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Carolina Care Health and Rehabilitation

111 Harrelson Street, Cherryville, NC 28021 · Gaston County · (704) 435-4161

107 certified beds, about 101 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1986

Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 345255 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 16, 2026, inspectors cited 0 health deficiencies (the North Carolina average is 4.7, the national average 9.2).

None of its 9 health citations since January 2024 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.11 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.44 of those hours.

42.3% of nursing staff left within the year CMS measured (North Carolina average 49.0%).

CMS links it to Sanstone Health & Rehabilitation, an affiliated group of 18 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
1E
0F
Potential for minimal harm
0A
1B
0C
April 16, 2026Standard inspection · 0 citations
February 27, 2025Standard inspection · 6 citations
  1. D
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2025
    Inspectors wroteBased on record review and staff interviews, the facility failed to maintain accurate advanced directives throughout the medical record for 1 of 19 residents reviewed for advanced directives (Resident #62).
  2. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2025
    Inspectors wroteBased on record review and staff interviews the facility failed to ensure a Preadmission Screening and Resident Review (PASRR), level II was completed after a readmission with mental health diagnoses for 1 of 3 residents (Resident #40) reviewed for PASRR.
  3. D
    Provide appropriate foot care.
    F687 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2025
    Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to provide toenail care to 1 of 2 residents (Resident #82) who were dependent on staff for assistance with activities of daily living (ADL).
  4. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2025
    Inspectors wroteBased on record review, and interviews with staff, Consultant Pharmacist, and Nurse Practitioners, the facility failed to respond to identified drug irregularities related to the use of as needed (PRN) psychotropic drug (drug that affects mental state) and provide follow up recommendations for 1 of 5 sampled residents reviewed for unnecessary medications (Resident #83).
  5. D
    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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 22, 2025
    Inspectors wroteBased on record review, and interviews with staff and Nurse Practitioners, the facility failed to ensure physician's orders for as needed (PRN) psychotropic drug (drug that affects mental state) was time limited in duration and provided rationales for therapy exceeding 14 days for 1 of 5 sampled residents reviewed for unnecessary medications (Residents #83).
  6. B
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for minimal harm, pattern · deficient, provider has March 21, 2025
    Inspectors wroteBased on record review, resident, staff, and responsible party (RP) interviews the facility failed to notify the resident and the Responsible Party in writing of transfers to the hospital for 2 of 2 residents reviewed for facility initiated discharge (Resident #6 and Resident #55).
January 5, 2024Standard inspection · 3 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 6, 2024
    Inspectors wroteBased on observations, record review and staff interviews, the facility failed to ensure items stored ready for use were labeled and dated and/or failed to remove expired food items in 1 of 2 nourishment rooms (300 Hall). These practices had the potential to affect food served to residents.
  2. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 6, 2024
    Inspectors wroteBased on record review and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) in the areas of hospice services, seizure disorder, and discharge for 3 of 6 residents whose MDS assessments were reviewed (Resident #15, # 205 and #83). Findings Include: 1. Resident #15 was admitted to the facility on [DATE] with diagnoses that included end stage renal failure. Review of Resident #15's care plan initiated on 11/09/23 for Hospice care with interventions that included Hospice services provided, facility to work with Hospice team and continue to make Resident #15 comfortable. The admission MDS assessment dated [DATE] indicated Resident #15 was moderately cognitively impaired. He was not coded for receiving Hospice services both while a resident and while not a resident. [...]
  3. D
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 6, 2024
    Inspectors wroteBased on record reviews and staff interviews, the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor interventions the committee put into place following the recertification and complaint investigation surveys that occurred on 08/12/21 and 08/25/22. This was for one deficiency cited in August 2021 and August 2022 in the area of Accuracy of Assessments and subsequently cited on the current recertification and complaint investigation survey of 01/05/24. The continued failure of the facility during three federal surveys showed a pattern of the facility's inability to sustain an effective Quality Assessment and Assurance Program.

Fire safety inspections

5 fire safety citations on file: 1 on April 16, 2026, 3 on February 27, 2025, 1 on January 5, 2024.

Every fire safety citation5 citations
  1. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 16, 2026 · Not yet corrected
  2. D
    Use approved construction type or materials.
    K 161 · February 27, 2025 · Corrected (the home has a date of correction)
  3. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 27, 2025 · Corrected (the home has a date of correction)
  4. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 27, 2025 · Corrected (the home has a date of correction)
  5. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 5, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeNorth CarolinaUnited States
All nursing staff (RN, LPN and aides)4.113.853.86
Registered nurses0.440.620.69
All nursing staff on weekends3.403.423.42
Nurse aides2.73
Licensed practical nurses0.94
Nursing staff turnover (share who left in a year)42.3%49.0%45.8%
Registered nurse turnover35.7%45.6%42.9%
Administrators who left0

CMS expects 4.18 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.39 on weekdays and 3.40 on weekends, 23% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.14 in April to June 2025 to 4.11 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.110.444.393.40 0.0%0 of 90101
Oct to Dec 20253.980.474.283.21 0.1%0 of 92102
Jul to Sep 20254.100.484.413.31 0.1%0 of 92102
Apr to Jun 20254.140.424.433.42 1.0%0 of 9195
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
North Carolina, Jan to Mar 20263.650.533.823.258.0%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for North Carolina

JobMedianMiddle halfEmployed
North Carolina, all employers
CNAs (nursing assistants)$18.49$17.28 to $21.0864,010
LPNs and LVNs$30.42$28.50 to $33.5118,010
Registered nurses$40.56$37.87 to $49.06111,120
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeNorth CarolinaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
10.615.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.20.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.02.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.13.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.31.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
14.318.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.65.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
6.114.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.922.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
16.612.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.51.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.61.81.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Carolina Care Health and Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (64.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

64.8% this home

Better than the national rate

US median of homes 51.5% · North Carolina: 93 better, 25 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 184 eligible stays.

Potentially preventable readmissions

11.0% this home

No different from the national rate

US median of homes 10.7% · North Carolina: 1 better, 4 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 209 eligible stays.

Infections that led to a hospital stay

7.5% this home

No different from the national rate

US median of homes 7.1% · North Carolina: 1 better, 3 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 121 eligible stays.

Self-care and mobility at discharge

82.3% this home

Median of homes: North Carolina54.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 85 residents counted.

Falls with major injury

0.0% this home

Median of homes: North Carolina0.6% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 116 residents counted.

New or worsened pressure ulcers

0.7% this home

Median of homes: North Carolina2.5% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 116 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: North Carolina97.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 8 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: CAROLINA CARE HEALTH AND REHABILITATION LLC. CMS links this home to Sanstone Health & Rehabilitation, a group of 18 nursing homes averaging 4.3 stars overall.

NameRoleTypeShareSince
Ardent Health and Rehabilitation Co5% or greater direct ownership interestOrganization01/01/2017
Sprenger, Christopher5% or greater direct ownership interestIndividual01/01/2017
Carolina Care Healthcare Properties LLC5% or greater mortgage interestOrganization04/01/2017
Alfaro, TravisW-2 managing employeeIndividual08/09/2021

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on February 27, 2025: "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."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on February 27, 2025: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on February 27, 2025: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on February 27, 2025: "Provide appropriate foot care."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.40 hours per resident per day, below the North Carolina average of 3.42.

Other nursing homes nearby

North Carolina contacts for a concern about a nursing home

These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.

Common questions

What is Carolina Care Health and Rehabilitation's Medicare star rating?
CMS rates Carolina Care Health and Rehabilitation 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Carolina Care Health and Rehabilitation get at its last inspection?
0 health deficiencies at the standard inspection on April 16, 2026. The North Carolina average is 4.7.
Has Carolina Care Health and Rehabilitation been fined?
CMS lists no fines in the last three years.
Does Carolina Care Health and Rehabilitation accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Carolina Care Health and Rehabilitation?
CMS lists 4 owners and managers, and links the home to Sanstone Health & Rehabilitation. Legal business name: CAROLINA CARE HEALTH AND REHABILITATION LLC.

Sources

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