Juniper Gardens Center for Nursing and Rehabilitat
4414 Wilkinson Blvd, Gastonia, NC 28056 · Gaston County · 50 certified beds · avg 41 residents/day · certified since Aug 9, 1989
Part of chain: ALLIANCE HEALTH GROUP (12 facilities, chain avg rating 1.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 · Aug 27, 2024 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
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: Oct 13, 2023 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Aug 27, 2024 · F-0689
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: Oct 13, 2023 (Past Non-Compliance)
▲ Actual harm, one-off · May 2, 2023 · F-0697
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
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: May 25, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (17)
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 |
|---|---|---|
| Nov 21, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Nov 21, 2025 | 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. |
| Nov 21, 2025 | C · Minimal risk, facility-wide | The facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency. |
| Nov 21, 2025 | C · Minimal risk, facility-wide | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
| Aug 27, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Aug 27, 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. |
| Aug 27, 2024 | E · Potential for harm, repeated | 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. |
| Aug 27, 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. · from a complaint |
| Aug 27, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 27, 2024 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · from a complaint |
| Aug 27, 2024 | B · Minimal risk, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| May 2, 2023 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| May 2, 2023 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| May 2, 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 2, 2023 | E · Potential for harm, repeated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| May 2, 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. |
| May 2, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 1 | G ▲ |
| 2024 | 7 | 2 | J ▲ |
| 2025 | 4 | 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 $16,801, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Aug 27, 2024 | Fine | $8,400 |
| Aug 27, 2024 | Fine | $8,401 |
| Aug 27, 2024 | Payment Denial | 5 days from Sep 26, 2024 |
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) | 3.37 | 4.01 | 3.95 | bottom 26% in North Carolina; bottom 30% in the U.S. |
| Registered Nurse hours | 0.83 | 0.64 | 0.69 | top 17% in North Carolina; top 26% in the U.S. |
| Weekend total nurse staffing | 2.97 | 3.56 | 3.50 | bottom 25% in North Carolina; bottom 29% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.79 | 0.41 | 0.48 | top 7% in North Carolina; top 12% in the U.S. |
| Total nursing staff turnover (%) | 62.2 | 49.0 | 45.8 | bottom 19% in North Carolina; bottom 13% in the U.S. |
| RN turnover (%) | 50.0 | 45.7 | 42.9 | bottom 45% in North Carolina; bottom 39% 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 3.34, RN 0.82, weekend 2.94. Staffing rating: 3/5.
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: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bridge Holdco LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 07/16/2025 |
| Coalition Group LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 07/16/2025 |
| Emanuel, Yosef | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/16/2025 |
| Alliance Health Group LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/16/2025 |
| Alliance Health Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/12/2025 |
| Christopher, Casey | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/16/2025 |
| Christopher, Casey | Individual | ADP of the SNF | NOT APPLICABLE | 07/16/2025 |
| Emanuel, Yosef | Individual | Corporate Officer | NOT APPLICABLE | 07/16/2025 |
| Emanuel, Yosef | Individual | ADP of the SNF | NOT APPLICABLE | 07/16/2025 |
| Turbett, Timothy | Individual | ADP of the SNF | NOT APPLICABLE | 07/16/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Where do you post the contact information for the state agency and the ombudsman, in case we ever need to file a complaint?"
- "Where do you post your latest state inspection results and the ombudsman's contact information?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "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 |
|---|---|---|---|---|---|
| Courtland Terrace | 2.2 mi | Gastonia, NC | ★★★★☆ | 4/5 | |
| The Greens at Gastonia | 2.3 mi | Gastonia, NC | ★☆☆☆☆ | 1/5 | |
| Peak Resources - Gastonia | 2.6 mi | Gastonia, NC | ★★★★★ | 4/5 | |
| Gastonia Health & Rehab Center | 3.8 mi | Gastonia, NC | ★☆☆☆☆ | 2/5 | |
| Accordius Health at Gastonia | 5.2 mi | Gastonia, NC | ★★★★☆ | 3/5 | |
| Belaire Health Care Center | 6.0 mi | Gastonia, NC | ★★☆☆☆ | 2/5 | |
| Stanley Total Living Center | 6.9 mi | Stanley, NC | ★★★★☆ | 3/5 | |
| Charlotte Health & Rehabilitation Center | 10.2 mi | Charlotte, NC | ★☆☆☆☆ | 1/5 | |
| Mecklenburg Heath and Rehabilitation | 12.3 mi | Charlotte, NC | ★★★★★ | 4/5 | |
| White Oak Manor-Kings Mountain | 14.3 mi | Kings Mountain, NC | ★★☆☆☆ | 2/5 | abuse |
| The Lodge at Wellmore- Tega Cay | 15.6 mi | Fort Mill, SC | ★★★★★ | 3/5 | |
| Novant Health Presbyterian Medical Center-Snu | 15.9 mi | Charlotte, NC | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 345307.