Staffing
CMS publishes a 3-star staffing rating for this facility.
RN staffing was 0.82 hours per resident day in 2026Q1, calculated from CMS PBJ records.
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Juniper Gardens Center for Nursing and Rehabilitat has 50 certified beds in Gastonia, North Carolina. The CMS overall rating is 3 of 5, compared with the North Carolina average of 2.9. The CMS health inspection rating is 3 of 5, compared with the North Carolina average of 2.9. The CMS staffing rating is 3 of 5. The latest standard health survey on Nov 21, 2025 lists 4 deficiencies, compared with the North Carolina average of 3.2. CMS records a fine of $8,401 dated Aug 27, 2024. CMS records a fine of $8,400 dated Aug 27, 2024. Total nurse staffing is 3.34 hours per resident day in 2026Q1, compared with the North Carolina average of 3.80.
CMS nursing home
Also known publicly as Juniper Gardens Center for Nursing and Rehabilitation
Gastonia, NC
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 345307.
At a glance
3 of 5
3 of 5
3 of 5
2 of 5
CMS has published 1 ownership-change record for this provider.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
Ownership change history
CMS publishes Change of Ownership records for this nursing home.
CMS records show an ownership change effective 2025-07-15.
These are CMS transaction records. They are not a Trust Hub quality, stability, or sale judgment.
Source freshness
Profile generated 2026-11-04. That timestamp is not CMS evidence freshness.
Methodology
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
CMS designations
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.
CMS field value: N. Observed Aug 1, 2026.
Enrollment identity
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
MDS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
Fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 3-star staffing rating for this facility.
RN staffing was 0.82 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Nov 21, 2025 cited 4 deficiencies.
View inspection evidenceCMS-published records list 23 ownership or control parties.
CMS records show an ownership change effective July 2025.
View ownership evidenceCMS groups this facility with a chain covering 12 facilities across 1 states or territories.
View chain evidenceCMS records show a 5-day payment denial in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
12 currently connected nursing homes share this CMS organization identity with COALITION GROUP LLC.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 12, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 16, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 16, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 16, 2025
Individual · CORPORATE OFFICER
Association date reported to CMS: Jul 16, 2025
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 16, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 16, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 16, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 16, 2025
Other facilities connected through this exact CMS organization identity: 0 across NC.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 16, 2025
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jul 16, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jul 16, 2025
CMS classifications: Parent company, Holding company
Other facilities connected through this exact CMS organization identity: 11 across NC.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 12, 2025
Other facilities connected through this exact CMS organization identity: 9 across NC.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 16, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 16, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 16, 2025
Individual · CORPORATE OFFICER
Association date reported to CMS: Jul 16, 2025
Organization · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jul 16, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 0 across NC.
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jul 16, 2025
CMS classifications: Parent company, Holding company
Other facilities connected through this exact CMS organization identity: 11 across NC.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jul 16, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 16, 2025
Other facilities connected through this exact CMS organization identity: 9 across NC.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 16, 2025
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across NC.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 714 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 12 | 1.3 | 1.8 |
| Mon Jun | 12 | 1.3 | 1.5 |
| Fri May | 12 | 1.3 | 1.6 |
| Wed Apr | 11 | 1.3 | 1.6 |
| Sun Mar | 10 | 1.3 | 1.8 |
| Sun Feb | 9 | 1.7 | 1.9 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 19, 2025)
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Dec 19, 2025)
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has date of correction (Dec 19, 2025)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Dec 19, 2025)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Ensure each resident receives an accurate assessment.
CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.
Correction status: Deficient, Provider has plan of correction (Oct 1, 2024)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Past Non-Compliance (Oct 13, 2023)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Past Non-Compliance (Oct 13, 2023)
Provide safe and appropriate respiratory care for a resident when needed.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 1, 2024)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Oct 1, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Allow residents to self-administer drugs if determined clinically appropriate.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 25, 2023)
Ensure each resident receives an accurate assessment.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 25, 2023)
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 25, 2023)
Provide safe, appropriate pain management for a resident who requires such services.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 25, 2023)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 25, 2023)
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 25, 2023)
No health-deficiency rows were deterministically linked to this inspection.
Penalties & enforcement
Payment denial length: 5 days
Published fine amount: $8,401.00
Published fine amount: $8,400.00
Questions to ask
Facility history
8 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: WILKINSON BLVD OPERATING COMPANY, LLC.
IVY AT GASTONIA LLC → WILKINSON BLVD OPERATING COMPANY, LLC
CMS · Recorded event date · View related evidence
5 deficiencies were recorded. That includes 2 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
CMS recorded a Medicare payment denial lasting 5 days.
CMS · Recorded event date · View related evidence
CMS recorded a $8,400 civil monetary penalty.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
CMS recorded a $8,401 civil monetary penalty.
CMS · Recorded event date · View related evidence
6 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 3 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.5 | 2.94 |
| RN categories | 0.827 | 0.793 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.001 lower than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.54 | 0.809 | 0.962 | 1.766 | 0% | 91 |
| 2025Q3 | 3.502 | 0.87 | 0.88 | 1.745 | 0% | 92 |
| 2025Q4 | 3.457 | 0.818 | 0.974 | 1.665 | 0% | 92 |
| 2026Q1 | 3.339 | 0.817 | 0.874 | 1.648 | 0% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
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