Nursing home · Gastonia, NC · Gaston County

Gastonia Health & Rehab Center

1770 Oak Hollow Road, Gastonia, NC 28054 · (704) 853-8175 · 18.3 miles from uptown Charlotte

Overall rating
2 of 5 stars
Beds
60
Ownership
For profit - Limited Liability company
Takes
Medicare and Medicaid
Operator group
Saber Healthcare Group

Federal data: Medicare's October 2026 release. North Carolina records checked Nov 2, 2026.

At a glance

Compared with all 419 North Carolina nursing homes that take Medicare or Medicaid. "Worse than most" means among the worst quarter of North Carolina homes on that measure; "better than most", the best quarter.

Overall star rating

About typical

2 of 5 stars

Medicare's summary of inspections, staffing and quality.

Serious inspection findings

About typical

1 finding of harm or jeopardy in 3 years

Grades G to L: a resident was hurt, or was in immediate danger.

Nurse staffing

Worse than most

3.35 hours per resident a day

All nursing staff, adjusted for how much care residents need.

Staff turnover

Worse than most

83% of nursing staff left in a year

High turnover means residents see unfamiliar staff.

Federal fines

About typical

$15,808 in 3 years

Fines follow the most serious or repeated problems.

Inspections

Every federal health inspection finding since November 2023. Inspectors grade each problem with an official letter, A to L. We show the letter and say in plain words what it means.

0

Immediate jeopardy (J–L)

1

Residents were harmed (G–I)

11

Risk of harm (D–F)

1

Minimal risk (A–C)

Every finding of harm or immediate jeopardy

DateWhat inspectors foundOfficial gradeFixed?
Oct 23, 2025Complaint investigationEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F 0689Grade GResidents were harmedReported fixed Dec 18, 2025
Show the 12 other findings (minimal risk or risk of harm)
DateWhat inspectors foundGradeFixed?
Aug 18, 2026Complaint investigationProvide appropriate treatment and care according to orders, resident’s preferences and goals. F 0684DRisk of harmReported fixed Aug 28, 2026
Aug 18, 2026Complaint investigationSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F 0842BMinimal riskReported fixed Aug 28, 2026
Dec 18, 2025Routine inspectionVerify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. F 0729DRisk of harmReported fixed Jan 3, 2026
Dec 18, 2025Routine inspectionCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F 0644ERisk of harmReported fixed Jan 3, 2026
Oct 23, 2025Complaint investigationProvide care and assistance to perform activities of daily living for any resident who is unable. F 0677DRisk of harmReported fixed Dec 18, 2025
Oct 24, 2024Fire safety · routine inspectionHave generator or other power source capable of supplying service within 10 seconds. K 0918DRisk of harmReported fixed Dec 10, 2024
Oct 24, 2024Fire safety · routine inspectionHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. K 0741DRisk of harmReported fixed Dec 10, 2024
Oct 24, 2024Fire safety · routine inspectionHave simulated fire drills held at unexpected times. K 0712DRisk of harmReported fixed Dec 10, 2024
Oct 24, 2024Fire safety · routine inspectionHave properly installed electrical wiring and gas equipment. K 0511DRisk of harmReported fixed Dec 10, 2024
Oct 24, 2024Routine inspectionEnsure 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. F 0761DRisk of harmReported fixed Nov 8, 2024
Oct 24, 2024Complaint investigationProvide care and assistance to perform activities of daily living for any resident who is unable. F 0677DRisk of harmReported fixed Nov 8, 2024
Oct 24, 2024Routine inspectionDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F 0656DRisk of harmReported fixed Nov 8, 2024

North Carolina's own inspections

NC's inspectors have posted 1 report newer than the federal data: Sep 25, 2026. They are not in Care Compare yet.

Read the state reports on NC DHSR's site

Penalties

  • Oct 23, 2025 · Federal fine$4,940
  • Oct 23, 2025 · Payment denial: Medicare and Medicaid stopped paying for new admissions from Nov 15, 2025 (49 days)
  • Oct 23, 2025 · Federal fine$10,868

Federal fines follow the most serious or repeated problems. A payment denial stops Medicare and Medicaid paying for new admissions — in practice, a pause on new admissions; residents already there are not affected by it.

Staffing

Hours of care per resident a dayThis homeNC avg
All nursing staff, adjusted for residents' needs · below most homes3.353.99
Registered nurses0.420.62
Nurse aides (most hands-on care)1.952.37
All nursing staff on weekends3.153.40

From payroll records the home must submit to CMS.

Quality of care

Long-stay residents, 2025 Q3 to 2026 Q2. Lower is better for every measure shown.

Falls with a major injury

6.5% vs 3.5% at nearby NC homes

Higher than most nearby homes

Pressure sores (bedsores)

1.9% vs 4.8% at nearby NC homes

Given antipsychotic medicine

10.9% vs 12.3% at nearby NC homes

Urinary tract infection

1.8% vs 1.6% at nearby NC homes

Lost too much weight

4.5% vs 6.7% at nearby NC homes

Catheter left in the bladder

0.0% vs 0.4% at nearby NC homes

What it costs

NC Medicaid paid this home $310.10 a day (about $9,427 a month) for a resident on Medicaid, effective Jan 1, 2024 — the newest rate NC Medicaid has published. The typical nursing home near Charlotte was paid $322.34 a day.

This is what Medicaid pays, not what the home charges.

No public record lists private-pay prices or whether a bed is free today. Call the home and ask about both.

Who owns and runs it

Operator group (as Medicare groups it): Saber Healthcare Group, 126 homes nationally, averaging 3.0 stars.

Operational or managerial control: Rader, Ashley, Lawson, Ryan, Hopping, Darin, SHG Management LLC.

The newest owner on the record was added in February 2026.

North Carolina licence holder: Gastonia Health & Rehab Center, LLC.

Same chain nearby: Matthews Health & Rehab Center, Lakeside Health & Rehab Center, Autumn Care of Cornelius.

What you can do

Questions to ask on a tour, from this record

  1. Inspectors found residents were harmed on Oct 23, 2025 (Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents). What changed afterwards, and who is responsible for it now?
  2. The home was penalised on Oct 23, 2025. What was the problem, and is it fixed?
  3. Many nursing staff leave each year here. How long have the director of nursing and the administrator been in post?
  4. The ownership changed recently. What has the new owner changed — staff, management, services?
  5. May I see your most recent inspection report? (Nursing homes must keep it where residents and visitors can read it.)

If your family member already lives here

A record like this is a reason to watch closely and ask questions, not necessarily to move — moving a frail person carries risks of its own. Raise concerns with the director of nursing first, in writing if serious. If that doesn't resolve them, call the free Long-Term Care Ombudsman (Centralina, (800) 508-5777) or file a complaint with the state (NC DHSR, 1-800-624-3004, weekdays). If someone is in danger now, call 911.

Sources and limits

From Medicare's Care Compare data (inspections, penalties, payroll-based staffing, quality measures and ownership), North Carolina DHSR licence lists and inspection reports, and NC Medicaid rate files. North Carolina homes are compared only with other North Carolina homes, never across states. Check this home on Medicare Care Compare.

What this page can't tell you: price, whether a bed is free, or what daily life is like — food, activities, kindness. No public record measures those. Visit more than once, at different times of day. Spotted an error? Tell us.