Autumn Care of Statesville
2001 Vanhaven Drive, Statesville, NC 28625 · CCN 345511
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★☆ 4
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 103
- Avg residents/day
- 98.9
- Phone
- 7048839700
Inspection history vs North Carolina & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | North Carolina avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-04-16 | 3 | 5.6 | 9.5 | -2.6 better |
| 2 | 2024-02-08 | 3 | 7.2 | 9.8 | -4.2 better |
| 3 | 2022-08-25 | 12 | 7.4 | 9.3 | +4.6 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Resident rights | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.43 | 50.0% |
| RN staffing (reported) | 0.40 | 70.0% |
| Total nurse staffing (adjusted) | 3.46 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- SABER HEALTHCARE GROUP
- Facilities in chain
- 126
- Chain avg overall
- 3.00 / 5
Inspection citations (18)2 actual harm
- DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-04-16 · Health · corrected 2025-05-09
Potential for more than minimal harm
- DF0578Honor 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.2025-04-16 · Health · corrected 2025-05-09
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-04-16 · Health · corrected 2025-05-09
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-02-08 · Health · corrected 2024-02-27
Potential for more than minimal harm
- DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-02-08 · Health · corrected 2024-02-27
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-02-08 · Health · corrected 2024-02-27
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-08-25 · Health · corrected 2022-09-22
Potential for more than minimal harm
- DF0638Assure that each resident’s assessment is updated at least once every 3 months.2022-08-25 · Health · corrected 2022-09-22
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-08-25 · Health · corrected 2022-09-22
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-08-25 · Health · corrected 2022-09-22
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2022-08-25 · Health · corrected 2022-09-22
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-08-25 · Health · corrected 2022-09-22
Actual harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-08-25 · Health · corrected 2022-09-22
Potential for more than minimal harm
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2022-08-25 · Health · corrected 2022-09-22
Actual harm
- DF0790Provide routine and 24-hour emergency dental care for each resident.2022-08-25 · Health · corrected 2022-09-22
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-08-25 · Health · corrected 2022-09-22
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-08-25 · Health · corrected 2022-09-22
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2022-08-25 · Health · corrected 2022-09-22
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| AUTUMN CORPORATION | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-12-31 |
| BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020) | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-01-01 |
| BNV DYNASTY LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-01-01 |
| DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-01-01 |
| SABER HEALTHCARE HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-12-31 |
| SHG AUTUMN, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-12-31 |
| WILLIAM I WEISBERG FAMILY DYNASTY TRUST (DATED JUNE 1, 2011) | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-01-01 |
| WIW DYNASTY LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2023-01-01 |
| SABER GOVERNANCE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-12-31 |
| SHG MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-12-31 |
| HOPPING, DARIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-06-21 |
| RABUCK, TAMBRIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-05-16 |
| VOLPE, BENJAMIN | Individual | CORPORATE DIRECTOR | — | 2019-12-31 |
| WEISBERG, WILLIAM | Individual | CORPORATE DIRECTOR | — | 2019-12-31 |
| NICOLUZAKIS, GREGORY | Individual | CORPORATE OFFICER | — | 2019-12-31 |
| VOLPE, BENJAMIN | Individual | CORPORATE OFFICER | — | 2019-12-31 |
| WEISBERG, WILLIAM | Individual | CORPORATE OFFICER | — | 2019-12-31 |
Other facilities in Statesville
| Name | Overall | Beds |
|---|---|---|
| The Greens at Maple Leaf | ★★★☆☆ | 94 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.