Autumn Care of Statesville

2001 Vanhaven Drive, Statesville, NC 28625 · CCN 345511 · 103 certified beds · Data as of 2026-07-01

CMS overall4 of 5CMS inspections4 of 5CMS staffing2 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

18 citation(s) appear in this facility's record, none at CMS's actual-harm or immediate-jeopardy levels in the last three years.

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Serious inspection findings

2022-08-25 — ACTUAL HARM (tag F0697, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide safe, appropriate pain management for a resident who requires such services.

2022-08-25 — ACTUAL HARM (tag F0689, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

2.97

state median 3.11

Weekend staffing gap

−11%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.17

registered nurses only

Contract (agency) staff

13%

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

55%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

CMS records no penalties for this facility.

Ownership

Ownership type: For profit - Limited Liability company. Part of the SABER HEALTHCARE GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

NEW CASTLE HEALTH AND REHABILITATION CENTER (NEW CASTLE, DE) — CMS overall2 of 5
GREY STONE HEALTH AND REHABILITATION CENTER (FORT WAYNE, IN) — CMS overall1 of 5
Sage Bluff Health and Rehab Center (FORT WAYNE, IN) — CMS overall3 of 5
Autumn Care Of Biscoe (Biscoe, NC) — CMS overall3 of 5
Davidson Health & Rehab Center (Lexington, NC) — CMS overall1 of 5
Matthews Health & Rehab Center (Matthews, NC) — CMS overall2 of 5
Autumn Care of Waynesville (Waynesville, NC) — CMS overall1 of 5
Davie Nursing and Rehabilitation Center (Mocksville, NC) — CMS overall3 of 5

Full citation history

By severity: Actual harm: 2 · Potential for more than minimal harm: 16

Survey date	Tag	Category	Severity	Corrected
2025-04-16	F0554	Resident Rights Deficiencies	D	not recorded
2025-04-16	F0578	Resident Rights Deficiencies	D	not recorded
2025-04-16	F0880	Infection Control Deficiencies	D	not recorded
2024-02-08	F0695	Quality of Life and Care Deficiencies	D	not recorded
2024-02-08	F0867	Administration Deficiencies	D	not recorded
2024-02-08	F0880	Infection Control Deficiencies	D	not recorded
2022-08-25	F0580	Resident Rights Deficiencies	D	not recorded
2022-08-25	F0638	Resident Assessment and Care Planning Deficiencies	D	not recorded
2022-08-25	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2022-08-25	F0677	Quality of Life and Care Deficiencies	E	not recorded
2022-08-25	F0688	Quality of Life and Care Deficiencies	D	not recorded
2022-08-25	F0689	Quality of Life and Care Deficiencies	G	not recorded
2022-08-25	F0695	Quality of Life and Care Deficiencies	D	not recorded
2022-08-25	F0697	Quality of Life and Care Deficiencies	G	not recorded
2022-08-25	F0790	Quality of Life and Care Deficiencies	D	not recorded
2022-08-25	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2022-08-25	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2022-08-25	F0919	Environmental Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Autumn Care of Statesville, Statesville” at medicare.gov/care-compare.