Sanitation, odor, and pest-control management issues in some areas
Insufficient environmental maintenance and climate control
Weak emergency-preparedness and transport-safety practices
Gaps in fall-prevention and transfer-safety procedures
Inconsistent family communication and billing transparency
Variable management oversight and follow-through
Summary of reviews
The reviews present a highly mixed picture of Cleveland House. Many families and residents praise the interpersonal side of care: staff are frequently described as warm, caring, and respectful, with examples of strong teamwork and a few leaders singled out for positive influence. Reviewers also note a solid activity program and daily entertainment, reliable transportation to medical appointments, and generally good, well-liked meals — several reviewers explicitly called out food quality and value for the price. In some units common areas and organization are described as clean and well-run.
However, these strengths are counterbalanced by a cluster of operational concerns that recur across accounts. Staffing levels and stability are a major theme: reviewers describe chronic understaffing, short staffing at night, and turnover that contributes to inconsistent: responsiveness to call systems, timely assistance with bathing and dressing, and attention to laundry. Linked to staffing are reports of insufficient training and orientation; reviewers indicated that some staff appear inexperienced or inadequately prepared for transfers, emergency response, and the facility's expectations for resident care.
Several safety- and risk-related patterns emerge. There are reported gaps in medication security and administration controls, and some reviewers raised serious claims about medication losses — characterized here as allegations requiring verification by regulators or management. Transport and emergency-preparedness practices were also questioned: use of a mix of company and personal vehicles, limited documented emergency training, and perceived lapses in transfer-safety and fall prevention. These operational weaknesses create potential liability and safety concerns that prospective residents and families should clarify with the provider.
Cleanliness and environmental maintenance are another area of concern. Multiple reviews describe sanitation problems, odor concerns, pest-control issues in parts of the building, inconsistent housekeeping, and climate-control problems such as very hot rooms or lack of fresh air. These issues extend to bedding and clothing management for some residents and to dining-room cleanliness in some accounts. Conversely, other reviewers reported clean, organized spaces, which suggests variability across units or shifts rather than a uniform facility condition.
Management and communication receive mixed assessments. Several reviewers praised accessible, proactive management and named specific staff as effective leaders; others reported poor follow-through on concerns, limited communication about billing and clinical issues, and perceived unhelpful interactions when problems were raised. This inconsistency in oversight appears to be a central driver of the divergent experiences described.
Taken together, Cleveland House offers clear strengths in staff–resident relationships, activities, transportation, and dining that some families find valuable. At the same time, recurring operational issues — understaffing, training gaps, medication-security controls, sanitation and maintenance variability, and transport/emergency preparedness — are significant patterns that merit direct inquiry. Prospective residents and families should tour multiple areas of the building, ask for documentation of staff training and emergency procedures (including CPR and transport policies), request explanations of medication security and incident reporting, and seek clarity on housekeeping schedules and pest-control measures before making a placement decision.
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Location
Cleveland House is located at 950 Hardin Dr, Shelby, NC, 28150.
About Cleveland House
Cleveland House sits over at 950 Hardin Dr. in Shelby and folks say life runs at the pace you need, since it's all about making care fit each resident as their needs change, and you'll see programs lined up to keep people talking, meeting new friends, and staying engaged, whether that's in their community room, out at movie nights, or mingling during fitness classes. The staff stays fully trained, easy to talk with, and always around, helping residents with daily tasks like bathing or handling medication, while there's also help for folks who use wheelchairs or need non-ambulatory care, and the 24-hour call system with 12-16 hour nursing backup means someone's always close by if anything comes up. They run everything from assisted living and memory care focused on folks with Alzheimer's or other dementia, to skilled nursing, independent living, and even a continuing care retirement community, so seniors can move in and age in place if their needs shift, and if someone just needs a break or is recovering, there's respite care daily, weekly, or even monthly. Residents find therapy services through Synchrony Rehab and get extras like aromatherapy, vision health support, structured therapy, and even diabetic care, plus there are activities to promote mental wellness, social connections, and physical activity, with outings, outdoor programs, and plenty to do indoors for folks who prefer it quiet. Rooms come with private bathrooms, kitchens, cable TV, air conditioning, phone lines, Wi-Fi, and they're all furnished for comfort and ease, making the place feel lived in rather than lined up like a hotel, and they're set up for accessibility and close pets, which makes visits easier. Meals are handled by a professional chef, able to take on dietary rules, and the community helps organize everything from fitness programs to spa and sauna use, housekeeping, and even move-in help for people switching from home or the hospital. Cleveland House keeps a steady focus on helping seniors stay active, comfortable, and safe, while giving their family clear resources on long-term care, physical therapy, and insurance, and though the online rating hovers at 2.8 stars from 9 reviews, the community does keep working on comfort, safety, and giving seniors some freedom in daily life.
ALG Senior, originally founded as Affinity Living Group in 1996 by Charles Trefzger, stands as one of the most significant senior living providers in the United States. Headquartered in Hickory, North Carolina, the company has grown from its humble beginnings to become the tenth largest provider of assisted living nationwide, the seventh largest provider of Alzheimer's and memory care services, and the largest senior housing operator in the southeastern United States. The company operates approximately 58-66 communities throughout the southeastern United States, with a primary geographic concentration in North Carolina, South Carolina, Virginia, Georgia, and Alabama.
People often ask...
Cleveland House offers assisted living.
There are 18 photos of Cleveland House on Mirador.
The full address for this community is 950 Hardin Dr, Shelby, NC 28150.
No, Cleveland 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.
Investigated a lapse in clarifying physician orders for a resident's medications, finding that a lactulose order was not clarified after a hospital discharge, leading to missed doses and potential risk of hepatic encephalopathy.
Type B10A NCAC 13F .1002(a)Medication Orders
17 Jun 2026Follow-Up
17 Jun 2026Follow-Up
Investigated a prescription and administration issue and found medication administration deficiencies affecting several residents.
Type A10A NCAC 13F .1004 (a) Medication AdministrationMedication Administration
17 Jun 2026Follow-Up
17 Jun 2026Follow-Up
Investigated medication administration and identified failures to give prescribed medications to three residents.
Type A10A NCAC 13F .1004 (a)Medication Administration
01 Apr 2026Follow-Up
01 Apr 2026Follow-Up
Identified deficiencies related to life-safety documentation, resident discharges, and medical administration, including missing inspection reports and incomplete medication records. Noted multiple issues across several deficiencies affecting care and safety.
B10A NCAC 13F.0311(a)Other Requirements
B10A NCAC 13F.0702(f)Discharge Of Residents
B10A NCAC 13F.0902(b)Health Care
B10A NCAC 13F.0902(c)(3-4)Health Care
B10A NCAC 13F.0902Health Care
01 Apr 2026Follow-Up
01 Apr 2026Follow-Up
Investigated a complaint and identified multiple deficiencies in safety systems, discharge planning, and medication management, including a non-operational sprinkler system and numerous medication administration errors and incomplete documentation.
Type B10A NCAC 13F .0311 (a) Other RequirementsOther Requirements
10A NCAC 13F .0702 Discharge Of Residents (f)Discharge Of Residents
10A NCAC 13F .0902 Health Care (b)Health Care
10A NCAC 13F .0902 Health Care (c)(3-4)Health Care
Identified missing up-to-date sanitation and fire safety inspection reports, lack of submitted renovation drawings, and unsafe electrical and fire safety conditions.
10A NCAC 13F .0302 (e)Current Sanitation and Fire Safety Inspection
10A NCAC 13F .0304 Plans And Specifications (a)Plans And Specifications
Investigated deficiencies found in cleanliness and repair, medication storage, and wound care documentation. Found unclean and damaged bathrooms, cluttered resident rooms, an unlabeled medication left unsecured, and inaccurate wound care documentation.
10A NCAC 13F .0306(a)(1)Housekeeping And Furnishings
10A NCAC 13F .1004(j)Medication Administration
10A NCAC 13F .1006(b)Medication Storage
05 Feb 2025Follow-Up
05 Feb 2025Follow-Up
Found several deficiencies in housekeeping and room safety, including dirty or damaged bathrooms and cluttered resident rooms. Also found issues with wound care documentation and medication storage.
10A NCAC 13F .0306(a)(1)Housekeeping And Furnishings
10A NCAC 13F .1004(j)Medication Administration
10A NCAC 13F .1006 (b)Medication Storage
16 Nov 2022Follow-Up
16 Nov 2022Follow-Up
Identified medication ordering and administration documentation problems, including mismanaged orders for donepezil and ferrous gluconate during a pharmacy transition.
Identified deficiencies in medication management and documentation, including unclear physician communication for orders and missing MAR entries for certain medications.
10A NCAC 13F .1002(a)Medication Orders
10A NCAC 13F .1004(j)Medication Administration
24 Apr 2020Follow-Up
24 Apr 2020Follow-Up
Found deficiencies in medication administration documentation and glucose management, including inaccurate eMAR entries and lack of processes to review orders and notify physicians for out-of-range glucose values.
10A NCAC 13F .0902(b)Health Care
10A NCAC 13F .0902(b)Health Care
31 Jan 2020Follow-Up
31 Jan 2020Follow-Up
Investigative team identified multiple deficiencies across heating, staffing, personal and health care, medication administration, infection control during a norovirus outbreak, accident reporting, and resident rights, indicating widespread quality and safety concerns.
10A NCAC 13F .0311(b)Other Requirements
Type B10A NCAC 13F .0407(a)(5)Other Staff Qualifications
Type A10A NCAC 13F .0901Personal Care
Type A10A NCAC 13F .0902Health Care
Type B10A NCAC 13F .1004(a)Medication Administration
Type B10A NCAC 13F .1004Medication Administration
Type B10A NCAC 13F .1004(j)Medication Administration
10A NCAC 13F .1212(a)Reporting of Accidents and Incidents
10A NCAC 13F .1212(e)Reporting of Accidents and Incidents
G.S. 131D-21(4)Declaration of Residents' Rights
Type BG.S. 131D-4.4A (b)ACH Infection Prevention Requirements
03 Jan 2020Follow-Up
03 Jan 2020Follow-Up
Investigated numerous deficiencies including heating inadequacies, staff registry issues, inadequate personal care, health care follow-up, infection control, medication administration, incident reporting, and resident rights during a prior facility event.
10A NCAC 13F .0311(b)Other Requirements
Type B10A NCAC 13F .0407(a)(5)Other Staff Qualifications
Type A10A NCAC 13F .0901(a)Personal Care and Supervision
Type A10A NCAC 13F .0902(b)Health Care
Type B10A NCAC 13F .0909Resident Rights
Type B10A NCAC 13F .1003(a)Medication Labels
Type B10A NCAC 13F .1004(a)Medication Administration
Type B10A NCAC 13F .1004(j)Medication Administration
Type B10A NCAC 13F .1212(a)Reporting of Accidents and Incidents
Type B10A NCAC 13F .1212(e)Reporting of Accidents and Incidents
Type AG.S. 131D-21(2)Declaration of Residents' Rights
Type AG.S. 131D-4.4AACH Infection Prevention Requirements
25 Nov 2019Complaint
25 Nov 2019Complaint
Investigated a complaint found inadequate supervision leading to multiple unwitnessed falls with serious injuries, delayed medical care, and issues with resident rights and death reporting.
Type A10A NCAC 13F .0901(b)Personal Care and Supervision
Type A10A NCAC 13F .0902(b)Health Care
Type B10A NCAC 13F .0909Resident Rights
10A NCAC 13F .1208(g)Death Reporting Requirements
25 Nov 2019Complaint
25 Nov 2019Complaint
An investigation found inadequate supervision leading to multiple falls, delayed acute health care follow-up after falls, violations of residents' rights, and failure to notify authorities after a death.
Type A10A NCAC 13F .0901(b)Personal Care and Supervision
Type A10A NCAC 13F .0902(b)Health Care
10A NCAC 13F .0909Resident Rights
10A NCAC 13F .1208(g)Death Reporting Requirements
24 Jul 2019Follow-Up
24 Jul 2019Follow-Up
Investigators identified deficiencies related to food labeling and dating, and to medication administration practices during a revisit.
—Nutrition and Food Service
—Medication Administration
05 Jun 2019Construction
05 Jun 2019Construction
Identified deficiencies related to housekeeping and furnishings, required safety or sanitation documentation, and building system maintenance with deadlines for corrective actions.
10A NCAC 13F.0306Housekeeping and Furnishings
10A NCAC 13F.0311Other Requirements
10A NCAC 13F.0311Other Requirements
10A NCAC 13F.0311Other Requirements
05 Jun 2019Construction
05 Jun 2019Construction
Identified multiple deficiencies related to safety inspections, housekeeping, fire safety rehearsals, building equipment, and ventilation.
10A NCAC 13F .0302 DESIGN AND CONSTRUCTIONCurrent sanitation and fire safety reports
10A NCAC 13F .0306 HOUSEKEEPING AND FURNISHINGSHousekeeping and furnishings
10A NCAC 13F .0309 PLAN FOR EVACUATIONFire safety rehearsals on each shift
10A NCAC 13F .0311 OTHER REQUIREMENTSBuilding equipment maintained safe, operating
10A NCAC 13F .0311 OTHER REQUIREMENTS (g)Exhaust ventilation
11 Apr 2018Complaint
11 Apr 2018Complaint
Investigated a case of medication administration timing and documentation deficiencies, noting repeated late administrations and incomplete MAR entries.
—Medication administration timing
14 Jun 2017Follow-Up
14 Jun 2017Follow-Up
Found deficiencies for not maintaining current sanitation and fire safety inspection reports; a fire sprinkler inspection identified twelve deficiencies.
10A NCAC 13F .0302Must Have Current Sanitation and Fire Safety Reports
20 Apr 2017Construction
20 Apr 2017Construction
Identified multiple safety and maintenance deficiencies, including missing current safety reports and several hazards related to fire safety, electrical, and ventilation.
10A NCAC 13F .0302DESIGN AND CONSTRUCTION
10A NCAC 13F .0306HOUSEKEEPING AND FURNISHINGS
10A NCAC 13F .0309PLAN FOR EVACUATION
10A NCAC 13F .0310ELECTRICAL OUTLETS
10A NCAC 13F .0311OTHER REQUIREMENTS
10A NCAC 13F .0311EXHAUST VENTILATION
20 Apr 2017Construction
20 Apr 2017Construction
Identified multiple deficiencies related to housekeeping, building maintenance, electrical outlets in wet locations, and ventilation. The findings show ongoing safety and maintenance concerns with required inspections and systems.
10A NCAC 13F .0306Housekeeping - Maintained Free of Hazards
10A NCAC 13F .0306Housekeeping - Maintained Free of Hazards
10A NCAC 13F .0310Electrical Outlets in Wet Locations
10A NCAC 13F .0306Exhaust Ventilation
10A NCAC 13F .0311Exhaust Ventilation
20 Apr 2017Construction
20 Apr 2017Construction
Identified multiple safety deficiencies including unsafe storage of oxygen cylinders, electrical outlets in wet locations, and inadequate exhaust ventilation and sprinkler components.
10A NCAC 13F.0306Housekeeping - Maintained Free of Hazards
10A NCAC 13F.0311Electrical Outlets in Wet Locations
nullFire Safety - Sprinkler Escutcheons and Walls
nullExhaust Ventilation
08 Jul 2015Follow-Up
08 Jul 2015Follow-Up
Identified deficiencies in the building's exhaust ventilation system; radiation dampers were not installed as required.
NCAC 13F .0311Exhaust Ventilation
08 Jul 2015Follow-Up
08 Jul 2015Follow-Up
Observed deficiencies in fire-safety and exhaust-ventilation features, including missing or removed radiation dampers and incomplete exhaust ventilation; further action required.
Found continued deficiencies in the physical plant affecting safety, including an untested backflow preventer, missing radiation dampers, and no exhaust fan in the mop closet.
10A NCAC 13F .0301Application of Physical Plant Requirements
10A NCAC 13F .0311Other Requirements
10A NCAC 13F .0311Other Requirements
28 Apr 2015Follow-Up
28 Apr 2015Follow-Up
Identified deficiencies in the building's physical plant, including an untested backflow preventer and inadequate exhaust ventilation.
10A NCAC 13F .0300Backflow preventer test not performed
10A NCAC 13F .0311Exhaust Ventilation
19 Feb 2015Construction
19 Feb 2015Construction
Identified extensive safety and maintenance deficiencies in fire protection, building systems, and ventilation, including damaged sprinkler components, unprotected openings, and inadequate exhaust.
10A NCAC 13F .0301APPLICATION OF PHYSICAL PLANT REQUIREMENTS
10A NCAC 13F .0311OTHER REQUIREMENTS
10A NCAC 13F .0311(g)EXHAUST VENTILATION
19 Feb 2015Construction
19 Feb 2015Construction
Inspected for deficiencies and found multiple fire-safety and building-maintenance issues, including holes in smoke barriers, unprotected penetrations, missing sprinkler heads, and problems with exhaust ventilation.
Type A—Attic smoke barrier / sprinkler head maintenance
Type A—Through-penetration fire stop not installed
Type A—Exhaust ventilation deficiencies
Type A—Unmaintained or unsafe physical plant equipment
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