All states › North Carolina › Stanley › Stanley Total Living Center
514 Old Mount Holly Road Stanley, NC 28164 · Gaston County
CMS certification number 345264 · See this home on Medicare Care Compare
Is Stanley Total Living Center 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 Stanley Total Living Center as of October 2026.
CMS rates it 4 out of 5 stars overall, above 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 5.10 hours per resident per day at Stanley Total Living Center, above the North Carolina median of 3.57 (US median: 3.72). About 1.09 of those hours are from registered nurses. On weekends it falls to 4.07 hours, 20% below its all-week average. Ask how weekends are staffed. 38.5% of nursing staff left within a year (North Carolina median 48.5%). That is lower than most homes in North Carolina, a sign of a steadier team.
About this nursing home
Paying for care at Stanley Total Living Center: Medicare and Medicaid
Stanley Total Living Center 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 January 8, 2026 and found 1 deficiency. In total, inspectors issued 10 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 10 citations at Stanley Total Living Center across 3 inspection dates, 3 of them from complaint investigations. 5 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on October 25, 2024. The most common areas cited were freedom from abuse, neglect, and exploitation (2) and quality of life and care (2). The most serious was cited under the CMS rule to "immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident" (tag F0580, level K, May 23, 2023). 2 citations were under CMS's abuse, neglect and exploitation rules.
January 8, 2026 · 1 citation
DProvide safe and appropriate respiratory care for a resident when needed.
October 25, 2024 · 6 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
JProvide and implement an infection prevention and control program.
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
May 23, 2023 · 3 citations, includes immediate jeopardy
KImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
KProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
KDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
Questions to ask on a tour of Stanley Total Living Center
- Inspectors cited the home at the immediate-jeopardy level on May 23, 2023 under the rule on resident rights. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on May 23, 2023. How are staff trained, and how are concerns reported?
- Weekend staffing is 20% below the all-week average. Who is on duty on Saturday nights?
- 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
1 penalty in the last three years, including $31,967 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Oct 25, 2024 | Fine | $31,967 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 3/5 | 5/5 | 3/5 |
| August 2026 | 4/5 | 3/5 | 5/5 | 3/5 |
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Location
Hospitals near Stanley Total Living Center
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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6.5 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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11.7 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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13.1 mi
Presbyterian Hospital Huntersville HuntersvilleEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 24m 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.
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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.