Total health inspections
3
North Carolina average 4
Last Health inspection on Sep 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Aldersgate
Assisted Living · Charlotte, NC
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Aldersgate
Assisted Living · Charlotte, NC
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Aldersgate accepts Medicare, Medicaid, and private pay.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 90th out of 90 homes in North Carolina. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 90th out of 90 homes in North Carolina. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3m per day
Rank #90 / 90Nurse hours — State benchmarkedThis home is ranked 90th out of 90 homes in North Carolina. Shows adjusted nurse hours per resident per day benchmarked to the North Carolina average, with a ranking across 90 North Carolina SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs North Carolina avg
-99%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 7m per day |
Types of Care at Aldersgate
Assisted Living
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
88.8%
Rank #17 / 94Occupancy rate — State benchmarkedThis home is ranked 17th out of 94 homes in North Carolina. Shows this facility's occupancy rate versus the North Carolina average, with its Statewide rank out of 94. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
50 days
Occupancy rate
88.8%
Rank #17 / 94Occupancy rate — State benchmarkedThis home is ranked 17th out of 94 homes in North Carolina. Shows this facility's occupancy rate versus the North Carolina average, with its Statewide rank out of 94. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
50 days
Walk Score: 40 / 100 Rank #36 / 100Walk Score — State benchmarkedThis home is ranked 36th out of 100 homes in North Carolina. Shows how walkable this facility's neighborhood is compared to the average Walk Score across North Carolina SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
Staffing
Key information about the people who lead and staff this community.
ContactMr. Joseph P. Snyder, President
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.
Since 2023 · 3 years of data
20 deficiencies
0 penalties
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 2023 vs. North Carolina state average
Overall vs. NC average
0 Worse
No metrics in this bucket.
2 Better
Metrics better than North Carolina average:
• Total deficiencies (57% below)
• Deficiencies per year (56% below)
• Total deficiencies (57% below)
• Deficiencies per year (56% below)
Latest Inspection
September 30, 2025
Complaint Investigation
Deficiencies
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 20 | 46 | This facility has 57% fewer total deficiencies than a typical North Carolina assisted living residence (20 vs. NC avg 46).↓ 57% better |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 6.7 | 15.3 | This facility has 56% fewer deficiencies per year than a typical North Carolina assisted living residence (6.7 vs. NC avg 15.3).↓ 56% 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 September 30, 2025, identified deficiencies related to unsafe mechanical lift transfers that resulted in a resident sustaining a left distal femur fracture. Earlier inspections showed a pattern of issues including undignified dining assistance, failure to report and investigate injuries properly, medication storage problems, and food safety violations. Prior reports also noted deficiencies in resident care planning, nurse competency in infection control leading to immediate jeopardy, expired medications, and incomplete assessments. Complaint investigations were substantiated, particularly regarding unsafe transfers and infection control lapses, while enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history reflects ongoing challenges with resident care and safety practices, with no clear indication of sustained improvement over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsHealth Inspection History
Inspections
Total health citations
19
Rank #60 / 95Health citations — State benchmarkedThis home is ranked 60th out of 95 homes in North Carolina. Shows this facility's total health deficiency citations benchmarked to the North Carolina State average, with a ranking across all 95 NC SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
North Carolina average 20.9
Citations per inspection
6.33
Rank #79 / 95Citations per inspection — State benchmarkedThis home is ranked 79th out of 95 homes in North Carolina. Shows average deficiency citations per CMS inspection for this facility versus the North Carolina mean across 95 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
North Carolina average 4.99
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
18 of 19 citations resulted from standard inspections; and 1 of 19 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
54% worse than North Carolina averageNorth Carolina average: 1.3
Serious Health citations
1
Rank #1 / 36Serious citations (G–I) — State benchmarkedThis home is ranked 1st out of 36 homes in North Carolina. Shows G–I scope serious health citations for this facility versus other North Carolina SNFs. Lower counts rank better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
11% worse than North Carolina averageNorth Carolina average: 0.9
Citations history (last 3 years)
Abuse/Neglect moderate citation
Sep 30, 2025
Corrected
Nutrition moderate citation
Sep 30, 2025
Corrected
Pharmacy moderate citation
Sep 30, 2025
Corrected
Quality of Care serious citation
Sep 30, 2025
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
253
Employees
145
Contractors
108
Staff to resident ratio
2.28:1
23% better than North Carolina average
Avg staff/day
79
Average shift
7.7 hours
0% compared with North Carolina average
Total staff hours (quarter)
56,038
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
Total count
20
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
65
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
102
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursThis role is partially covered by contractors.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
14.1%
7,886 contractor hours this quarter
Certified Nursing Assistant: 36
Licensed Practical Nurse: 29
Respiratory Therapy Technician: 11
Physical Therapy Aide: 10
Physical Therapy Assistant: 7
Speech Language Pathologist: 5
Qualified Social Worker: 3
Physician Assistant: 2
Medication Aide/Technician: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Other Physician: 1
Feeding Assistant: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 66 | 36 | 102 | 27,271 | 92 | 100% | 8.1 |
| Licensed Practical Nurse | 36 | 29 | 65 | 12,018 | 92 | 100% | 7.7 |
| Registered Nurse | 20 | 0 | 20 | 4,248 | 92 | 100% | 7.6 |
| Medication Aide/Technician | 10 | 1 | 11 | 3,263 | 92 | 100% | 9.5 |
| Respiratory Therapy Technician | 0 | 11 | 11 | 1,486 | 60 | 65% | 5 |
| Physical Therapy Aide | 0 | 10 | 10 | 1,371 | 53 | 58% | 6.6 |
| RN Director of Nursing | 4 | 0 | 4 | 1,215 | 74 | 80% | 7.9 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,085 | 80 | 87% | 8 |
| Mental Health Service Worker | 3 | 0 | 3 | 785 | 48 | 52% | 7.7 |
| Physical Therapy Assistant | 0 | 7 | 7 | 604 | 48 | 52% | 6.1 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Physician Assistant | 0 | 2 | 2 | 480 | 52 | 57% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 409 | 53 | 58% | 7.7 |
| Qualified Social Worker | 0 | 3 | 3 | 245 | 43 | 47% | 5.3 |
| Medical Director | 0 | 1 | 1 | 208 | 26 | 28% | 8 |
| Speech Language Pathologist | 0 | 5 | 5 | 189 | 52 | 57% | 2.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 117 | 23 | 25% | 5.1 |
| Feeding Assistant | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Other Physician | 0 | 1 | 1 | 13 | 3 | 3% | 4.2 |
102 Certified Nursing Assistant
% of Days
100%
65 Licensed Practical Nurse
% of Days
100%
20 Registered Nurse
% of Days
100%
11 Medication Aide/Technician
% of Days
100%
11 Respiratory Therapy Technician
% of Days
65%
10 Physical Therapy Aide
% of Days
58%
4 RN Director of Nursing
% of Days
80%
3 Other Dietary Services Staff
% of Days
87%
3 Mental Health Service Worker
% of Days
52%
7 Physical Therapy Assistant
% of Days
52%
1 Administrator
% of Days
72%
2 Physician Assistant
% of Days
57%
1 Nurse Practitioner
% of Days
65%
1 Clinical Nurse Specialist
% of Days
58%
3 Qualified Social Worker
% of Days
47%
1 Medical Director
% of Days
28%
5 Speech Language Pathologist
% of Days
57%
1 Occupational Therapy Assistant
% of Days
25%
1 Feeding Assistant
% of Days
3%
1 Other Physician
% of Days
3%
Penalties and fines
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$38K Rank #76 / 97Federal fines — State benchmarkedThis home is ranked 76th out of 97 homes in North Carolina. Shows this facility's cumulative CMS federal fine dollars versus the North Carolina average among facilities with fines, and where it ranks among 97 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
49% lower than North Carolina averageNorth Carolina average: $76K
Number of fines
1
57% fewer fines than North Carolina averageNorth Carolina average: 2.3
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than North Carolina averageNorth Carolina average: 0.4
Fines amount comparison
Fines amount comparison
This facility
$38K
North Carolina average
$76K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Oct 16, 2024 · $38K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 16, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 16, 2024
$38K
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.2
46% better than North Carolina averageNorth Carolina average: 11.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.8
28% better than North Carolina averageNorth Carolina average: 20.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
7.6%
Percent of long-stay residents whose need for help with daily activities has increased
7.6%
57% better than North Carolina averageNorth Carolina average: 17.5%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.0%
In line with North Carolina averageNorth Carolina average: 21.4%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
Percent of long-stay residents experiencing one or more falls with major injury
3.2%
12% better than North Carolina averageNorth Carolina average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.9%
Percent of long-stay high risk residents with pressure ulcers
5.9%
6% better than North Carolina averageNorth Carolina average: 6.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.8%
Percent of long-stay residents with a urinary tract infection
0.8%
69% better than North Carolina averageNorth Carolina average: 2.6%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.0%
Percent of long-stay residents who lose too much weight
8.0%
9% worse than North Carolina averageNorth Carolina average: 7.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.6%
Percent of long-stay residents who have depressive symptoms
2.6%
40% better than North Carolina averageNorth Carolina average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
12.4%
Percent of long-stay residents who received an antipsychotic medication
12.4%
8% better than North Carolina averageNorth Carolina average: 13.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.0%
5% better than North Carolina averageNorth Carolina average: 91.6%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
67.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
67.7%
28% worse than North Carolina averageNorth Carolina average: 94.1%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.6%
12% better than North Carolina averageNorth Carolina average: 79.9%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.0%
34% better than North Carolina averageNorth Carolina average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
79.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
79.6%
In line with North Carolina averageNorth Carolina average: 78.1%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
57% of new residents, usually for short-term rehab.
Typical stay
25 days
Private pay
43% of new residents, often for short stays.
Typical stay
6 - 7 months
Medicaid
1% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
111
Medicare
41
36.9% of residents
Medicaid
11
9.9% of residents
Private pay or other
59
53.2% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Aldersgate based on CMS SNF Cost Reports.
Occupancy Rate
88.8%
↑ 0.2pp vs 2022
Net Income
$1.6M
↑ ~$12.9M vs 2022
Total Payroll
$20.9M
↓ ~$1.2M vs 2022
Profit Margin
5.3%
↑ 29.3pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$55.5M
Profit
$1.6M
Privately-owned community
Operated by a business corporation.
Home revenue
$55.5M Rank #4 / 97Revenue — State benchmarkedThis home is ranked 4th out of 97 homes in North Carolina. Shows this facility's annual revenue compared to the North Carolina SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$1.6M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #3 / 97Payroll — State benchmarkedThis home is ranked 3rd out of 97 homes in North Carolina. Shows total annual staff payroll benchmarked to the North Carolina average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$20.9M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #3 / 97Payroll — State benchmarkedThis home is ranked 3rd out of 97 homes in North Carolina. Shows total annual staff payroll benchmarked to the North Carolina average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$33.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$54.0M
What does this home offer?
Room Sizes: 1,548 / 1,598 / 1,650 / 1,740 / 1,867 / 1,880 / 1,935 / 2,035 / 2,158 sq. ft
Housing Options: 1 Bed / 2 Bed
Building Type: 3-story
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Aldersgate
5.3 miles from city center
Estimated distance in miles from Charlotte's city center to Aldersgate's address, calculated via Google Maps.
Calculate Travel Distance to Aldersgate
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Financial Assistance for
Assisted Living in North Carolina
Aldersgate is located in Charlotte, North Carolina.
Here are the financial assistance programs available to residents in North Carolina.
Frequently Asked Questions about Aldersgate
What neighborhood is Aldersgate in?
Aldersgate is in the Windsor Park neighborhood of Charlotte.
Is Aldersgate in a walkable area?
Aldersgate has a walk score of 40. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
What is the occupancy rate at Aldersgate?
Aldersgate's occupancy is 88.8%.
What is the address of Aldersgate?
Aldersgate is located at 3800 Shamrock Dr, Charlotte, NC 28215, United States.
What is the phone number of Aldersgate?
(704) 532-7000 will put you in contact with the team at Aldersgate.
Is Aldersgate Medicare or Medicaid certified?
Yes — Aldersgate is a CMS-certified provider of Medicare and Medicaid.
Guides for Better Senior Living
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