D69

Asbury Health and Rehabilitation Center

Grade D 69/100 composite score

Non profit - Other

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
4/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

120

Ownership

Non profit - Other

Total Fines

$38,376

Last Survey

N/A

3211 Bishops Way Lane, Charlotte, NC 28215
7045327000

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.47h
LPN
1.50h
CNA
3.18h
Total
5.15h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

ALDERSGATE UNITED METHODIST RETIREMENT COMMUNITY, INC.

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Feb 1945

100%

DAVIS, CHRISTOPHER

IndividualCORPORATE DIRECTORSince Jan 2015

GARRETT, PATRICIA

IndividualCORPORATE DIRECTORSince Jan 2013

GUILFORD, DAVID

IndividualCORPORATE DIRECTORSince Jan 2015

HENDERSON, BORIS

IndividualCORPORATE DIRECTORSince Jan 2018

HOLLAND WILSON, MARY

IndividualCORPORATE DIRECTORSince Jan 2016

KEEVER, SUSAN

IndividualCORPORATE DIRECTORSince Feb 2012

LAWING, THOMAS

IndividualCORPORATE DIRECTORSince Jan 2013

LIPE, JOSEPH

IndividualCORPORATE DIRECTORSince Feb 2012

MADDALON, BILLY

IndividualCORPORATE DIRECTORSince Jan 2017

MORRIS, BLAKE

IndividualCORPORATE DIRECTORSince Jan 2015

SPRINGS, WILLIAM

IndividualCORPORATE DIRECTORSince Feb 2012

VAUGHN, ROBERT

IndividualCORPORATE DIRECTORSince Jan 2016

WATKINS, STANLEY

IndividualCORPORATE DIRECTORSince Jan 2016

PUGH, SUZANNE

IndividualCORPORATE OFFICERSince Jan 2011

WEATHERHEAD, JEFF

IndividualW-2 MANAGING EMPLOYEESince Sep 2014

Penalties & Fines (1)

$38,376total fines
DateTypeDescriptionAmount
Oct 16, 2024Fine$38,376

Health Inspection Deficiencies (19)

September 30, 2025Health5 deficiencies1 severe
0550DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Oct 11, 2025
0607DMinimal harm, Isolated

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Oct 11, 2025
0761DMinimal harm, Isolated

Ensure 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.

Pharmacy Service Deficiencies

Corrected Oct 11, 2025
0812DMinimal harm, Isolated

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

Nutrition and Dietary Deficiencies

Corrected Oct 2, 2025
0689GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Oct 11, 2025
October 16, 2024Health7 deficiencies2 severe
0553DMinimal harm, Isolated

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Resident Rights Deficiencies

Corrected Nov 8, 2024
0582DMinimal harm, Isolated

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies

Corrected Nov 8, 2024
0636DMinimal harm, Isolated

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Resident Assessment and Care Planning Deficiencies

Corrected Nov 8, 2024
0726JImmediate jeopardy, Isolated

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Nursing and Physician Services Deficiencies

Corrected Nov 8, 2024
0761DMinimal harm, Isolated

Ensure 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.

Pharmacy Service Deficiencies

Corrected Nov 8, 2024
0812EMinimal harm, Pattern

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

Nutrition and Dietary Deficiencies

Corrected Nov 8, 2024
0880JImmediate jeopardy, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 8, 2024
June 8, 2023Health7 deficiencies
0552DMinimal harm, Isolated

Ensure that residents are fully informed and understand their health status, care and treatments.

Resident Rights Deficiencies

Corrected Jul 5, 2023
0565EMinimal harm, Pattern

Honor the resident's right to organize and participate in resident/family groups in the facility.

Resident Rights Deficiencies

Corrected Jul 5, 2023
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Jul 5, 2023
0656EMinimal harm, Pattern

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Jul 5, 2023
0806DMinimal harm, Isolated

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Nutrition and Dietary Deficiencies

Corrected Jul 5, 2023
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Jul 5, 2023
0867EMinimal harm, Pattern

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Administration Deficiencies

Corrected Jul 5, 2023

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Frequently Asked Questions

What is the CareGrader rating for Asbury Health and Rehabilitation Center?

Asbury Health and Rehabilitation Center in Charlotte, North Carolina has a CareGrader grade of D (Below Average), with a composite score of 68.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Asbury Health and Rehabilitation Center?

Asbury Health and Rehabilitation Center has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Asbury Health and Rehabilitation Center have?

Asbury Health and Rehabilitation Center has 19 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has Asbury Health and Rehabilitation Center been fined?

Yes. Asbury Health and Rehabilitation Center has $38,376 in total fines from CMS enforcement actions across 1 penalty.

How many beds does Asbury Health and Rehabilitation Center have?

Asbury Health and Rehabilitation Center has 120 certified beds with approximately 104 current residents (87% occupancy). The facility is located at 3211 Bishops Way Lane, Charlotte, North Carolina 28215. It is a non profit - other facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.