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Here are 10 Nursing Homes in Gaston County, NC

Nursing homes across Gaston County, North Carolina, graded on the federal inspection record, nurse staffing and staff turnover. County rank is shown on each home's profile.

Showing 1 to 10 of 10 homes

B

84.5/100

Courtland Terrace

Gastonia, NC · Gaston County

CMS 4/577 bedsNon-profitMedicaid
Nurse hours
4.25 /day
Staff turnover
29%
Serious cites
0

Courtland Terrace is a 77-bed nonprofit home in Gastonia, and the staffing numbers are the strength here, 4.25 nurse hours per resident day, roughly 10% above the national average, with turnover at 28.9% compared to 45.8% nationally. That retention matters more than any single inspection result, because consistent caregivers know the residents. The trade-off is weekends, when staffing drops about 22% below the home's own weekday level, so ask how that plays out on a Sunday afternoon. Ten deficiencies on record with none at the harm level and none abuse-related, and a 4-star health inspection from a visit in February 2026, suggest a home that runs steady rather than spotless.

B

80.5/100

Stanley Total Living Center

Stanley, NC · Gaston County

CMS 4/5106 bedsFor-profitMedicaid
Nurse hours
5.13 /day
Staff turnover
38%
Serious cites
0

Stanley Total Living Center has real staffing strength: 5.13 nurse hours per resident day is about a third more than the national average, and its 37.5% turnover beats the 45.8% norm. That's the good news. The rest is harder. Ten deficiencies sit on the current record, six at harm or jeopardy level and two tied to abuse, plus a $31,967 fine. Weekend staffing drops roughly 21% below weekdays, so the coverage families see on a Tuesday may not hold on a Sunday. The most recent inspection was January 2026, so the record is current. A for-profit corporation runs the 106-bed home. Strong hours and stable staff matter, but harm-level findings at that count are what pull the grade down.

B

79/100

Belmont Health & Rehabilitation

Gastonia, NC · Gaston County

CMS 4/5118 bedsFor-profitMedicaid
Nurse hours
3.16 /day
Staff turnover
51%
Serious cites
0

Accordius Health At Gastonia runs on 3.16 nurse hours per resident per day, roughly 18% under the national average of 3.86, and weekends dip about 10% below its own weekday numbers. The staffing star rating sits at 2 out of 5, and turnover hits 50.7% against a national 45.8%, nearly half the nursing staff cycling out in a year. What keeps the picture from being worse: 20 deficiencies on record, none at harm or jeopardy level and none abuse-related, with an inspection as recent as April 2026. Quality measures score 5 out of 5, and the corporate owner operates for profit. Strong clinical metrics, thinner coverage at the bedside.

B

78.5/100

Carolina Care Health And Rehabilitation

Cherryville, NC · Gaston County

CMS 5/5107 bedsFor-profitMedicaid
Nurse hours
4.11 /day
Staff turnover
42%
Serious cites
0

Carolina Care runs on solid ground where it counts. State inspectors visited in April 2026 and came away with five stars, nine deficiencies total and none of them causing harm or tied to abuse, that's a clean record by any measure. Nurse time comes in at 4.11 hours per resident day, about 6% above the national average, though weekends dip roughly 17% below weekdays, so ask how that gap gets covered. Staff turnover sits at 42.3%, slightly better than the 45.8% national figure. The for-profit LLC ownership is worth knowing about, and staffing earned three stars against five for inspections and quality, that spread is the real story here.

B

75/100

Peak Resources - Gastonia

Gastonia, NC · Gaston County

CMS 5/5104 bedsFor-profitMedicaid
Nurse hours
3.13 /day
Staff turnover
41%
Serious cites
0

Peak Resources - Gastonia runs lean on nursing hours: 3.13 per resident day against a national average of 3.86, and weekends dip about 11% below its own weekday coverage. That staffing gap is the main thing pulling its profile down, even though turnover at 41% is slightly better than the 45.8% national figure. The inspection record is cleaner than most, six deficiencies, none at the harm level, none related to abuse, and the last survey was recent. Quality measures score well. So you're looking at a home where care appears well-documented and inspections are solid, but day-to-day nurse coverage sits below what most facilities provide. Ask how they staff weekends and evenings before deciding.

B

72/100

Peak Resources-Cherryville

Cherryville, NC · Gaston County

CMS 4/570 bedsFor-profitMedicaid
Nurse hours
2.27 /day
Staff turnover
48%
Serious cites
0

Peak Resources-Cherryville runs on 2.27 nurse hours per resident per day, roughly 41 percent below the national average of 3.86, and weekends drop about 14 percent below its own weekday levels. That thin coverage is the main reason its staffing rating sits at 1 out of 5, even though turnover at 48.2 percent is only slightly worse than the 45.8 percent national figure. The inspection record looks better: 18 deficiencies, none at harm or jeopardy level, one abuse-related, and a recent June 2025 visit. Quality measures score 5 out of 5. So you have a home that charts well on outcomes but asks residents to get by on notably fewer hands per day, particularly on weekends.

C

63/100

Juniper Gardens Center For Nursing And Rehabilitat

Gastonia, NC · Gaston County

CMS 3/550 bedsFor-profitMedicaid
Nurse hours
3.34 /day
Staff turnover
62%
Serious cites
0

Juniper Gardens runs about 3.34 nurse hours per resident day, roughly 14% under the national average, and weekend coverage drops another 12% below its own weekday level. That thin margin matters more when turnover sits at 62.2% against a national 45.8%, meaning nearly two-thirds of staff left within the year. The inspection record shows 17 deficiencies, three serious enough to reach harm or jeopardy, plus two fines totaling $16,801. Ownership changed hands within the last 12 months, and the most recent inspection was November 2025. With 50 beds and a for-profit corporate owner, the numbers point to a home where consistent daily care is the open question.

C

62/100

Belaire Health Care Center

Gastonia, NC · Gaston County

CMS 2/580 bedsFor-profitMedicaid
Nurse hours
3.45 /day
Staff turnover
45%
Serious cites
0

Belaire runs about 3.45 nurse hours per resident each day, roughly 11 percent under the national average of 3.86, and weekends drop another 10 percent below its own weekday staffing. That thinner weekend coverage matters, since fewer nurses on duty is when problems tend to surface. The inspection record backs that up: 17 deficiencies, five serious enough to involve harm or jeopardy, and two fines totaling just over $202,000, a lot for an 80-bed home. Turnover sits at 44.9 percent, essentially the national rate. The 4/5 quality measure score is the bright spot, but inspection and staffing ratings both land at 2/5, and the most recent survey was July 2025. Ask to see the plan of correction for those harm-level citations.

C

60/100

Gastonia Health & Rehab Center

Gastonia, NC · Gaston County

CMS 1/560 bedsFor-profitMedicaid
Nurse hours
3.56 /day
Staff turnover
85%
Serious cites
0

Gastonia Health & Rehab Center runs on thin staffing and a lot of turnover. At 3.56 nurse hours per resident per day, it sits about 8% below the national average, and weekends drop roughly 13% below its own weekday numbers, meaning the thinnest coverage lands exactly when families tend to visit. The bigger concern is 84.6% annual turnover against a national 45.8%, so most of the people caring for your relative are new and likely to leave within the year. Sixteen deficiencies sit on the current record, four at harm or jeopardy level and two tied to abuse, with $15,808 in fines. The last inspection was December 2025.

D

48/100

The Greens At Gastonia

Gastonia, NC · Gaston County

CMS 1/5162 bedsFor-profitMedicaid
Nurse hours
3.25 /day
Staff turnover
76%
Serious cites
0

The Greens at Gastonia runs 162 beds under corporate ownership, and the numbers show real strain. Nurse staffing sits at 3.25 hours per resident day, roughly 16 percent below the national average, and weekends run about 12 percent thinner than weekdays, so coverage dips exactly when families tend to visit. Staff turnover hits 75.6 percent against a national average near 46 percent, meaning most of the people caring for residents are new to the building. The inspection record carries 53 deficiencies, including three at the harm level and one tied to abuse, plus $130,657 in fines. A May 2025 inspection is recent, but recent isn't the same as clean.

Before you shortlist in Gaston County