Cycle 1
Health 2025-08-15 · Fire 2024-08-14
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Gatesville, NC
Gates Health and Rehabilitation Center
3-star overall rating with 3-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
38 Carters Road, Gatesville, NC
(252) 357-2124
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
70
Certified beds
Average residents
52
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
August Healthcare
Operator or chain grouping
Approved since
1991-10-23
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 3 overall / 3 health / 2 staffing / 2 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.57
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
1.00
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
1.93
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.50
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.57
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
2.94
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.42
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.59
CMS adjusted RN staffing hours
Adjusted total hours
3.62
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
54%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,732
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
35.19
Composite VBP score used to determine payment impact.
Payment multiplier
0.9889
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
2.19
Baseline 8.74% · Performance 7.74% · Measure score 2.19 · Achievement 0 · Improvement 2.19
Total nurse turnover
6.41
Baseline 65.39% · Performance 37.50% · Measure score 6.41 · Achievement 6.41 · Improvement 6.38
Adjusted total nurse staffing
1.97
Baseline 3.50 hours · Performance 3.64 hours · Measure score 1.97 · Achievement 1.97 · Improvement 0.12
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.08% |
10.72%
2.4 pts worse
|
No Different than the National Rate · Eligible stays 50 · Observed rate 26% · Lower 95% interval 8.67% |
| Discharge to community | 44.87% |
50.57%
5.7 pts worse
|
No Different than the National Rate · Eligible stays 27 · Observed rate 37.04% · Lower 95% interval 33.4% |
| Medicare spending per beneficiary | 1.07 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 88.46% |
95.27%
6.8 pts worse
|
Numerator 23 · Denominator 26 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 26 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 11.54% |
2.29%
9.2 pts worse
|
Numerator 3 · Denominator 26 · Adjusted rate 8.03% |
| Healthcare-associated infections requiring hospitalization | 7.74% |
7.12%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 28 · Observed rate 10.71% · Lower 95% interval 4.14% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 64 |
| Staff flu vaccination coverage | 18.75% |
42%
23.2 pts worse
|
Numerator 12 · Denominator 64 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.6 |
1.8
0.8 pts worse
|
1.9
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.9 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
1.8
0.2 pts better
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.8 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 72.3% |
91.5%
19.2 pts worse
|
93.4%
21.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 69.8% · Q2 73.2% · Q3 69.2% · Q4 76.7% · 4Q avg 72.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 75.6% |
94.1%
18.5 pts worse
|
95.5%
19.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 75.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.8% |
3.6%
1.8 pts better
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 2.6% · Q4 2.3% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.0% |
4.8%
2.8 pts better
|
11.4%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.4% · Q3 2.9% · Q4 0.0% · 4Q avg 2.0% |
| Percentage of long-stay residents who lose too much weight | 10.0% |
7.2%
2.8 pts worse
|
5.4%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 13.9% · Q3 11.4% · Q4 2.7% · 4Q avg 10.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.0% |
21.6%
0.4 pts worse
|
19.6%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 20.0% · Q3 21.6% · Q4 23.1% · 4Q avg 22.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.3% |
15.0%
0.7 pts better
|
16.7%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 3.3% · Q3 15.6% · Q4 12.9% · 4Q avg 14.3% · 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 need for help with daily activities has increased | 13.9% |
16.8%
2.9 pts better
|
14.9%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 8.8% · Q3 24.2% · Q4 13.9% · 4Q avg 13.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.1% |
0.9%
1.2 pts worse
|
1.0%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 2.9% · Q3 1.7% · Q4 2.0% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.8% |
2.6%
1.2 pts worse
|
1.7%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.4% · Q3 8.1% · Q4 2.4% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.6% |
21.2%
1.6 pts better
|
19.8%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 24.5% · Q3 30.2% · Q4 12.4% · 4Q avg 19.6% |
| Percentage of long-stay residents with pressure ulcers | 9.4% |
6.0%
3.4 pts worse
|
5.1%
4.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 12.9% · Q3 11.7% · Q4 6.1% · 4Q avg 9.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 72.0% |
79.9%
7.9 pts worse
|
81.7%
9.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 65.4% · Q2 73.9% · Q3 68.4% · Q4 78.9% · 4Q avg 72.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 2.9% |
13.2%
10.3 pts better
|
12.0%
9.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 2.9% · Observed 2.9% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 65.2% |
78.1%
12.9 pts worse
|
79.7%
14.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 65.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.4% |
22.9%
2.5 pts better
|
23.9%
3.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.4% · Observed 20.6% · Expected 24.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-14 · Fire 2023-05-11
2 health deficiencies
Top issue: Environmental (1 deficiency)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2023-05-11 · Fire 2022-03-17
6 health deficiencies
Top issue: Resident Rights (3 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
2024-08-14
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-12-13
D · Potential for more than minimal harm
2024-08-14
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-12-13
F · Potential for more than minimal harm
2023-05-11
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-09-06
D · Potential for more than minimal harm
2023-05-11
K111 · Construction Deficiencies
Fire Safety
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Corrected 2023-09-06
D · Potential for more than minimal harm
2023-05-11
K352 · Smoke Deficiencies
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2023-09-06
D · Potential for more than minimal harm
2023-05-11
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-09-06
D · Potential for more than minimal harm
2023-05-11
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-09-06
D · Potential for more than minimal harm
2023-05-11
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-09-06
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-08-15
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 2025-08-27
D · Potential for more than minimal harm
2025-08-15
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-08-27
D · Potential for more than minimal harm
2025-08-15
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 2025-08-27
E · Potential for more than minimal harm
2024-08-14
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 2024-08-15
E · Potential for more than minimal harm
2024-08-14
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-08-15
E · Potential for more than minimal harm
2023-05-11
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-05-19
E · Potential for more than minimal harm
2023-05-11
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 2023-05-19
D · Potential for more than minimal harm
2023-05-11
F622 · Resident Rights Deficiencies
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2023-05-19
D · Potential for more than minimal harm
2023-05-11
F624 · Resident Rights Deficiencies
Health
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2023-05-19
D · Potential for more than minimal harm
2023-05-11
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 2023-05-19
D · Potential for more than minimal harm
2023-05-11
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-05-19
Penalties and ownership
What sits behind the stars
Ownership
Augustnc Holdco LLC
5% Or Greater Direct Ownership Interest · Organization
Augustnc Holdco LLC
Operational/Managerial Control · Organization
Beatty, Laticia
Operational/Managerial Control · Individual
Cohen, Itamar
5% Or Greater Indirect Ownership Interest · Individual
Cohen, Itamar
Operational/Managerial Control · Individual
Ferguson, Steven
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Ahoskie Health and Rehabilitation Center
Ahoskie, NC
2-star overall rating with 3-star inspections with $11,629 in total fines with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Hertford Rehabilitation and Healthcare Center
Hertford, NC
1-star overall rating with 2-star inspections with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
Chowan River Nursing and Rehabilitation Center
Edenton, NC
4-star overall rating with 4-star inspections with 5 recent health deficiencies
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