Below average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
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 Gates Health And Rehabilitation Center during CMS and state inspections, most recent first.
Surveyors found a recurring dark black/green substance, identified as possible mold, on all walls and in a corner of the walk-in refrigerator. Despite weekly cleaning by dietary staff, the substance continued to return, and neither the Maintenance Director nor the Administrator had been notified of the ongoing issue.
A resident with an indwelling urinary catheter and significant medical history was repeatedly observed with the catheter drainage bag on the floor, despite care plan instructions and staff awareness that the bag should not touch the floor. Staff interviews revealed uncertainty about how the bag ended up on the floor and inconsistent monitoring, with acknowledgment from the DON and Administrator of the issue and possible equipment problems.
The facility failed to provide written resolutions for grievances filed by four residents, despite the facility's policy requiring such documentation. The residents, who were cognitively intact, reported not receiving written or verbal outcomes for grievances related to dietary issues, unmade beds, missing personal items, and missing money. The Administrator acknowledged that while grievances were reviewed and sometimes resolved verbally, they were not consistently documented in writing.
The facility's pest control program was ineffective, resulting in a fly infestation in resident rooms across two hallways. Observations showed flies landing on residents and their belongings, despite the presence of insect lights and door blowers. Pest control efforts focused on rodents, neglecting flies, and staff interviews confirmed inadequate measures to control the fly population.
Persistent Mold-like Substance in Walk-in Refrigerator Due to Inadequate Reporting and Cleaning
Penalty
Summary
A deficiency was identified when surveyors observed a dark black/green substance present on all four walls of the walk-in refrigerator in the facility's kitchen. The substance was also found in a large area under the refrigerator rack and adjacent to the walk-in freezer door, extending to the floor. During an interview and observation with the Dietary Manager, it was revealed that the dietary staff cleaned the walk-in refrigerator weekly, but the substance continued to reappear. The Dietary Manager did not know what the substance was and had not reported its recurrence to the Maintenance Director or the Administrator. Further interviews with the Maintenance Director and the Administrator confirmed that neither had been informed about the persistent presence of the dark substance. The Maintenance Director, upon observation, stated the substance appeared to be mold, possibly due to condensation from the refrigerator door not being closed properly. The Administrator acknowledged seeing the substance but was unaware of its recurrence and that the Maintenance Director had not been notified. No information was provided regarding any residents directly affected by this deficiency.
Catheter Drainage Bag Found on Floor for Resident with Indwelling Catheter
Penalty
Summary
A deficiency was identified when a resident with an indwelling urinary catheter was observed multiple times throughout the morning and early afternoon with the catheter drainage bag positioned on the floor and partially under the bed, despite being covered with a privacy bag. The resident had a history of urinary tract infection, chronic kidney disease, bacteremia, and pyonephrosis, and was severely cognitively impaired and dependent for mobility. Physician orders and the care plan specified that the catheter bag should be positioned below the level of the bladder and away from the entrance, with tubing checked for kinks, but did not direct that the bag should be on the floor. Staff interviews confirmed awareness that the catheter bag should not be touching the floor. The nursing aide assigned to the resident stated she had previously hung the bag on the side of the bed and was unsure how it ended up on the floor, noting the resident could not reach the bag. The nurse assigned to the resident was unaware of the bag's position and stated she only assessed catheters once per shift. The DON and Administrator acknowledged the issue, with the DON suggesting the bag clip may have been broken and the Administrator noting difficulty keeping bags off the floor when the bed is in the lowest position.
Failure to Provide Written Grievance Resolutions
Penalty
Summary
The facility failed to ensure the residents' right to file grievances and receive written notification of the decision regarding the grievance investigation for four out of five residents reviewed. The facility's grievance policy requires that all written grievance decisions include specific details such as the date the grievance was received, a summary of the grievance, steps taken to investigate, findings, and the date the decision was issued. However, the facility did not adhere to this policy, as evidenced by the lack of written resolutions provided to the residents involved. Resident #17, who was cognitively intact, filed a grievance regarding receiving pork despite her dietary restrictions. She reported not receiving a written or verbal resolution to her grievance. Similarly, Resident #9, also cognitively intact, filed a grievance about her bed not being made and did not receive any written or verbal resolution. Resident #22, who filed multiple grievances on various issues such as cold food and missing personal items, also did not receive written or verbal resolutions. Lastly, Resident #21, who reported missing money, did not receive a written or verbal resolution to her grievance. The Administrator, responsible for coordinating the grievance process, stated that grievances were reviewed daily with the interdisciplinary team and resolutions were completed within 72 hours. However, the Administrator admitted that while outcomes were sometimes provided verbally, they were not consistently documented in writing as required by the facility's policy. This lack of adherence to the grievance policy resulted in the residents not being informed of the outcomes of their grievances, either in writing or verbally.
Ineffective Pest Control Program Leads to Fly Infestation
Penalty
Summary
The facility failed to maintain an effective pest control program, as evidenced by the presence of flies in resident rooms across two hallways. Observations revealed flies landing on residents, their beds, bedside tables, and personal items such as cups of orange juice and coffee. These observations were made over several days, affecting multiple residents who expressed concerns about the fly infestation. Despite the presence of insect lights and door blowers, the measures in place were insufficient to prevent the fly problem. The pest control receipts from June and July 2024 indicated that the facility's pest control efforts focused on rodent services and did not specifically address flies. Interviews with staff, including a Nursing Assistant and the Maintenance Director, confirmed the presence of insect lights and door blowers, but these measures were not effectively controlling the fly population. The Maintenance Director mentioned that fly spray was used outside but not inside due to resident sensitivities. The Administrator was unaware of any issues with the equipment, indicating a lack of communication or oversight regarding the pest control measures in place.
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What surveyors actually found near you
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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 Gatesville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ahoskie Health And Rehabilitation Center | 15.7 mi | ★★★★★ | 9 | 0 |
| Hertford Rehabilitation And Healthcare Center | 18.9 mi | ★★★★★ | 0 | 0 |
| Chowan River Nursing And Rehabilitation Center | 22.9 mi | ★★★★★ | 0 | 0 |
| Southampton Memorial Hosp | 23.5 mi | ★★★★★ | 0 | 0 |
| Nans Pointe Rehabilitation And Nursing | 25.5 mi | ★★★★★ | 9 | 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.