Autumn Care of Shallotte — nursing home in Shallotte, NC

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 100 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 89.8 CMS, MDS-derived
CMS Certification Number: 345294
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 24, 1989
Ownership type: For profit - Corporation
Operator (legal business name): Autumn Corporation
CMS chain: Saber Healthcare Group 126 facilities
Phone: (910) 754-8858
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

10

latest May 14, 2026

Citations

29

25 health · 4 fire

Harm or worse

2

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G1	H·	I·
Potential harm	D19	E7	F·
Minimal	A·	B·	C1

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$16,452

Payment denials

0

Latest

Jan 5, 2024

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 345294
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 100
First approved: Jan 24, 1989
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for North Carolina.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
May 14, 2026	Health	Health Complaint	2	Potential harm	—	Open →
Jul 25, 2025	Health	Health Complaint, Health Standard	3	Potential harm	—	Open →
Aug 29, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Aug 29, 2024	Health	Health Complaint, Health Standard	6	Potential harm	—	Open →
Jan 5, 2024	Health	Health Complaint	2	Immediate jeopardy	—	Open →
Oct 26, 2023	Health	Health Complaint	1	Potential harm	—	Open →
Oct 12, 2023	Health	Health Complaint	1	Potential harm	—	Open →
Jul 27, 2023	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Jul 27, 2023	Health	Health Standard	10	Actual harm	1	Open →
Mar 3, 2022	Fire safety	Fire Safety Standard	0	No citations	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Jan 5, 2024	Civil money penalty (fine)	$16,452	—	345294\|Fine\|42130

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G1	H·	I·
Potential harm	D19	E7	F·
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
May 14, 2026	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 2, 2026	Complaint
May 14, 2026	F-0694	Provide for the safe, appropriate administration of IV fluids for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 2, 2026	Complaint
Jul 25, 2025	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Aug 18, 2025
Jul 25, 2025	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Aug 18, 2025	Complaint
Jul 25, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Aug 18, 2025
Aug 29, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 20, 2024
Aug 29, 2024	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 20, 2024
Aug 29, 2024	K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 20, 2024
Aug 29, 2024	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Past non-compliance Jun 14, 2024
Aug 29, 2024	F-0758	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Sep 20, 2024	Complaint
Aug 29, 2024	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Sep 20, 2024
Aug 29, 2024	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Sep 20, 2024
Aug 29, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Sep 20, 2024	Complaint
Aug 29, 2024	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 20, 2024
Jan 5, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Past non-compliance Dec 1, 2023	Complaint
Jan 5, 2024	F-0867	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Jan 25, 2024	Complaint
Oct 26, 2023	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Nov 9, 2023	Complaint
Oct 12, 2023	F-0693	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 26, 2023	Complaint
Jul 27, 2023	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	G · Actual harm Isolated	Corrected Aug 21, 2023
Jul 27, 2023	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Sep 12, 2023
Jul 27, 2023	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 21, 2023
Jul 27, 2023	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 21, 2023
Jul 27, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 21, 2023
Jul 27, 2023	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 21, 2023
Jul 27, 2023	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 21, 2023
Jul 27, 2023	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Aug 21, 2023
Jul 27, 2023	F-0761	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Aug 21, 2023
Jul 27, 2023	F-0867	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Aug 21, 2023
Jul 27, 2023	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	C · Minimal Widespread	Plan of correction, not yet verified Aug 21, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.9

Staffingstate 2.7

Quality measuresstate 3.5

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.49

State avg 3.87US avg 3.90

Registered nurse (RN)0.86

State avg 0.62US avg 0.69

Licensed practical nurse0.69

State avg 0.88US avg 0.86

Nurse aide1.94

State avg 2.37US avg 2.35

Weekend total nurse2.98

State avg 3.40US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.58 (case-mix index 1.37).

Staff turnover

Total nursing staff turnover54.6%

State avg 48.7%US avg 45.3%

Registered nurse turnover38.1%

State avg 45.7%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jul 25, 2025
Cycle 1 health score: 32
Total weighted score: 41

Operating entity

Autumn Corporation

CMS legal business name of the certified provider. Operates 19 facilities.

VerifiedLinked by exact legal name

CMS chain

Saber Healthcare Group

126 facilities in 6 states. CMS chain ID 461.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3

Ownership disclosures

Disclosures

26

Organizations

10

Individuals

13

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Shg Autumn, LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Mar 1, 2016
Wwbv Holdings LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100%	Sep 30, 2019

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Shg Autumn, LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Mar 1, 2016
Wwbv Holdings LLC	Organization	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	100%	Sep 30, 2019
Shg Management LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 1, 2019
Melissa Sullivan	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 17, 2023
Bethany Viner Davis	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 8, 2021
Benjamin Volpe	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 1, 2019
William Weisberg	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 1, 2019
Gregory Nicoluzakis	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2019
Benjamin Volpe	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2019
William Weisberg	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2019
Ohi Asset (Nc) Shallotte, LP	Organization	Mortgage / security interest	5% OR GREATER SECURITY INTEREST	not provided	Mar 1, 2016
Cibc Bank USA	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 31, 2021
Citrin Cooperman Advisors LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2026
Ohi Asset (Nc) Shallotte, LP	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2016
Saber Governance LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2019
Saber Healthcare Group LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2026
Shg Autumn, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 19, 2026
Shg Management LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Sep 1, 2019
Shg Mt, LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Apr 19, 2026
Walker & Associates PC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Dec 18, 2023
Jennifer Davis	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 27, 2025
Gregory Nicoluzakis	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2019
Melissa Sullivan	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 17, 2023
Bethany Viner Davis	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 8, 2021
Benjamin Volpe	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2019
William Weisberg	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 1, 2016

Other facilities operated by Autumn Corporation

All 18 →

Facility	Beds	Last inspection	Citations (window)	Fines
Autumn Care of Waynesville 360 Old Balsam Road, Waynesville, NC 28786 CCN 345110	90	Jun 4, 2026	513 IJ2 harm9 open	$107k
Autumn Care of Marion 1264 Airport Road, Marion, NC 28752 CCN 345165	110	Mar 26, 2026	141 IJ	$10k
Autumn Care of Drexel 307 Oakland Avenue, Morganton, NC 28655 CCN 345222	100	May 14, 2026	281 IJ2 harm6 open	$28k
Autumn Care of Marshville 311 W Phifer Street, Marshville, NC 28103 CCN 345268	110	Feb 12, 2026	304 IJ2 harm1 open	$45k
Autumn Care of Salisbury 1505 Bringle Ferry Road, Salisbury, NC 28146 CCN 345269	97	Apr 2, 2026	23	—
Autumn Care of Raeford 1206 N Fulton Street, Raeford, NC 28376 CCN 345280	132	Feb 26, 2026	142 IJ	$33k
Autumn Care of Saluda 501 Esseola Circle, Saluda, NC 28773 CCN 345351	99	Apr 23, 2026	305 IJ5 open	$17k
Autumn Care of Myrtle Grove 5725 Carolina Beach Road, Wilmington, NC 28412 CCN 345507Abuse icon	90	Dec 3, 2025	526 IJ3 harm1 open	$142k

Same chain in North Carolina

All 125 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Autumn Care of Biscoe 401 Lambert Road, Biscoe, NC 27209 CCN 345000	141	Jun 24, 2026	271 harm1 open	$15k
Davidson Health & Rehab Center 4748 Old Salisbury Road, Lexington, NC 27295 CCN 345066Abuse icon	100	Feb 26, 2026	481 IJ5 harm4 open	$54k
Matthews Health & Rehab Center 600 Fullwood Lane, Matthews, NC 28105 CCN 345103	166	Apr 16, 2026	342 IJ11 open	$83k
Autumn Care of Waynesville 360 Old Balsam Road, Waynesville, NC 28786 CCN 345110	90	Jun 4, 2026	513 IJ2 harm9 open	$107k
Davie Nursing and Rehabilitation Center 498 Madison Road, Mocksville, NC 27028 CCN 345129	96	Nov 14, 2025	12	—
Piedmont Health & Rehab Center 610 West Fisher Street, Salisbury, NC 28145 CCN 345140	58	May 13, 2026	241 IJ1 harm	$24k
Autumn Care of Marion 1264 Airport Road, Marion, NC 28752 CCN 345165	110	Mar 26, 2026	141 IJ	$10k
Emerald Health & Rehab Center 54 Red Mulberry Way, Lillington, NC 27546 CCN 345173	96	Sep 30, 2025	301 open	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 237 Mulberry Street, Shallotte, NC 28459
ZIP: 28459
County: Brunswick County FIPS 37019
State: North Carolina
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Brunswick Health & Rehab Center 9600 No 5 School Road, Ash, NC 28420 CCN 345575	14.8 km	100		Apr 9, 2026	462 IJ4 harm	$217k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	345294	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	345294	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 345294

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction