8%
1.5 pts worse
14.9%
3.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.9%
0.9 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 5.5%
2.6%
2.9 pts worse
1.7%
3.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 22.1%
21.2%
0.9 pts worse
19.8%
2.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 4.8%
6.0%
1.2 pts better
5.1%
0.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.6%
79.9%
14.7 pts better
81.7%
12.9 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 12.3%
13.2%
0.9 pts better
12.0%
0.3 pts worse
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.3%
1.5%
1.2 pts better
1.6%
1.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 85.5%
78.1%
7.4 pts better
79.7%
5.8 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 21.4%
22.9%
1.5 pts better
23.9%
2.5 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-25 · Fire 2024-08-29

3 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-08-29 · Fire 2023-07-27

6 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-07-27 · Fire 2022-03-03

14 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-08-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-08-29

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-08-29

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2024-12-20

D · Potential for more than minimal harm 2023-07-27

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-09-12

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-07-25

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-08-18

E · Potential for more than minimal harm 2025-07-25

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-08-18

E · Potential for more than minimal harm 2025-07-25

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-08-18

E · Potential for more than minimal harm 2024-08-29

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-09-20

E · Potential for more than minimal harm 2024-08-29

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-09-20

E · Potential for more than minimal harm 2024-08-29

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-09-20

D · Potential for more than minimal harm 2024-08-29

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-06-14

D · Potential for more than minimal harm 2024-08-29

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-09-20

D · Potential for more than minimal harm 2024-08-29

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-09-20

J · Immediate jeopardy 2024-01-05

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-12-01

D · Potential for more than minimal harm 2024-01-05

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2024-01-25

D · Potential for more than minimal harm 2023-10-26

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-11-09

D · Potential for more than minimal harm 2023-10-12

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2023-10-26

G · Actual harm 2023-07-27

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-08-21

D · Potential for more than minimal harm 2023-07-27

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-08-21

D · Potential for more than minimal harm 2023-07-27

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-08-21

D · Potential for more than minimal harm 2023-07-27

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-08-21

D · Potential for more than minimal harm 2023-07-27

F690 · Quality of Life and Care Deficiencies

Health

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 2023-08-21

D · Potential for more than minimal harm 2023-07-27

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-08-21

D · Potential for more than minimal harm 2023-07-27

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-08-21

D · Potential for more than minimal harm 2023-07-27

F761 · Pharmacy Service Deficiencies

Health

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 2023-08-21

D · Potential for more than minimal harm 2023-07-27

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2023-08-21

C · Minimal harm 2023-07-27

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2023-08-21

Penalties and ownership

What sits behind the stars

$16,452 2024-01-05

Fine

Fine · fine $16,452

Fine

$9,143 2023-10-12

Fine

Fine · fine $9,143

Fine

$25,753 2023-07-27

Fine

Fine · fine $25,753

Fine

Ownership

Shg Autumn, LLC

5% Or Greater Direct Ownership Interest · Organization

100% 25 facilities 2016-03-01
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020)

5% Or Greater Indirect Ownership Interest · Organization

0% 116 facilities 2023-01-01
Bnv Dynasty LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 116 facilities 2023-01-01
Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020

5% Or Greater Indirect Ownership Interest · Organization

0% 116 facilities 2023-01-01
Joiner, Brian

Operational/Managerial Control · Individual

0% 8 facilities 2020-03-29
Nicoluzakis, Gregory

Corporate Officer · Individual

0% 117 facilities 2019-03-01
Saber Governance LLC

Operational/Managerial Control · Organization

0% 87 facilities 2019-09-01
Saber Healthcare Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 116 facilities 2016-03-01
Shh Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 48 facilities 2019-03-01
Viner Davis, Bethany

W-2 Managing Employee · Individual

0% 1 facilities 2021-06-08
Volpe, Benjamin

Corporate Director · Individual

0% 122 facilities 2019-03-01
Volpe, Benjamin

Corporate Officer · Individual

0% 122 facilities 2019-03-01
Weisberg, William

Corporate Director · Individual

0% 123 facilities 2019-03-01
Weisberg, William

Corporate Officer · Individual

0% 123 facilities 2019-03-01
Wiw Dynasty LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 116 facilities 2023-01-01
Wwbv Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 47 facilities 2019-09-30

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1-star overall rating with 1-star inspections with $186,707 in total fines with 12 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

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Health
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Staffing
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Fines
$186,707
#2

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1-star overall rating with 1-star inspections with $109,733 in total fines with 17 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
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Health
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Staffing
2 / 5
Fines
$109,733

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