The Greens at Gastonia

969 Cox Road · Gastonia, NC · 28054 · 7048668596

162 certified beds For profit - Corporation Chain: Cch Healthcare

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $90,845 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

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Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$90,845 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

72% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 27
Serious harm & abuse 20% 22
Staffing 20% 52
Federal penalties 15% 15
Trend 10% 79
Context 5% 100

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

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.353.48 min · 4.1 strong
RN hours / resident-day0.410.55–0.75
Weekend hours / resident-day2.91≈ weekday level
Nursing turnover / year72%median 45%
Fines (3-yr window)3 · $146,417

Inspection citations (59 in the current record)

  • Immediate jeopardy · J May 5, 2025 · found via complaint

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

    Corrected May 6, 2025 · Quality of Life and Care

  • Actual harm · G May 5, 2025 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected May 6, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 5, 2025

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

    Corrected May 6, 2025 · Resident Rights

  • Potential for harm · D May 5, 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 May 6, 2025 · Resident Rights

  • Potential for harm · D May 5, 2025

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected May 6, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 5, 2025

    Ensure each resident receives an accurate assessment.

    Corrected May 6, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 5, 2025

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected May 6, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 5, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected May 6, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D May 5, 2025 · found via complaint

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

    Corrected May 6, 2025 · Resident Rights

  • Potential for harm · D May 5, 2025 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected December 29, 2024 · Resident Rights

  • Potential for harm · D May 5, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected May 6, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E May 5, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected May 6, 2025 · Pharmacy Service

  • Potential for harm · D May 5, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected May 6, 2025 · Pharmacy Service

  • Potential for harm · D May 5, 2025 · found via complaint

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected May 6, 2025 · Pharmacy Service

  • Potential for harm · D May 5, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected May 6, 2025 · Infection Control

  • Potential for harm · D May 16, 2024 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected May 21, 2024 · Quality of Life and Care

  • Potential for harm · D May 16, 2024 · found via complaint

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

    Corrected May 21, 2024 · Quality of Life and Care

  • Potential for harm · D May 16, 2024 · found via complaint

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected May 21, 2024 · Nutrition and Dietary

  • Potential for harm · D May 16, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected May 21, 2024 · Infection Control

  • No harm found · B May 16, 2024 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected May 21, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 28, 2024 · found via complaint

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

    Corrected May 16, 2024 · Quality of Life and Care

  • Potential for harm · D March 28, 2024 · found via complaint

    Provide appropriate foot care.

    Corrected May 16, 2024 · Quality of Life and Care

  • Potential for harm · D March 28, 2024 · found via complaint

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected May 16, 2024 · Pharmacy Service

  • Potential for harm · E March 28, 2024 · found via complaint

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected May 16, 2024 · Nutrition and Dietary

  • Potential for harm · D March 28, 2024 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected May 21, 2024 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
May 5, 2025Fine$90,845
February 1, 2024Fine$39,812
February 1, 2024Payment Denial20 days
June 26, 2023Fine$15,760

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345169 · certified since September 1, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.