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Nursing HomeMedicaid

Juniper Gardens Center for Nursing and Rehabilitat

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

4414 Wilkinson Blvd, Gastonia, NC 2805650 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 76 Google reviews

5
4
3
2
1
Juniper Gardens Center for Nursing and Rehabilitat Nursing Home in Gastonia, NC — Street View
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What this means for your family

This facility has a strong rehabilitation team that many families appreciate, but there are recurring, serious reports of neglect and medical errors. We strongly advise you to conduct an unannounced visit to check the cleanliness of the facility and observe staff-to-resident ratios before making a decision.

Google Reviews

Google Reviews

76 reviews on Google
Juniper Gardens Center for Nursing and Rehabilitation, formerly known as The Ivy, receives highly polarized feedback from families. While many reviewers praise the staff for being compassionate and attentive, particularly in physical therapy and rehabilitation, a significant number of families report serious concerns regarding neglect, poor hygiene, and dangerous medical errors. Potential families should be aware that the facility's reputation is split between those who feel their loved ones received excellent care and those who experienced distressing lapses in basic safety and sanitation.

Quality Themes

Tap a score for details
Food4.0Staff6.0Clean3.0Activities6.0Meds2.0Memory3.0Comms6.0ValueN/A

Strengths

  • Dedicated and attentive physical therapy team
  • Compassionate and friendly nursing staff
  • Responsive and professional management team
  • Family-oriented atmosphere

Concerns

  • Understaffing leading to neglect and slow response times (mentioned by 6 reviewers)
  • Poor sanitation, unpleasant odors, and lack of cleanliness (mentioned by 5 reviewers)
  • Dangerous medical errors (e.g., oxygen issues, medication management) (mentioned by 3 reviewers)
  • Inadequate care for residents with complex needs (dementia, feeding tubes) (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'18(1)'20(6)'22(4)'24(15)'26(15)

Distribution · 79 analyzed

5
53
4
6
3
1
2
1
1
18

How They Respond to Reviews

50%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I've heard wonderful things about your physical therapy team; how often do residents typically participate in therapy sessions?
  • 2What specific steps is the management team taking to ensure the facility stays clean and fresh-smelling for the residents?
  • 3How do you ensure medication is administered accurately and safely, especially during shift changes?
  • 4With the small, family-oriented atmosphere here, what kind of daily social activities or group outings do you have planned for the residents?
  • 5How does the nursing staff manage the specific needs of residents with complex medical requirements, such as feeding tubes or specialized wound care?
  • 6What is the protocol for responding to urgent medical needs or emergencies during the overnight hours?

Personalized based on this facility's data


Key Review Excerpts

The only thing good about that place is the physical therapy. I had a case for adult abuse that was opened due to the lack of care. There are 2 nurses for 49 patiens.

Rehab patient · 2024★★★★★

In the three-ish weeks my dad was here, there were three instances where the staff either did not connect his hose to the oxygen or had it hooked up to oxygen that was empty.

Long-term resident's family · 2025☆☆☆☆

My mother was admitted here after a 7 day hospital stay. She has dementia and suffered a fall. The staff, the nurses, the therapists and doctors have all, without exception, been communicative and kind.

Memory care family member · 2026★★★★★
Source: 76 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.82hrs
OK
Registered nurses for medical care
Total Nursing
3.46hrs
84%
All nurses + aides combined
Staff Turnover
56%
Lower is better (< 30% = good)
RN Turnover
38%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

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

Medicare Rating
2/ 5
Better Than Avg

8

measures

Worse Than Avg

6

measures

Mixed Results

3

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.9%
Better than Avg
Here
8.9%
US
15.3%
NC
20.2%
Gaston
25.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility21.8%
Worse than Avg
Here
21.8%
US
15.4%
NC
14.1%
Gaston
10.7%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
NC
91.7%
Gaston
94.7%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility11.7%
Worse than Avg
Here
11.7%
US
4.9%
NC
5.8%
Gaston
3.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility19.8%
Worse than Avg
Here
19.8%
US
14.4%
NC
16.4%
Gaston
19.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility23.9%
Worse than Avg
Here
23.9%
US
19.4%
NC
21.0%
Gaston
20.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.0%
Better than Avg
Here
98.0%
US
79.7%
NC
78.1%
Gaston
83.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.1%
Better than Avg
Here
99.1%
US
81.8%
NC
80.1%
Gaston
83.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.7%
Worse than Avg
Here
1.7%
US
1.6%
NC
1.5%
Gaston
0.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
5penalties
Near state avg (5.6)
2 complaint-triggered
$60,781 in fines

Juniper Gardens has faced recurring deficiencies across safety systems (fire safety, electrical systems), resident rights, and care quality, with families filing complaints about medication errors and communication issues. The facility shows a pattern of repeated violations in fire safety equipment and electrical systems across multiple surveys, though most deficiencies appear corrected after citation. Recent surveys continue finding problems with resident assessments and safety hazards, suggesting ongoing oversight challenges despite correction efforts.

Nov 21, 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.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

0575Minimal · WidespreadCorrected

Resident Rights Deficiencies

Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

0577Minimal · WidespreadCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Aug 27, 2024Routine
16
0684Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0225Potential for harm · IsolatedCorrected

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0293Potential for harm · IsolatedCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

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.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

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.

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.

0641Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Aug 27, 2024Complaint
2
0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

May 2, 2023Routine
14
0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

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.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

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.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0374Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0911Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0917Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure electrical receptacles or cover plates have distinctive color or marking.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0920Minimal · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Jul 14, 2021Routine
1
0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

Federal Penalties

Fine

Aug 27, 2024

$8,400

Fine

Aug 27, 2024

$8,401

Payment Denial

Aug 27, 2024

5-day denial

Fine

Jun 1, 2023

$3,728

Payment Denial

Jun 1, 2023

42-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Juniper Gardens Center for Nursing and Rehabilitat

Organization Type

for profit

Chain Affiliation

Chain Name

Alliance Health Group

Chain Size

12 facilities nationwide

Chain avg rating: 1.3/5 · Rank 1 of 10 (Best)

Ownership & Management

Owners

Bridge Holdco LLC

Owner · Organization

Coalition Group LLC

Owner (parent company) · Organization

Emanuel, Yosef

Owner (parent company)

Key personnel

Emanuel, YosefOfficer / DirectorAlliance Health Group LLCManagerChristopher, CaseyManagerAlliance Health Group LLCAdp of the SnfChristopher, CaseyAdp of the Snf
Source: Medicare provider data

Contact

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References & Resources

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