Gates Health and Rehabilitation Center

Name: Gates Health and Rehabilitation Center
Address: 38 Carters Road, Gatesville, NC, 27938, US
Telephone: 2523572124

38 Carters Road, Gatesville, NC 27938 · Gates County · 70 certified beds · avg 52 residents/day · certified since Oct 23, 1991

Part of chain: AUGUST HEALTHCARE (6 facilities, chain avg rating 3.0★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.88

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · 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.

All citations in the current public record (11)

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
Aug 15, 2025	F · Potential for harm, facility-wide	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 15, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Aug 15, 2025	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.
Aug 14, 2024	E · Potential for harm, repeated	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.
Aug 14, 2024	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
May 11, 2023	E · Potential for harm, repeated	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.
May 11, 2023	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.
May 11, 2023	D · Potential for harm, one-off	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out.
May 11, 2023	D · Potential for harm, one-off	The facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly.
May 11, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
May 11, 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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 3).

Year	Citations	Worst severity that year
2023	6	E
2024	2	E
2025	3	F

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)	2.88	4.01	3.95	bottom 4% in North Carolina; bottom 10% in the U.S.
Registered Nurse hours	0.30	0.64	0.69	bottom 8% in North Carolina; bottom 10% in the U.S.
Weekend total nurse staffing	2.41	3.56	3.50	bottom 2% in North Carolina; bottom 7% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.23	0.41	0.48	bottom 27% in North Carolina; bottom 18% in the U.S.
Total nursing staff turnover (%)	51.0	49.0	45.8	bottom 45% in North Carolina; bottom 34% in the U.S.
RN turnover (%)	80.0	45.7	42.9	bottom 5% in North Carolina; bottom 6% 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 3.21, RN 0.34, weekend 2.69. Staffing rating: 1/5.

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: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Augustnc Holdco LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	01/01/2025
Cohen, Itamar	Individual	Indirect Ownership Interest	NOT APPLICABLE	01/01/2025
Augustnc Holdco LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Beatty, Laticia	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Beatty, Laticia	Individual	ADP of the SNF	NOT APPLICABLE	04/23/2025
Cohen, Itamar	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Ferguson, Steven	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Ferguson, Steven	Individual	ADP of the SNF	NOT APPLICABLE	02/24/2025
HC Family Trust	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2025
Hyman, Simcha	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/17/2025
NC SNF Propco Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2025
Zanziper Family Trust	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2025
Zanziper, Naftali	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025

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?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"How is pest control handled here, and when was the last treatment or inspection?"
"What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
"Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"
"What does your discharge planning process look like, and how are families involved before a move?"
"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
Ahoskie Health and Rehabilitation Center	15.7 mi	Ahoskie, NC	★★★☆☆	3/5
Hertford Rehabilitation and Healthcare Center	18.9 mi	Hertford, NC	★☆☆☆☆	2/5

Compare this facility with the 2 closest →

All facilities in Gatesville →

Facility data as of CMS processing date 2026-08-01. CCN 345406.

The Care File

Visit checklist — Gates Health and Rehabilitation Center

38 Carters Road, Gatesville, NC 27938 · 2523572124

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "How is pest control handled here, and when was the last treatment or inspection?"
☐ "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
☐ "Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"
☐ "What does your discharge planning process look like, and how are families involved before a move?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 345406 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)