All states › North Carolina › Gastonia › Juniper Gardens Center for Nursing and Rehabilitation
4414 Wilkinson Blvd Gastonia, NC 28056 · Gaston County
All 7 nursing homes in Gastonia, NC (7 take Medicaid)
CMS certification number 345307 · See this home on Medicare Care Compare
Is Juniper Gardens Center for Nursing and Rehabilitation 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 Juniper Gardens Center for Nursing and Rehabilitation 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 3.26 hours per resident per day at Juniper Gardens Center for Nursing and Rehabilitation, below the North Carolina median of 3.57 (US median: 3.72). About 0.78 of those hours are from registered nurses. On weekends it falls to 3.00 hours, 8% below its all-week average. 56.9% of nursing staff left within a year (North Carolina median 48.5%).
About this nursing home
Paying for care at Juniper Gardens Center for Nursing and Rehabilitation: Medicare and Medicaid
Juniper Gardens Center for Nursing and Rehabilitation 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 November 21, 2025 and found 4 deficiencies. In total, inspectors issued 17 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 17 citations at Juniper Gardens Center for Nursing and Rehabilitation across 3 inspection dates, 2 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on August 27, 2024. The most common areas cited were resident rights (6) and quality of life and care (5). The most serious was cited under the CMS rule to "provide appropriate treatment and care according to orders, resident’s preferences and goals" (tag F0684, level J, August 27, 2024).
November 21, 2025 · 4 citations
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DHonor 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.
CPost 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.
CAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
August 27, 2024 · 7 citations, includes immediate jeopardy · includes complaint inspection
JProvide appropriate treatment and care according to orders, resident’s preferences and goals.
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide safe and appropriate respiratory care for a resident when needed.
EEnsure that residents are free from significant medication errors.
EProvide and implement an infection prevention and control program.
DEnsure that residents are fully informed and understand their health status, care and treatments.
BEnsure each resident receives an accurate assessment.
May 2, 2023 · 6 citations, includes actual harm
GProvide safe, appropriate pain management for a resident who requires such services.
EEnsure each resident receives an accurate assessment.
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.
DAllow residents to self-administer drugs if determined clinically appropriate.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
Questions to ask on a tour of Juniper Gardens Center for Nursing and Rehabilitation
- Inspectors cited the home at the immediate-jeopardy level on August 27, 2024 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- 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
3 penalties in the last three years, including $16,801 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 27, 2024 | Fine | $8,400 |
| Aug 27, 2024 | Fine | $8,401 |
| Aug 27, 2024 | Payment Denial | 5 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 2/5 | 2/5 |
| August 2026 | 3/5 | 3/5 | 3/5 | 2/5 |
Add this rating badge to your websiteFree. Shows Juniper Gardens Center for Nursing and Rehabilitation's Medicare star rating and updates itself.
Size and colour
Preview
Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.
Location
Hospitals near Juniper Gardens Center for Nursing and Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
2.4 mi
Caromont Regional Medical Center GastoniaEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 12m for patients treated and sent home
-
15.4 mi
Carolinas Medical Center/Behav Health CharlotteEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 16m for patients treated and sent home
-
16.0 mi
Presbyterian Hospital CharlotteEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 42m 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 Juniper Gardens Center for Nursing and Rehabilitation › All nursing homes in Gastonia ›
Higher-rated nursing homes within 10 miles
- Peak Resources - Gastonia · Gastonia · 5 stars · 2.6 mi
- Courtland Terrace · Gastonia · 4 stars · 2.2 mi
- Stanley Total Living Center · Stanley · 4 stars · 6.9 mi
Other Alliance Health Group nursing homes in North Carolina
- Linden Place Center for Nursing and Rehabilitation · Greensboro · 3 stars
- Magnolia Gardens Center for Nursing and Rehabilitation · Thomasville · 3 stars
- Senior Citizens Home · Henderson · 3 stars
- Mill Creek Center for Nursing and Rehabilitation · Winston-Salem · 2 stars
- Dahlia Gardens Center for Nursing and Rehabilitation · Aberdeen · 2 stars
- Cypress Valley Center for Nursing and Rehabilitation · Reidsville · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 13 Alliance Health Group 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.