Wellington House
Wellington House is a 48-bed assisted living and memory care center at 850 Majestic Court, Gastonia, Gaston County, North Carolina, 2.0 miles from downtown. the facility offers assisted living, memory care, respite care, and secured living with 24-hour staffing. Amenities include housekeeping, transportation services, restaurant-style dining, library, entertainment room, and outdoor common area. CMS Overall Rating is 2 out of 5 stars.
Current occupancy is 39 residents from a 48-bed capacity (81 percent). The facility accepts Medicaid but not Medicare.
The regulatory record spans ten years of severe persistent deficiencies in resident safety, facility maintenance, fire safety, medication management, and infection control, punctuated by critical substantiated incidents of resident abuse and sexual assault. Over seven years, Wellington House logged 66 deficiencies, averaging 9.4 annually, 81 percent worse than North Carolina’s 5.2-deficiency benchmark. A September 24, 2015, construction survey cited twenty-one deficiencies spanning fire safety, sanitation, electrical systems, and ventilation. A November 24, 2015, annual survey cited four deficiencies in cleanliness, laboratory follow-up, and dietary management.
A December 10, 2015, follow-up survey cited thirteen deficiencies in maintenance, sanitation, and fire safety. An August 23, 2017, relicensure survey cited four deficiencies in fire detection and ventilation. A December 11, 2017, annual survey cited one deficiency in cardiology referral follow-up. A June 6, 2019, follow-up and complaint investigation substantiated alleged sexual assaults involving residents, citing two critical deficiencies: failure to respond immediately to alleged sexual assault by not sending resident to hospital until next day, and failure to immediately notify law enforcement.
A July 26, 2019, complaint investigation cited five deficiencies in emergency release switches, corridor obstruction, exposed electrical wiring, exit signage, and fire suppression documentation. An August 13, 2019, complaint follow-up construction survey cited five deficiencies in emergency release switches and staff training on evacuation. A September 30, 2019, follow-up construction survey cited one deficiency in staff training on magnetic locking system. An August 14, 2020, complaint investigation and COVID-19 survey cited five deficiencies in laboratory implementation, infection control with positive and negative residents sharing rooms, medication errors, inaccurate eMAR documentation, and failure to ensure freedom from neglect.
A February 4, 2022, complaint investigation cited one deficiency: failure to dress five residents in Special Care Unit timely, compromising dignity. A September 4, 2023, complaint investigation substantiated failure to provide supervision for resident with dementia who eloped and was found 4.2 miles away requiring hospitalization for low blood pressure and dehydration. A March 20, 2025, complaint investigation substantiated critical deficiencies: failure to protect residents from physical abuse by staff including hitting resident with shower head and hairbrush and throwing ice, and failure to complete Health Care Personnel Registry reports within 24 hours. Staff E and Staff F were suspended and later terminated.
Occupancy has remained high at 39-48 residents. No fines or license suspensions are recorded.
The facility’s 2-star CMS rating, deficiency rate 81 percent worse than state average, and pattern of substantiated critical incidents spanning sexual assault, physical abuse, resident elopement, and systemic neglect represent unacceptable risk. The June 2019 substantiated sexual assaults of residents and the March 2025 substantiated physical abuse by multiple staff members hitting residents with objects and throwing ice represent the most serious breaches of care and protection. The September 2023 elopement of resident with dementia resulting in hospitalization demonstrates failure in supervision. Persistent deficiencies in fire safety, emergency systems, medication management, infection control, and staff training spanning a decade indicate systemic failure to implement sustainable improvements.
Families should ask about the June 2019 sexual assault incidents, the March 2025 physical abuse incidents, the September 2023 elopement incident, and resident-to-resident abuse prevention.
About this community
Occupancy
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
• Total deficiencies (43% above)
• Deficiencies per year (43% above)
• Total inspections (100% above)
• Inspections with deficiencies (79% above) 2 Better Metrics better than North Carolina average:
• Deficiencies per inspection (27% below)
• Inspection deficiency rate (10% below)
Deficiencies
|
This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
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Total deficiencies
|
66 | 46 | This facility has 43% more total deficiencies than a typical North Carolina nursing home (66 vs. NC avg 46).↑ 43% worse |
|
Deficiencies per year
|
6 | 4.2 | This facility has 43% more deficiencies per year than a typical North Carolina nursing home (6 vs. NC avg 4.2).↑ 43% worse |
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Deficiencies per inspection
|
1.6 | 2.2 | This facility has 27% fewer deficiencies per inspection than a typical North Carolina nursing home (1.6 vs. NC avg 2.2).↓ 27% better |
Inspections
|
This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total inspections
|
42 | 21 | This facility has 100% more total inspections than a typical North Carolina nursing home (42 vs. NC avg 21).↑ 100% worse |
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Inspections with deficiencies
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34 | 19 | This facility has 79% more inspections with deficiencies than a typical North Carolina nursing home (34 vs. NC avg 19).↑ 79% worse |
|
Inspection deficiency rate
|
81% | 90% | This facility has 9 percentage points lower inspection deficiency rate than a typical North Carolina nursing home (81% vs. NC avg 90%).↓ 9% 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 March 20, 2025, found deficiencies related to physical abuse by staff and failure to report the abuse timely. Earlier inspections showed a pattern of issues including inadequate supervision leading to resident elopement, failure to maintain resident dignity in the Special Care Unit, and problems with infection control and medication documentation. Prior complaints also substantiated failures in emergency response, building safety code compliance, and resident protection, with some staff suspensions and terminations noted but no fines or license actions listed in the available reports. Most complaints were substantiated, particularly those involving resident safety and abuse, while earlier physical plant and safety issues were recurring themes. The inspection history indicates ongoing challenges with resident protection and safety, with recent findings reflecting some persistent concerns.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsPlaces of interest near Wellington House
2.0 miles from city center
Estimated distance in miles from Gastonia's city center to Wellington House's address, calculated via Google Maps.
Calculate Travel Distance to Wellington House
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Financial Assistance for
Nursing Home in North Carolina
Wellington House 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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Frequently Asked Questions about Wellington House
Is Wellington House in a walkable area?
Wellington House 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 Wellington House?
According to NC state health department records, Wellington House's license number is HAL-036-031.
What is the occupancy rate at Wellington House?
Wellington House's occupancy is 81%.
What is the overall rating for Wellington House?
Wellington House 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 Wellington House have?
Wellington House has 48 beds.
Are there photos of Wellington House?
Yes — there are 9 photos of Wellington House in the photo gallery on this page.
What is the address of Wellington House?
Wellington House is located at 850 Majestic Court Gastonia, NC 28054.
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