Nursing homeActive
Juniper Gardens Center for Nursing and Rehabilitat
4414 Wilkinson Blvd, Gastonia, NC 28056704824555050 certified beds · 41 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
17
● 3● 11● 3
Penalties · 3 yrs
$16,801
2 fines · 1 action
Last survey
2025-11-21
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 3
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · North Carolina Division of Health Service Regulation · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-11-21 | Standard | 220 | CMS-2567 (Care Compare) | — |
| 2024-08-27 | Standard | 142 | CMS-2567 (Care Compare) | — |
| 2023-05-02 | Standard | 051 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · North Carolina Division of Health Service Regulation publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-19Record 345307-20251121-F550
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-19Record 345307-20251121-F578
F575Post 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.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2025-12-19Record 345307-20251121-F575
F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2025-12-19Record 345307-20251121-F577
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-10-13Record 345307-20240827-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-10-13Record 345307-20240827-F689
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-01Record 345307-20240827-F552
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-01Record 345307-20240827-F695
F760Ensure that residents are free from significant medication errors.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-01Record 345307-20240827-F760
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-01Record 345307-20240827-F880
F641Ensure each resident receives an accurate assessment.Scope/severity BPaperwork
Care planningRecords
Pattern; potential for minimal harm.Corrected 2024-10-01Record 345307-20240827-F641
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-05-25Record 345307-20230502-F697
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-25Record 345307-20230502-F554
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-25Record 345307-20230502-F641
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-25Record 345307-20230502-F677
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-25Record 345307-20230502-F812
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-25Record 345307-20230502-F867
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-08-27 | Civil money penalty | $8,400 | CMS · Penalties |
| 2024-08-27 | Civil money penalty | $8,401 | CMS · Penalties |
| 2024-08-27 | Denial of payment for new admissions Payment denial for 5 days, from 2024-09-26 | — | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.82
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day3.34
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours2.94
Facility
North Carolina
National
North Carolina 3.40 · National 3.42
Total nursing staff turnover62%
Facility
North Carolina
National
North Carolina 49% · National 46%
Registered nurse turnover50%
Facility
North Carolina
National
North Carolina 46% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | North Carolina | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 10.4% | 5.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.8% | 3.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 15.3% | 14.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.0% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 18.2% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.4% | 7.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 24.2% | 21.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Alliance Health Group LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Christopher, Casey Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Alliance Health Group LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bridge Holdco LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Christopher, Casey Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Coalition Group LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Emanuel, Yosef Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Emanuel, Yosef Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Emanuel, Yosef Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Turbett, Timothy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Alliance Health Group — 12 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or North Carolina.
No county cost figures on file for Gaston.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| The Greens at Gastonia Gastonia | 2.3 mi | 2026-06-25 | 1423 |
| Courtland Terrace Gastonia | 2.2 mi | 2026-02-13 | 050 |
| Peak Resources - Gastonia Gastonia | 2.6 mi | 2026-06-17 | 060 |
| Gastonia Health & Rehab Center Gastonia | 3.8 mi | 2025-12-18 | 094 |
| Accordius Health at Gastonia Gastonia | 5.2 mi | 2026-04-01 | 1190 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |