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Asbury Health and Rehabilitation CenterCMS ratings, inspections and fines

Address
3211 Bishops Way Lane, Charlotte, NC 28215
CCN
345544
Ownership type
Non-profit, other
Certified beds
120
Chain
None in the CMS record
Residents per day
107
CMS flags
None in the CMS record
CMS star ratings
Overall rating2 of 5
Health inspection rating2 of 5
Staffing rating3 of 5
Quality measure rating4 of 5
Care Compare record (Medicare.gov)

The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.

CMS gives Asbury Health and Rehabilitation Center an overall rating of 2 of 5 stars. The last standard survey was on 30 Sep 2025. The latest survey cycle has 5 health citations. The median for nursing homes in North Carolina is 3. CMS lists 2 fines with a total of $47,996 for this home in its penalties file.

Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.

Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .

Since the last CMS update

The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.

Ratings

CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.

CMS star ratings of Asbury Health and Rehabilitation Center, with medians
Rating (1 to 5 stars)This homeMecklenburg County medianNorth Carolina medianUS average (CMS)
Overall rating22.03.03.0
Health inspection rating22.03.02.8
Staffing rating32.03.02.9
Quality measure rating44.03.03.6

A median is the middle value of the homes in the group: 29 homes in the county, 419 homes in the state. What the CMS star ratings measure

Citations by survey cycle

CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.

Health citations of Asbury Health and Rehabilitation Center in the last three survey cycles
Survey cycleStandard surveyCitationsNorth Carolina median
Cycle 1 (latest)30 Sep 202553
Cycle 216 Oct 202475
Cycle 3No date76

Health citations

The record of one deficiency in an inspection. One inspection can give many citations.

Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.

Scope and severity of the 19 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyK0L0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 5 citations

Standard survey of this cycle: .

Health citations of Asbury Health and Rehabilitation Center in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
30 Sep 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey11 Oct 2025
30 Sep 2025F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard survey11 Oct 2025
30 Sep 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation11 Oct 2025
30 Sep 2025F0761Ensure 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.DStandard survey11 Oct 2025
30 Sep 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey2 Oct 2025

Survey cycle 2: 7 citations

Standard survey of this cycle: .

Health citations of Asbury Health and Rehabilitation Center in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
16 Oct 2024F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DStandard survey8 Nov 2024
16 Oct 2024F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey8 Nov 2024
16 Oct 2024F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard survey8 Nov 2024
16 Oct 2024F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.JStandard survey8 Nov 2024
16 Oct 2024F0761Ensure 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.DStandard survey8 Nov 2024
16 Oct 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey8 Nov 2024
16 Oct 2024F0880Provide and implement an infection prevention and control program.JStandard survey8 Nov 2024

Survey cycle 3: 7 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Asbury Health and Rehabilitation Center in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
8 Jun 2023F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey5 Jul 2023
8 Jun 2023F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard survey5 Jul 2023
8 Jun 2023F0641Ensure each resident receives an accurate assessment.DStandard survey5 Jul 2023
8 Jun 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey5 Jul 2023
8 Jun 2023F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard survey5 Jul 2023
8 Jun 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey5 Jul 2023
8 Jun 2023F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard survey5 Jul 2023

The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report

Penalties

A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.

Penalties of Asbury Health and Rehabilitation Center in the CMS penalties file
DateTypeFineDays without payment
30 Sep 2025Fine$9,620
16 Oct 2024Fine$38,376

Staffing

Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.

Nurse staffing hours per resident per day at Asbury Health and Rehabilitation Center
StaffThis homeNorth Carolina medianNorth Carolina average (CMS)
All nurse staff4.663.503.83
Registered nurses (RN)0.510.500.61
Licensed practical nurses (LPN)1.280.89
Nurse aides2.872.34
All nurse staff, weekends4.413.103.40
Nurse staff turnover in a year
100.0%
Nurse staff turnover, North Carolina median
48.6%
RN turnover in a year
100.0%
Administrators who left in a year
0

Homes report the hours to CMS in the Payroll-Based Journal.

Quality measures

A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.

Quality measures of Asbury Health and Rehabilitation Center, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeNorth Carolina medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay12.4%14.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay2.3%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%1.8%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay6.1%3.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.1%1.1%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay19.9%17.0%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.8%5.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay8.5%13.2%13.4%

For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure

Ownership

An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.

Ownership type
Non-profit, other
Setting
Continuing care retirement community
Legal business name
Aldersgate United Methodist Retirement Community, Inc.
Organisations in the CMS ownership record of Asbury Health and Rehabilitation Center
OrganisationRole in the CMS recordInterestSince
Aldersgate United Methodist Retirement Community, Inc.5% or greater direct ownership interest100%1 Sep 2025
Aldersgate United Methodist Retirement Community, Inc.Adp of the snf1 Sep 2025

The site shows organisations only. It does not show the names of persons.

Other homes in Mecklenburg County

The 12 nearest other nursing homes in Mecklenburg County, North Carolina
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Pine Crest Health & RehabilitationCharlotte1 of 55$144,1997 Aug 2025
Peak Resources - CharlotteCharlotte3 of 52$14,06926 Jun 2025
Wilora Lake HealthcareCharlotte2 of 54$024 Apr 2026
Redwood Health & RehabCharlotte3 of 56$7,74211 May 2026
Pelican Health at CharlotteSpecial Focus candidateCharlotte2 of 510$47,0372 Mar 2026
Crown Haven Health and RehabilitationCharlotte2 of 56$71,2353 Jul 2025
White Oak Manor - CharlotteCharlotte1 of 510$69,80413 Apr 2026
Novant Health Presbyterian Medical Center-SnuCharlotte5 of 50$027 Aug 2025
Rockwell Park Rehabilitation and Healthcare CenterSpecial Focus FacilityCharlotteNot rated7$338,51327 Mar 2026
Pelican Health Randolph LLCCharlotte1 of 515$19,66317 Sep 2025
Sardis OaksCharlotte3 of 54$018 Dec 2025
University Place Nursing and Rehabilitation CenterCharlotte1 of 55$276,40124 Jul 2025

All 29 nursing homes in Mecklenburg County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Asbury Health and Rehabilitation Center (CCN 345544). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/asbury-health-and-rehabilitation-center-charlotte-nc-345544/

Provenance

Licence
US government work, public domain
CMS processed the data on

A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.

Questions

When was Asbury Health and Rehabilitation Center last inspected?
The latest inspection with a citation in the CMS record was on 30 Sep 2025. It was a standard survey and a complaint investigation. It gave 5 citations. The standard survey before the last one was on 16 Oct 2024.
Who operates Asbury Health and Rehabilitation Center?
The CMS record gives the ownership type as non-profit, other. CMS lists no chain for the home. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
Is Asbury Health and Rehabilitation Center a Special Focus Facility?
No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in North Carolina as Special Focus Facilities and 10 as candidates.
Where does the data on this page come from?
The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.