Nursing home
Accordius Health at Gastonia
416 N Highland Street, Gastonia, NC 28052 · Map
For profit - Corporation · Part of Simcha Hyman & Naftali Zanziper (94 facilities) · 118 certified beds
Accordius Health at Gastonia is a Medicare-certified nursing home in Gastonia, North Carolina. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 2.97 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Jan 17, 2025 cited 7 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Accordius Health at Gastonia compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.97 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.43 | 0.59 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.78 | 2.33 | 2.34 | below avg |
| Nursing staff turnover | 63.4% | 50.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 7.0 | 5.6 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the April 1, 2026 inspection was corrected by April 24, 2026
What inspectors found at Accordius Health at Gastonia
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Apr 1, 2026 · Full report (PDF) - Potential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Apr 1, 2026 · Full report (PDF) - Potential for harm
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Jan 17, 2025 · Full report (PDF) - Potential for harm
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · Jan 17, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jan 17, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · Jan 17, 2025 · Full report (PDF) - Potential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Jan 17, 2025 · Full report (PDF) - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Jan 17, 2025 · Full report (PDF) - Minimal
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Jan 17, 2025 · Full report (PDF) - Potential for harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies · Oct 6, 2023 - Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Oct 6, 2023 - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Oct 6, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 416 N Highland Street
Gastonia, NC 28052 - CMS certification #
- 345162
- Ownership
- For profit - Corporation
- Certified beds
- 118
- Avg residents/day
- 89.9
- Provider type
- Medicare and Medicaid
- First certified
- 1976-11-01
- Chain
- Simcha Hyman & Naftali Zanziper (94 facilities)
- Setting
- Urban
Part of Simcha Hyman & Naftali Zanziper
Simcha Hyman & Naftali Zanziper operates 94 nursing facilities across the United States. View all Simcha Hyman & Naftali Zanziper facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Accordius Health at Gastonia using Google Maps.
Other public records
- Workplace safety 3 OSHA workplace safety inspections since 2019, 4 violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- May 27, 2026: programmed (planned) inspection, complete (health). Case open. No violations cited. OSHA record. OSHA recorded the employer as 161289 - Heights SNF Operations LLC. Matched by street address; the name OSHA recorded differs from the community's.
- Sep 8, 2021: programmed (planned) inspection, complete (health). Case closed May 16, 2022. 3 violations cited (3 other). Penalties: $0 proposed, $0 now. OSHA record. OSHA recorded the employer as 150040 - Accordius Health at Gastonia LLC.
Details
- Other than serious: Keeping exit routes clear and marked (1910.37(b)(6)). Penalty $0 proposed, $0 now. To be fixed by Nov 15, 2021.
- Other than serious: Electrical equipment and installation (1910.303(b)(2)). Penalty $0 proposed, $0 now. To be fixed by Nov 15, 2021.
- Other than serious: Electrical wiring methods and equipment (1910.305(b)(2)(i)). Penalty $0 proposed, $0 now. To be fixed by Nov 15, 2021.
- Apr 29, 2019: programmed (planned) inspection, complete (health). Case closed Jun 24, 2019. 1 violation cited (1 other). Penalties: $0 proposed, $0 now. OSHA record. OSHA recorded the employer as 142226 - Accordius Health at Gastonia LLC.
Details
- Other than serious: Portable fire extinguishers (1910.157(c)(1)). Penalty $0 proposed, $0 now. To be fixed by May 28, 2019.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Caromont Regional Medical Center, Gastonia. 3.2 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Gastonia Health & Rehab Center, Gastonia. 2.4 miles away, straight line.
- Nearest home health agency office
- Adoration Home Health, Gastonia. 2.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Moss Drugs. 0.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28052 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc Bma South Gaston Dialysis, Gastonia, 2.4 miles away, straight line (CMS rating 4 of 5 stars)
Fresenius Medical Care Gastonia, Gastonia, 2.4 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Fresenius Kidney Care North Gaston, Dallas, 3.1 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 8 Medicare hospices tell CMS they serve ZIP code 28052.
Carolina Caring, office in Gastonia, 3.3 miles away, straight line (CMS family survey rating 3 of 5 stars)
Via Health Partners - Cleveland, office in Shelby, 18.6 miles away, straight line (CMS family survey rating 4 of 5 stars)
Novant Health Hospice And Palliative Care A Department Of Novant Health, office in Charlotte, 20.7 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Comprehab, Inc, Gastonia. 3.5 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively moderate, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Accordius Health at Gastonia a good nursing home?
CMS gives Accordius Health at Gastonia an overall rating of 2 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Accordius Health at Gastonia staffed?
Accordius Health at Gastonia reports 2.97 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Accordius Health at Gastonia had inspection problems?
Its most recent CMS inspection cited 7 deficiencies.
How many beds does Accordius Health at Gastonia have?
Accordius Health at Gastonia is certified for 118 beds.