Nursing HomeMedicaid Top Rated

Cardinal Healthcare and Rehabilitation

Strong Medicare quality ratings; families often praise warm, attentive nursing and therapy staff. Still worth an in-person visit.

931 N Aspen Street, Lincolnton, NC 28092|63 beds|Licensed & Active

5/5

Medicare

Inspection

Quality

Staffing

Google rating

4.2/5

based on 63 Google reviews

(704) 732-7055 Directions Website

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What this means for your family

While many families report excellent rehab outcomes and a caring environment, there is a recurring pattern of serious neglect and understaffing reported by others. We strongly recommend that you visit during off-hours or weekends to observe staffing levels yourself and ask specifically about their protocols for preventing and treating bedsores.

Google Reviews

63 reviews on Google

“Cardinal Healthcare and Rehabilitation receives highly polarized feedback, with many families praising the compassionate, friendly staff and clean environment, while others report serious concerns regarding neglect and understaffing. While some families describe a 'family-like' atmosphere and successful rehab outcomes, multiple reviewers have documented incidents of poor medical oversight, including unaddressed bedsores and delayed response times. Families considering this facility should be aware of these significant inconsistencies in care quality.”

Quality Themes

Tap a score for details

Strengths

Warm, attentive nursing and therapy staff
Clean, well-maintained facility and grounds
Effective post-surgery rehabilitation services
Welcoming and family-like atmosphere

Concerns

Severe understaffing leading to neglect and slow response times (mentioned by 7 reviewers)
Poor medical oversight and failure to treat conditions (e.g., bedsores, infections) (mentioned by 4 reviewers)
Inadequate communication and responsiveness from administration (mentioned by 3 reviewers)
Unsatisfactory food quality and lack of flavor (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 64 analyzed

How They Respond to Reviews

57%response rate

This facility responds to some reviews.

Questions for Your Tour

1I noticed your team is very active in responding to feedback online; how do you use that family input to improve daily operations and communication?
2Given that staffing levels can fluctuate, what specific protocols do you have in place to ensure residents receive timely assistance when they press their call buttons?
3With your focus on post-surgery rehabilitation, how do you ensure consistent medical oversight and skin integrity monitoring for residents who are less mobile?
4I see that medication management is a priority; could you walk me through your process for ensuring accuracy and preventing errors for residents with complex health needs?
5What steps are you taking to improve the variety and quality of the dining experience to ensure residents are getting both nutritious and enjoyable meals?
6Since your facility has a smaller, intimate capacity of 63 residents, what kind of daily social activities or engagement programs are available to keep everyone connected and active?

Personalized based on this facility's data

Key Review Excerpts

“The nurse looked me dead in the face and told me they are severely understaffed, and he wouldn’t be checked on or rolled every two hours like they are required to do.”

Memory care family member · 2023★☆☆☆☆

“My mom was a patient for about four weeks and instead of getting better she just got worse. She was finally moved to the hospital where they informed her she had a level 3 bedsore which was overlooked and not taken care of while at cardinal.”

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

“The worst part was the food! I was absolutely nauseated. I sent full trays of food back. I had to resort to ordering door dash and having a Walmart delivery.”

Rehab patient · 2026★★☆☆☆

Source: 63 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.72hrs

96%

Registered nurses for medical care

Total Nursing

3.20hrs

78%

All nurses + aides combined

Staff Turnover

44%

Lower is better (< 30% = good)

RN Turnover

43%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

5/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

⚖️

Residents who lost too much weight

↓ Lower is better

This Facility20.0%

Worse than Avg

Here

20.0%

5.3%

7.2%

Lincoln

4.9%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility29.4%

Worse than Avg

Here

29.4%

15.3%

20.2%

Lincoln

20.6%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility3.7%

Better than Avg

Here

3.7%

15.5%

14.1%

Lincoln

17.1%

😔

Residents with depression symptoms

↓ Lower is better

This Facility0.6%

Better than Avg

Here

0.6%

12.1%

5.4%

Lincoln

4.9%

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

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.4%

91.7%

Lincoln

94.2%

💉

Residents vaccinated for the flu

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

95.5%

94.1%

Lincoln

95.9%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility99.2%

Better than Avg

Here

99.2%

79.8%

78.1%

Lincoln

82.1%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility99.2%

Better than Avg

Here

99.2%

81.8%

80.1%

Lincoln

83.2%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility2.8%

Worse than Avg

Here

2.8%

1.6%

1.5%

Lincoln

1.5%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies

Near state avg (5.6)

Cardinal Healthcare and Rehabilitation has 23 federal deficiencies across three surveys, with recurring issues in fire safety systems, care planning, and building infrastructure appearing throughout multiple inspections. The facility reports correcting all identified problems, though fire safety deficiencies have reappeared across different surveys, suggesting ongoing maintenance challenges that families should inquire about during visits.

May 8, 2025Routine8 findings

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

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.

Mar 14, 2024Routine7 findings

0561Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

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.

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.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0271Potential for harm · IsolatedCorrected

Egress Deficiencies

Have exits that are accessible at all times.

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.

Aug 31, 2022Routine8 findings

0352Potential for harm · PatternCorrected

Smoke Deficiencies

Properly install and monitor supervisory attachments on automatic sprinkler systems.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0745Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide medically-related social services to help each resident achieve the highest possible quality of life.

0867Potential for harm · IsolatedCorrected

Administration Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0271Potential for harm · IsolatedCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

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

0582Minimal · PatternCorrected

Resident Rights Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Cardinal Healthcare and Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

Avardis Health

Chain Size

38 facilities nationwide

Chain avg rating: 2.3/5 · Rank 1 of 35 (Best)

Ownership & Management

Owners

Lincolnton Parentco LLC

Owner · Organization

Ncop Holdco LLC