Cycle 1
Health 2026-01-08 · Fire 2024-10-25
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
9 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Stanley, NC
Stanley Total Living Center
2-star overall rating with 1-star inspections with $74,828 in total fines with 1 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
514 Old Mount Holly Road, Stanley, NC
(704) 263-1986
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
106
Certified beds
Average residents
86
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1987-07-23
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
Staffing
Hours and turnover
RN hours / resident day
1.09
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
0.79
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
3.37
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
5.25
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.88
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
4.31
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.61
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
1.13
CMS adjusted RN staffing hours
Adjusted total hours
5.42
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
36%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
469
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
69.29
Composite VBP score used to determine payment impact.
Payment multiplier
1.0220
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 17.26% · Performance 16.79% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
3.88
Baseline 7.14% · Performance 6.68% · Measure score 3.88 · Achievement 3.88 · Improvement 1.66
Total nurse turnover
7.09
Baseline 28.57% · Performance 34.71% · Measure score 7.09 · Achievement 7.09 · Improvement 0
Adjusted total nurse staffing
6.75
Baseline 3.74 hours · Performance 5 hours · Measure score 6.75 · Achievement 6.75 · Improvement 5.67
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.05% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 195 · Observed rate 8.21% · Lower 95% interval 7.42% |
| Discharge to community | 53.94% |
50.57%
3.4 pts better
|
No Different than the National Rate · Eligible stays 187 · Observed rate 49.73% · Lower 95% interval 47.57% |
| Medicare spending per beneficiary | 1.2 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 97.66% |
95.27%
2.4 pts better
|
Numerator 125 · Denominator 128 |
| Falls with major injury | 1.56% |
0.77%
0.8 pts worse
|
Numerator 2 · Denominator 128 |
| Discharge self-care score | 44.23% |
53.69%
9.5 pts worse
|
Numerator 46 · Denominator 104 |
| Discharge mobility score | 37.5% |
50.94%
13.4 pts worse
|
Numerator 39 · Denominator 104 |
| Pressure ulcers or injuries, new or worsened | 3.13% |
2.29%
0.8 pts worse
|
Numerator 4 · Denominator 128 · Adjusted rate 2.73% |
| Healthcare-associated infections requiring hospitalization | 6.68% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 133 · Observed rate 5.26% · Lower 95% interval 4.24% |
| Staff COVID-19 vaccination coverage | 1.73% |
8.2%
6.5 pts worse
|
Numerator 3 · Denominator 173 |
| Staff flu vaccination coverage | 25.91% |
42%
16.1 pts worse
|
Numerator 64 · Denominator 247 |
| Discharge function score | 44.23% |
56.45%
12.2 pts worse
|
Numerator 46 · Denominator 104 |
| Transfer of health information to provider | 91.67% |
95.95%
4.3 pts worse
|
Numerator 44 · Denominator 48 |
| Transfer of health information to patient | 98% |
96.28%
1.7 pts better
|
Numerator 49 · Denominator 50 |
| Resident COVID-19 vaccinations up to date | 64.29% |
25.2%
39.1 pts better
|
Numerator 45 · Denominator 70 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
1.8
0.2 pts better
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 2.1 · Expected 2.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.5 |
1.8
1.3 pts better
|
1.8
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.6 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
91.5%
7.8 pts better
|
93.4%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 100.0% · Q3 100.0% · Q4 98.6% · 4Q avg 99.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.1%
5.9 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.6% |
3.6%
About the same
|
3.3%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 1.5% · Q3 2.8% · Q4 4.1% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.9% |
4.8%
2.9 pts better
|
11.4%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 1.8% · Q3 0.0% · Q4 1.4% · 4Q avg 1.9% |
| Percentage of long-stay residents who lose too much weight | 11.1% |
7.2%
3.9 pts worse
|
5.4%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 11.8% · Q3 13.6% · Q4 8.5% · 4Q avg 11.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 33.3% |
21.6%
11.7 pts worse
|
19.6%
13.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.8% · Q2 37.7% · Q3 30.0% · Q4 29.5% · 4Q avg 33.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.9% |
15.0%
7.1 pts better
|
16.7%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 4.9% · Q3 7.4% · Q4 10.2% · 4Q avg 7.9% · 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 | 39.2% |
21.5%
17.7 pts worse
|
16.3%
22.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 39.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.6% |
16.8%
8.8 pts worse
|
14.9%
10.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 21.3% · Q3 34.5% · Q4 23.2% · 4Q avg 25.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% |
0.9%
0.2 pts worse
|
1.0%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 0.0% · Q3 0.0% · Q4 0.8% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.6% |
2.6%
1 pts worse
|
1.7%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 3.2% · Q3 2.9% · Q4 2.8% · 4Q avg 3.6% · 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 25.4% · Q2 23.9% · Q3 16.8% · Q4 13.0% · 4Q avg 19.6% |
| Percentage of long-stay residents with pressure ulcers | 5.0% |
6.0%
1 pts better
|
5.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 6.4% · Q3 6.9% · Q4 4.7% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.1% |
79.9%
17.2 pts better
|
81.7%
15.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.9% · Q2 98.0% · Q3 97.6% · Q4 95.6% · 4Q avg 97.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.8% |
13.2%
7.4 pts better
|
12.0%
6.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.8% · Observed 5.6% · Expected 10.8% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · 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 | 94.8% |
78.1%
16.7 pts better
|
79.7%
15.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.4% |
22.9%
5.5 pts better
|
23.9%
6.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.4% · Observed 15.1% · Expected 20.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-10-25 · Fire 2023-05-23
6 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Cycle 3
Health 2023-05-23 · Fire 2021-10-06
3 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 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
2024-10-25
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-10-25
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-10-25
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-10-25
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-10-25
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-10-25
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-10-25
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 2025-01-17
D · Potential for more than minimal harm
2024-10-25
K916 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-10-25
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-17
D · Potential for more than minimal harm
2023-05-23
K133 · Construction Deficiencies
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2023-08-06
D · Potential for more than minimal harm
2023-05-23
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-08-06
D · Potential for more than minimal harm
2023-05-23
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-06
D · Potential for more than minimal harm
2023-05-23
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-08-06
D · Potential for more than minimal harm
2023-05-23
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-08-06
C · Minimal harm
2023-05-23
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 2023-08-06
Inspection history
Recent health citations
D · Potential for more than minimal harm
2026-01-08
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-01-22
J · Immediate jeopardy
2024-10-25
F726 · Nursing and Physician Services Deficiencies
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-11-23
J · Immediate jeopardy
2024-10-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-23
G · Actual harm
2024-10-25
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 2024-07-12
D · Potential for more than minimal harm
2024-10-25
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 2024-11-23
D · Potential for more than minimal harm
2024-10-25
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 2024-11-23
D · Potential for more than minimal harm
2024-10-25
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 2024-11-23
K · Immediate jeopardy
2023-05-23
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-06-19
K · Immediate jeopardy
2023-05-23
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 2023-06-19
K · Immediate jeopardy
2023-05-23
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-06-19
Penalties and ownership
What sits behind the stars
$31,967
2024-10-25
Fine
Fine · fine $31,967
Fine
$42,861
2023-05-23
Fine
Fine · fine $42,861
Fine
Ownership
Abernathy, Judith
Corporate Director · Individual
Baker, Dana
Corporate Director · Individual
Bryant, Sharon
Corporate Officer · Individual
Crotts, Allison
Corporate Director · Individual
Crotts, Allison
Corporate Officer · Individual
Defelice, Jennifer
Operational/Managerial Control · Individual
Defelice, Jennifer
Corporate Director · Individual
Dixon, Michael
Corporate Officer · Individual
Ensley, Ronnie
Corporate Officer · Individual
Gantt, Derrick
Corporate Director · Individual
Grice, Elizabeth
Corporate Director · Individual
Harper, Deborah
Corporate Director · Individual
Kirkland, Cathy
Corporate Director · Individual
Mauney, Kevin
Corporate Director · Individual
Mcminn, Rob
Corporate Director · Individual
Mcminn, Rob
Corporate Officer · Individual
Neely, Teresa
Corporate Director · Individual
Smith, Melissa
Corporate Director · Individual
Smith, Steve
Corporate Officer · Individual
West, Teresa
Corporate Director · Individual
Nearby options
Other facilities in reach
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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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