Autumn Care Of Statesville

2001 Vanhaven Drive, Statesville, North Carolina 28625

103 certified beds · ≈ 97 residents/day · For profit - Limited Liability company · Last survey July 2026 · Provider #345511

CMS FIVE-STAR RATINGS
4/ 5 overall

Above average — CMS composite of the measures below.

Health inspections 4/5
Staffing 2/5
Quality measures 4/5
Part of a 126-facility chain · chain average rating 2.9★
COMPLIANCE AT A GLANCE
Citations, last 12 months
2
53% below the North Carolina average of 4.3
Serious citations (J–L)
0
no immediate jeopardy–level findings
Fines on record
None
civil monetary penalties
On cycle

The next survey window likely opens around June 2027

1 of ~15 typical months since the last standard survey (July 2026)
Jul 2026 · on cycle Window opens Jun 2027 → ~Oct 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.

2 in the last 12 months17 all-time 24 inspections on file
Missing Controlled Opioid Medications and Altered Narcotic Counts
D
F0602 F602: Protect each resident from the wrongful use of the resident's belongings or money.
Short Summary

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.

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Discontinued controlled medication remained on cart without effective return process
D
F0755 F755: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Short Summary

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.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Assess and Authorize Self-Administration of Medications
D
F0554 F554: Allow residents to self-administer drugs if determined clinically appropriate.
Short Summary

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.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Ensure Accurate and Consistent Code Status Documentation
D
F0578 F578: 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.
Short Summary

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.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
Failure to Disinfect Glucometer and Implement Enhanced Barrier Precautions During Wound Care
D
F0880 F880: Provide and implement an infection prevention and control program.
Short Summary

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.

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.
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In the Assessment

All 10 risk areas, ranked with evidence

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Risk areas — ranked
1F689Accident hazards & supervision82
2F880Infection prevention & control74
3F812Food safety & sanitation61
4F656Comprehensive care plans49

Illustrative

In the Assessment

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.

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Findings near you
Gulf Coast Village · 1.6 mi F689J

Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.

Cypress Cove · 4.2 mi F812D

Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.

Illustrative

In the Assessment

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.

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Self-audit checklist — do-first orderPer risk area
Walk supervision coverage on the memory-care unit at shift changeDo first
Audit fall-risk care plans for residents flagged high-riskF689
Verify kitchen temperature logs for the last 30 daysF812

Illustrative

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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
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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.

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