Starfile

Starfile / North Carolina

Asbury Health and Rehabilitation Center

3211 Bishops Way Lane, Charlotte, NC 28215 · CCN 345544

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★★★☆ 4
Staffing
★★★☆☆ 3

Facility

Ownership type
Non profit - Other
Certified beds
120
Avg residents/day
104.1
Phone
7045327000

Inspection history vs North Carolina & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityNorth Carolina avgNational avgvs state
12025-09-3055.69.5-0.6 better
22024-10-1677.29.8-0.2 better
32023-06-0877.49.3-0.4 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care1
Resident rights1
Nutrition and dietary1
Pharmacy service1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)5.0099.2%
RN staffing (reported)0.45100.0%
Total nurse staffing (adjusted)5.15

Fines & penalties

Total fines
$53,176
Number of fines
2
Number of penalties
2
Payment denials
0

Inspection citations (19)2 immediate jeopardy1 actual harm

  1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-09-30 · Health · corrected 2025-10-11

    Potential for more than minimal harm

  2. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-09-30 · Health · corrected 2025-10-11

    Potential for more than minimal harm

  3. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-30 · Health · corrected 2025-10-11

    Actual harm

  4. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-09-30 · Health · corrected 2025-10-11

    Potential for more than minimal harm

  5. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-09-30 · Health · corrected 2025-10-02

    Potential for more than minimal harm

  6. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2024-10-16 · Health · corrected 2024-11-08

    Potential for more than minimal harm

  7. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-10-16 · Health · corrected 2024-11-08

    Potential for more than minimal harm

  8. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-10-16 · Health · corrected 2024-11-08

    Potential for more than minimal harm

  9. JF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-10-16 · Health · corrected 2024-11-08

    Immediate jeopardy

  10. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-10-16 · Health · corrected 2024-11-08

    Potential for more than minimal harm

  11. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-16 · Health · corrected 2024-11-08

    Potential for more than minimal harm

  12. JF0880Provide and implement an infection prevention and control program.2024-10-16 · Health · corrected 2024-11-08

    Immediate jeopardy

  13. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-06-08 · Health · corrected 2023-07-05

    Potential for more than minimal harm

  14. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2023-06-08 · Health · corrected 2023-07-05

    Potential for more than minimal harm

  15. DF0641Ensure each resident receives an accurate assessment.2023-06-08 · Health · corrected 2023-07-05

    Potential for more than minimal harm

  16. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-06-08 · Health · corrected 2023-07-05

    Potential for more than minimal harm

  17. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-06-08 · Health · corrected 2023-07-05

    Potential for more than minimal harm

  18. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-06-08 · Health · corrected 2023-07-05

    Potential for more than minimal harm

  19. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-06-08 · Health · corrected 2023-07-05

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
ALDERSGATE UNITED METHODIST RETIREMENT COMMUNITY, INC.Organization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2025-09-01
PATTERSON HODGE, ANGELLAIndividualOPERATIONAL/MANAGERIAL CONTROL2012-07-12

Other facilities in Charlotte

NameOverallBeds
Mecklenburg Heath and Rehabilitation★★★★★100
Brookdale Carriage Club Providence★★★★☆14
Briar Creek Health Center★★★★☆6
Sardis Oaks★★★★☆124
Sharon Towers★★★★☆19

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.