Nursing homeActive

Autumn Care of Statesville

2001 Vanhaven Drive, Statesville, NC 286257048839700103 certified beds · 97 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
3
since 2024
Deficiencies
8
080
Penalties · 3 yrs
none on file
Last survey
2026-07-01
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 2
Quality 4
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
DateKindDeficienciesOfficial recordArchived PDF
2026-07-01Standard020CMS-2567 (Care Compare)
2025-04-16Standard030CMS-2567 (Care Compare)
2024-02-08Standard030CMS-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.

2026-07-01Standard survey · 2 deficienciesOfficial report
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-02Record 345511-20260701-F602
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-21Record 345511-20260701-F755
2025-04-16Standard survey · 3 deficienciesOfficial report
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 2025-05-09Record 345511-20250416-F554
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 2025-05-09Record 345511-20250416-F578
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 345511-20250416-F880
2024-02-08Standard survey · 3 deficienciesOfficial report
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-27Record 345511-20240208-F695
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-27Record 345511-20240208-F867
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-27Record 345511-20240208-F880

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.37
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day3.54
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours3.03
Facility
North Carolina
National
North Carolina 3.40 · National 3.42
Total nursing staff turnover55%
Facility
North Carolina
National
North Carolina 49% · National 46%
Registered nurse turnover27%
Facility
North Carolina
National
North Carolina 46% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityNorth CarolinaNational
Percentage of long-stay residents with pressure ulcers
lower is better
2.3%5.5%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
2.0%3.5%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
8.7%14.0%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
2.0%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
12.3%15.6%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
8.1%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)
EntityRoleInterestSinceRegistry
William I Weisberg Family Dynasty Trust (Dated June 1, 2011)
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST67%
Hopping, Darin
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Rabuck, Tambria
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Saber Governance LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Shg Management LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ayoubi, Nasib
Individual
ADP OF THE SNFNOT APPLICABLE
Benjamin N. Volpe Family Dynasty Trust (Dated December 29, 2020)
Organization
ADP OF THE SNFNOT APPLICABLE
Bnv Dynasty LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Citrin Cooperman Advisors LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Decanted William I. Weisberg Family Dynasty Trust (Dated Sept 30, 2020
Organization
ADP OF THE SNFNOT APPLICABLE
Hopping, Darin
Individual
ADP OF THE SNFNOT APPLICABLE
Nicoluzakis, Gregory
Individual
ADP OF THE SNFNOT APPLICABLE
Nicoluzakis, Gregory
Individual
CORPORATE OFFICERNOT APPLICABLE
Rabuck, Tambria
Individual
ADP OF THE SNFNOT APPLICABLE
Saber Governance LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Saber Healthcare Group LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Shg 4 Mt, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Shg Management LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Statesville Real Estate Holdings, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Volpe, Benjamin
Individual
CORPORATE OFFICERNOT APPLICABLE
Volpe, Benjamin
Individual
ADP OF THE SNFNOT APPLICABLE
Volpe, Benjamin
Individual
CORPORATE DIRECTORNOT APPLICABLE
Walker & Associates PC
Organization
ADP OF THE SNFNOT APPLICABLE
Weisberg, William
Individual
ADP OF THE SNFNOT APPLICABLE
Weisberg, William
Individual
CORPORATE DIRECTORNOT APPLICABLE
Weisberg, William
Individual
CORPORATE OFFICERNOT APPLICABLE
Weisberg, William
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Wiw Dynasty LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Saber Healthcare Group126 facilities
View chain record

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 Iredell.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
The Greens at Maple Leaf
Statesville
1.2 mi2025-12-22082
Iredell Memorial Hospital Inc
Statesville
1.5 mi2026-03-05030
Crestview Health & Rehabilitation
Mooresville
15.2 mi2025-09-110268
Glenwood Health & Rehabilitation
Mooresville
15.7 mi2025-05-150205
Davie Nursing and Rehabilitation Center
Mocksville
16.7 mi2025-11-14050
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

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01