Juniper Gardens Center for Nursing and Rehabilitat

4414 Wilkinson Blvd · Gastonia, NC · 28056 · 7048245550

50 certified beds For profit - Corporation Chain: Alliance Health Group

Why this verdict

  • Federal penalties on record: $16,801 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

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Red flags

2 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

Score breakdown

Inspection record 30% of score 71
Serious harm & abuse 20% 82
Staffing 20% 66
Federal penalties 15% 43
Trend 10% 91
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.463.48 min · 4.1 strong
RN hours / resident-day0.820.55–0.75
Weekend hours / resident-day2.88≈ weekday level
Nursing turnover / year56%median 45%
Fines (3-yr window)2 · $16,801

Inspection citations (17 in the current record)

  • Potential for harm · D November 21, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected December 19, 2025 · Resident Rights

  • Potential for harm · D November 21, 2025

    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.

    Corrected December 19, 2025 · Resident Rights

  • No harm found · C November 21, 2025

    Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

    Corrected December 19, 2025 · Resident Rights

  • No harm found · C November 21, 2025

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Corrected December 19, 2025 · Resident Rights

  • Immediate jeopardy · J August 27, 2024

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected October 13, 2023 · Quality of Life and Care

  • Immediate jeopardy · J August 27, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 13, 2023 · Quality of Life and Care

  • Potential for harm · E August 27, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected October 1, 2024 · Quality of Life and Care

  • Potential for harm · E August 27, 2024

    Provide and implement an infection prevention and control program.

    Corrected October 1, 2024 · Infection Control

  • Potential for harm · D August 27, 2024 · found via complaint

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected October 1, 2024 · Resident Rights

  • Potential for harm · E August 27, 2024 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected October 1, 2024 · Pharmacy Service

  • No harm found · B August 27, 2024

    Ensure each resident receives an accurate assessment.

    Corrected October 1, 2024 · Resident Assessment and Care Planning

  • Actual harm · G May 2, 2023

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected May 25, 2023 · Quality of Life and Care

  • Potential for harm · D May 2, 2023

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected May 25, 2023 · Resident Rights

  • Potential for harm · E May 2, 2023

    Ensure each resident receives an accurate assessment.

    Corrected May 25, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D May 2, 2023

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected May 25, 2023 · Quality of Life and Care

  • Potential for harm · E May 2, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 25, 2023 · Nutrition and Dietary

  • Potential for harm · E May 2, 2023

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected May 25, 2023 · Administration

Federal penalties

DateTypeAmount / length
August 27, 2024Fine$8,400
August 27, 2024Fine$8,401
August 27, 2024Payment Denial5 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345307 · certified since August 9, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.