ElderGrade
F

30.2/100

Poor

The Citadel Mooresville

550 Glenwood Drive, Mooresville, NC 28115

CMS 1/5 stars #4 of 5 in Iredell County (704) 664-7494
Certified beds
130
Occupancy
76%
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.

  • 9 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.

  • $201,886 in federal fines

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

  • Nursing staff turnover of 61%

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

How this grade was calculated

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

Inspection safety

3.2/30

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

  • -20 for 4 immediate-jeopardy citation(s) in the last 3 years
  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -2.8 for 25 total citations against a national median of 17

Staffing

13/30

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

  • 3.57 total nurse hours per resident per day (national median 3.77)
  • 0.57 RN hours per resident per day
  • Weekend staffing drops 8% 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.

  • 61% of nursing staff left in the last year

Resident outcomes

9/15

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

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

Enforcement history

0/10

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

  • $201,886 in federal fines across 2 action(s)
  • -0 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 3.28 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.57 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 3.03 hrs
National average 3.42 hrs Below average

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

Nursing staff turnover 60.60%
National average 45.80% Below average

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

Recent inspection findings

All 49 citations

Last standard health inspection: May 15, 2025 (1 year ago).

F May 15, 2025 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

D May 15, 2025 F0644

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D May 15, 2025 F0690

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

No actual harm, potential for more than minimal harm

D May 15, 2025 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

D May 15, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

J Apr 8, 2025 F0580 From a complaint

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Immediate jeopardy to resident health or safety

J Apr 8, 2025 F0684 From a complaint

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

G Apr 8, 2025 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm to a resident

What families say

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Common questions about The Citadel Mooresville

What is the ElderGrade for The Citadel Mooresville? +

The Citadel Mooresville holds an ElderGrade of F (30.2 out of 100), which we describe as "poor". 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 The Citadel Mooresville? +

Residents receive an average of 3.28 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has The Citadel Mooresville been cited for harming residents? +

Yes. 9 of the 49 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 The Citadel Mooresville accept Medicaid? +

Yes, The Citadel Mooresville 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.