Accordius Health at Gastonia

416 N Highland Street · Gastonia, NC · 28052 · 7048640371

118 certified beds For profit - Corporation Chain: Simcha Hyman & Naftali Zanziper

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

62% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 64
Serious harm & abuse 20% 100
Staffing 20% 55
Federal penalties 15% 100
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.043.48 min · 4.1 strong
RN hours / resident-day0.550.55–0.75
Weekend hours / resident-day2.88≈ weekday level
Nursing turnover / year62%median 45%
Fines (3-yr window)none

Inspection citations (20 in the current record)

  • Potential for harm · D April 1, 2026

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected April 24, 2026 · Resident Rights

  • Potential for harm · D April 1, 2026

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected April 24, 2026 · Quality of Life and Care

  • Potential for harm · E January 17, 2025

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected February 12, 2025 · Resident Rights

  • Potential for harm · E January 17, 2025

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected February 12, 2025 · Nursing and Physician Services

  • Potential for harm · E January 17, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 12, 2025 · Nutrition and Dietary

  • Potential for harm · E January 17, 2025

    Dispose of garbage and refuse properly.

    Corrected February 12, 2025 · Nutrition and Dietary

  • Potential for harm · E January 17, 2025 · found via complaint

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected February 12, 2025 · Resident Rights

  • Potential for harm · D January 17, 2025 · found via complaint

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected February 12, 2025 · Pharmacy Service

  • No harm found · C January 17, 2025

    Post nurse staffing information every day.

    Corrected February 12, 2025 · Nursing and Physician Services

  • Potential for harm · E October 6, 2023 · found via complaint

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected November 3, 2023 · Resident Rights

  • Potential for harm · E October 6, 2023 · found via complaint

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected November 3, 2023 · Resident Rights

  • Potential for harm · D October 6, 2023 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected November 3, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D October 6, 2023 · found via complaint

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected November 3, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D October 6, 2023 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected November 3, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D October 6, 2023 · found via complaint

    Plan the resident's discharge to meet the resident's goals and needs.

    Corrected November 3, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E October 6, 2023 · found via complaint

    Observe each nurse aide's job performance and give regular training.

    Corrected November 3, 2023 · Nursing and Physician Services

  • Potential for harm · D October 6, 2023 · found via complaint

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected November 3, 2023 · Pharmacy Service

  • Potential for harm · E October 6, 2023 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 3, 2023 · Nutrition and Dietary

  • Potential for harm · E October 6, 2023 · found via complaint

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected November 3, 2023 · Administration

  • Potential for harm · E October 6, 2023 · found via complaint

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected November 3, 2023 · Nursing and Physician Services

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345162 · certified since November 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.