C80

Autumn Care of Statesville

Grade C 80/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
3/5
Health Insp.
4/5
Quality
4/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

103

Ownership

For profit - Limited Liability company

Total Fines

None

Last Survey

N/A

2001 Vanhaven Drive, Statesville, NC 28625
7048839700

Get Pricing & Availability for Autumn Care of Statesville

Request current pricing, availability, and tour information from Autumn Care of Statesville in Statesville, North Carolina.

Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.41h
LPN
0.76h
CNA
2.29h
Total
3.46h
Facility
State Average

Turnover Rates

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

Ownership

AUTUMN CORPORATION

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2019

100%

BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020)

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2023

BNV DYNASTY LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2023

SABER HEALTHCARE HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2019

SHG AUTUMN, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2019

SHH HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2019

WILLIAM I WEISBERG FAMILY DYNASTY TRUST (DATED JUNE 1, 2011)

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2023

WIW DYNASTY LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jan 2023

WWBV HOLDINGS LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2019

SABER GOVERNANCE LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Dec 2019

VOLPE, BENJAMIN

IndividualCORPORATE DIRECTORSince Dec 2019

WEISBERG, WILLIAM

IndividualCORPORATE DIRECTORSince Dec 2019

NICOLUZAKIS, GREGORY

IndividualCORPORATE OFFICERSince Dec 2019

VOLPE, BENJAMIN

IndividualCORPORATE OFFICERSince Dec 2019

WEISBERG, WILLIAM

IndividualCORPORATE OFFICERSince Dec 2019

RABUCK, TAMBRIA

IndividualW-2 MANAGING EMPLOYEESince May 2022

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (18)

April 16, 2025Health3 deficiencies
0554DMinimal harm, Isolated

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies

Corrected May 9, 2025
0578DMinimal harm, Isolated

Honor 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.

Resident Rights Deficiencies

Corrected May 9, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected May 9, 2025
February 8, 2024Health3 deficiencies
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Feb 27, 2024
0867DMinimal harm, Isolated

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

Administration Deficiencies

Corrected Feb 27, 2024
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Feb 27, 2024
August 25, 2022Health12 deficiencies2 severe
0580DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Sep 22, 2022
0638DMinimal harm, Isolated

Assure that each resident’s assessment is updated at least once every 3 months.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 22, 2022
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 22, 2022
0677EMinimal harm, Pattern

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Sep 22, 2022
0688DMinimal harm, Isolated

Provide 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.

Quality of Life and Care Deficiencies

Corrected Sep 22, 2022
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 Sep 22, 2022
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Sep 22, 2022
0697GActual harm, Isolated

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Sep 22, 2022
0790DMinimal harm, Isolated

Provide routine and 24-hour emergency dental care for each resident.

Quality of Life and Care Deficiencies

Corrected Sep 22, 2022
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 Sep 22, 2022
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 22, 2022
0919DMinimal harm, Isolated

Make sure that a working call system is available in each resident's bathroom and bathing area.

Environmental Deficiencies

Corrected Sep 22, 2022

Request Information from Autumn Care of Statesville

Get pricing, schedule a tour, or ask about availability.

Request information from Autumn Care of Statesville

Frequently Asked Questions

What is the CareGrader rating for Autumn Care of Statesville?

Autumn Care of Statesville in Statesville, North Carolina has a CareGrader grade of C (Average), with a composite score of 79.8 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 Autumn Care of Statesville?

Autumn Care of Statesville has an overall CMS star rating of 3 out of 5, a health inspection rating of 4/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Autumn Care of Statesville have?

Autumn Care of Statesville has 18 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.

How many beds does Autumn Care of Statesville have?

Autumn Care of Statesville has 103 certified beds with approximately 98 current residents (95% occupancy). The facility is located at 2001 Vanhaven Drive, Statesville, North Carolina 28625. It is a for profit - limited liability company 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.