Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Courtland Terrace during CMS and state inspections, most recent first.
Surveyors found that thawed, raw chicken stored in a walk-in refrigerator was not labeled with a use-by date. An opened case with one package of raw chicken and another full case were stored on a bottom shelf and marked only with a "use first" sticker and delivery dates, without any indication of when the product should no longer be used. The Kitchen Operations Manager reported that the facility relied on a First In First Out system, placing frozen chicken in the back to thaw and rotating it forward with a "use first" sticker, and confirmed that use-by dates were not applied to thawed chicken, which he stated was typically used within seven days. The Administrator acknowledged that thawed, raw chicken available for use should have been labeled with a use-by date.
A resident with chronic ischemic heart disease and COPD had been transitioned to hospice services and had a care plan updated to reflect hospice care, but the quarterly MDS assessment did not indicate that the resident was receiving hospice. The responsible party reported ongoing hospice involvement with weekly nurse updates, and the MDS Coordinator acknowledged that hospice services were not captured and that the MDS was coded incorrectly. The Administrator stated an expectation that all MDS assessments be completed accurately based on each resident’s clinical condition.
A resident was admitted with a Level I PASRR that directed resubmission for Level II if a new mental health diagnosis or significant change in condition occurred. Later, the resident developed panic attacks, and after discussion with family, the psychiatrist diagnosed PTSD, documented it in the EMR, adjusted medications, and changed caregiver assignments. The SW, who is responsible for PASRR paperwork, acknowledged knowing about the new PTSD diagnosis and the requirement to request a Level II PASRR for new mental health diagnoses but did not submit the request. The administrator stated awareness that Level II PASRR must be completed when a resident has a change in condition or new mental health diagnosis.
A resident with atrial fibrillation and hypertension had multiple prescription medications, including apixaban, metoprolol ER, and diltiazem ER, along with an over-the-counter dextromethorphan/guaifenesin product without an active order, left in a clear resealable bag on the room sink counter in plain view. The medications had been brought in by a family member to show what the resident had been taking prior to admission, and the resident reported only taking medications administered by staff and not wishing to self-administer. The assigned nurse had been in the room earlier but did not notice the bag and later acknowledged that medications should be stored in the med cart. Both the DON and Administrator stated that medications should not be left in a resident room and should be secured, and it was noted that staff only became aware of the unsecured medications after being informed by the surveyor.
A resident with dementia received podiatry care in a day room visible to others, breaching personal privacy. The podiatrist and a nurse aide did not relocate the resident to a private area, despite standard practice being to provide such care in residents' rooms. The resident's guardian indicated that the resident would have preferred privacy.
Failure to Label Thawed Raw Chicken With Use-By Dates
Penalty
Summary
Surveyors identified a deficiency in food storage practices when thawed, raw chicken in one of four walk-in refrigerators was not labeled with a use-by date. During an observation of the main kitchen walk-in refrigerator, an opened 20-pound case containing one package of raw chicken and another 20-pound case of raw chicken were found on the bottom shelf at the front of the unit, each marked only with a "use first" sticker and delivery dates of 2/3/26, but without any use-by date. The Kitchen Operations Manager explained that the facility’s system was to place frozen raw chicken in the back of the walk-in to thaw, then rotate it to the front using a First In First Out policy and apply a "use first" sticker to indicate which product should be used next, but acknowledged that no use-by dates were applied to thawed, raw chicken stored in the walk-in refrigerator. He stated that chicken stored in the walk-in was typically used within seven days. The Administrator later confirmed that a use-by date should have been placed on thawed, raw chicken stored in the walk-in refrigerator and available for use.
Failure to Accurately Code Hospice Services on MDS Assessment
Penalty
Summary
The facility failed to accurately code the MDS assessment for hospice care for one resident. The resident was admitted with chronic ischemic heart disease and COPD, and the electronic medical record showed that the responsible party signed a Hospice Admission Agreement and the resident transitioned to hospice services on 09/08/2025. On the same date, the resident’s care plan was revised to reflect a focus that the resident required hospice care and would be kept comfortable. However, review of the resident’s quarterly MDS assessment dated [DATE] showed hospice services were not indicated. The responsible party reported that the resident had been receiving hospice care since the previous fall and received weekly updates from the hospice nurse. The MDS Coordinator confirmed, upon review of the quarterly MDS, that hospice services had not been captured and stated the MDS was coded incorrectly and should have indicated the resident was receiving hospice services. The Administrator stated her expectation was that all MDS assessments be completed accurately based on the resident’s clinical condition.
Failure to Request Level II PASRR After New PTSD Diagnosis
Penalty
Summary
The deficiency involves the facility’s failure to request a Level II Preadmission Screening and Resident Review (PASRR) evaluation after a resident received a new mental health diagnosis. The resident was admitted with a completed Level I PASRR that specifically recommended resubmitting paperwork for a Level II PASRR if a new mental health diagnosis was suspected or if there was a significant change in condition. On review of the electronic medical record, the resident was diagnosed with post-traumatic stress disorder (PTSD) on 09/30/2025, but there was no documentation that a Level II PASRR evaluation request was submitted following this new diagnosis. The psychiatrist reported that at admission the resident had no known history of PTSD, but later began experiencing panic attacks, and a family member raised the possibility that past sexual trauma could be related. The psychiatrist then entered the PTSD diagnosis into the EMR, adjusted the resident’s medications, and changed the care assignment to remove male caregivers. The social worker, who was responsible for completing PASRR paperwork, acknowledged being aware of the PTSD diagnosis, receiving this information during morning clinical meetings, and knowing that a Level II PASRR request was required for new mental health diagnoses such as PTSD, but stated she did not submit the request and was unsure how she missed it. The administrator also stated an understanding that Level II PASRR should be completed in a timely manner upon admission, readmission, or when there is a change of condition or new mental health diagnosis.
Unsecured Medications Left Unattended in Resident Room
Penalty
Summary
The deficiency involves unsecured medications left unattended in a resident's room and not stored in locked compartments as required. Resident #90 was admitted with diagnoses including atrial fibrillation and hypertension and had active physician orders for apixaban 5 mg twice daily, metoprolol ER 25 mg with hold parameters based on blood pressure and heart rate, and diltiazem ER 300 mg with hold parameters based on blood pressure. During an observation, a clear resealable plastic bag containing three brown medication bottles labeled as apixaban 5 mg, metoprolol ER 25 mg, and diltiazem ER 300 mg, along with a single foil package of dextromethorphan/guaifenesin 600 mg, was found left unattended on the sink counter in the resident's room in clear view. Review of the resident's active physician orders showed no active order for dextromethorphan/guaifenesin 600 mg. Resident #90 stated that a family member had brought the medications in the bag to the facility to help nurses identify what she had been taking prior to admission and that she only took medications given by the nurses and did not wish to self-administer medications. Nurse #1, who was assigned to administer this resident's medications that day, reported having been in the room earlier but did not notice the bag of medications. Nurse #1 stated that medications should be stored in the medication cart for safety and confirmed she removed the bag after being informed by the surveyor. The DON and the Administrator both stated that medications should not be left in a resident's room and should be stored in the medication cart, and it was clarified to the Administrator that the nurse became aware of the unsecured medications only when notified by the surveyor.
Failure to Ensure Resident Privacy During Podiatry Care
Penalty
Summary
The facility failed to provide personal privacy for a resident when a podiatrist cut her toenails in the facility's day room, visible to other residents. The resident, who was admitted with diagnoses including dementia with mood disturbance and cognitive communication deficit, was observed in the day room with ten other residents. The podiatrist sat on the floor in front of the resident and cut her toenails without any privacy curtain or shield in place. A nurse aide was present, holding the resident's hand, but did not take steps to move the resident to a private area. Interviews with the nurse aide, podiatrist, and facility staff revealed that the standard practice was to provide foot care in residents' rooms. However, on this occasion, the nurse aide did not offer to take the resident to her room, and the podiatrist proceeded with the toenail cutting in the day room. The resident's guardian expressed that the resident would not have wanted to receive foot care in a public area, indicating a breach of the resident's personal privacy. Both the Director of Nursing and the Administrator acknowledged that the resident should have been taken to a private area for the procedure.
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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.
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Nursing homes near Gastonia
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Greens At Gastonia | 0.6 mi | ★★★★★ | 2 | 0 |
| Peak Resources - Gastonia | 0.6 mi | ★★★★★ | 2 | 0 |
| Gastonia Health & Rehab Center | 1.7 mi | ★★★★★ | 4 | 0 |
| Juniper Gardens Center For Nursing And Rehabilitat | 2.2 mi | ★★★★★ | 4 | 0 |
| Accordius Health At Gastonia | 3.1 mi | ★★★★★ | 2 | 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 July 2026) and official state health department websites.