F

Asbury Health and Rehabilitation Center

3211 Bishops Way Lane, Charlotte, NC 28215
Score: 35 / 100

With a score of 35/100, Asbury Health And Rehabilitation Center ranks in the bottom tier of North Carolina nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing levels at Asbury Health And Rehabilitation Center exceed national averages, with 5.00 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.45 hours per resident per day is near the national average of 0.7 hours.

Recent CMS inspections identified 19 deficiencies at Asbury Health And Rehabilitation Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 5.00 3.8 Above Average
Registered Nurses (RN) 0.45 0.7 Below Average
Licensed Practical Nurses (LPN) 1.46 0.7 Above Average
Certified Nursing Assistants (CNA) 3.09 2.4 Above Average
Weekend Total Nursing 4.62 3.8 Above Average
Weekend RN Hours 0.42 0.7 Below Average

🔍 Inspection & Deficiency History

19
Total Deficiencies
Sep 29, 2025
Most Recent Inspection
🟠 17 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Sep 29, 2025 · Quality of Life and Care Deficiencies
  • Tag 0550 Severity D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Sep 29, 2025 · Resident Rights Deficiencies
  • Tag 0607 Severity D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    Sep 29, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0761 Severity D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Sep 29, 2025 · Pharmacy Service Deficiencies
  • Tag 0812 Severity D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Sep 29, 2025 · Nutrition and Dietary Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 8.5% 4.5% Worse
Falls with major injury 3.6% 3.0% Worse
On antipsychotic medication 10.7% 14.5% Better
Urinary tract infections 0.4% 2.5% Better
ADL decline (daily activities) 9.3% 14.0% Better
Excessive weight loss 8.5% 7.5% Worse
New/worsened incontinence 22.5% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $53,176

How This Grade Was Calculated

This facility's grade of F is based on a score of 35 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -5 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Other
Certified Beds
120
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Sep 29, 2025
Deficiencies (Cycle 1)
5