Above average — CMS composite of the measures below.
The next survey window likely opens around May 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 Peak Resources - Gastonia during CMS and state inspections, most recent first.
A resident with spinal cord disease, chronic pain, COPD, right-eye blindness, and a history of falls required one-person assist for transfers and ADL. She repeatedly used her call bell and yelled for help after breakfast because she wanted to get up, shower, and attend BINGO, but staff did not assist her out of bed until mid-afternoon. Staff said the assigned NA got behind with showers and other duties, and an RN acknowledged the resident had voiced concern that no one had helped her up when she requested it.
Failure to follow EBP during urinary catheter care: an LPN provided catheter care to a resident without wearing the required PPE gown, despite an EBP sign posted on the room door and gowns being available at the entrance. The nurse stated he wore a gown for contact precautions but not for EBP and was unaware a gown was required for catheter care; the IP, DON, and Administrator all stated a gown was expected for this high-contact activity.
Surveyors found that expired and spoiled food items, including thawed chicken stored beyond the recommended time and visibly spoiled green peppers, were not discarded from the walk-in cooler. The Dietary Manager admitted to overlooking the spoiled produce and was initially unaware of the correct storage duration for thawed chicken. The Administrator confirmed that food should be used or discarded before spoilage and that proper guidelines should be followed.
A resident with a history of acute metabolic encephalopathy was found to have multiple medications, including eye multivitamins, nasal sprays, and topical lotion, stored unsecured in their room over several days. The resident reported that some medications were brought by family and others may have come from the hospital, but had not been using them. Nursing staff were unaware of the medications' presence and confirmed that medications should not be stored in resident rooms without a physician's order for self-administration.
Failure to Assist Resident With Requested Transfer and Morning Care
Penalty
Summary
The facility failed to assist a resident who required staff help with transfers out of bed when she requested it. Resident #8 was admitted with diagnoses including disease of the spinal cord, chronic pain, COPD with difficulty breathing, left hand contracture, and a history of falling. Her MDS indicated intact cognition, impairment on one side of the upper extremity, and the need for partial/moderate assistance with bed mobility and chair transfers, as well as substantial/maximal assistance with sit-to-stand. Her care plan also identified that she had impaired vision due to blindness in the right eye and required one-person assistance with transfers, with staff directed to assist her with all ADL she could not complete independently. On the day in question, Resident #8 stated she wanted to get up early, at least by 10:00 AM, and was unable to transfer independently. She reported that after breakfast she used her call bell repeatedly and yelled for staff because she wanted to get up, shower, and attend BINGO, but she was not assisted out of bed until about 2:45 PM. She stated that when staff finally came to her room, she was told they were running behind, and she said it hurt her feelings that she had to repeatedly request help. Staff interviews confirmed that Resident #8 was a one-person assist with a stand/pivot transfer and that she usually stayed in bed except for BINGO and showers. NA #1, who was new to the hall and assigned to Resident #8’s area, stated she got behind because she did not know the residents well, had two showers to provide, and was also assigned to assist in the dining room during lunch. Nurse #2 acknowledged that Resident #8 said before lunch that she wanted to go to BINGO and was concerned no one had helped her out of bed, but she did not assist because she was finishing medication pass. The Nurse Supervisor stated BINGO was scheduled for 2:30 PM and that no one had told her Resident #8 had not been assisted out of bed; the DON and Administrator both stated that if Resident #8 asked for assistance, staff should have provided it when requested.
Failure to Follow EBP During Urinary Catheter Care
Penalty
Summary
The facility failed to follow its infection control policy and procedure for Enhanced Barrier Precautions (EBP) when Nurse #1 did not don a protective gown before providing urinary catheter care to Resident #7. The facility’s Infection Prevention and Control Program stated that EBP was designed to reduce transmission of multidrug resistant organisms by requiring gown use during high-contact resident care activities, including urinary catheter care. A sign posted on the resident’s room door instructed staff to wear a gown for urinary catheter care, and a PPE storage container with gowns was available at the room entrance. During observation, Nurse #1 entered the room, washed his hands, put on gloves, and performed catheter care, including cleaning the catheter insertion site and tubing and flushing 30 milliliters of acetic acid into the catheter tubing, without wearing a gown. After removing his gloves, he cleaned his hands with sanitizing wipes. In interview, Nurse #1 stated he did not wear a PPE gown for a resident on EBP and was not aware that a gown should be worn during urinary catheter care. The Infection Preventionist stated EBP signs were used as reminders and instructions for required PPE, and that Nurse #1 had recently attended an in-service on EBP. The DON and Administrator both stated they expected Nurse #1 to follow EBP and wear a gown during catheter care.
Failure to Discard Expired and Spoiled Food Items in Walk-In Cooler
Penalty
Summary
Surveyors observed that the facility failed to discard expired and spoiled food items in the walk-in cooler. Specifically, a plastic bag containing thawed chicken was found in a metal pan on the bottom shelf, with a date indicating it had been stored beyond the recommended time for safe use. Additionally, a box of green peppers with a delivery date was found on the top shelf; the peppers were shriveled and had multiple brown spots, indicating spoilage. The Dietary Manager acknowledged responsibility for daily checks of expired and spoiled food but admitted to overlooking the green peppers and was initially mistaken about the safe storage duration for thawed chicken. The Administrator confirmed the expectation that food should be used or discarded before spoilage and that guidelines for thawed chicken should be followed.
Unsecured Medications Found in Resident Room
Penalty
Summary
A deficiency was identified when medications belonging to a resident were found unsecured in the resident's room over multiple days. Observations revealed that a clear plastic storage bin containing a bottle of eye multivitamin pills, Fluticasone nasal spray, Azelastine nasal spray, and two bottles of Ammonia Lactate 12% lotion was left uncovered on the counter beside the sink in the resident's room. The resident, who was cognitively intact and had been admitted with acute metabolic encephalopathy, confirmed that some of the medications were brought from home by family and others may have come from the hospital. The resident stated he had not been using the nasal sprays or the lotion since admission and was unsure of their origin. Nursing staff interviewed were unaware of the presence of these medications in the resident's room and stated that, unless there was a physician's order for self-administration, medications should not be stored in resident rooms. The Director of Nursing confirmed that families sometimes brought medications without staff knowledge and that staff would remove and store such medications if found. The facility failed to ensure that all drugs and biologicals were stored in locked compartments as required, resulting in unsecured medications accessible in a resident's room.
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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 | 0.3 mi | ★★★★★ | 2 | 0 |
| Courtland Terrace | 0.6 mi | ★★★★★ | 4 | 0 |
| Gastonia Health & Rehab Center | 1.2 mi | ★★★★★ | 4 | 0 |
| Juniper Gardens Center For Nursing And Rehabilitat | 2.6 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.