Pricing ranges from
    $3,844 – 4,997/month

    Gates House

    11 Commerce Dr, Gatesville, NC 27938
    • Assisted Living
    • Memory Care

    Moved dad, spotless caring facility

    I moved my dad here and I'm very pleased - the facility is spotless, private rooms with attached baths are comfortable, the meals are delicious, and the enclosed courtyard is lovely. The staff and management are exceptionally caring, knowledgeable and punctual; they bend over backwards to help families, and I'd recommend it.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.78·(23)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.2
    • Staff

      4.0
    • Meals

      3.7
    • Amenities

      4.0
    • Value

      2.0

    Pros

    • Clean, well-maintained interior
    • Private rooms with attached bathrooms
    • Compassionate and personable caregivers
    • Organized, attentive nursing and caregiving staff
    • Enclosed courtyard and usable outdoor space
    • Generally punctual and palatable meal service
    • Helpful, knowledgeable management and executive leadership
    • Memory-care programming and support available
    • Staff who educate and assist families

    Cons

    • Inconsistent clinical responsiveness and care delivery
    • Staffing shortages and caregiver overwork
    • High and unclear pricing relative to perceived value
    • Gaps in communication with families and external providers
    • Belongings and laundry security gaps
    • Inadequate dementia-specific care practices
    • Inconsistent meal appeal and limited meal alternatives
    • Grounds and common-area maintenance inconsistencies
    • Transition-related operational instability during ownership change
    • Weak incident response and hospital-transfer coordination

    Summary of reviews

    Overall impression: Review content outlines a facility with a mix of clear strengths and recurring operational concerns. Many family members and visitors describe a clean interior environment, private rooms with attached bathrooms, and an accessible enclosed courtyard. Multiple comments highlight staff warmth and a willingness to help, with specific praise for an engaged executive director and management team. At the same time, the body of feedback includes consistent operational themes that merit careful inquiry by prospective residents and families.

    Care quality and clinical oversight: Feedback indicates variability in clinical responsiveness. Positive accounts describe organized, attentive caregivers and supportive memory-care programming. However, other accounts point to delays or gaps in clinical attention beyond routine medication administration, and to situations that led to hospital transfers. There are specific concerns about nutrition and hydration management and fall-prevention practices, and several notes indicate that dementia-specific care can be inconsistent. These patterns suggest uneven clinical oversight that prospective families should assess directly — for example, by asking about staffing ratios, clinical monitoring routines, and dementia-care protocols.

    Staff and culture: Staff are frequently described as compassionate, personable, and family-oriented; staff members who educate and assist families are cited as a strength. That positive culture coexists with reports of staffing shortages and caregivers who appear overworked, which can undermine consistency of care. There are also isolated but serious allegations about staff conduct and withholding of personal items; these accounts point to the need for prospective families to review staff training, supervision, and resident-rights procedures.

    Dining, activities, and facilities: Dining experiences are mixed. Several families praise punctual, palatable meals, while others find menu options unappealing and note a lack of alternatives for residents with preferences or special needs. Facility features such as private bathrooms and a secure courtyard are assets, but maintenance of grounds and common areas is described as inconsistent. Activity programming is not a dominant theme in the feedback; families should request current activity schedules and examples of engagement opportunities during a tour.

    Management, communication, and operations: Management receives both commendations for helpfulness and criticism for unresponsiveness, indicating variability in administrative communication. Communication gaps extend to interactions with external providers and hospitals, where families report poor coordination around transfers and incomplete handoffs. The facility is undergoing a corporate transition, which multiple comments associate with operational disruption. Pricing is characterized as high by some families, with uncertainty about whether cost aligns with the level of clinical oversight and services provided.

    Notable patterns and recommendations: The strongest, consistent positives are cleanliness, private-room accommodations, and many staff members' compassionate approach. The most important operational concerns are inconsistent clinical responsiveness, dementia-care gaps, belongings-security issues, staffing pressures, inconsistent meal appeal, and variable management communication — alongside questions about pricing and transition-related stability. Prospective residents and families should conduct an on-site tour, ask for up-to-date staffing ratios and clinical oversight procedures, review policies for personal-property handling and laundry, request recent inspection or survey results, inquire about dementia-care staffing and training, and obtain a clear breakdown of fees and what they cover. Doing so will help determine whether the facility’s strengths align with the prospective resident’s care needs and expectations.

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    Location

    Map showing location of Gates House

    Gates House is located at 11 Commerce Dr, Gatesville, NC, 27938.

    About Gates House

    Gates House is a senior living community dedicated to providing compassionate, individualized care for its residents. The philosophy of Gates House centers on supporting individuals to achieve their highest levels of independence while ensuring their health and well-being are always prioritized. Residents enjoy a lifestyle that is liberated from the burdens of home and yard maintenance, allowing them to fully participate in the diverse calendar of daily activities and classes, including the use of a 24-hour fitness center. The community also boasts delicious restaurant-style dining, ensuring that residents enjoy both the social and nutritional aspects of shared meals.

    For those experiencing memory loss, including Alzheimer’s disease or any stage of dementia, Gates House offers the innovative Pathways to Discovery memory care program. This program, developed with input from dementia care experts from across the country, is designed to create an environment where residents living with cognitive impairment can thrive. The dedicated caregiving team at Gates House receives specialized training, focusing on understanding and meeting the unique needs of each individual with memory loss. The staff is committed to creating a haven of security and attentional care, fostering a supportive environment where residents are treated with respect and dignity.

    Gates House emphasizes developing personal care plans tailored to meet the specific needs of each resident. These plans are shaped in close collaboration with residents and their families, guaranteeing that the level of care is personalized, flexible, and aligns with individual preferences and abilities. The goal is to ensure each resident receives just the right amount of assistance, empowering them to remain as independent as possible while being part of a vibrant, caring community. By combining innovative programming, hands-on attention, and a warm atmosphere, Gates House strives to provide an enriching quality of life where the comfort and well-being of residents always come first.

    About Navion Senior Solutions

    Gates House is managed by Navion Senior Solutions.

    Navion Senior Solutions, founded in 2015 by Stephen and Arick Morton, is headquartered in Raleigh, NC. Operating 37+ communities across seven southeastern states, Navion provides assisted living, memory care, independent living, and respite care services. Their mission "Outstanding people. Exceptional care" reflects their commitment.

    People often ask...

    Gates House offers competitive pricing, with rates starting at a cost of $3,844 per month.

    Gates House offers assisted living and memory care.

    There are 17 photos of Gates House on Mirador.

    The full address for this community is 11 Commerce Dr, Gatesville, NC 27938.

    No, Gates House does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In North Carolina, the Division of Health Service Regulation licenses adult care and assisted living facilities, posting annual, complaint, and follow-up inspection results.

    License number110136
    Facility typeAdult Care Home
    Capacity70 residents
    View the official license record

    Inspection Reports

    18

    Reports

    8

    Type A Citations

    14

    Type B Citations

    10

    Complaints

    9

    Years

    26 Feb 2026Follow-Up
    Investigative findings showed deficiencies in wound care, patient handling safety, and care planning with inadequate documentation across multiple residents.
    26 Feb 2026Follow-Up
    Identified multiple deficiencies: failure to implement wound care orders, inaccurate dressing-change documentation, and missing SCU pre-screenings.
    • 10A NCAC 13F .0902(c)(3-4)Health Care
    • 10A NCAC 13F .1004 (j)Medication Administration
    • 10A NCAC 13F .1306Admission To The Special Care Unit
    10 Jul 2025Construction
    Identified multiple deficiencies affecting fire safety, sanitation, housekeeping, electrical safety, and exterior premises.
    • 10A NCAC 13F .0302 (e)Current Sanitation and Fire Safety Inspection
    • 10A NCAC 13F .0305(h)(4)Physical Env-Entrances/exits wander alarms
    • 10A NCAC 13F .0306(m)(1)Physical Env- Outside Premises, Clean, Safe
    • 10A NCAC 13F .0306(a)(1)Housekeeping-Clean and repaired
    • 10A NCAC 13F .0306(a)(5)Housekeeping-Free of Hazards
    • 10A NCAC 13F .0311(a)Building equipment maintained safe, operating
    • 10A NCAC 13F .0311(g)(1-5)Exhaust ventilation
    05 May 2023Follow-Up
    Determined that health care needs were not referred promptly or followed up in a timely manner, and notifications about a suspected/confirmed outbreak were not properly documented or communicated.
    • Type B10A NCAC 13F .0902(b)Health Care
    • Type B10A NCAC 13F .1802(b)Reporting & Notification of a Suspected or Confirmed Communicable Disease Outbreak
    05 May 2023Follow-Up
    Investigated and identified deficiencies in providing timely health care referrals and in notifying residents' representatives about a COVID-19 outbreak.
    • Type B10A NCAC 13F .0902(b)Health Care
    • Type B10A NCAC 13F .1802 (b)Reporting and Notification of a Suspected or Confirmed Communicable Disease Outbreak
    10 Feb 2023Complaint
    Identified multiple deficiencies in medical follow-up, diet execution, feeding assistance, medication administration, incident notification, and SCU documentation.
    • Type A10A NCAC 13F .0902(b) Health CareHealth Care
    • Type A10A NCAC 13F .0904(e)(4) Nutrition and Food ServiceTherapeutic Diets
    • Type A10A NCAC 13F .0904(f)(2) Nutrition and Food ServiceIndividual Feeding Assistance
    • Type A10A NCAC 13F .1004 Medication AdministrationMedication Administration
    • Type A10A NCAC 13F .1212(e) Reporting of Accidents and IncidentsReporting Of Accidents And Incidents
    • Type A10A NCAC 13F .1307 Special Care Unit Resident Profile & Care PlanSpecial Care Unit Resident Profile & Care Plan
    10 Feb 2023Complaint
    Found deficiencies related to resident safety and care documentation, showing ongoing choking risks and lapses in follow-through on orders. Multiple areas required corrective actions and ongoing monitoring.
    04 Dec 2020Other
    Investigated a complaint and conducted a COVID-19 focused infection survey. Found deficiencies in health care oversight and follow-up for residents.
    • 10A NCAC 13F .0902(b)Health Care
    05 Nov 2020Complaint
    An investigation found multiple deficiencies including failure to notify a primary care provider about a resident's suicidal ideation, unclear medication orders and inappropriate administration, poor handling of controlled substances, infection prevention lapses during the COVID-19 pandemic, and violations of residents' rights related to care and safety.
    • 10A NCAC 13F .0902(b)Health Care (b) Referral and follow-up to meet routine and acute health care needs
    • 10A NCAC 13F .1002(a)Medication Orders
    • 10A NCAC 13F .1004(a)Medication Administration
    • 10A NCAC 13F .1008(a)Controlled Substances
    • 10A NCAC 13F .1801Infection Prevention and Control Program
    • G.S. 131D-21(2)Declaration of Residents' Rights
    05 Nov 2020Complaint
    An on-site and follow-up review found multiple deficiencies in health care referral and follow-up, medication administration, controlled substances handling, infection prevention during COVID-19, and residents' rights protections.
    • 10A NCAC 13F .0902(b)Health Care
    • 10A NCAC 13F .1002(a)Medication Orders
    • Type B10A NCAC 13F .1004(a)Medication Administration
    • 10A NCAC 13F .1008(a)Controlled Substances
    • Type B10A NCAC 13F .1801Infection Prevention and Control Program
    • G.S. 131D-21(4) Declaration of Residents' RightsDeclaration of Residents' Rights
    22 Aug 2019Construction
    Identified multiple safety and maintenance deficiencies during site visits, including structural hazards, damaged fixtures, and poor housekeeping and mechanical systems.
    • Initial observations
    • Continuation of initial findings
    • 10A NCAC 13F.0306Housekeeping and Furnishings - Clean, Repaired
    • 10A NCAC 13F.0306Housekeeping and Furnishings - Maintained Free of Hazards
    • 10A NCAC 13F.0311Exhaust Ventilation
    • 10A NCAC 13F.0311Electrical and mechanical systems – general
    22 Aug 2019Construction
    Identified multiple safety, cleanliness, and life-safety deficiencies affecting outdoor areas, interior surfaces, housekeeping, and mechanical systems.
    • 10A NCAC 13F .0305Outside Premises-Clean, Safe
    • 10A NCAC 13F .0306Housekeeping and Furnishings-Clean, Repaired
    • 10A NCAC 13F .0306Housekeeping-Maintained Free of Hazards
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F .0311Exhaust Ventilation
    03 Aug 2017Follow-Up
    Observed multiple deficiencies in the physical plant and safety systems. Deficiencies included a missing wiring diagram for a special exit locking system, unsafe building equipment, inadequate resident hot water temperatures, and nonfunctional exhaust ventilation.
    • 10A NCAC 13F .0301Application of Physical Plant Requirements
    • 10A NCAC 13F .0311Other Requirements
    • 10A NCAC 13F .0311Hot Water System
    • 10A NCAC 13F .0311Exhaust Ventilation
    03 Aug 2017Follow-Up
    Identified deficiencies in hot water system size and temperature, and in exhaust ventilation, with ongoing corrective actions required from a prior follow-up survey.
    • SECTION .0300 - PHYSICAL PLANT 10A NCAC 13F .0311 OTHER REQUIREMENTSPHYSICAL PLANT
    • SECTION .0300 - PHYSICAL PLANT 10A NCAC 13F .0311 OTHER REQUIREMENTSPHYSICAL PLANT
    07 Jun 2017Construction
    Found multiple life-safety and facility maintenance deficiencies, including faulty exit hardware, incomplete fire-safety documentation, inadequate fire drills, and insufficient ventilation.
    • 10A NCAC 13F.0300-0311 (Physical Plant/Design & Construction)PHYSICAL PLANT – Exit locking systems & fire alarm documentation
    • 10A NCAC 13F.0300-0311 (Must Have Current San, & Fire Safety Reports)MUST HAVE CURRENT SAFETY REPORTS
    • 10A NCAC 13F.0300-0311 (Fire Safety – Rehearsals on Each Shift)FIRE SAFETY – Rehearsals on Each Shift
    • 10A NCAC 13F.0300-0311 (Building Equipment Maintained Safe, Operating)BUILDING EQUIPMENT MAINTAINED SAFE, OPERATING
    • 10A NCAC 13F.0311 (EXHAUST VENTILATION)EXHAUST VENTILATION
    07 Jun 2017Construction
    Identified multiple deficiencies in physical plant safety, fire safety documentation, evacuation rehearsals, and building systems. Findings included unsafe exit modifications, missing safety reports, lack of rehearsals, and unsafe equipment conditions.
    • 10A NCAC 13F .0301Application of Physical Plant Requirements
    • 10A NCAC 13F .0302Design and Construction
    • 10A NCAC 13F .0309Plan for Evacuation
    • 10A NCAC 13F .0311Other Requirements
    • 10A NCAC 13F .0311Other Requirements
    • 10A NCAC 13F .0311Other Requirements
    28 Mar 2017Complaint
    Found deficiencies related to staff qualifications, health care orders, medication administration, resident rights, and the health care personnel registry.
    • 1OA NCAC 13F .0407(a) (5)Other Staff Qualifications
    • 10A NCAC 13F .0902(b)Health Care
    • 10A NCAC 13F .1004(a)(2)Medication Administration
    • 1OA NCAC 13F .0909Resident Rights
    • 10A NCAC 13F .1205Health Care Personnel Registry
    28 Mar 2017Complaint
    Investigated allegations of abuse and neglect; found multiple deficiencies in staff qualifications, health care oversight, medication administration, nutrition, and resident rights.
    • Type B10A NCAC 13F .0407(a)(5)Other Staff Qualifications
    • Type B10A NCAC 13F .0703(a)Tuberculosis Test, Medical Examination & Immunizations
    • Type B10A NCAC 13F .0902(b)Health Care
    • Type B10A NCAC 13F .0904(c)(3)Nutrition and Food Service - Menus Substitutions
    • Type B10A NCAC 13F .0904(e)(3)Therapeutic Diets in Adult Care Homes
    • Type B10A NCAC 13F .0904(e)(4)Therapeutic Diets in Adult Care Homes
    • Type A10A NCAC 13F .0909Resident Rights
    • Type B10A NCAC 13F .1004(a)(2)Medication Administration
    • Type B10A NCAC 13F .1205Health Care Personnel Registry
    • Type AG.S. 131D-21(4)Declaration of Residents' Rights

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    Mirador Living is not affiliated with the owner or operator(s) of Gates House. The information above has not been verified or approved by the owner or operator. For exact information, please contact Gates House directly. There is no cost for this service. We are compensated by the community you select.

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