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Nursing HomeMedicaid Investigative

The Greens at Gastonia

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

969 Cox Road, Gastonia, NC 28054162 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.5/5

based on 105 Google reviews

5
4
3
2
1
The Greens at Gastonia Nursing Home in Gastonia, NC — Street View
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8/ 10
critical Risk

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

Source: Medicare data

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 details
Food6.0Staff4.0Clean3.0Activities9.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • 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

2343.02022(2)3.12023(18)3.62024(23)3.62025(31)4.12026(36)

Distribution · 110 analyzed

5
63
4
13
3
1
2
0
1
33

How They Respond to Reviews

97%response rate

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.

Rehab patient's family · 2023★★★★★

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.

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

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.

Rehab patient's family · 2026★★★★★
Source: 105 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.41hrs
55%
Registered nurses for medical care
Total Nursing
3.35hrs
82%
All nurses + aides combined
Staff Turnover
72%
Lower is better (< 30% = good)
RN Turnover
64%
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 · 17 measures

Medicare Rating
2/ 5
Better Than Avg

6

measures

Worse Than Avg

8

measures

Mixed Results

3

measures

Long-Stay Residents
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility20.4%
Worse than Avg
Here
20.4%
US
5.3%
NC
7.2%
Gaston
4.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility28.4%
Worse than Avg
Here
28.4%
US
15.3%
NC
20.2%
Gaston
23.3%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility84.8%
Worse than Avg
Here
84.8%
US
95.5%
NC
94.1%
Gaston
97.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
NC
5.4%
Gaston
10.3%

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 Facility85.5%
Worse than Avg
Here
85.5%
US
93.4%
NC
91.7%
Gaston
96.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.2%
Better than Avg
Here
5.2%
US
15.4%
NC
14.1%
Gaston
12.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility90.0%
Better than Avg
Here
90.0%
US
79.7%
NC
78.1%
Gaston
85.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility78.2%
Worse than Avg
Here
78.2%
US
81.8%
NC
80.1%
Gaston
86.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
1.6%
NC
1.5%
Gaston
0.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies
4penalties
Well above state avg (5.6)
36 complaint-triggered
$146,417 in fines

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, 2025Complaint
9
0689Immediate jeopardy · 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.

0602Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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.

0558Potential for harm · IsolatedResolved (past non-compliance)

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

May 5, 2025Routine
9
0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

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.

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.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

0842Potential for harm · IsolatedCorrected

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.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0911Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

May 16, 2024Complaint
5
0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for 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.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0842Minimal · PatternCorrected

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, 2024Complaint
7
0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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.

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.

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

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.

0842Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Feb 1, 2024Routine
10
0809Potential for harm · PatternCorrected

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.

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.

0580Potential for harm · IsolatedCorrected

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Feb 1, 2024Complaint
7
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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

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.

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0689Potential for 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.

0725Potential for harm · IsolatedCorrected

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.

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.

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

Owner / Operator

The Greens at Gastonia

Organization Type

for profit

Chain Affiliation

Chain Name

Cch Healthcare

Chain Size

32 facilities nationwide

Chain avg rating: 2.5/5 · Rank 32 of 32 (Worst)

Ownership & Management

Owners

Bync Holdings LLC

Owner · Organization

100%

Capital Holdings Trust

Owner (parent company) · Organization

47%

Starlight Healthcare LLC

Owner (parent company) · Organization

50%

Key personnel

Fairman, ShawnnaW-2 Managing EmployeeJeremias, BaruchOfficer / DirectorStern, JacobOfficer / DirectorStern, JacobOfficer / Director
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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