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Nursing HomeMedicaid Investigative

Asbury Health and Rehabilitation Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

3211 Bishops Way Lane, Windsor Park · Charlotte, NC 28215120 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.8/5

based on 428 Google reviews

5
4
3
2
1
Asbury Health and Rehabilitation Center Nursing Home in Charlotte, NC — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (5 vs median 4.0)
  • High staff turnover (99%)
  • High RN turnover (100%)

Below average in NC · Below recommended RN staffing · Above recommended total nurse staffing · Very high staff turnover · $53,176 in fines

Source: Medicare data

What this means for your family

This facility is an excellent choice for short-term rehabilitation due to its modern amenities and highly-rated therapy team. However, if your loved one requires memory care or cannot advocate for their own needs, you should observe the floor closely or consider other options. Be prepared for a secure, locked-door environment and verify weekend staffing ratios during your tour.

Google Reviews

Google Reviews

428 reviews on Google
Asbury Health and Rehabilitation Center is widely praised for its clean, modern, and resort-like atmosphere, with many families noting the facility's pleasant scent and well-maintained grounds. While the nursing and rehabilitation staff receive high marks for their professionalism and kindness, several visitors have expressed frustration regarding security-locked doors that make entering and exiting the building difficult. Additionally, while most feedback is glowing, a few families have raised concerns about inconsistent staffing levels on weekends and occasional delays in responding to patient needs.

Quality Themes

Tap a score for details
Food9.0Staff8.0Clean10.0Activities8.0MedsN/AMemory3.0Comms7.0ValueN/A

Strengths

  • Exceptionally clean and well-maintained facility
  • Professional and attentive rehabilitation therapy team
  • Warm, friendly, and compassionate nursing staff
  • Spacious, modern, and comfortable patient rooms

Concerns

  • Difficulty entering/exiting due to locked doors and lack of staff at entrances (mentioned by 7 reviewers)
  • Understaffing on weekends leading to slower response times (mentioned by 4 reviewers)
  • Staff observed using personal mobile phones while on duty (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.62023(25)4.82024(75)4.82025(86)4.42026(29)

Distribution · 215 analyzed

5
181
4
22
3
3
2
1
1
8

How They Respond to Reviews

40%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given the facility's focus on rehabilitation, what specific programs or support structures are in place for residents who require specialized memory care?
  • 2I noticed the main entrance is kept locked for security; what is the standard procedure for family members to gain access during weekend visits when the front desk might be less staffed?
  • 3How do you ensure consistent nursing coverage and timely response times for residents during the weekend shifts?
  • 4With your focus on maintaining a clean and modern environment, how do you balance staff responsibilities to ensure they remain fully engaged with residents rather than being distracted by personal devices?
  • 5What steps is the facility currently taking to address the recent CMS health inspection findings to improve the overall quality of care?
  • 6Could you walk me through the protocol for handling a sudden medical emergency, especially during evening or weekend hours when staffing levels may fluctuate?

Personalized based on this facility's data


Key Review Excerpts

Asbury looks more like a resort than a hospital. The staff was kind attentive and expressed an eagerness to make it “feel like home.”

Visitor · 2024☆☆☆☆

She was on a puree diet and they made the food look delicious. Asparagus was pureed and then piped out to LOOK like asparagus. The taste was amazing.

Long-term resident's family · 2024★★★★★

The PT and OT were fantastic, patient and encouraging. Nurses and staff helpful, knowledgable and friendly.

Rehab patient's family · 2025★★★★★
Source: 428 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.50hrs
66%
Registered nurses for medical care
Total Nursing
4.72hrs
OK
All nurses + aides combined
Staff Turnover
99%
Lower is better (< 30% = good)
RN Turnover
100%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
4/ 5
Better Than Avg

9

measures

Worse Than Avg

6

measures

Mixed Results

1

measures

Long-Stay Residents
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility67.6%
Worse than Avg
Here
67.6%
US
95.5%
NC
94.1%
Mecklenburg
95.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.4%
Better than Avg
Here
98.4%
US
93.4%
NC
91.7%
Mecklenburg
87.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.1%
Better than Avg
Here
2.1%
US
12.1%
NC
5.4%
Mecklenburg
4.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility12.7%
Better than Avg
Here
12.7%
US
19.5%
NC
21.5%
Mecklenburg
16.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.9%
Better than Avg
Here
8.9%
US
14.4%
NC
16.4%
Mecklenburg
14.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility9.2%
Better than Avg
Here
9.2%
US
15.4%
NC
14.1%
Mecklenburg
11.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility90.8%
Better than Avg
Here
90.8%
US
81.8%
NC
80.1%
Mecklenburg
75.8%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility79.6%
Mixed vs Avgs
Here
79.6%
US
79.7%
NC
78.1%
Mecklenburg
75.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.3%
Better than Avg
Here
0.3%
US
1.6%
NC
1.5%
Mecklenburg
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
2penalties
Near state avg (5.6)
1 complaint-triggered
$53,176 in fines

This facility has 35 deficiencies across multiple surveys, with one family filing a complaint about accident prevention. The most recurring issues involve food safety and dietary services, building safety systems, and medication management. While all deficiencies show correction dates, problems with food handling, electrical systems, and safety equipment have persisted across multiple inspections from 2022 through 2024, suggesting ongoing operational challenges.

Sep 30, 2025Complaint
1
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Sep 30, 2025Routine
4
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

Oct 16, 2024Routine
11
0726Immediate jeopardy · IsolatedCorrected

Nursing and Physician Services Deficiencies

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.

0880Immediate jeopardy · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0553Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

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

0914Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Jun 8, 2023Routine
14
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0867Potential for harm · PatternCorrected

Administration Deficiencies

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

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

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

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0923Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Feb 17, 2022Routine
5
0311Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have an enclosure around a vertical opening shaft.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

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

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

Federal Penalties

Fine

Sep 30, 2025

$9,620

Fine

Oct 16, 2024

$38,376

Ownership & Operations

Who Operates This Facility

Owner / Operator

Asbury Health and Rehabilitation Center

Organization Type

nonprofit

Ownership & Management

Owners

Aldersgate United Methodist Retirement Community, INC.

Owner · Organization

100%

Key personnel

Patterson Hodge, AngellaManagerAldersgate United Methodist Retirement Community, INC.Adp of the SnfPatterson Hodge, AngellaAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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