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Nursing HomeMedicaid Investigative

Gates Health and Rehabilitation Center

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

38 Carters Road, Gatesville, NC 2793870 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 93 Google reviews

5
4
3
2
1

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1/ 10
low Risk

Quality Concerns Identified

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

  • High staff turnover (54%)

Above average in NC · Below recommended RN staffing · No penalties on record · Very few deficiencies

Source: Medicare data

What this means for your family

Gates Health and Rehabilitation Center has shown a strong upward trend in quality over the last several years, with recent visitors frequently praising the cleanliness and the warmth of the staff. While the facility has moved past its earlier reputation for poor maintenance, families should still conduct a tour to ensure the current environment meets their specific standards for care and responsiveness.

Google Reviews

Google Reviews

93 reviews on Google
Gates Health and Rehabilitation Center is frequently praised for its clean, odor-free environment and a friendly, attentive staff that fosters a home-like atmosphere. While many families report high satisfaction with the care provided to their loved ones, a minority of reviewers have raised concerns regarding historical issues with staffing levels, cleanliness, and professionalism. The facility appears to have undergone significant improvements in recent years, shifting from negative feedback in the 2016-2021 period to predominantly positive reviews today.

Quality Themes

Tap a score for details
Food8.0Staff9.0Clean9.0Activities8.0Meds9.0MemoryN/AComms8.0ValueN/A

Strengths

  • Clean, well-maintained, and odor-free facility
  • Warm, attentive, and friendly nursing staff
  • Secure and welcoming environment
  • Effective and dedicated rehabilitation therapy team

Concerns

  • Understaffing and lack of necessary supplies (mentioned by 4 reviewers)
  • Inconsistent cleanliness and hygiene standards (mentioned by 3 reviewers)
  • Unprofessional or rude staff behavior (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'16(5)'18(1)'21(6)'23(19)'25(26)'26(8)

Distribution · 98 analyzed

5
69
4
18
3
1
2
2
1
8

How They Respond to Reviews

10%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1I noticed that the facility has a 3-star staffing rating; could you walk me through how you manage shift coverage to ensure residents receive timely assistance during peak hours?
  • 2Some families have mentioned occasional challenges with supply availability; what is your current process for ensuring that essential medical and personal care items are always well-stocked for residents?
  • 3I appreciate that the leadership team is active in responding to online feedback; how do you use that community input to improve the daily experience for residents and their families?
  • 4Given the mixed feedback regarding facility hygiene, what specific protocols do you have in place to maintain the cleanliness standards that visitors often praise?
  • 5What steps are taken to ensure that all staff members consistently maintain a professional and supportive demeanor, especially during high-stress times of the day?
  • 6Could you describe the daily activity schedule and how you tailor these programs to keep residents engaged and connected with one another?

Personalized based on this facility's data


Key Review Excerpts

The staff is so caring and kind. Mom felt very comfortable there. She enjoyed the food. She especially liked the ham and sweet potato she had one meal.

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

I realized what makes this place a cut above the rest. I have always found the administrator to have an exceptional, caring personality. Today I saw him walk briskly past the room I was visiting with broom and dust pan in hand.

Frequent visitor · 2024★★★★★

My mother was there and they took very good care of her. Ebony did a good job with her wound care and I thank you so much for giving us the care that my mother really needed it.

Long-term resident's family · 2025★★★★★
Source: 93 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.35hrs
47%
Registered nurses for medical care
Total Nursing
3.44hrs
84%
All nurses + aides combined
Staff Turnover
56%
Lower is better (< 30% = good)
RN Turnover
69%
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

Quality Measures

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

Medicare Rating
2/ 5
Better Than Avg

4

measures

Worse Than Avg

10

measures

Mixed Results

2

measures

Long-Stay Residents
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility75.6%
Worse than Avg
Here
75.6%
US
95.5%
NC
94.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility22.1%
Worse than Avg
Here
22.1%
US
12.1%
NC
5.4%

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 Facility80.6%
Worse than Avg
Here
80.6%
US
93.4%
NC
91.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility3.5%
Better than Avg
Here
3.5%
US
15.5%
NC
14.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility26.4%
Worse than Avg
Here
26.4%
US
19.4%
NC
21.0%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility18.2%
Worse than Avg
Here
18.2%
US
14.4%
NC
16.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility65.2%
Worse than Avg
Here
65.2%
US
79.8%
NC
78.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility76.9%
Worse than Avg
Here
76.9%
US
81.8%
NC
80.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
NC
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)
1 complaint-triggered

Gates Health and Rehabilitation Center has 19 deficiencies across three surveys, with families filing complaints that led to findings about wound care and discharge procedures. The most frequent issues involve fire safety systems, resident rights protections, and food safety. All deficiencies have correction dates, though problems persist across different survey periods, suggesting ongoing operational challenges that families should discuss during visits.

Aug 15, 2025Routine
2
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.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Aug 15, 2025Complaint
1
0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Aug 14, 2024Routine
4
0585Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

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

May 11, 2023Routine
12
0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

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.

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.

0622Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0624Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Prepare residents for a safe transfer or discharge from the nursing home.

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.

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.

0111Potential for harm · IsolatedCorrected

Construction Deficiencies

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

0352Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly install and monitor supervisory attachments on automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Gates Health and Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

August Healthcare

Chain Size

6 facilities nationwide

Chain avg rating: 3.0/5 · Rank 3 of 5

Ownership & Management

Owners

Augustnc Holdco LLC

Owner · Organization

Cohen, Itamar

Owner (parent company)

Hyman, Simcha

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Augustnc Holdco LLCManagerBeatty, LaticiaManagerCohen, ItamarManagerFerguson, StevenManagerHc Family TrustAdp 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 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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