Autumn Care of Salisbury
1505 Bringle Ferry Road, Salisbury, NC 28146 · Rowan County · 97 certified beds · avg 89 residents/day · certified since Jan 6, 1988
Part of chain: SABER HEALTHCARE GROUP (126 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (20)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 2, 2026 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 2, 2026 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Apr 2, 2026 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Apr 2, 2026 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Apr 2, 2026 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Jan 14, 2026 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Mar 6, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. · from a complaint |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Mar 6, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Nov 9, 2023 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Nov 9, 2023 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Nov 9, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Nov 9, 2023 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (10 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | D |
| 2025 | 10 | 0 | E |
| 2026 | 6 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.33 | 4.01 | 3.95 | bottom 23% in North Carolina; bottom 28% in the U.S. |
| Registered Nurse hours | 0.56 | 0.64 | 0.69 | top 44% in North Carolina; bottom 47% in the U.S. |
| Weekend total nurse staffing | 2.81 | 3.56 | 3.50 | bottom 13% in North Carolina; bottom 21% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.41 | 0.48 | bottom 41% in North Carolina; bottom 29% in the U.S. |
| Total nursing staff turnover (%) | 68.6 | 49.0 | 45.8 | bottom 10% in North Carolina; bottom 7% in the U.S. |
| RN turnover (%) | 40.0 | 45.7 | 42.9 | top 39% in North Carolina; top 46% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.24, RN 0.55, weekend 2.74. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| SHG Autumn, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/01/2016 |
| Amin, Chetan | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2018 |
| Cibc Bank USA | Organization | ADP of the SNF | NOT APPLICABLE | 03/31/2021 |
| Citrin Cooperman Advisors LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2016 |
| Hopping, Darin | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/21/2021 |
| Hopping, Darin | Individual | ADP of the SNF | NOT APPLICABLE | 06/21/2021 |
| Nicoluzakis, Gregory | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2019 |
| Nicoluzakis, Gregory | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2019 |
| Ohi Asset (NC) Salisbury, LP | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 03/01/2019 |
| Ohi Asset (NC) Salisbury, LP | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2016 |
| Saber Governance LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2019 |
| Saber Healthcare Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2016 |
| Saber Healthcare Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/02/2025 |
| SHG Autumn, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/02/2025 |
| SHG Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2019 |
| SHG Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2019 |
| SHG Mt, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/02/2025 |
| Stoltzfus, Sherri | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/27/2025 |
| Stoltzfus, Sherri | Individual | ADP of the SNF | NOT APPLICABLE | 05/27/2025 |
| Volpe, Benjamin | Individual | Managing Control - Governing Body | NOT APPLICABLE | 03/01/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| NC State Veterans Home - Salisbury | 0.1 mi | Salisbury, NC | ★★★★☆ | 2/5 | |
| Compass Healthcare and Rehab Rowan, LLC | 1.3 mi | Spencer, NC | ★★★☆☆ | 3/5 | |
| Piedmont Health & Rehab Center | 1.8 mi | Salisbury, NC | ★★☆☆☆ | 2/5 | |
| Trinity Oaks | 2.4 mi | Salisbury, NC | ★★★★★ | 4/5 | |
| Meadowbrook Health & Rehabilitation | 3.2 mi | Salisbury, NC | ★☆☆☆☆ | 1/5 | |
| The Laurels of Salisbury | 4.8 mi | Salisbury, NC | ★★★☆☆ | 3/5 | |
| Liberty Commons Nsg and Rehab Ctr of Rowan County | 5.3 mi | Salisbury, NC | ★★★☆☆ | 3/5 | |
| Davidson Health & Rehab Center | 10.9 mi | Lexington, NC | ★☆☆☆☆ | 1/5 | abuse |
| Pine Acres Center for Nursing and Rehabilitation | 13.0 mi | Lexington, NC | ★☆☆☆☆ | 1/5 | |
| Big Elm Retirement and Nursing Centers | 14.7 mi | Kannapolis, NC | ★★★★☆ | 4/5 | |
| Lexington Health Care Center | 15.7 mi | Lexington, NC | ★★☆☆☆ | 2/5 | abuse |
| Kannapolis Health and Rehabilitation | 16.2 mi | Kannapolis, NC | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 345269.