Nursing home
Juniper Gardens Center for Nursing and Rehabilitation
4414 Wilkinson Blvd, Gastonia, NC 28056 · Map
For profit - Corporation · Part of Alliance Health Group (10 facilities) · 50 certified beds
Juniper Gardens Center for Nursing and Rehabilitation is a Medicare-certified nursing home in Gastonia, North Carolina. CMS rates it 3 out of 5 stars overall (3/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.50 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Nov 21, 2025 cited 4 deficiencies.
- 4 fines totaling $60,781In CMS records: 6 total penalties, 2 Medicare payment denials.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Juniper Gardens Center for Nursing and Rehabilitation 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) | 3.50 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.87 | 0.59 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.75 | 2.33 | 2.34 | below avg |
| Nursing staff turnover | 60.5% | 50.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 4.0 | 5.6 | 9.5 | below 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 November 21, 2025 inspection was corrected by December 19, 2025
Penalties in CMS records: 4 fines totaling $60,781, 6 total penalties, 2 Medicare payment denials.
What inspectors found at Juniper Gardens Center for Nursing and Rehabilitation
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
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 · Nov 21, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Nov 21, 2025 · Full report (PDF) - Minimal
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies · Nov 21, 2025 · Full report (PDF) - Minimal
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.
Resident Rights Deficiencies · Nov 21, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Aug 27, 2024 · Full report (PDF)
Show all 12 deficiencies
- Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Aug 27, 2024 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Aug 27, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 27, 2024 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Aug 27, 2024 · Full report (PDF) - Potential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Aug 27, 2024 · Full report (PDF) - Minimal
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Aug 27, 2024 · Full report (PDF) - Actual harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · May 2, 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
- 4414 Wilkinson Blvd
Gastonia, NC 28056 - CMS certification #
- 345307
- Ownership
- For profit - Corporation
- Certified beds
- 50
- Avg residents/day
- 40.5
- Provider type
- Medicare and Medicaid
- First certified
- 1989-08-09
- Chain
- Alliance Health Group (10 facilities)
- Setting
- Urban
Part of Alliance Health Group
Alliance Health Group operates 10 nursing facilities across the United States. View all Alliance Health Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Juniper Gardens Center for Nursing and Rehabilitation using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2023, 5 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.
- Apr 27, 2023: programmed (planned) inspection, complete (health). Case closed Nov 2, 2023. 5 violations cited (1 serious, 4 other). Penalties: $6,500 proposed, $6,500 now. OSHA record. OSHA recorded the employer as 154176 - the Ivy at Gastonia LLC. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(c)(1)(i)). Penalty $6,500 proposed, $6,500 now. To be fixed by Sep 13, 2023.
- Other than serious: Portable fire extinguishers (1910.157(e)(3)). Penalty $0 proposed, $0 now. To be fixed by Aug 4, 2023.
- Other than serious: Electrical equipment and installation (1910.303(g)(1)(ii)). Penalty $0 proposed, $0 now. To be fixed by Aug 4, 2023.
- Other than serious: Electrical wiring methods and equipment (1910.305(g)(1)(iv)(a)). Penalty $0 proposed, $0 now. To be fixed by Aug 4, 2023.
- Other than serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(g)(8)). Penalty $0 proposed, $0 now. To be fixed by Aug 4, 2023.
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. 2.4 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Courtland Terrace, Gastonia. 2.2 miles away, straight line.
- Nearest home health agency office
- Amedisys Home Health Care, Gastonia. 2.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 1.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28056 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fresenius Medical Care Gastonia, Gastonia, 2.9 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Fresenius Kidney Care North Gaston, Dallas, 4.5 miles away, straight line (CMS rating 4 of 5 stars)
Fmc Belmont Dialysis Center, Belmont, 4.8 miles away, straight line (CMS rating 5 of 5 stars) - Hospice
- 10 Medicare hospices tell CMS they serve ZIP code 28056.
Carolina Caring, office in Gastonia, 2.0 miles away, straight line (CMS family survey rating 3 of 5 stars)
Novant Health Hospice And Palliative Care A Department Of Novant Health, office in Charlotte, 15.5 miles away, straight line (CMS family survey rating 3 of 5 stars)
Epic Care Health LLC, office in Fort Mill, 17.5 miles away, straight line - Nearest geriatric medicine practice
- Comprehab, Inc, Gastonia. 2.0 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: relatively low. By hazard: hurricane relatively 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 | No plain statements of services found |
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Frequently asked questions
Is Juniper Gardens Center for Nursing and Rehabilitation a good nursing home?
CMS gives Juniper Gardens Center for Nursing and Rehabilitation an overall rating of 3 out of 5 stars, including 3/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Juniper Gardens Center for Nursing and Rehabilitation staffed?
Juniper Gardens Center for Nursing and Rehabilitation reports 3.50 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Juniper Gardens Center for Nursing and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 4 deficiencies.
How many beds does Juniper Gardens Center for Nursing and Rehabilitation have?
Juniper Gardens Center for Nursing and Rehabilitation is certified for 50 beds.