ElderGrade
D

43/100

Below average

Juniper Gardens Center For Nursing And Rehabilitat

4414 Wilkinson Blvd, Gastonia, NC 28056

CMS 3/5 stars #7 of 10 in Gaston County (704) 824-5550
Certified beds
50
Occupancy
82%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 3 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $16,801 in federal fines

    CMS has fined this facility across 2 penalty action(s).

  • Nursing staff turnover of 62%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

  • Changed ownership in the last 12 months

    New owners often change staffing and management. Ratings from before the sale may not reflect current care.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 10/30 Staffing 17/30 Stability 5/15 Outcomes 5/15 Enforcement 6/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

10/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 2 immediate-jeopardy citation(s) in the last 3 years

Staffing

17/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.37 total nurse hours per resident per day (national median 3.77)
  • 0.82 RN hours per resident per day
  • Weekend staffing drops 12% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 62% of nursing staff left in the last year

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 2 of 5 stars on the CMS quality-measure rating

Enforcement history

6/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $16,801 in federal fines across 2 action(s)
  • -2 for 1 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.34 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.82 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.94 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 62.20%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 17 citations

Last standard health inspection: November 21, 2025 (9 months ago).

D Nov 21, 2025 F0550

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

No actual harm, potential for more than minimal harm

D Nov 21, 2025 F0578

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

C Nov 21, 2025 F0575

Resident Rights Deficiencies

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.

No actual harm, minimal potential

C Nov 21, 2025 F0577

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

No actual harm, minimal potential

J Aug 27, 2024 F0684

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Immediate jeopardy to resident health or safety

J Aug 27, 2024 F0689

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy to resident health or safety

E Aug 27, 2024 F0695

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

No actual harm, potential for more than minimal harm

E Aug 27, 2024 F0760 From a complaint

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of ALLIANCE HEALTH GROUP, which operates 12 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
BRIDGE HOLDCO LLC Organization DIRECT OWNERSHIP INTEREST
COALITION GROUP LLC Organization INDIRECT OWNERSHIP INTEREST
EMANUEL, YOSEF Individual INDIRECT OWNERSHIP INTEREST
EMANUEL, YOSEF Individual CORPORATE OFFICER
ALLIANCE HEALTH GROUP LLC Organization OPERATIONAL/MANAGERIAL CONTROL
CHRISTOPHER, CASEY Individual OPERATIONAL/MANAGERIAL CONTROL
ALLIANCE HEALTH GROUP LLC Organization ADP OF THE SNF
CHRISTOPHER, CASEY Individual ADP OF THE SNF
EMANUEL, YOSEF Individual ADP OF THE SNF
TURBETT, TIMOTHY Individual ADP OF THE SNF

What families say

Write a review

No family reviews yet for Juniper Gardens Center For Nursing And Rehabilitat. If you or a relative have experience of this home, other families would find it useful.

Be the first to review

Every review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern — that routes you to your state ombudsman, who can actually intervene.

Common questions about Juniper Gardens Center For Nursing And Rehabilitat

What is the ElderGrade for Juniper Gardens Center For Nursing And Rehabilitat? +

Juniper Gardens Center For Nursing And Rehabilitat holds an ElderGrade of D (43 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Juniper Gardens Center For Nursing And Rehabilitat? +

Residents receive an average of 3.34 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Juniper Gardens Center For Nursing And Rehabilitat been cited for harming residents? +

Yes. 3 of the 17 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Juniper Gardens Center For Nursing And Rehabilitat accept Medicaid? +

Yes, Juniper Gardens Center For Nursing And Rehabilitat is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.