Autumn Care of Shallotte
237 Mulberry Street, Shallotte, NC 28459 · Brunswick County · 100 certified beds · avg 91 residents/day · certified since Jan 24, 1989
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: ★★☆☆☆2/5 · CMS overall rating: 2/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jan 5, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Dec 1, 2023 (Past Non-Compliance)
▲ Actual harm, one-off · Jul 27, 2023 · F-0600
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.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 21, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (25)
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 |
|---|---|---|
| May 14, 2026 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| May 14, 2026 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · from a complaint |
| Jul 25, 2025 | E · Potential for harm, repeated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Jul 25, 2025 | E · Potential for harm, repeated | 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 |
| Jul 25, 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. |
| Aug 29, 2024 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Aug 29, 2024 | E · Potential for harm, repeated | 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. |
| Aug 29, 2024 | 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. · from a complaint |
| Aug 29, 2024 | 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. |
| Aug 29, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · from a complaint |
| Aug 29, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jan 5, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 5, 2024 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint |
| Oct 26, 2023 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint |
| Oct 12, 2023 | 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. · from a complaint |
| Jul 27, 2023 | ▲ G · Actual 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. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jul 27, 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. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Jul 27, 2023 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 12 | 1 | G ▲ |
| 2024 | 8 | 1 | J ▲ |
| 2025 | 3 | 0 | E |
| 2026 | 2 | 0 | D |
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)
2 fines totaling $25,595.
| Date | Type | Amount / length |
|---|---|---|
| Jan 5, 2024 | Fine | $16,452 |
| Oct 12, 2023 | Fine | $9,143 |
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) | 3.61 | 4.01 | 3.95 | bottom 45% in North Carolina; bottom 42% in the U.S. |
| Registered Nurse hours | 1.01 | 0.64 | 0.69 | top 12% in North Carolina; top 15% in the U.S. |
| Weekend total nurse staffing | 3.08 | 3.56 | 3.50 | bottom 35% in North Carolina; bottom 35% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.76 | 0.41 | 0.48 | top 8% in North Carolina; top 13% in the U.S. |
| Total nursing staff turnover (%) | 54.7 | 49.0 | 45.8 | bottom 35% in North Carolina; bottom 26% in the U.S. |
| RN turnover (%) | 26.3 | 45.7 | 42.9 | top 19% in North Carolina; top 23% 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 3.50, RN 0.98, weekend 2.99. Staffing rating: 4/5.
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: 4/5 · long-stay residents: 3/5 · short-stay residents: 4/5
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 |
| WWBV Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | 100% | 09/30/2019 |
| Cibc Bank USA | Organization | ADP of the SNF | NOT APPLICABLE | 03/31/2021 |
| Citrin Cooperman Advisors LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/01/2026 |
| Davis, Jennifer | Individual | ADP of the SNF | NOT APPLICABLE | 05/27/2025 |
| 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) Shallotte, LP | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 03/01/2016 |
| Ohi Asset (NC) Shallotte, 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 | 03/01/2026 |
| SHG Autumn, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/19/2026 |
| 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 | 04/19/2026 |
| Sullivan, Melissa | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/17/2023 |
| Sullivan, Melissa | Individual | ADP of the SNF | NOT APPLICABLE | 12/17/2023 |
| Viner Davis, Bethany | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/08/2021 |
| Viner Davis, Bethany | Individual | ADP of the SNF | NOT APPLICABLE | 06/08/2021 |
| Volpe, Benjamin | Individual | Corporate Director | 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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Who on your staff manages IV therapy, and what training and monitoring is in place?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "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 |
|---|---|---|---|---|---|
| Brunswick Health & Rehab Center | 9.2 mi | Ash, NC | ★☆☆☆☆ | 1/5 | |
| Brunswick Rehabilitation and Healthcare Center | 9.6 mi | Bolivia, NC | ★☆☆☆☆ | 1/5 |
Compare this facility with the 2 closest →
Facility data as of CMS processing date 2026-08-01. CCN 345294.