All states › North Carolina › Gastonia › Accordius Health at Gastonia
416 N Highland Street Gastonia, NC 28052 · Gaston County
All 7 nursing homes in Gastonia, NC (7 take Medicaid)
CMS certification number 345162 · See this home on Medicare Care Compare
Is Accordius Health at Gastonia a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Accordius Health at Gastonia as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the North Carolina average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.17 hours per resident per day at Accordius Health at Gastonia, below the North Carolina median of 3.57 (US median: 3.72). About 0.64 of those hours are from registered nurses. On weekends it falls to 2.90 hours, 8% below its all-week average. 47.5% of nursing staff left within a year (North Carolina median 48.5%).
About this nursing home
Paying for care at Accordius Health at Gastonia: Medicare and Medicaid
Accordius Health at Gastonia is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on April 1, 2026 and found 2 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 21 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 21 citations at Accordius Health at Gastonia across 4 inspection dates, 14 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 20 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were resident rights (5) and nursing and physician services (4). The most serious was cited under the CMS rule to "give residents notice of Medicaid/Medicare coverage and potential liability for services not covered" (tag F0582, level E, January 17, 2025).
August 31, 2026 · 1 citation · includes complaint inspection
DEnsure medication error rates are not 5 percent or greater.
April 1, 2026 · 2 citations
DAllow residents to self-administer drugs if determined clinically appropriate.
DProvide for the safe, appropriate administration of IV fluids for a resident when needed.
January 17, 2025 · 7 citations · includes complaint inspection
EGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
EHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EDispose of garbage and refuse properly.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CPost nurse staffing information every day.
October 6, 2023 · 11 citations · includes complaint inspection
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
EObserve each nurse aide's job performance and give regular training.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
ESet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
EEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
DEnsure each resident receives an accurate assessment.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DEnsure services provided by the nursing facility meet professional standards of quality.
DPlan the resident's discharge to meet the resident's goals and needs.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Questions to ask on a tour of Accordius Health at Gastonia
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 2/5 | 2/5 | 5/5 |
| August 2026 | 4/5 | 3/5 | 2/5 | 5/5 |
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Location
Hospitals near Accordius Health at Gastonia
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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3.0 mi
Caromont Regional Medical Center GastoniaEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 12m for patients treated and sent home
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14.1 mi
Carolinas Medical Center-Lincoln LincolntonEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 57m for patients treated and sent home
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19.5 mi
Cleveland Regional Medical Center ShelbyEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 40m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Accordius Health at Gastonia › All nursing homes in Gastonia ›
Compare Accordius Health at Gastonia with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Peak Resources - Gastonia · Gastonia · 5 stars · 3.1 mi
- Courtland Terrace · Gastonia · 4 stars · 3.1 mi
- Stanley Total Living Center · Stanley · 4 stars · 8.5 mi
Other Simcha Hyman & Naftali Zanziper nursing homes in North Carolina
- Wilson Healthcare and Rehabilitation Center · Wilson · 5 stars
- Wallace Rehabilitation and Healthcare Center · Wallace · 5 stars
- Goldsboro Rehabilitation and Healthcare Center · Goldsboro · 3 stars
- Yanceyville Rehabilitation and Healthcare Center · Yanceyville · 3 stars
- Hertford Rehabilitation and Healthcare Center · Hertford · 3 stars
- Accordius Health at Rose Manor · Durham · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 79 Simcha Hyman & Naftali Zanziper nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.