Data / Nursing homes / North Carolina / Autumn Care of Statesville
Autumn Care of Statesville, Statesville, NC: 5 star rating, no fines
Autumn Care of Statesville in Statesville, NC is owned by 1 individual whom CMS lists (names not shown), is rated 5 of 5 stars by Medicare, and had no fines in the three years to October 1, 2026. CMS lists 8 health citations from inspections in that time, the latest survey on July 1, 2026, and none of them found actual harm or immediate jeopardy.
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- Address
- 2001 Vanhaven Drive, Statesville, NC 28625
- Overall rating
- 5 of 5 stars
- Health inspection rating
- 4 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 5 of 5
- Certified beds
- 103
- Residents per day
- 100 on average
- Ownership type
- For profit, limited liability company
- Legal business name
- Autumn Care of Statesville LLC
- Chain
- Saber Healthcare Group, 126 facilities
- Fines
- $0 across 0 fines, three years to October 1, 2026
- Payment denials
- 0
- Health citations
- 8, of which 0 with actual harm or immediate jeopardy
- Latest survey
- July 1, 2026
- CMS Certification Number
- 345511
- On Care Compare
- Medicare Care Compare
Recent health citations
Citations from health inspections, newest first.
| Survey date | Tag | What CMS cited | Scope and severity | Status | Corrected on | Source |
|---|---|---|---|---|---|---|
| July 1, 2026 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 21, 2026 | data.cms.gov |
| July 1, 2026 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | D: isolated, no actual harm, potential for more than minimal harm | Past noncompliance | April 2, 2026 | data.cms.gov |
| April 16, 2025 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 9, 2025 | data.cms.gov |
| April 16, 2025 | F578 | Honor 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 9, 2025 | data.cms.gov |
| April 16, 2025 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 9, 2025 | data.cms.gov |
| February 8, 2024 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 27, 2024 | data.cms.gov |
| February 8, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 27, 2024 | data.cms.gov |
| February 8, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 27, 2024 | data.cms.gov |
Owners and managers
Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 17 individual or personal trusts (1 owners, 2 managers, 6 officers, directors or trustees, 8 other disclosable parties). Their names are not shown on this page.
| Organization | Role | Share | Since | Source |
|---|---|---|---|---|
| Saber Governance LLC | Operational or managerial control | Not listed | December 31, 2019 | data.cms.gov |
| SHG Management LLC | Operational or managerial control | Not listed | December 31, 2019 | data.cms.gov |
| BNV Dynasty LLC | Additional disclosable party | Not listed | January 1, 2023 | data.cms.gov |
| Citrin Cooperman Advisors LLC | Additional disclosable party | Not listed | December 31, 2019 | data.cms.gov |
| Saber Governance LLC | Additional disclosable party | Not listed | December 31, 2019 | data.cms.gov |
| Saber Healthcare Group LLC | Additional disclosable party | Not listed | December 31, 2019 | data.cms.gov |
| SHG 4 Mt, LLC | Additional disclosable party | Not listed | January 15, 2026 | data.cms.gov |
| SHG Management LLC | Additional disclosable party | Not listed | December 31, 2019 | data.cms.gov |
| Statesville Real Estate Holdings, LLC | Additional disclosable party | Not listed | January 15, 2026 | data.cms.gov |
| Walker & Associates PC | Additional disclosable party | Not listed | December 31, 2019 | data.cms.gov |
| Wiw Dynasty LLC | Additional disclosable party | Not listed | January 1, 2023 | data.cms.gov |
Also on SpecStream
- All nursing homes in North Carolina
- Every nursing home Saber Governance LLC owns or manages
- Every nursing home SHG Management LLC owns or manages
- Every nursing home BNV Dynasty LLC owns or manages
- Every nursing home Saber Healthcare Group LLC owns or manages
- Every nursing home Wiw Dynasty LLC owns or manages
- This facility on Medicare Care Compare
Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.