Autumn Care of Marshville
Marshville, North Carolina · CCN 345268
19 surveys since 2010. The first finding at harm level was recorded in 2016.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 48
- Surveys
- 19
- Harm or worse
- 12
- Immediate jeopardyall corrected before survey
- 10
Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 110
- Ownership
- For profit - Corporation
- Chain
- SABER HEALTHCARE GROUP
- County
- Union
- Medicare-certified since
- 1987
CMS ratings
- Overall
- 1
- Health inspection
- 2
- Staffing
- 1
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 125 for-profit facilities of 100–127 beds in North Carolina.
Last survey on record
Feb 12, 2026
270 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.31 | 3.47 |
| Registered-nurse hours per resident day | 0.30 | — |
| Annual nurse turnover | 53.1% | 49.8% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $44,751 across 4 penalties
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J426.7% | K— | L— |
| Actual harm | G213.3% | H— | I— |
| No harm, potential for more than minimal | D853.3% | E— | F— |
| No harm, potential for minimal | A— | B— | C16.7% |
Most frequently cited here
In CMS’s current monthly file.
- F6842×
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- F5801×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F6001×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6411×
Ensure each resident receives an accurate assessment.
- F6581×
Ensure services provided by the nursing facility meet professional standards of quality.
In the surveyor’s words
From the most serious findings on record at Autumn Care of Marshville, in the surveyor’s own words.
- Immediate jeopardy, isolatedF580Sep 26, 2024
Based on record review, and staff and Medical Director (MD) interviews, the facility failed to notify the physician for a resident who had a significant change in condition. On [DATE] Resident #1 was observed with audible congestion, difficulty swallowing, and was trying to cough up phlegm. The MD or Nurse Practitioner (NP) were not notified. On [DATE] Resident #1 had his mouth open with clear phlegm noted in his mouth and he was coughing. Resident #1's vital signs included a blood pressure (BP) of ,d+[DATE] (normal ,d+[DATE]), pulse of 48 (normal range ,d+[DATE]), oxygen at 89% (normal range between 95% and 100%) on room air, and respirations of 12 (normal range ,d+[DATE]). He had audible congestion, and his skin was extremely hot to touch. […]
- Immediate jeopardy, isolatedF600Sep 26, 2024
Based on record review, and physician, Nurse Practitioner (NP), and staff interviews, the facility failed to protect a resident's right to be free from neglect when staff failed to provide necessary care and services for 1 of 3 residents reviewed for neglect. Resident #1 had a significant change in condition on [DATE] and the nurse did not recognize the seriousness, notify the physician or provide thorough and ongoing assessments. In addition, Resident #1 was found not breathing and without a pulse on [DATE] and Cardiopulmonary Resuscitation (CPR) was not immediately administered. Resident #1 was pronounced deceased by emergency medical services (EMS) on [DATE]. This was for 1 of 3 residents reviewed for neglect (Resident #1). The findings included: This citation is cross referred to: 1. […]
- Immediate jeopardy, isolatedF678Sep 26, 2024
Based on observation, record review, staff, and Nurse Practitioner (NP) interviews the facility failed to ensure that Cardiopulmonary Resuscitation (CPR) was administered immediately and failed to operationalize an effective system so staff could respond to an emergency situation as needed. On [DATE] Nurse #1 was notified that Resident #1 was unresponsive, not breathing and had no pulse. Nurse #1 verified Resident #1 was not breathing. Nurse #1 did not verify Resident #1's code status and resumed her nursing duties on another hall. Nurse #1 was later informed that Resident #1 was a full code, Nurse #1 then started CPR without initiating a code blue protocol. Nurse #1 stopped CPR when she became tired. Resident #1 was pronounced deceased by emergency medical services (EMS) on [DATE]. […]
- Immediate jeopardy, isolatedF684Sep 26, 2024
Based on record review and staff, Nurse Practitioner (NP) and Medical Director (MD) interviews the facility failed to provide complete, thorough, and ongoing assessments, and failed to intervene when Nurse #1 failed to recognize the seriousness of a resident's (Resident #1) change in condition. Resident #1, who was a full code, was experiencing a change in condition on [DATE] with symptoms of difficulty swallowing, audible congestion (able to hear without the use of stethoscope), and trying to cough up phlegm. Nurse #1 did not obtain vital signs or put interventions into place to relieve the congestion. On [DATE] Resident #1 had his mouth open, clear phlegm was noted in his mouth, audible congestion continued, and he was coughing. […]
- Immediate jeopardy, isolatedF580Mar 8, 2023
Based on record review and interview of the staff, Physician Assistant (PA), Nurse Practitioner (NP), Wound Nurse Practitioner #1, and Physician, the facility failed to notify the medical staff of the Resident #1's sacral pressure ulcer deterioration to the point the wound was 11.5 centimeters (cm) long by 16 cm wide and failed to notify the medical staff when Resident #1 sustained a full-thickness skin tear injury which extended down into the subcutaneous tissue (tissue below the skin) and measured 7 centimeters (cm) long by 3 cm wide on 12/31/22 for 1 of 2 residents reviewed for pressure ulcer(s) and skin tear(s). […]
Read 21 findings in full →The most serious and the most recent: 21 of 48 on record.
Every survey on record
FindingsAt actual harm or above
- Feb 12, 2026Standard and complaint4 findings
- Aug 21, 2025Complaint1 finding · 1 harm
- Jan 24, 2025Complaint1 finding · 1 harm
- Nov 20, 2024Standard2 findings
- Sep 26, 2024Complaint4 findings · 4 harm
- Jun 22, 2023Standard3 findings
- Mar 8, 2023Complaint6 findings · 5 harm
- Nov 4, 2021Standard and complaint7 findings
Show the 11 earlier surveys
- Sep 7, 2021Complaint1 finding
- Jan 28, 2021Complaint1 finding
- Aug 7, 2019Standard5 findings
- Jul 12, 2018Standard1 finding
- Jun 21, 2017Standard1 finding
- Dec 20, 2016Complaint3 findings
- Jul 14, 2016Standard2 findings
- Mar 8, 2016Complaint1 finding
- Feb 5, 2016Complaint1 finding · 1 harm
- Mar 28, 2013—3 findings
- Nov 17, 2010—1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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