Home / North Carolina / Gatesville
38 Carters Road, Gatesville, NC 27938 · Gates County · (252) 357-2124
70 certified beds, about 52 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1991
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345406 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on August 15, 2025, inspectors cited 3 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
None of its 11 health citations since May 2023 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 3.21 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.34 of those hours.
51.0% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to August Healthcare, an affiliated group of 6 nursing homes.
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.
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 11 health citations on file.
Inspectors wroteBased on observation and staff interviews, the facility failed to keep 1 of 1 walk-in refrigerator walls free of a dark black/green substance. The Findings Included: An initial tour of the kitchen was conducted on 8/12/2025 at 10:20 am. A dark black /green substance was observed on all four walls of the walk-in refrigerator. An area located under the refrigerator rack and adjacent to the walk-in freezer door was observed to have a large area of a dark black/green substance in the corner that extended to the floor. An interview and observation were conducted on 8/12/2025 at 10:25 am of the walk-in- refrigerator with the Dietary Manager. Upon observation of the walk-in refrigerator, the Dietary Manager stated she did not know what the substance was on the walk-in refrigerator walls. She further stated the dietary staff cleaned the walk-in- refrigerator every Wednesday. [...]
Inspectors wroteBased on observation, record review, and interviews with staff and the Wound Care Physician, the facility failed to (1) follow Physician's instructions to apply betadine (an antiseptic) and leave it open to air on a resident's right heel pressure wound, (2) ensure a resident's left buttock pressure ulcer was cleaned before applying a clean dressing, and (3) clean wounds starting from the center of the wound and moving to the outer edges of the wound in a continuous circular motion. This deficient practice affected 1 of 3 residents observed for pressure ulcers (Resident #56).
Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to keep a urinary catheter drainage bag from touching the floor to reduce the risk of infection for 1 of 1 resident reviewed for urinary catheter (Resident #56).
Inspectors wroteBased on record review and interviews with resident and staff, the facility failed to ensure the resident's right to file a grievance and receive written notification of the decision regarding the grievance investigation for 4 of 5 residents reviewed for the grievance process. (Resident #17, Resident #9, Resident #22, and Resident #21)
Inspectors wroteBased on observations, record review, resident and staff interview the facility failed to maintain an effective pest control program as evidenced by the presence of flies on 2 of 5 Hallways that affected resident rooms 117, 118, 121, 122, and 123.
Inspectors wroteBased on record review, staff, and resident interviews the facility failed to establish a frequency of smoking times to meet the residents' choices for 4 of 10 residents (Resident # 38, Resident #10, Resident #34, and Resident # 5) who were identified as smokers.
Inspectors wroteBased on observation and staff interview the facility failed to maintain food service equipment clean without a debris build up on 1 of 1 convection ovens observed for cleanliness, and failed to maintain 9 of 9 sheet pans and 2 of 2 sauce pans free of dried food debris. This practice has the potential for cross contamination of food served to residents. This was evident in 2 of 2 kitchen observations.
Inspectors wroteBased on record review, resident interview, and staff interviews, the facility failed to allow two residents that were non-compliant with the facility smoking policy to remain in the facility for 2 of 2 residents reviewed for facility-initiated discharge (Resident #32 and Resident #23).
Inspectors wroteBased on record review, resident interview, staff interviews, Physician interview, Wound Physician interview, Ombudsman, and receiving facility's Administrator (Administrator #2) and admission Director (admission Director #2) interviews, the facility failed to provide a safe and orderly discharge when the facility staff left Resident #32 and Resident #23 at the receiving facility after being informed the residents were not accepted for admission for 2 of 2 residents reviewed for facility-initiated discharge (Resident #32 and Resident #23).
Inspectors wroteBased on record review and staff interviews the facility failed to implement an individualized person-centered care plan for a resident with a diagnosis of Alzheimer's Disease and usage of a hypnotic medication for 1 of 2 residents reviewed for Dementia Care (Resident #4).
Inspectors wroteBased on record review and staff interviews, the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor these interventions the committee put into place following the 1/29/21 complaint investigation and the 3/17/22 complaint and recertification survey. This was for a recited deficiency on the current complaint and recertification survey of 5/11/23 in care plan development and implementation (F656). The continued failure during two or more federal surveys of record shows a pattern of the facility's inability to sustain an effective QAA program.
8 fire safety citations on file: 2 on August 14, 2024, 6 on May 11, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.21 | 3.85 | 3.86 |
| Registered nurses | 0.34 | 0.62 | 0.69 |
| All nursing staff on weekends | 2.69 | 3.42 | 3.42 |
| Nurse aides | 1.83 | ||
| Licensed practical nurses | 1.05 | ||
| Nursing staff turnover (share who left in a year) | 51.0% | 49.0% | 45.8% |
| Registered nurse turnover | 80.0% | 45.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.28 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.42 on weekdays and 2.69 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.60 in April to June 2025 to 3.21 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.21 | 0.34 | 3.42 | 2.69 | 4.7% | 2 of 90 | 52 |
| Oct to Dec 2025 | 3.44 | 0.35 | 3.69 | 2.79 | 2.6% | 0 of 92 | 52 |
| Jul to Sep 2025 | 3.50 | 0.57 | 3.72 | 2.94 | 3.8% | 0 of 92 | 52 |
| Apr to Jun 2025 | 3.60 | 0.71 | 3.82 | 3.05 | 6.8% | 0 of 91 | 47 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 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
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. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| North Carolina, all employers | |||
| CNAs (nursing assistants) | $18.49 | $17.28 to $21.08 | 64,010 |
| LPNs and LVNs | $30.42 | $28.50 to $33.51 | 18,010 |
| Registered nurses | $40.56 | $37.87 to $49.06 | 111,120 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 17.0 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.2 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.3 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.7 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 19.7 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.6 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.3 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.2 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 2.6 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.7 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Gates Health and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (44.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
44.9% this home
No different from 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. 27 eligible stays.
13.1% 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. 50 eligible stays.
7.7% 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. 28 eligible stays.
40.0% 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. 25 residents counted.
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. 35 residents counted.
8.0% 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. 35 residents counted.
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.
Legal business name: GATESVILLE NC OPCO LLC. CMS links this home to August Healthcare, a group of 6 nursing homes averaging 2.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Augustnc Holdco LLC | Direct ownership interest | Organization | 01/01/2025 | |
| Cohen, Itamar | Indirect ownership interest | Individual | 01/01/2025 | |
| Augustnc Holdco LLC | Operational/managerial control | Organization | 01/01/2025 | |
| Beatty, Laticia | Operational/managerial control | Individual | 01/01/2025 | |
| Cohen, Itamar | Operational/managerial control | Individual | 01/01/2025 | |
| Ferguson, Steven | Operational/managerial control | Individual | 01/01/2025 | |
| Hyman, Simcha | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 07/17/2025 | |
| Hc Family Trust | Adp of the SNF | Organization | 01/01/2025 | |
| Nc SNF Propco Holdings LLC | Adp of the SNF | Organization | 01/01/2025 | |
| Zanziper Family Trust | Adp of the SNF | Organization | 01/01/2025 | |
| Beatty, Laticia | Adp of the SNF | Individual | 04/23/2025 | |
| Ferguson, Steven | Adp of the SNF | Individual | 02/24/2025 | |
| Zanziper, Naftali | Adp of the SNF | Individual | 01/01/2025 |
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.
Chosen from this home's own inspection record.
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.