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Gates Health and Rehabilitation CenterCMS ratings, inspections and fines

Address
38 Carters Road, Gatesville, NC 27938
CCN
345406
Ownership type
For-profit, limited liability company
Certified beds
70
Residents per day
52
CMS flags
None in the CMS record
CMS star ratings
Overall rating2 of 5
Health inspection rating3 of 5
Staffing rating1 of 5
Quality measure rating3 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 Gates Health and Rehabilitation Center an overall rating of 2 of 5 stars. The last standard survey was on 15 Aug 2025. The latest survey cycle has 3 health citations. The median for nursing homes in North Carolina is 3. CMS lists no fines 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 Gates Health and Rehabilitation Center, with medians
Rating (1 to 5 stars)This homeNorth Carolina medianUS average (CMS)
Overall rating23.03.0
Health inspection rating33.02.8
Staffing rating13.02.9
Quality measure rating33.03.6

A median is the middle value of the homes in the group: 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 Gates Health and Rehabilitation Center in the last three survey cycles
Survey cycleStandard surveyCitationsNorth Carolina median
Cycle 1 (latest)15 Aug 202533
Cycle 214 Aug 202425
Cycle 3No date66

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 11 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyJ0K0L0
Actual harm that is not immediate jeopardyG0H0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 3 citations

Standard survey of this cycle: .

Health citations of Gates Health and Rehabilitation Center in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
15 Aug 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation27 Aug 2025
15 Aug 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey27 Aug 2025
15 Aug 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey27 Aug 2025

Survey cycle 2: 2 citations

Standard survey of this cycle: .

Health citations of Gates Health and Rehabilitation Center in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
14 Aug 2024F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EStandard survey15 Aug 2024
14 Aug 2024F0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EStandard survey15 Aug 2024

Survey cycle 3: 6 citations

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

Health citations of Gates Health and Rehabilitation Center in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
11 May 2023F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EStandard survey19 May 2023
11 May 2023F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard survey19 May 2023
11 May 2023F0624Prepare residents for a safe transfer or discharge from the nursing home.DStandard survey19 May 2023
11 May 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey19 May 2023
11 May 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey19 May 2023
11 May 2023F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard survey19 May 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.

CMS lists no fine and no payment denial for this home in its penalties file.

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 Gates Health and Rehabilitation Center
StaffThis homeNorth Carolina medianNorth Carolina average (CMS)
All nurse staff3.213.503.83
Registered nurses (RN)0.340.500.61
Licensed practical nurses (LPN)1.050.89
Nurse aides1.832.34
All nurse staff, weekends2.693.103.40
Nurse staff turnover in a year
51.0%
Nurse staff turnover, North Carolina median
48.6%
RN turnover in a year
80.0%
Administrators who left in a year
1

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 Gates 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 Stay17.0%14.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay3.2%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay4.3%1.8%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.7%3.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.1%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay19.7%17.0%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.6%5.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay4.3%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
For-profit, limited liability company
Legal business name
Gatesville NC Opco LLC
Chain
August Healthcare (6 homes in the CMS chain file)
Organisations in the CMS ownership record of Gates Health and Rehabilitation Center
OrganisationRole in the CMS recordInterestSince
Augustnc Holdco LLCDirect ownership interest1 Jan 2025
Augustnc Holdco LLCOperational/managerial control1 Jan 2025
NC SNF Propco Holdings LLCAdp of the snf1 Jan 2025

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

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Gates Health and Rehabilitation Center (CCN 345406). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/gates-health-and-rehabilitation-center-gatesville-nc-345406/

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 Gates Health and Rehabilitation Center last inspected?
The latest inspection with a citation in the CMS record was on 15 Aug 2025. It was a standard survey and a complaint investigation. It gave 3 citations. The standard survey before the last one was on 14 Aug 2024.
Who operates Gates Health and Rehabilitation Center?
The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain August Healthcare. The CMS ownership file names Augustnc Holdco LLC for operational or managerial control. This site does not show the names of persons.
Is Gates 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.