Nursing home · Stanley, NC · Gaston County

Stanley Total Living Center

514 Old Mount Holly Road, Stanley, NC 28164 · (704) 263-1986 · 16.3 miles from uptown Charlotte

Overall rating
4 of 5 stars
Beds
106
Ownership
For profit - Corporation
Takes
Medicare and Medicaid
Operator group
Not part of a chain

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

About typical

4 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

Better than most

5.15 hours per resident a day

All nursing staff, adjusted for how much care residents need.

Staff turnover

Better than most

38% of nursing staff left in a year

High turnover means residents see unfamiliar staff.

Federal fines

About typical

$31,967 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.

2

Immediate jeopardy (J–L)

1

Residents were harmed (G–I)

21

Risk of harm (D–F)

0

Minimal risk (A–C)

Every finding of harm or immediate jeopardy

DateWhat inspectors foundOfficial gradeFixed?
Oct 25, 2024Routine inspectionProvide and implement an infection prevention and control program. F 0880Grade JImmediate jeopardyReported fixed Nov 23, 2024
Oct 25, 2024Complaint investigationEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F 0689Grade GResidents were harmedReported fixed Jul 12, 2024
Oct 25, 2024Routine inspectionEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F 0726Grade JImmediate jeopardyReported fixed Nov 23, 2024
Show the 21 other findings (risk of harm)
DateWhat inspectors foundGradeFixed?
Jan 8, 2026Fire safety · routine inspectionHave properly installed electrical wiring and gas equipment. K 0511DRisk of harmReported fixed Apr 30, 2026
Jan 8, 2026Fire safety · routine inspectionEnsure smoke barriers are constructed to a 1 hour fire resistance rating. K 0372DRisk of harmReported fixed Apr 30, 2026
Jan 8, 2026Fire safety · routine inspectionInspect, test, and maintain automatic sprinkler systems. K 0353DRisk of harmReported fixed Apr 30, 2026
Jan 8, 2026Fire safety · routine inspectionHave approved installation, maintenance and testing program for fire alarm systems. K 0345DRisk of harmReported fixed Apr 30, 2026
Jan 8, 2026Fire safety · routine inspectionHave exits that are accessible at all times. K 0271DRisk of harmReported fixed Apr 30, 2026
Jan 8, 2026Fire safety · routine inspectionHave generator or other power source capable of supplying service within 10 seconds. K 0918DRisk of harmReported fixed Apr 30, 2026
Jan 8, 2026Routine inspectionProvide safe and appropriate respiratory care for a resident when needed. F 0695DRisk of harmReported fixed Jan 22, 2026
Jan 8, 2026Fire safety · routine inspectionHave proper fire barriers, ventilation and signs for the transfilling of oxygen. K 0927DRisk of harmReported fixed Apr 30, 2026
Jan 8, 2026Fire safety · routine inspectionUse approved construction type or materials. K 0161DRisk of harmReported fixed Apr 30, 2026
Oct 25, 2024Complaint investigationImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F 0758DRisk of harmReported fixed Nov 23, 2024
Oct 25, 2024Fire safety · routine inspectionKeep aisles, corridors, and exits free of obstruction in case of emergency. K 0211DRisk of harmReported fixed Jan 17, 2025
Oct 25, 2024Routine inspectionCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F 0655DRisk of harmReported fixed Nov 23, 2024
Oct 25, 2024Complaint investigationDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F 0656DRisk of harmReported fixed Nov 23, 2024
Oct 25, 2024Fire safety · routine inspectionInstall a fire alarm system that can be heard throughout the facility. K 0341DRisk of harmReported fixed Jan 17, 2025
Oct 25, 2024Fire safety · routine inspectionEnsure smoke barriers are constructed to a 1 hour fire resistance rating. K 0372DRisk of harmReported fixed Jan 17, 2025
Oct 25, 2024Fire safety · routine inspectionHave a battery powered remote alarm panel in a location accessible by operating personnel. K 0916DRisk of harmReported fixed Jan 17, 2025
Oct 25, 2024Fire safety · routine inspectionEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. K 0914DRisk of harmReported fixed Jan 17, 2025
Oct 25, 2024Fire safety · routine inspectionMeet requirements for the installation and maintenance of electrical systems. K 0911DRisk of harmReported fixed Jan 17, 2025
Oct 25, 2024Fire safety · routine inspectionEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. K 0521DRisk of harmReported fixed Jan 17, 2025
Oct 25, 2024Fire safety · routine inspectionHave properly installed electrical wiring and gas equipment. K 0511DRisk of harmReported fixed Jan 17, 2025
Oct 25, 2024Fire safety · routine inspectionHave generator or other power source capable of supplying service within 10 seconds. K 0918DRisk of harmReported fixed Jan 17, 2025

North Carolina's own inspections

NC's inspectors have posted 1 report newer than the federal data: Jan 29, 2026. They are not in Care Compare yet.

Read the state reports on NC DHSR's site

Penalties

  • Oct 25, 2024 · Federal fine$31,967

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 dayThis homeNC avg
All nursing staff, adjusted for residents' needs5.153.99
Registered nurses1.090.62
Nurse aides (most hands-on care)3.152.37
All nursing staff on weekends4.073.40

From payroll records the home must submit to CMS. Weekends here have about 20% fewer nursing hours per resident than the week as a whole.

Quality of care

Long-stay residents, 2025 Q3 to 2026 Q2. Lower is better for every measure shown.

Falls with a major injury

2.7% vs 3.5% at nearby NC homes

Pressure sores (bedsores)

4.7% vs 4.8% at nearby NC homes

Given antipsychotic medicine

9.5% vs 12.3% at nearby NC homes

Urinary tract infection

3.8% vs 1.6% at nearby NC homes

Higher than most nearby homes

Lost too much weight

7.0% vs 6.7% at nearby NC homes

Catheter left in the bladder

0.9% vs 0.4% at nearby NC homes

Higher than most nearby homes

What it costs

NC Medicaid paid this home $294.14 a day (about $8,942 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

Operational or managerial control: Defelice, Jennifer.

North Carolina licence holder: Stanley Total Living Center Inc.

What you can do

Questions to ask on a tour, from this record

  1. Inspectors found immediate jeopardy on Oct 25, 2024 (Provide and implement an infection prevention and control program). What changed afterwards, and who is responsible for it now?
  2. The home was penalised on Oct 25, 2024. What was the problem, and is it fixed?
  3. Weekend staffing is thinner here. Who is on duty on a Saturday night, and how many residents does each aide care for?
  4. May I see your most recent inspection report? (Nursing homes must keep it where residents and visitors can read it.)
  5. 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.