Juniper Gardens Center for Nursing and RehabilitatCMS ratings, inspections and fines
- Address
- 4414 Wilkinson Blvd, Gastonia, NC 28056
- CCN
- 345307
- Ownership type
- For-profit, corporation
- Certified beds
- 50
- Residents per day
- 41
- CMS flags
- None in the CMS record
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 Juniper Gardens Center for Nursing and Rehabilitat an overall rating of 3 of 5 stars. The last standard survey was on 21 Nov 2025. The latest survey cycle has 4 health citations. The median for nursing homes in North Carolina is 3. CMS lists 2 fines with a total of $16,801 for this home in its penalties file. CMS also lists 1 payment denial.
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.
Changes in the CMS recordFeed of changes in North Carolina (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Gaston County median | North Carolina median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 4.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 2.0 | 3.0 | 2.9 |
| Quality measure rating | 2 | 4.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 10 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.
| Survey cycle | Standard survey | Citations | North Carolina median |
|---|---|---|---|
| Cycle 1 (latest) | 21 Nov 2025 | 4 | 3 |
| Cycle 2 | 27 Aug 2024 | 7 | 5 |
| Cycle 3 | No date | 6 | 6 |
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.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 |
Survey cycle 1 (latest): 4 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 21 Nov 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 19 Dec 2025 |
| 21 Nov 2025 | F0575 | 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. | C | Standard survey | 19 Dec 2025 |
| 21 Nov 2025 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 19 Dec 2025 |
| 21 Nov 2025 | F0578 | 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. | D | Standard survey | 19 Dec 2025 |
Survey cycle 2: 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 27 Aug 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 1 Oct 2024 |
| 27 Aug 2024 | F0641 | Ensure each resident receives an accurate assessment. | B | Standard survey | 1 Oct 2024 |
| 27 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Standard survey | 13 Oct 2023 |
| 27 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 13 Oct 2023 |
| 27 Aug 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 1 Oct 2024 |
| 27 Aug 2024 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 1 Oct 2024 |
| 27 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 1 Oct 2024 |
Survey cycle 3: 6 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 2 May 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 25 May 2023 |
| 2 May 2023 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 25 May 2023 |
| 2 May 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 25 May 2023 |
| 2 May 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 25 May 2023 |
| 2 May 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 25 May 2023 |
| 2 May 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard survey | 25 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.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 27 Aug 2024 | Fine | $8,401 | |
| 27 Aug 2024 | Fine | $8,400 | |
| 27 Aug 2024 | Payment denial | 5 |
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.
| Staff | This home | North Carolina median | North Carolina average (CMS) |
|---|---|---|---|
| All nurse staff | 3.34 | 3.50 | 3.83 |
| Registered nurses (RN) | 0.82 | 0.50 | 0.61 |
| Licensed practical nurses (LPN) | 0.87 | 0.89 | |
| Nurse aides | 1.65 | 2.34 | |
| All nurse staff, weekends | 2.94 | 3.10 | 3.40 |
- Nurse staff turnover in a year
- 62.2%
- Nurse staff turnover, North Carolina median
- 48.6%
- RN turnover in a year
- 50.0%
- 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.
| Measure (CMS text) | Residents | This home | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 18.2% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.0% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.8% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.6% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 5.8% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 10.4% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.3% | 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, corporation
- Legal business name
- Wilkinson Blvd Operating Company, LLC
- Chain
- Alliance Health Group (12 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Bridge Holdco LLC | Direct ownership interest | 16 Jul 2025 | |
| Coalition Group LLC | Indirect ownership interest | 16 Jul 2025 | |
| Alliance Health Group LLC | Operational/managerial control | 16 Jul 2025 | |
| Alliance Health Group LLC | Adp of the snf | 12 Aug 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Gaston County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Courtland Terrace | Gastonia | 4 of 5 | 4 | $0 | 13 Feb 2026 | |
| The Greens at Gastonia | Gastonia | 1 of 5 | 8 | $130,657 | 25 Jun 2026 | |
| Peak Resources - Gastonia | Gastonia | 5 of 5 | 2 | $0 | 17 Jun 2026 | |
| Gastonia Health & Rehab Center | Gastonia | 1 of 5 | 4 | $15,808 | 18 Dec 2025 | |
| Accordius Health at Gastonia | Gastonia | 4 of 5 | 2 | $0 | 1 Apr 2026 | |
| Belaire Health Care Center | Gastonia | 2 of 5 | 5 | $202,719 | 30 Jul 2025 | |
| Stanley Total Living Center | Stanley | 4 of 5 | 1 | $31,967 | 8 Jan 2026 | |
| Peak Resources-Cherryville | Cherryville | 4 of 5 | 2 | $0 | 16 Jul 2026 | |
| Carolina Care Health and Rehabilitation | Cherryville | 5 of 5 | 0 | $0 | 16 Apr 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Juniper Gardens Center for Nursing and Rehabilitat (CCN 345307). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/juniper-gardens-center-for-nursing-and-rehabilitat-gastonia-nc-345307/
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 Juniper Gardens Center for Nursing and Rehabilitat last inspected?
- The latest inspection with a citation in the CMS record was on 21 Nov 2025. It was a standard survey. It gave 4 citations. The standard survey before the last one was on 27 Aug 2024.
- Who operates Juniper Gardens Center for Nursing and Rehabilitat?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Alliance Health Group. The CMS ownership file names Alliance Health Group LLC for operational or managerial control. This site does not show the names of persons.
- Is Juniper Gardens Center for Nursing and Rehabilitat 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.