Deficiency Index

Matthews Health & Rehab Center

Matthews, North Carolina · CCN 345103

17 surveys since 2011, 3 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
48
Surveys
17
Harm or worse
3
Immediate jeopardy
2
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy2

Findings at the most serious level CMS records. 1 of these were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file12/17

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
166
Ownership
For profit - Corporation
Chain
SABER HEALTHCARE GROUP
County
Mecklenburg
Medicare-certified since
1974

CMS ratings

Overall
2
Health inspection
2
Staffing
2
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 92 for-profit facilities with 128 or more beds in North Carolina.

Last survey on record

Apr 16, 2026

207 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.473.49
Registered-nurse hours per resident day0.52—
Annual nurse turnover53.8%52.4%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$82,703 across 2 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ15.0%K15.0%L—
Actual harmG—H—I—
No harm, potential for more than minimalD945.0%E525.0%F—
No harm, potential for minimalA—B315.0%C15.0%
CMS’s current file: 20 of the 48 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8092×

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

  • F5611×

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

  • F5651×

    Honor the resident's right to organize and participate in resident/family groups in the facility.

  • F5781×

    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.

  • F5801×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

In the surveyor’s words

From the most serious findings on record at Matthews Health & Rehab Center, in the surveyor’s own words.

  • Immediate jeopardy, patternF880Feb 7, 2025

    Based on record review, observations, and staff, Health Department Nurse, and Physician interviews, the facility failed to implement the facility's infection control policy and procedures in accordance with current Centers for Disease Control and Prevention (CDC) guidance. The facility had been in outbreak status since 1/18/25 when 2 staff members tested positive and only residents and staff with COVID symptoms and staff that requested were tested for COVID. The facility failed to initiate contact tracing COVID testing for staff and residents on 1/18/25 after 2 staff members tested positive for COVID and failed to initiate broad-based approach COVID testing when a resident on the 200 hall and the 400-hall tested positive for COVID. […]

  • Immediate jeopardy, isolatedF600Aug 2, 2024

    Based on record reviews, resident, staff, physician and family interviews, the facility failed to protect a resident's (Resident #1) rights to be free from physical abuse when Resident #2 yelled for his roommate, Resident #1 (who was severely cognitively impaired), to leave his stuff alone and then hit Resident #1 3 times with a closed fist on the back of Resident #1's head and neck. This resulted in Resident #1 being transported to the local emergency department (ED) on 7/13/24, where a computerized tomography (CT) scan of the head determined that Resident #1 had a 4-millimeter (mm) hyperdense focus (increased area of density that could indicate bleeding or a stroke) in the right frontal region of his brain that was questionable for focal hemorrhage, subarachnoid (space between the brain… […]

  • No harm, potential for more than minimal, widespreadF583Jun 9, 2022

    Based on observations, record review and staff interview the facility failed to respect the residents right to privacy and confidentiality by placing signage on resident's room doors which indicated residents' vaccination status for 8 of 30 resident room doors reviewed for confidentiality. (Rooms 132, 201, 203, 306, 309, 317, 320, 321) The findings included: An observation of the 300 Hall was conducted on 6/6/22 at 3:05 PM. A yellow sign was posted on the door of Rooms 306, 309, 317, 320 and 321. The sign read, Attention: This room is occupied by a NON-vaccinated COVID-19. During a facility outbreak .This resident is on quarantine. The signage was visible for the public to see. An observation was conducted of the 100 Hall and 200 Hall on 6/7/22 @11:23 AM. […]

  • No harm, potential for more than minimal, patternF565Feb 7, 2025

    Based on record review, and staff and resident interviews, the facility failed to provide resolution of Resident Council Meeting grievances for 6 of 6 Resident Council Meetings (08/27/24, 09/24/24, 10/23/24, 11/05/24, 11/20/24, and 12/30/24). The Resident Council had repeated concerns regarding call lights not being answered and snacks not being provided. The findings included: On 08/27/24 the Resident Council Meeting Minutes noted nursing staff were not responding to call lights in a timely manner. […]

  • No harm, potential for more than minimal, patternF804Oct 13, 2023

    Based on observation of a breakfast meal test tray, a resident interview (Resident #67), a Resident Council meeting, and staff interviews, the facility failed to provide residents with foods per their preferences for temperature and taste (Residents #3, #7, #15, #24, #47, #58, #64, #67, and #83). This failure had the potential to affect all residents who received food from the dietary department. The findings included: 1a. Resident #67 was admitted to the facility on [DATE]. A quarterly Minimum Data Set assessment dated [DATE] assessed Resident #67 with moderately impaired cognition. Resident #67 was observed in his room on 10/09/23 at 2:10 PM, with a visitor. Resident #67 stated that he received a sloppy [NAME] and French fries, for lunch (10/9/23). […]

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

  • Apr 16, 2026Standard1 finding
  • Dec 18, 2025Complaint1 finding
  • Feb 7, 2025Standard and complaint8 findings · 1 harm
  • Aug 2, 2024Complaint2 findings · 1 harm
  • Oct 13, 2023Standard and complaint8 findings
  • Jun 9, 2022Standard4 findings
  • May 27, 2020Infection control1 finding
  • Mar 17, 2020Standard and complaint4 findings
Show the 9 earlier surveys
  • Feb 28, 2019Standard4 findings
  • Feb 1, 2018Standard2 findings
  • Oct 8, 2015Standard4 findings
  • Dec 4, 2014Standard1 finding
  • Oct 9, 2014Complaint1 finding
  • Aug 15, 2013—2 findings
  • Jun 15, 2012—1 finding
  • Nov 8, 2011—1 finding · 1 harm
  • Apr 14, 2011—3 findings

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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