Terrace Ridge Assisted Living
Terrace Ridge Assisted Living is a 74-bed memory care center at 1251 East Hudson Boulevard, Gastonia, Gaston County, North Carolina, 2.0 miles from downtown. the facility offers memory care with events, activities, and family resources. CMS Overall Rating is 2 out of 5 stars. The facility does not accept Medicaid or Medicare.
The regulatory record spans ten years with serious deficiencies in resident safety, medication management, therapeutic diet compliance, and facility maintenance. Over six years, Terrace Ridge logged 39 deficiencies, averaging 6.5 annually, 25 percent worse than North Carolina’s 5.2-deficiency benchmark. An October 14, 2015, construction survey cited eight deficiencies in water supply, HVAC, sprinkler maintenance, fire-resistant construction, corridor doors, exit signage, emergency lighting, and ventilation. An October 18, 2017, construction survey cited nine deficiencies in closet fire protection, ceiling gaps, escutcheon plates, pipe caulking, smoke walls, cable penetrations, smoke doors, and exhaust.
A November 14, 2019, construction survey cited ten deficiencies in fire-resistant construction, grab bars, fire rehearsals, emergency lighting, kitchen hood system, electrical outlets, gaps, smoke doors, sprinkler escutcheon plates, and blocked doors. A September 16, 2022, annual survey cited three deficiencies in therapeutic diet documentation, diet service, and medication observation. A March 13, 2024, annual survey and complaint investigation substantiated serious resident safety failures: failure to ensure exit doors had audible alarms for residents with wandering behaviors resulting in elopements, failure to properly supervise two residents with exit-seeking behaviors resulting in elopements and substantial risk of harm, failure to provide therapeutic diet menus for consistent carbohydrate diets, failure to serve ordered therapeutic diets, failure to administer medications as ordered with unapproved medication and improper preparation and borrowing. An October 15, 2025, annual survey cited two deficiencies in failure to implement physician discontinuation orders for two medications.
No fines or license suspensions are records.
The facility’s 2-star CMS rating and 25 percent worse-than-average deficiency rate reflect serious operational failures. The March 2024 substantiated elopement incidents involving residents with dementia and failure to provide audible alarms on exit doors represent critical patient safety breaches with documented substantial harm risk.
Before placement, families must ask directly about the March 2024 elopements and current exit door alarm systems, resident supervision protocols, and medication administration safeguards.
About this community
Inspection History
In North Carolina, the Department of Health and Human Services, Division of Health Service Regulation conducts unannounced surveys to ensure nursing and adult care homes meet safety standards.
Inspection Scorecard
This scorecard compares key inspection, citation, and complaint metrics at this facility against the North Carolina state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Since 2015 vs. North Carolina state average
• Deficiencies per inspection (at NC avg) 5 Better Metrics better than North Carolina average:
• Total deficiencies (15% below)
• Deficiencies per year (17% below)
• Total inspections (14% below)
• Inspections with deficiencies (42% below)
• Inspection deficiency rate (32% below)
Deficiencies
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This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
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Total deficiencies
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39 | 46 | This facility has 15% fewer total deficiencies than a typical North Carolina nursing home (39 vs. NC avg 46).↓ 15% better |
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Deficiencies per year
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3.5 | 4.2 | This facility has 17% fewer deficiencies per year than a typical North Carolina nursing home (3.5 vs. NC avg 4.2).↓ 17% better |
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Deficiencies per inspection
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2.2 | 2.2 | This facility has deficiencies per inspection in line with the North Carolina average (2.2 vs. NC avg 2.2).— At avg |
Inspections
|
This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total inspections
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18 | 21 | This facility has 14% fewer total inspections than a typical North Carolina nursing home (18 vs. NC avg 21).↓ 14% better |
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Inspections with deficiencies
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11 | 19 | This facility has 42% fewer inspections with deficiencies than a typical North Carolina nursing home (11 vs. NC avg 19).↓ 42% better |
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Inspection deficiency rate
|
61% | 90% | This facility has 29 percentage points lower inspection deficiency rate than a typical North Carolina nursing home (61% vs. NC avg 90%).↓ 29% better |
Inspection Reports Summary
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on October 15, 2025, found deficiencies related to the facility’s failure to implement physician’s orders for discontinuing certain medications. Earlier inspections showed a pattern of issues including medication administration errors, lack of proper supervision of residents with wandering behaviors, and problems with therapeutic diet management. Prior reports also noted physical plant deficiencies involving fire safety and building code compliance, though these were unrelated to care practices. Complaint investigations were conducted in 2024 concerning wandering and elopement incidents, with findings supporting some supervision and safety concerns. The facility’s inspection history shows ongoing challenges with medication management and resident safety, with no clear improvement trend in these areas.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsPlaces of interest near Terrace Ridge Assisted Living
2.0 miles from city center
Estimated distance in miles from Gastonia's city center to Terrace Ridge Assisted Living's address, calculated via Google Maps.
Calculate Travel Distance to Terrace Ridge Assisted Living
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Financial Assistance for
Nursing Home in North Carolina
Terrace Ridge Assisted Living is located in Gastonia, North Carolina.
Here are the financial assistance programs available to residents in North Carolina.
Compare Nursing Home around North Carolina
The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.
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| Carol Woods |
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AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
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MC
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Charlotte (Olde Providence North) | 77 | 71.5% | -6% | 8.12 | +78% | +104% | $0 | 11 | 3.7 | - | 8 | A+ | 12 | Bkd Fm Holding Company LLC | $7.1M | $8.1M | 114.8% | 345482 | ||||
| Pineville Rehabilitation & Living Center |
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Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
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Pineville (Lakeview Drive) | 106 | 68.3% | -11% | 3.96 | +39% | 0% | $116.0k | 45 | 9.0 | 3 | 84 | A+ | 25 | Ncnh Holdings LLC | $12.1M | $5.7M | 47% | 345415 | ||||
| Walnut Ridge |
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Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. |
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Frequently Asked Questions about Terrace Ridge Assisted Living
Is Terrace Ridge Assisted Living in a walkable area?
Terrace Ridge Assisted Living has a walk score of 46. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
What is the license number of Terrace Ridge Assisted Living?
According to NC state health department records, Terrace Ridge Assisted Living's license number is HAL-036-023.
What is the overall rating for Terrace Ridge Assisted Living?
Terrace Ridge Assisted Living received a 2-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
How many beds does Terrace Ridge Assisted Living have?
Terrace Ridge Assisted Living has 74 beds.
Are there photos of Terrace Ridge Assisted Living?
Yes — there are 2 photos of Terrace Ridge Assisted Living in the photo gallery on this page.
What is the address of Terrace Ridge Assisted Living?
Terrace Ridge Assisted Living is located at 1251 E Hudson Blvd Gastonia, NC 28054.
What is the phone number of Terrace Ridge Assisted Living?
(704) 865-5556 will put you in contact with the team at Terrace Ridge Assisted Living.
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