Nursing home · Gastonia, NC · Gaston County
The Greens at Gastonia
969 Cox Road, Gastonia, NC 28054 · (704) 866-8596 · 16.8 miles from uptown Charlotte
- Overall rating
- 1 of 5 stars
- Beds
- 162
- Ownership
- For profit - Corporation
- Takes
- Medicare and Medicaid
- Operator group
- CCH Healthcare
Federal data: Medicare's October 2026 release. North Carolina records checked Nov 2, 2026.
At a glance
Compared with all 419 North Carolina nursing homes that take Medicare or Medicaid. "Worse than most" means among the worst quarter of North Carolina homes on that measure; "better than most", the best quarter.
Overall star rating
Worse than most
1 of 5 stars
Medicare's summary of inspections, staffing and quality.
Serious inspection findings
Worse than most
3 findings of harm or jeopardy in 3 years
Grades G to L: a resident was hurt, or was in immediate danger.
Nurse staffing
About typical
3.49 hours per resident a day
All nursing staff, adjusted for how much care residents need.
Staff turnover
Worse than most
66% of nursing staff left in a year
High turnover means residents see unfamiliar staff.
Federal fines
Worse than most
$148,207 in 3 years
Fines follow the most serious or repeated problems.
Inspections
Every federal health inspection finding since November 2023. Inspectors grade each problem with an official letter, A to L. We show the letter and say in plain words what it means.
1
Immediate jeopardy (J–L)
2
Residents were harmed (G–I)
51
Risk of harm (D–F)
1
Minimal risk (A–C)
Every finding of harm or immediate jeopardy
| Date | What inspectors found | Official grade | Fixed? |
|---|---|---|---|
| Jun 25, 2026Complaint investigation | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F 0550 | Grade GResidents were harmed | Reported fixed Jul 10, 2026 |
| May 5, 2025Complaint investigation | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F 0689 | Grade JImmediate jeopardy | Reported fixed May 6, 2025 |
| May 5, 2025Complaint investigation | Protect each resident from the wrongful use of the resident's belongings or money. F 0602 | Grade GResidents were harmed | Reported fixed May 6, 2025 |
Show the 52 other findings (minimal risk or risk of harm)
| Date | What inspectors found | Grade | Fixed? |
|---|---|---|---|
| Jun 25, 2026Routine inspection | Provide and implement an infection prevention and control program. F 0880 | DRisk of harm | Reported fixed Jul 10, 2026 |
| Jun 25, 2026Routine inspection | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F 0842 | DRisk of harm | Reported fixed Jul 10, 2026 |
| Jun 25, 2026Complaint investigation | Ensure services provided by the nursing facility meet professional standards of quality. F 0658 | DRisk of harm | Reported fixed Jul 10, 2026 |
| Jun 25, 2026Routine inspection | 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. F 0578 | DRisk of harm | Reported fixed Jul 10, 2026 |
| Jun 25, 2026Routine inspection | Ensure that residents are fully informed and understand their health status, care and treatments. F 0552 | ERisk of harm | Reported fixed Jul 10, 2026 |
| May 6, 2026Complaint investigation | Ensure services provided by the nursing facility meet professional standards of quality. F 0658 | DRisk of harm | Reported fixed Jul 10, 2026 |
| May 6, 2026Complaint investigation | Provide and implement an infection prevention and control program. F 0880 | DRisk of harm | Reported fixed Jul 10, 2026 |
| May 5, 2025Complaint investigation | Reasonably accommodate the needs and preferences of each resident. F 0558 | DRisk of harm | Reported fixed Dec 29, 2024 |
| May 5, 2025Routine inspection | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F 0842 | DRisk of harm | Reported fixed May 6, 2025 |
| May 5, 2025Complaint investigation | Provide and implement an infection prevention and control program. F 0880 | DRisk of harm | Reported fixed May 6, 2025 |
| May 5, 2025Fire safety · routine inspection | Install an approved automatic sprinkler system. K 0351 | DRisk of harm | Reported fixed Jun 24, 2025 |
| May 5, 2025Fire safety · routine inspection | Meet requirements for the installation and maintenance of electrical systems. K 0911 | DRisk of harm | Reported fixed Jun 24, 2025 |
| May 5, 2025Routine inspection | 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. F 0578 | DRisk of harm | Reported fixed May 6, 2025 |
| May 5, 2025Fire safety · routine inspection | Have generator or other power source capable of supplying service within 10 seconds. K 0918 | DRisk of harm | Reported fixed Jun 24, 2025 |
| May 5, 2025Routine inspection | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F 0644 | DRisk of harm | Reported fixed May 6, 2025 |
| May 5, 2025Complaint investigation | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F 0755 | ERisk of harm | Reported fixed May 6, 2025 |
| May 5, 2025Complaint investigation | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F 0550 | DRisk of harm | Reported fixed May 6, 2025 |
| May 5, 2025Routine inspection | Allow residents to self-administer drugs if determined clinically appropriate. F 0554 | DRisk of harm | Reported fixed May 6, 2025 |
| May 5, 2025Routine inspection | Ensure each resident receives an accurate assessment. F 0641 | DRisk of harm | Reported fixed May 6, 2025 |
| May 5, 2025Routine inspection | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F 0636 | DRisk of harm | Reported fixed May 6, 2025 |
| May 5, 2025Complaint investigation | Ensure services provided by the nursing facility meet professional standards of quality. F 0658 | DRisk of harm | Reported fixed May 6, 2025 |
| May 5, 2025Complaint investigation | Ensure that residents are free from significant medication errors. F 0760 | DRisk of harm | Reported fixed May 6, 2025 |
| May 5, 2025Complaint investigation | 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. F 0761 | DRisk of harm | Reported fixed May 6, 2025 |
| May 16, 2024Complaint investigation | Provide and implement an infection prevention and control program. F 0880 | DRisk of harm | Reported fixed May 21, 2024 |
| May 16, 2024Complaint investigation | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F 0842 | BMinimal risk | Reported fixed May 21, 2024 |
| May 16, 2024Complaint investigation | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F 0805 | DRisk of harm | Reported fixed May 21, 2024 |
| May 16, 2024Complaint investigation | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F 0689 | DRisk of harm | Reported fixed May 21, 2024 |
| May 16, 2024Complaint investigation | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F 0686 | DRisk of harm | Reported fixed May 21, 2024 |
| Mar 28, 2024Complaint investigation | 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. F 0761 | DRisk of harm | Reported fixed May 16, 2024 |
| Mar 28, 2024Complaint investigation | Provide appropriate foot care. F 0687 | DRisk of harm | Reported fixed May 16, 2024 |
| Mar 28, 2024Complaint investigation | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F 0842 | DRisk of harm | Reported fixed May 21, 2024 |
| Mar 28, 2024Complaint investigation | Provide and implement an infection prevention and control program. F 0880 | DRisk of harm | Reported fixed May 21, 2024 |
| Mar 28, 2024Complaint investigation | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F 0804 | ERisk of harm | Reported fixed May 16, 2024 |
| Mar 28, 2024Complaint investigation | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F 0867 | ERisk of harm | Reported fixed May 16, 2024 |
| Mar 28, 2024Complaint investigation | Provide care and assistance to perform activities of daily living for any resident who is unable. F 0677 | DRisk of harm | Reported fixed May 16, 2024 |
| Feb 1, 2024Fire safety · routine inspection | To conduct inspection, testing and maintenance of fire doors by qualified individuals. K 0761 | DRisk of harm | Reported fixed Apr 12, 2024 |
| Feb 1, 2024Fire safety · routine inspection | Have proper medical gas storage and administration areas. K 0923 | DRisk of harm | Reported fixed Apr 12, 2024 |
| Feb 1, 2024Fire safety · routine inspection | Have properly installed electrical wiring and gas equipment. K 0511 | DRisk of harm | Reported fixed Apr 12, 2024 |
| Feb 1, 2024Fire safety · routine inspection | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. K 0372 | DRisk of harm | Reported fixed Apr 12, 2024 |
| Feb 1, 2024Fire safety · routine inspection | Inspect, test, and maintain automatic sprinkler systems. K 0353 | DRisk of harm | Reported fixed Apr 12, 2024 |
| Feb 1, 2024Fire safety · routine inspection | Use approved construction type or materials. K 0161 | DRisk of harm | Reported fixed Apr 12, 2024 |
| Feb 1, 2024Complaint investigation | 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. F 0761 | DRisk of harm | Reported fixed May 16, 2024 |
| Feb 1, 2024Complaint investigation | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F 0725 | DRisk of harm | Reported fixed Mar 28, 2024 |
| Feb 1, 2024Complaint investigation | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F 0689 | DRisk of harm | Reported fixed Mar 28, 2024 |
| Feb 1, 2024Complaint investigation | Provide appropriate foot care. F 0687 | DRisk of harm | Reported fixed May 16, 2024 |
| Feb 1, 2024Routine inspection | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F 0684 | DRisk of harm | Reported fixed Mar 28, 2024 |
| Feb 1, 2024Complaint investigation | Provide care and assistance to perform activities of daily living for any resident who is unable. F 0677 | DRisk of harm | Reported fixed May 16, 2024 |
| Feb 1, 2024Routine inspection | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F 0580 | DRisk of harm | Reported fixed Mar 28, 2024 |
| Feb 1, 2024Complaint investigation | Provide and implement an infection prevention and control program. F 0880 | ERisk of harm | Reported fixed May 21, 2024 |
| Feb 1, 2024Complaint investigation | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F 0867 | ERisk of harm | Reported fixed May 16, 2024 |
| Feb 1, 2024Routine inspection | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 0812 | ERisk of harm | Reported fixed Mar 28, 2024 |
| Feb 1, 2024Routine inspection | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. F 0809 | ERisk of harm | Reported fixed Mar 28, 2024 |
North Carolina's own inspections
NC's inspectors have posted 1 report newer than the federal data: Aug 20, 2026. They are not in Care Compare yet.
Penalties
- May 6, 2026 · Federal fine$17,550
- May 5, 2025 · Federal fine$90,845
- Feb 1, 2024 · Payment denial: Medicare and Medicaid stopped paying for new admissions from May 1, 2024 (20 days)
- Feb 1, 2024 · Federal fine$39,812
Federal fines follow the most serious or repeated problems. A payment denial stops Medicare and Medicaid paying for new admissions — in practice, a pause on new admissions; residents already there are not affected by it.
Staffing
| Hours of care per resident a day | This home | NC avg |
|---|---|---|
| All nursing staff, adjusted for residents' needs | 3.49 | 3.99 |
| Registered nurses | 0.35 | 0.62 |
| Nurse aides (most hands-on care) | 2.00 | 2.37 |
| All nursing staff on weekends | 3.06 | 3.40 |
From payroll records the home must submit to CMS.
Quality of care
Long-stay residents, 2025 Q3 to 2026 Q2. Lower is better for every measure shown.
Falls with a major injury
5.9% vs 3.5% at nearby NC homes
Higher than most nearby homes
Pressure sores (bedsores)
9.0% vs 4.8% at nearby NC homes
Higher than most nearby homes
Given antipsychotic medicine
2.5% vs 12.3% at nearby NC homes
Urinary tract infection
3.0% vs 1.6% at nearby NC homes
Higher than most nearby homes
Lost too much weight
18.3% vs 6.7% at nearby NC homes
Higher than most nearby homes
Catheter left in the bladder
0.7% vs 0.4% at nearby NC homes
Higher than most nearby homes
What it costs
NC Medicaid paid this home $306.50 a day (about $9,318 a month) for a resident on Medicaid, effective Jan 1, 2024 — the newest rate NC Medicaid has published. The typical nursing home near Charlotte was paid $322.34 a day.
This is what Medicaid pays, not what the home charges.
No public record lists private-pay prices or whether a bed is free today. Call the home and ask about both.
Who owns and runs it
Operator group (as Medicare groups it): CCH Healthcare, 33 homes nationally, averaging 2.7 stars.
Direct owners on Medicare's records: Bync Holdings LLC (100%).
North Carolina licence holder: Greens at Gastonia LLC.
Same chain nearby: Pineville Rehabilitation and Living Center, The Greens at Cabarrus.
What you can do
Questions to ask on a tour, from this record
- Inspectors found residents were harmed on Jun 25, 2026 (Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights). What changed afterwards, and who is responsible for it now?
- The home was penalised on May 6, 2026. What was the problem, and is it fixed?
- Many nursing staff leave each year here. How long have the director of nursing and the administrator been in post?
- May I see your most recent inspection report? (Nursing homes must keep it where residents and visitors can read it.)
- How many residents does each nurse aide care for on day, evening and night shifts?
If your family member already lives here
A record like this is a reason to watch closely and ask questions, not necessarily to move — moving a frail person carries risks of its own. Raise concerns with the director of nursing first, in writing if serious. If that doesn't resolve them, call the free Long-Term Care Ombudsman (Centralina, (800) 508-5777) or file a complaint with the state (NC DHSR, 1-800-624-3004, weekdays). If someone is in danger now, call 911.
Sources and limits
From Medicare's Care Compare data (inspections, penalties, payroll-based staffing, quality measures and ownership), North Carolina DHSR licence lists and inspection reports, and NC Medicaid rate files. North Carolina homes are compared only with other North Carolina homes, never across states. Check this home on Medicare Care Compare.
What this page can't tell you: price, whether a bed is free, or what daily life is like — food, activities, kindness. No public record measures those. Visit more than once, at different times of day. Spotted an error? Tell us.