Cycle 1
Health 2024-10-31 · Fire 2024-10-31
1 health deficiencies
Top issue: Resident Rights (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Gastonia, NC
Courtland Terrace
5-star overall rating with 4-star inspections with 1 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
2300 Aberdeen Boulevard, Gastonia, NC
(704) 834-4800
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
77
Certified beds
Average residents
72
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1991-01-31
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
Hours and turnover
RN hours / resident day
0.74
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
1.47
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.85
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
5.06
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
2.21
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
4.29
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.34
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.21
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.79
CMS adjusted RN staffing hours
Adjusted total hours
5.38
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
30%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,257
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
45.20
Composite VBP score used to determine payment impact.
Payment multiplier
0.9984
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.92
Baseline 19.14% · Performance 21.01% · Measure score 0.92 · Achievement 0.92 · Improvement 0
Healthcare-associated infections
3.46
Baseline 8.22% · Performance 6.94% · Measure score 3.46 · Achievement 2.98 · Improvement 3.46
Total nurse turnover
6.94
Baseline 47.62% · Performance 35.29% · Measure score 6.94 · Achievement 6.94 · Improvement 4.91
Adjusted total nurse staffing
6.76
Baseline 4.16 hours · Performance 5 hours · Measure score 6.76 · Achievement 6.76 · Improvement 4.69
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.22% |
10.72%
2.5 pts worse
|
Worse than the National Rate · Eligible stays 360 · Observed rate 14.44% · Lower 95% interval 10.87% |
| Discharge to community | 69.48% |
50.57%
18.9 pts better
|
Better than the National Rate · Eligible stays 365 · Observed rate 64.38% · Lower 95% interval 64.37% |
| Medicare spending per beneficiary | 0.84 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.53% |
95.27%
3.3 pts better
|
Numerator 134 · Denominator 136 |
| Falls with major injury | 1.47% |
0.77%
0.7 pts worse
|
Numerator 2 · Denominator 136 |
| Discharge self-care score | 77.55% |
53.69%
23.9 pts better
|
Numerator 76 · Denominator 98 |
| Discharge mobility score | 73.47% |
50.94%
22.5 pts better
|
Numerator 72 · Denominator 98 |
| Pressure ulcers or injuries, new or worsened | 0.74% |
2.29%
1.6 pts better
|
Numerator 1 · Denominator 136 · Adjusted rate 0.87% |
| Healthcare-associated infections requiring hospitalization | 6.94% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 183 · Observed rate 6.01% · Lower 95% interval 4.78% |
| Staff COVID-19 vaccination coverage | 22.93% |
8.2%
14.7 pts better
|
Numerator 36 · Denominator 157 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 77.55% |
56.45%
21.1 pts better
|
Numerator 76 · Denominator 98 |
| Transfer of health information to provider | 94.44% |
95.95%
1.5 pts worse
|
Numerator 34 · Denominator 36 |
| Transfer of health information to patient | 95.51% |
96.28%
0.8 pts worse
|
Numerator 85 · Denominator 89 |
| Resident COVID-19 vaccinations up to date | 36.36% |
25.2%
11.2 pts better
|
Numerator 20 · Denominator 55 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.5%
8.5 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.8% |
94.1%
0.3 pts worse
|
95.5%
1.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.9% |
3.6%
0.3 pts worse
|
3.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.3% · Q3 2.3% · Q4 4.8% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 12.2% |
4.8%
7.4 pts worse
|
11.4%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 31.4% · Q3 7.4% · Q4 2.9% · 4Q avg 12.2% |
| Percentage of long-stay residents who lose too much weight | 4.3% |
7.2%
2.9 pts better
|
5.4%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 5.7% · Q3 0.0% · Q4 0.0% · 4Q avg 4.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 33.6% |
21.6%
12 pts worse
|
19.6%
14 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.0% · Q2 38.9% · Q3 30.6% · Q4 24.2% · 4Q avg 33.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 19.8% |
15.0%
4.8 pts worse
|
16.7%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.3% · Q2 18.8% · Q3 16.1% · Q4 16.7% · 4Q avg 19.8% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 31.8% |
21.5%
10.3 pts worse
|
16.3%
15.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 31.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 40.6% |
16.8%
23.8 pts worse
|
14.9%
25.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 44.7% · Q2 44.1% · Q3 25.0% · Q4 48.3% · 4Q avg 40.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
0.9%
0.3 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.5% · Q3 1.6% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.4% |
2.6%
0.8 pts worse
|
1.7%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 4.4% · Q3 2.3% · Q4 2.4% · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.7% |
21.2%
9.5 pts worse
|
19.8%
10.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.5% · Q2 42.7% · Q3 19.7% · Q4 35.7% · 4Q avg 30.7% |
| Percentage of long-stay residents with pressure ulcers | 3.1% |
6.0%
2.9 pts better
|
5.1%
2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 3.5% · Q3 1.8% · Q4 1.6% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.1% |
79.9%
19.2 pts better
|
81.7%
17.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.9% · Q4 98.7% · 4Q avg 99.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.6% |
13.2%
6.4 pts worse
|
12.0%
7.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 19.6% · Observed 18.0% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.5%
0.5 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.5% · Q3 0.0% · Q4 1.3% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.1% |
78.1%
20 pts better
|
79.7%
18.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.9% |
22.9%
2 pts worse
|
23.9%
1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.9% · Observed 22.6% · Expected 21.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-06-28 · Fire 2023-06-28
5 health deficiencies
Top issue: Administration (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2021-07-09 · Fire 2021-07-09
6 health deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2024-10-31
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-01-18
D · Potential for more than minimal harm
2024-10-31
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-01-18
D · Potential for more than minimal harm
2024-10-31
K352 · Smoke Deficiencies
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2025-01-18
D · Potential for more than minimal harm
2024-10-31
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-01-18
D · Potential for more than minimal harm
2023-06-28
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-09-22
D · Potential for more than minimal harm
2023-06-28
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-09-22
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-10-31
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-11-22
E · Potential for more than minimal harm
2023-06-28
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 2023-07-20
D · Potential for more than minimal harm
2023-06-28
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-07-20
D · Potential for more than minimal harm
2023-06-28
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-07-20
D · Potential for more than minimal harm
2023-06-28
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 2023-07-20
D · Potential for more than minimal harm
2023-06-28
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-07-20
C · Minimal harm
2023-06-28
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-07-20
E · Potential for more than minimal harm
2021-07-09
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2021-08-06
D · Potential for more than minimal harm
2021-07-09
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2021-08-06
D · Potential for more than minimal harm
2021-07-09
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-08-06
D · Potential for more than minimal harm
2021-07-09
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2021-08-06
C · Minimal harm
2021-07-09
F585 · Resident Rights Deficiencies
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2021-08-06
Penalties and ownership
What sits behind the stars
Ownership
Caromont Health Inc
5% Or Greater Indirect Ownership Interest · Organization
Caromont Health Services Inc
5% Or Greater Direct Ownership Interest · Organization
Adcock, George
Operational/Managerial Control · Individual
Austell, Jason
Corporate Director · Individual
Booker, William
Operational/Managerial Control · Individual
Boyd, Daniel
Corporate Director · Individual
Canipe, Beth
Operational/Managerial Control · Individual
Caromont Health Inc
Operational/Managerial Control · Organization
Caromont Health Services Inc
Operational/Managerial Control · Organization
Cash, Jeffrey
Corporate Director · Individual
Conner, Timothy
Corporate Director · Individual
Craig, Katherine
Operational/Managerial Control · Individual
Davis, Joseph
Corporate Director · Individual
Davis, Todd
Operational/Managerial Control · Individual
Dyksterhouse, Andrew
Operational/Managerial Control · Individual
Efird, Timothy
Corporate Director · Individual
Flowers, Erica
Operational/Managerial Control · Individual
Floyd, Pearl
Corporate Director · Individual
Hickman, Leigh
Operational/Managerial Control · Individual
Hinton, Benjamin
Corporate Director · Individual
Hovis, William
Corporate Director · Individual
Lang, Robin
Operational/Managerial Control · Individual
Maddox, Crystal
Operational/Managerial Control · Individual
Mcgraw, Jeffrey
Corporate Director · Individual
Murphy, Frank
Operational/Managerial Control · Individual
O'connor, David
Operational/Managerial Control · Individual
Patel, Shiddhi
Corporate Director · Individual
Payseur, David
Corporate Director · Individual
Peak, Janie
Corporate Director · Individual
Peek, Kenneth
Corporate Officer · Individual
Stewart, Frank
Corporate Director · Individual
Thorsell, Cathy
Operational/Managerial Control · Individual
Wharton, Danny
Operational/Managerial Control · Individual
Young, Beverly
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
The Greens at Gastonia
Gastonia, NC
1-star overall rating with 1-star inspections with abuse icon flag with $146,417 in total fines with 15 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Peak Resources - Gastonia
Gastonia, NC
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Gastonia Health & Rehab Center
Gastonia, NC
2-star overall rating with 2-star inspections with $71,559 in total fines with 4 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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