Nursing home · Stanley, NC · Gaston County
Stanley Total Living Center
514 Old Mount Holly Road, Stanley, NC 28164 · (704) 263-1986 · 16.3 miles from uptown Charlotte
- Overall rating
- 4 of 5 stars
- Beds
- 106
- Ownership
- For profit - Corporation
- Takes
- Medicare and Medicaid
- Operator group
- Not part of a chain
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
4 of 5 stars
Medicare's summary of inspections, staffing and quality.
Serious inspection findings
Worse than most
3 findings of harm or jeopardy in 3 years
Grades G to L: a resident was hurt, or was in immediate danger.
Nurse staffing
Better than most
5.15 hours per resident a day
All nursing staff, adjusted for how much care residents need.
Staff turnover
Better than most
38% of nursing staff left in a year
High turnover means residents see unfamiliar staff.
Federal fines
About typical
$31,967 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.
2
Immediate jeopardy (J–L)
1
Residents were harmed (G–I)
21
Risk of harm (D–F)
0
Minimal risk (A–C)
Every finding of harm or immediate jeopardy
| Date | What inspectors found | Official grade | Fixed? |
|---|---|---|---|
| Oct 25, 2024Routine inspection | Provide and implement an infection prevention and control program. F 0880 | Grade JImmediate jeopardy | Reported fixed Nov 23, 2024 |
| Oct 25, 2024Complaint investigation | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F 0689 | Grade GResidents were harmed | Reported fixed Jul 12, 2024 |
| Oct 25, 2024Routine inspection | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F 0726 | Grade JImmediate jeopardy | Reported fixed Nov 23, 2024 |
Show the 21 other findings (risk of harm)
| Date | What inspectors found | Grade | Fixed? |
|---|---|---|---|
| Jan 8, 2026Fire safety · routine inspection | Have properly installed electrical wiring and gas equipment. K 0511 | DRisk of harm | Reported fixed Apr 30, 2026 |
| Jan 8, 2026Fire safety · routine inspection | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. K 0372 | DRisk of harm | Reported fixed Apr 30, 2026 |
| Jan 8, 2026Fire safety · routine inspection | Inspect, test, and maintain automatic sprinkler systems. K 0353 | DRisk of harm | Reported fixed Apr 30, 2026 |
| Jan 8, 2026Fire safety · routine inspection | Have approved installation, maintenance and testing program for fire alarm systems. K 0345 | DRisk of harm | Reported fixed Apr 30, 2026 |
| Jan 8, 2026Fire safety · routine inspection | Have exits that are accessible at all times. K 0271 | DRisk of harm | Reported fixed Apr 30, 2026 |
| Jan 8, 2026Fire safety · routine inspection | Have generator or other power source capable of supplying service within 10 seconds. K 0918 | DRisk of harm | Reported fixed Apr 30, 2026 |
| Jan 8, 2026Routine inspection | Provide safe and appropriate respiratory care for a resident when needed. F 0695 | DRisk of harm | Reported fixed Jan 22, 2026 |
| Jan 8, 2026Fire safety · routine inspection | Have proper fire barriers, ventilation and signs for the transfilling of oxygen. K 0927 | DRisk of harm | Reported fixed Apr 30, 2026 |
| Jan 8, 2026Fire safety · routine inspection | Use approved construction type or materials. K 0161 | DRisk of harm | Reported fixed Apr 30, 2026 |
| Oct 25, 2024Complaint investigation | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F 0758 | DRisk of harm | Reported fixed Nov 23, 2024 |
| Oct 25, 2024Fire safety · routine inspection | Keep aisles, corridors, and exits free of obstruction in case of emergency. K 0211 | DRisk of harm | Reported fixed Jan 17, 2025 |
| Oct 25, 2024Routine inspection | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F 0655 | DRisk of harm | Reported fixed Nov 23, 2024 |
| Oct 25, 2024Complaint investigation | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F 0656 | DRisk of harm | Reported fixed Nov 23, 2024 |
| Oct 25, 2024Fire safety · routine inspection | Install a fire alarm system that can be heard throughout the facility. K 0341 | DRisk of harm | Reported fixed Jan 17, 2025 |
| Oct 25, 2024Fire safety · routine inspection | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. K 0372 | DRisk of harm | Reported fixed Jan 17, 2025 |
| Oct 25, 2024Fire safety · routine inspection | Have a battery powered remote alarm panel in a location accessible by operating personnel. K 0916 | DRisk of harm | Reported fixed Jan 17, 2025 |
| Oct 25, 2024Fire safety · routine inspection | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. K 0914 | DRisk of harm | Reported fixed Jan 17, 2025 |
| Oct 25, 2024Fire safety · routine inspection | Meet requirements for the installation and maintenance of electrical systems. K 0911 | DRisk of harm | Reported fixed Jan 17, 2025 |
| Oct 25, 2024Fire safety · routine inspection | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. K 0521 | DRisk of harm | Reported fixed Jan 17, 2025 |
| Oct 25, 2024Fire safety · routine inspection | Have properly installed electrical wiring and gas equipment. K 0511 | DRisk of harm | Reported fixed Jan 17, 2025 |
| Oct 25, 2024Fire safety · routine inspection | Have generator or other power source capable of supplying service within 10 seconds. K 0918 | DRisk of harm | Reported fixed Jan 17, 2025 |
North Carolina's own inspections
NC's inspectors have posted 1 report newer than the federal data: Jan 29, 2026. They are not in Care Compare yet.
Penalties
- Oct 25, 2024 · Federal fine$31,967
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 day | This home | NC avg |
|---|---|---|
| All nursing staff, adjusted for residents' needs | 5.15 | 3.99 |
| Registered nurses | 1.09 | 0.62 |
| Nurse aides (most hands-on care) | 3.15 | 2.37 |
| All nursing staff on weekends | 4.07 | 3.40 |
From payroll records the home must submit to CMS. Weekends here have about 20% fewer nursing hours per resident than the week as a whole.
Quality of care
Long-stay residents, 2025 Q3 to 2026 Q2. Lower is better for every measure shown.
Falls with a major injury
2.7% vs 3.5% at nearby NC homes
Pressure sores (bedsores)
4.7% vs 4.8% at nearby NC homes
Given antipsychotic medicine
9.5% vs 12.3% at nearby NC homes
Urinary tract infection
3.8% vs 1.6% at nearby NC homes
Higher than most nearby homes
Lost too much weight
7.0% vs 6.7% at nearby NC homes
Catheter left in the bladder
0.9% vs 0.4% at nearby NC homes
Higher than most nearby homes
What it costs
NC Medicaid paid this home $294.14 a day (about $8,942 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
Operational or managerial control: Defelice, Jennifer.
North Carolina licence holder: Stanley Total Living Center Inc.
What you can do
Questions to ask on a tour, from this record
- Inspectors found immediate jeopardy on Oct 25, 2024 (Provide and implement an infection prevention and control program). What changed afterwards, and who is responsible for it now?
- The home was penalised on Oct 25, 2024. What was the problem, and is it fixed?
- Weekend staffing is thinner here. Who is on duty on a Saturday night, and how many residents does each aide care for?
- May I see your most recent inspection report? (Nursing homes must keep it where residents and visitors can read it.)
- How many residents does each nurse aide care for on day, evening and night shifts?
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.