Federal inspection record · CMS data as of October 1, 2026
Stanley Total Living Center
514 Old Mount Holly Road, Stanley, NC · (704) 263-1986
- Certified beds
- 106
- Residents per day
- 91
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 23, 1987
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Stanley Total Living Center carries 36 inspection points. That is fewer than 41% of North Carolina's 415 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–4 pts
- 4★ 4–15 pts
- 3★ 15–35 pts
- 2★ 35–73.5 pts
- 1★ over 73.5 pts
Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
10 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (6)
-
J
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.
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J
Provide and implement an infection prevention and control program.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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K
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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K
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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K
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Everything else, by area of care
Resident Assessment and Care Planning2D
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care1D
- D
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service1D
- D
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.
Inspection history
2026-01-08
1 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2024-10-25
6 health deficiencies · 9 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2023-05-23
3 health deficiencies · 6 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 6 min of nursing staff time a day, 1 h 6 min of it from a registered nurse.
This home
5 h 6 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 39% of nursing staff and 21% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$31,967 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-10-25 | Fine | $31,967 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts better | 1.6 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.3 pts better | 0.4 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.9 pts better | 99.3% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.3 pts better | 100.0% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts better | 2.7% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.6 pts better | 4.2% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.1 pts better | 7.0% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6 pts worse | 27.1% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.4 pts better | 9.5% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened19.6 pts worse | 36.2% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased15 pts worse | 30.0% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts worse | 0.9% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.7 pts worse | 3.8% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.2 pts worse | 25.1% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts better | 4.7% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.9 pts better | 97.4% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.2 pts better | 9.5% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1 pts better | 0.4% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15.5 pts better | 96.6% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.8 pts better | 16.4% | 22.2% | 23.4% |
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Who owns and runs it
23 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Abernathy, Judith | Corporate Director · Individual | 0% | 1 facilities |
| Baker, Dana | Corporate Director · Individual | 0% | 6 facilities |
| Bryant, Sharon | Corporate Officer · Individual | 0% | 1 facilities |
| Bryant, Sharon | Adp Of The SNF · Individual | 0% | 1 facilities |
| Crotts, Allison | Corporate Director · Individual | 0% | 1 facilities |
| Crotts, Allison | Corporate Officer · Individual | 0% | 1 facilities |
| Defelice, Jennifer | Corporate Director · Individual | 0% | 1 facilities |
| Defelice, Jennifer | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Defelice, Jennifer | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ensley, Ronnie | Corporate Officer · Individual | 0% | 1 facilities |
| Gantt, Derrick | Corporate Director · Individual | 0% | 1 facilities |
| Grice, Elizabeth | Corporate Director · Individual | 0% | 1 facilities |
| Harper, Deborah | Corporate Director · Individual | 0% | 1 facilities |
| Kirkland, Cathy | Corporate Director · Individual | 0% | 1 facilities |
| Mauney, Kevin | Corporate Director · Individual | 0% | 1 facilities |
| Mcminn, Rob | Corporate Director · Individual | 0% | 1 facilities |
| Mcminn, Rob | Corporate Officer · Individual | 0% | 1 facilities |
| Mull, Sandra | Adp Of The SNF · Individual | 0% | 1 facilities |
| Neely, Teresa | Corporate Director · Individual | 0% | 1 facilities |
| Nelson, John | Adp Of The SNF · Individual | 0% | 5 facilities |
| Smith, Melissa | Corporate Director · Individual | 0% | 6 facilities |
| Smith, Steve | Corporate Officer · Individual | 0% | 1 facilities |
| West, Teresa | Corporate Director · Individual | 0% | 1 facilities |
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Fire safety
23 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6D
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Install a fire alarm system that can be heard throughout the facility.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems6D
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper fire barriers, ventilation and signs for the transfilling of oxygen.
- D
Meet requirements for the installation and maintenance of electrical systems.
- D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- D
Have generator or other power source capable of supplying service within 10 seconds.
Services5D
- D
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have properly installed electrical wiring and gas equipment.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Egress4D
- D
Have exits that are accessible at all times.
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Install emergency lighting that can last at least 1 1/2 hours.
- C
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.
Construction2D
- D
Use approved construction type or materials.
- D
Install a two-hour-resistant firewall separation.
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Other homes nearby
-
The Greens at Gastonia
Gastonia, NC · Cch Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 18 min
- Fines
- $148,207
-
Peak Resources - Gastonia
Gastonia, NC · Peak Resources, Inc.
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 9 min
- Fines
- $0
-
Gastonia Health & Rehab Center
Gastonia, NC · Saber Healthcare Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 37 min
- Fines
- $15,808