The Greens at Gastonia
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 105 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (15 vs median 4.0)
- High staff turnover (74%)
- High RN turnover (64%)
Bottom 25% in NC · Below recommended RN staffing · Very high staff turnover · Worst in CCH HEALTHCARE chain · $146,417 in fines · Abuse citation
What this means for your family
While the rehab therapy and activities departments receive high praise, the facility has a recurring pattern of serious hygiene and staffing concerns. If you are considering this facility, we strongly recommend unannounced visits during weekends and evenings to observe staffing levels and response times firsthand.
Google Reviews
Google Reviews
105 reviews on Google“The Greens at Gastonia receives highly polarized feedback, with some families praising recent management improvements and staff, while others report severe neglect and hygiene issues. While some visitors highlight clean facilities and attentive rehab therapy, a significant number of reviewers express deep concern regarding basic patient care, including failure to assist with hygiene, slow call-light response times, and poor communication from nursing staff.”
Quality Themes
Tap a score for detailsStrengths
- Attentive and skilled rehab therapy team
- Engaging and friendly activities department
- Visible facility renovations and building updates
- Responsive management for some families
Concerns
- Poor hygiene and failure to assist with toileting/bathing (mentioned by 14 reviewers)
- Slow or non-existent response to call lights and patient needs (mentioned by 7 reviewers)
- Understaffing leading to neglected care (mentioned by 6 reviewers)
- Strong, unpleasant odors throughout the facility (mentioned by 4 reviewers)
- Poor communication and lack of follow-up from staff/administration (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 110 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed the facility has some recent renovations; could you tell me more about the updates being made to the resident rooms and common areas?
- 2With the great feedback regarding your activities department, what kind of daily social events or outings can my family member look forward to?
- 3How does the nursing team ensure that call lights are answered promptly and that residents receive timely assistance with personal care like bathing and toileting?
- 4Since I saw that management is very active in responding to family feedback, what is the best way for us to communicate any concerns and ensure we receive a follow-up?
- 5Can you walk me through your protocols for medication management and how you ensure accuracy during shift changes?
- 6What is your process for handling medical emergencies after hours, and how is the clinical staff notified?
Personalized based on this facility's data
Key Review Excerpts
“My cousin was brought here from the hospital for rehab. As I walked in the front door I could smell BM. As I walked on down the hall to his room the place seemed clean but the smell got better the further I got to his hall.”
“My mom has had numerous UTI's a couple that nearly killed her, because she was left laying in her wet underpants, she was sick and we walked in on a cna verbally abusing her and the next day she had a stroke and they didn't call an ambulance, my sister called one.”
“I have a family member in the rehab unit, this rehab unit specifically the first shift care team is absolutely amazing! Very clean and attentive.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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 · 17 measures
6
measures
8
measures
3
measures
Residents who lost too much weight
Residents whose walking got worse
Residents vaccinated for the flu
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern of repeat problems with families filing many complaints triggering inspections. Key recurring issues include medication management errors, unsafe conditions and accident prevention, and infection control failures that persist across multiple surveys from 2022 through 2025. While all deficiencies show correction dates, the repeated citations in the same areas suggest ongoing systemic problems rather than lasting improvements.
May 5, 2025Complaint9
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
May 5, 2025Routine9
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
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.
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.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
May 16, 2024Complaint5
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Mar 28, 2024Complaint7
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate foot care.
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.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Feb 1, 2024Routine10
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Construction Deficiencies
Use approved construction type or materials.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Feb 1, 2024Complaint7
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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.
Federal Penalties
Fine
May 5, 2025
$90,845
Fine
Feb 1, 2024
$39,812
Payment Denial
Feb 1, 2024
20-day denial
Fine
Jun 26, 2023
$15,760
Ownership & Operations
Who Operates This Facility
The Greens at Gastonia
for profit
Chain Affiliation
Cch Healthcare
32 facilities nationwide
Chain avg rating: 2.5/5 · Rank 32 of 32 (Worst)
Ownership & Management
Owners
Bync Holdings LLC
Owner · Organization
Capital Holdings Trust
Owner (parent company) · Organization
Starlight Healthcare LLC
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
105 reviews from families & visitors
Official Website
Visit greensgastonia.com
Medicare data downloads
Original nursing home datasets
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