Above average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Autumn Care Of Statesville during CMS and state inspections, most recent first.
Two residents’ controlled opioid pain meds went missing from medication carts, along with declining count sheets and shift inventory documentation. One resident’s oxycodone/acetaminophen card was found missing with altered narcotic records, and another resident’s hydrocodone/acetaminophen card and count sheet were also unaccounted for. Staff interviews and record review showed the meds had been delivered to the facility, but the facility could not determine who removed them or when the documentation was altered.
A resident had an Oxycodone/APAP order discontinued, but the medication remained on the med cart instead of being promptly returned to the pharmacy. Staff said discontinued controlled meds were left on carts until nurse managers removed them, and the DON stated this happened about twice a week. During a missing narcotic investigation, the DON found the last count showed tablets still present, and the Administrator said the facility lacked required two-nurse signatures on key controlled-substance records.
A resident with multiple chronic conditions was found with a cup of medications left at her bedside after informing a nurse she was not ready to take them. The resident had not been assessed or authorized to self-administer medications, and there was no care plan in place for self-administration. Nursing staff and facility leadership confirmed that no residents were permitted to self-administer medications without proper assessment and a physician's order, yet medications were left unattended with the resident.
A resident admitted with a DNR order did not have the corresponding DNR form in the code status notebook at the nursing desk, leading staff to potentially treat the resident as a full code. The Social Worker responsible for auditing code status failed to include the resident in the most recent audit, and both the DON and Administrator confirmed the inconsistency between the medical record and the code status notebook.
Staff failed to clean and disinfect an individually assigned glucometer before and after use for a resident receiving blood glucose monitoring, contrary to manufacturer instructions and facility policy. Additionally, during wound care for a resident with a chronic wound, neither the wound care PA nor the nurse wore a gown as required by Enhanced Barrier Precautions, and there was confusion among staff regarding the resident's EBP status.
Missing Controlled Opioid Medications and Altered Narcotic Counts
Penalty
Summary
The facility failed to protect residents from the wrongful use of their controlled opioid pain medications when two residents’ narcotic cards and associated declining count sheets went missing from medication carts and were never located. One resident had an order for oxycodone/acetaminophen for pain related to polyneuropathy, and the record showed the resident received a dose shortly before the medication was later discontinued and replaced with other pain orders. Survey findings showed that 30 tablets of oxycodone/acetaminophen 10/325 mg had been delivered to the facility, but 28 tablets were later reported missing along with the resident’s declining count sheet and the shift inventory documentation had been altered. For the second resident, who had osteoarthritis and a standing order for hydrocodone/acetaminophen 5/325 mg four times daily, the facility received 120 tablets in four cards. Later, one card of hydrocodone/acetaminophen and the declining count sheet were discovered missing from the medication cart. The shift change controlled substance inventory sheet had also been restarted without the prior sheet being available to verify the count. Staff interviews showed that nurses and medication aides could not account for when or how the medication and documentation disappeared, and the facility could not determine who removed them. The investigation described that staff found altered narcotic documentation, missing controlled substance cards, and missing declining count sheets on more than one medication cart. Interviews with nurses, medication aides, the DON, the pharmacist, and the NP confirmed that the medications had been delivered to the facility and were supposed to remain accounted for on the carts, but the facility was unable to locate the missing tablets or the related records. The report states that the allegation of diversion was substantiated for one resident and that the facility could not definitively determine what happened to the missing medications for the other resident.
Discontinued controlled medication remained on cart without effective return process
Penalty
Summary
The facility failed to have effective systems in place for the return of discontinued controlled medications to the pharmacy for one resident. Resident #41 had an order for Oxycodone/Acetaminophen 10/325 mg every six hours as needed for pain, which was discontinued the next day, and a new order was written for Oxycodone/Acetaminophen 5/325 mg every eight hours as needed. The pharmacy delivery sheet showed that 30 tablets of the discontinued Oxycodone/Acetaminophen 10/325 mg were delivered to the facility and received by a nurse. Staff interviews showed that discontinued controlled medications were left on the medication cart until nurse managers removed them, and the DON stated this occurred about twice a week. The DON also stated that the discontinued medication remained in the medication cart after it was discontinued. During the investigation of a missing controlled pain medication, the DON found that the last count showed 28 tablets remaining shortly after midnight, and the Administrator stated the facility later discovered nurses and medication aides were not required to have two nurses' signatures on shift change control inventory sheets, the pharmacy delivery sheets, or the declining count sheet for that controlled medication.
Failure to Assess and Authorize Self-Administration of Medications
Penalty
Summary
A resident with a history of chronic respiratory failure, stroke with hemiplegia and hemiparesis, hypertension, and heart failure was observed with a cup of medications left at her bedside. The resident was cognitively intact and reported that a nurse had given her the medication but left it in the room when she stated she was not ready to take it. The resident was unsure of all the medications present in the cup, identifying only potassium among them. Review of the resident's medical record revealed no documentation of an assessment for self-administration of medications and no care plan addressing self-administration. Interviews with nursing staff confirmed that the resident did not have an order to self-administer medications and that medications should not have been left at the bedside. The nurse who left the medications was unaware of any self-administration assessment or order for the resident. Facility leadership, including the DON and Administrator, confirmed that no residents were currently authorized to self-administer medications and that facility policy required an assessment and physician's order before allowing self-administration. Despite this, medications were left unattended with the resident, contrary to facility policy and without proper assessment or authorization.
Failure to Ensure Accurate and Consistent Code Status Documentation
Penalty
Summary
The facility failed to ensure that a resident's code status information was accurate and consistent throughout the medical record and related documentation. The resident was admitted with a Do Not Resuscitate (DNR) order, as indicated in both the hospital discharge summary and the physician's orders. However, the DNR form was not present in the code status notebook kept at the nursing desk, which is used by nursing staff to quickly determine a resident's code status in urgent situations. When the nurse checked the notebook and did not find the DNR form, she would have determined the resident to be a full code, contrary to the documented DNR status in the medical record. Interviews with facility staff revealed that the Social Worker was responsible for auditing code status information, but the resident in question was not included in the most recent audit. The Social Worker could not explain why the resident was omitted, as the audit list was supposed to be generated directly from the medical record. Both the DON and the Administrator acknowledged the discrepancy between the medical record and the code status notebook, confirming that the resident's code status was not accurately reflected across all required documentation at the time of the survey.
Failure to Disinfect Glucometer and Implement Enhanced Barrier Precautions During Wound Care
Penalty
Summary
The facility failed to properly clean and disinfect an individually assigned glucometer according to the manufacturer's recommendations for a resident undergoing blood glucose monitoring. During observation, a nurse retrieved the resident's glucometer from a labeled plastic bag in the medication cart, used it to check the resident's blood glucose, and returned it to the bag without cleaning or disinfecting it before or after use. The nurse stated that glucometers were typically cleaned once a day unless visibly soiled, and that she did not perform the cleaning herself. Facility leadership and infection prevention staff confirmed that the policy required cleaning and disinfecting the glucometer with an EPA-registered disinfectant wipe before and after each use, regardless of individual assignment, and that the nurse had received recent training on this procedure. Additionally, the facility failed to implement Enhanced Barrier Precautions (EBP) during wound care for a resident with a chronic wound. During wound care observation, neither the wound care physician assistant nor the wound care nurse donned a gown while providing care for a sacral pressure ulcer, which included measuring, debriding, and dressing the wound. Interviews with the wound care nurse, physician assistant, and infection prevention staff revealed that the resident had previously been on EBP, but the sign indicating this had been removed, and there was uncertainty among staff about the current need for EBP. Facility policy required the use of gown and gloves for EBP during care of chronic wounds, and leadership confirmed that the resident's wound met criteria for EBP.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 75 citations issued within 25 miles in the last 12 months — including the 3 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Statesville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Greens At Maple Leaf | 1.2 mi | ★★★★★ | 1 | 0 |
| Iredell Memorial Hospital Inc | 1.5 mi | ★★★★★ | 1 | 0 |
| Crestview Health & Rehabilitation | 15.2 mi | ★★★★★ | 9 | 0 |
| Glenwood Health & Rehabilitation | 15.7 mi | ★★★★★ | 0 | 0 |
| Davie Nursing And Rehabilitation Center | 16.7 mi | ★★★★★ | 3 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Autumn Care Of Statesville.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.