Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Autumn Care Of Statesville during CMS and state inspections, most recent first.
A resident with multiple chronic conditions was found with a cup of medications left at her bedside after informing a nurse she was not ready to take them. The resident had not been assessed or authorized to self-administer medications, and there was no care plan in place for self-administration. Nursing staff and facility leadership confirmed that no residents were permitted to self-administer medications without proper assessment and a physician's order, yet medications were left unattended with the resident.
A resident admitted with a DNR order did not have the corresponding DNR form in the code status notebook at the nursing desk, leading staff to potentially treat the resident as a full code. The Social Worker responsible for auditing code status failed to include the resident in the most recent audit, and both the DON and Administrator confirmed the inconsistency between the medical record and the code status notebook.
Staff failed to clean and disinfect an individually assigned glucometer before and after use for a resident receiving blood glucose monitoring, contrary to manufacturer instructions and facility policy. Additionally, during wound care for a resident with a chronic wound, neither the wound care PA nor the nurse wore a gown as required by Enhanced Barrier Precautions, and there was confusion among staff regarding the resident's EBP status.
Failure to Assess and Authorize Self-Administration of Medications
Penalty
Summary
A resident with a history of chronic respiratory failure, stroke with hemiplegia and hemiparesis, hypertension, and heart failure was observed with a cup of medications left at her bedside. The resident was cognitively intact and reported that a nurse had given her the medication but left it in the room when she stated she was not ready to take it. The resident was unsure of all the medications present in the cup, identifying only potassium among them. Review of the resident's medical record revealed no documentation of an assessment for self-administration of medications and no care plan addressing self-administration. Interviews with nursing staff confirmed that the resident did not have an order to self-administer medications and that medications should not have been left at the bedside. The nurse who left the medications was unaware of any self-administration assessment or order for the resident. Facility leadership, including the DON and Administrator, confirmed that no residents were currently authorized to self-administer medications and that facility policy required an assessment and physician's order before allowing self-administration. Despite this, medications were left unattended with the resident, contrary to facility policy and without proper assessment or authorization.
Failure to Ensure Accurate and Consistent Code Status Documentation
Penalty
Summary
The facility failed to ensure that a resident's code status information was accurate and consistent throughout the medical record and related documentation. The resident was admitted with a Do Not Resuscitate (DNR) order, as indicated in both the hospital discharge summary and the physician's orders. However, the DNR form was not present in the code status notebook kept at the nursing desk, which is used by nursing staff to quickly determine a resident's code status in urgent situations. When the nurse checked the notebook and did not find the DNR form, she would have determined the resident to be a full code, contrary to the documented DNR status in the medical record. Interviews with facility staff revealed that the Social Worker was responsible for auditing code status information, but the resident in question was not included in the most recent audit. The Social Worker could not explain why the resident was omitted, as the audit list was supposed to be generated directly from the medical record. Both the DON and the Administrator acknowledged the discrepancy between the medical record and the code status notebook, confirming that the resident's code status was not accurately reflected across all required documentation at the time of the survey.
Failure to Disinfect Glucometer and Implement Enhanced Barrier Precautions During Wound Care
Penalty
Summary
The facility failed to properly clean and disinfect an individually assigned glucometer according to the manufacturer's recommendations for a resident undergoing blood glucose monitoring. During observation, a nurse retrieved the resident's glucometer from a labeled plastic bag in the medication cart, used it to check the resident's blood glucose, and returned it to the bag without cleaning or disinfecting it before or after use. The nurse stated that glucometers were typically cleaned once a day unless visibly soiled, and that she did not perform the cleaning herself. Facility leadership and infection prevention staff confirmed that the policy required cleaning and disinfecting the glucometer with an EPA-registered disinfectant wipe before and after each use, regardless of individual assignment, and that the nurse had received recent training on this procedure. Additionally, the facility failed to implement Enhanced Barrier Precautions (EBP) during wound care for a resident with a chronic wound. During wound care observation, neither the wound care physician assistant nor the wound care nurse donned a gown while providing care for a sacral pressure ulcer, which included measuring, debriding, and dressing the wound. Interviews with the wound care nurse, physician assistant, and infection prevention staff revealed that the resident had previously been on EBP, but the sign indicating this had been removed, and there was uncertainty among staff about the current need for EBP. Facility policy required the use of gown and gloves for EBP during care of chronic wounds, and leadership confirmed that the resident's wound met criteria for EBP.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Statesville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Greens At Maple Leaf | 1.2 mi | — | 1 | 0 |
| Iredell Memorial Hospital Inc | 1.5 mi | — | 1 | 0 |
| Crestview Health & Rehabilitation | 15.2 mi | — | 5 | 0 |
| The Citadel Mooresville | 15.7 mi | — | 0 | 0 |
| Davie Nursing And Rehabilitation Center | 16.7 mi | — | 3 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.