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
| Date | What inspectors found | Official grade | Fixed? |
|---|---|---|---|
| Oct 23, 2025Complaint 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 Dec 18, 2025 |
Show the 12 other findings (minimal risk or risk of harm)
| Date | What inspectors found | Grade | Fixed? |
|---|---|---|---|
| Aug 18, 2026Complaint investigation | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F 0684 | DRisk of harm | Reported fixed Aug 28, 2026 |
| Aug 18, 2026Complaint investigation | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F 0842 | BMinimal risk | Reported fixed Aug 28, 2026 |
| Dec 18, 2025Routine inspection | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. F 0729 | DRisk of harm | Reported fixed Jan 3, 2026 |
| Dec 18, 2025Routine inspection | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F 0644 | ERisk of harm | Reported fixed Jan 3, 2026 |
| Oct 23, 2025Complaint investigation | Provide care and assistance to perform activities of daily living for any resident who is unable. F 0677 | DRisk of harm | Reported fixed Dec 18, 2025 |
| Oct 24, 2024Fire safety · routine inspection | Have generator or other power source capable of supplying service within 10 seconds. K 0918 | DRisk of harm | Reported fixed Dec 10, 2024 |
| Oct 24, 2024Fire safety · routine inspection | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. K 0741 | DRisk of harm | Reported fixed Dec 10, 2024 |
| Oct 24, 2024Fire safety · routine inspection | Have simulated fire drills held at unexpected times. K 0712 | DRisk of harm | Reported fixed Dec 10, 2024 |
| Oct 24, 2024Fire safety · routine inspection | Have properly installed electrical wiring and gas equipment. K 0511 | DRisk of harm | Reported fixed Dec 10, 2024 |
| Oct 24, 2024Routine inspection | 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. F 0761 | DRisk of harm | Reported fixed Nov 8, 2024 |
| Oct 24, 2024Complaint investigation | Provide care and assistance to perform activities of daily living for any resident who is unable. F 0677 | DRisk of harm | Reported fixed Nov 8, 2024 |
| Oct 24, 2024Routine inspection | 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 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.
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 day | This home | NC avg |
|---|---|---|
| All nursing staff, adjusted for residents' needs · below most homes | 3.35 | 3.99 |
| Registered nurses | 0.42 | 0.62 |
| Nurse aides (most hands-on care) | 1.95 | 2.37 |
| All nursing staff on weekends | 3.15 | 3.40 |
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
- 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?
- The home was penalised on Oct 23, 2025. What was the problem, and is it fixed?
- Many nursing staff leave each year here. How long have the director of nursing and the administrator been in post?
- The ownership changed recently. What has the new owner changed — staff, management, services?
- 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.