Adult care home · Cramerton, Gaston County · 128 beds · 24 memory care (SCU) beds · DHSR 4-star
TerraBella Cramer Mountain is a North Carolina-licensed adult care home (license HAL-036-039) in Cramerton with 128 beds, 24 of them in a licensed Special Care Unit. Below is its public state record — license, star-rating history, posted inspections and penalties — plus local cost context and what to ask on a tour.
| Licensing agency | NC DHHS Division of Health Service Regulation (DHSR), Adult Care Licensure Section |
|---|---|
| License # | HAL-036-039 |
| License type | Adult Care Home — 10A NCAC 13F (7 or more beds) |
| Licensee (legal name) | EC Opco Cramerton, LP |
| Licensed beds | 128 |
| Special Care Unit beds | 24 of 128 beds licensed for Alzheimer's/dementia care |
| Status | Active — on DHSR's current Adult Care Home listing (as of 07/2026); license expires 31-Dec-26 |
| First licensed | Not published in DHSR's public listing; DHSR star-rating file begins 2009 |
| DHSR star rating | 4 of 4 stars — score 101.50, issued April 21, 2026 after a annual inspection |
| Enforcement / penalties | None reported in the last 36 months |
| Address | 500 Cramer Mountain Road, Cramerton, NC 28032 |
| County | Gaston County |
| Phone (DHSR listing) | (919) 824-0760 |
| State record | DHSR inspections, ratings and penalties for this facility → |
Yes. TerraBella Cramer Mountain holds North Carolina adult care home license HAL-036-039 from the DHSR Adult Care Licensure Section and appears on the state's current licensed listing, with 128 beds at 500 Cramer Mountain Road in Cramerton. Its 128 licensed beds rank 1st of 11 adult care homes in Gaston County by size.
The licensee of record is EC Opco Cramerton, LP. An adult care home is North Carolina's assisted living license: personal care, medication administration and supervision under 10A NCAC 13F — not 24-hour skilled nursing, which requires a nursing home license under 10A NCAC 13D.
TerraBella Cramer Mountain's current DHSR star rating is four stars (score 101.50), issued April 21, 2026 after a annual inspection. That is up from three stars on the previous rating.
North Carolina rates every adult care home 0-4 stars from inspection points (100 base points, plus merits for rule-exceeding performance and minus demerits for violations); four stars requires 100+ points on two consecutive annual surveys. In Gaston County, 5 of 11 rated adult care homes currently hold four stars. The rating is the state's — we do not rate facilities.
| Issued | Stars | Score | Merits | Demerits | Based on |
|---|---|---|---|---|---|
| 2026-04-21 | 4 | 101.50 | 5.50 | 4.00 | Annual Inspection |
| 2024-07-09 | 3 | 103.50 | 5.50 | 2.00 | Annual Inspection |
| 2022-11-07 | 3 | 97.00 | 1.25 | 0 | Follow-Up Inspection |
| 2022-08-23 | 3 | 95.75 | 1.25 | 3.50 | Follow-Up Inspection |
| 2022-06-20 | 3 | 98.00 | 3.50 | 5.50 | Annual Inspection |
| 2019-03-28 | 3 | 99.50 | 5.50 | 6.00 | Annual Inspection |
No. DHSR reports no administrative penalties for TerraBella Cramer Mountain in the last 36 months — the period the state publishes — and the facility's own DHSR record states it has not received any penalties in the last three years.
That is a good sign, not a guarantee. Inspection findings below the penalty threshold still appear as Statements of Deficiencies, covered in the next section. Check the current penalty listing before you sign.
DHSR has posted 22 inspection documents for TerraBella Cramer Mountain since 2014: 9 Statement(s) of Deficiencies, 5 "No Deficiencies Cited" result(s). The most recent posted entry is a ACLS Annual and Follow-up dated 3/25/2026 (Statement of Deficiency with Plan of Correction).
6 of the posted entries are complaint investigations. Statements of Deficiencies document rule violations found by DHSR; Corrective Action Reports are the county DSS equivalent. Open the PDFs — the left column is what inspectors found, the right column is the facility's plan of correction. Our guide to reading a DHSR inspection report walks through one.
| Date | Inspection | Result |
|---|---|---|
| 3/25/2026 | ACLS Annual and Follow-up | Statement of Deficiency with Plan of Correction |
| 3/25/2026 | ACLS Annual and Follow-up | Statement of Deficiency |
| 10/3/2024 | Constr Complaint Follow-up | Statement of Deficiency with Plan of Correction |
| 6/26/2024 | ACLS Annual | Statement of Deficiency with Plan of Correction |
| 6/26/2024 | ACLS Annual | Statement of Deficiency |
| 5/7/2024 | Constr Complaint Follow-up | No Deficiencies Cited |
| 10/3/2023 | Constr Biennial Follow-up | Statement of Deficiency with Plan of Correction |
| 9/13/2022 | ACLS Follow-up | No Deficiencies Cited |
| 7/7/2022 | ACLS Follow-up | Statement of Deficiency with Plan of Correction |
| 7/7/2022 | ACLS Follow-up | Statement of Deficiency |
A local Charlotte Senior Advisor can tell you how it compares with other licensed homes on cost, care level and current openings — free to families.
Talk to an advisor free →Yes. DHSR's Special Care Unit listing shows 24 of TerraBella Cramer Mountain's 128 beds licensed for Alzheimer's/dementia care — a secured memory care neighborhood inside the adult care home, with the rest of the building serving assisted living residents.
North Carolina has no separate memory-care license. A Special Care Unit must add dementia-trained staff, unit staffing, a secured environment and a written disclosure statement. Ask for that statement and compare it with what the tour guide tells you. Browse all licensed Special Care Units.
TerraBella Cramer Mountain is at 500 Cramer Mountain Road, Cramerton, NC 28032, in Gaston County. The nearest major hospital is CaroMont Regional Medical Center.
0 other licensed adult care homes are in Cramerton. Veterans in the area are served by the Salisbury VA Health Care System (W.G. (Bill) Hefner VA Medical Center) and the VA Charlotte health care centers. See assisted living in Gastonia.
Assisted living in Greater Charlotte typically runs $4,200-$5,800/mo in 2026 and memory care $5,400-$7,200/mo; Cramerton generally prices toward the lower end of the metro range. TerraBella Cramer Mountain's own rates are not published by the state — ask for a written rate sheet for your parent's specific room and care level.
Lower-income residents may qualify for State/County Special Assistance through the county Department of Social Services — a cash supplement toward room and board that is not Medicaid, though SA recipients are automatically Medicaid-eligible; an SA/SCU track applies in Special Care Units. Veterans and surviving spouses may qualify for VA Aid & Attendance. See assisted living costs in Gastonia.
Start with TerraBella Cramer Mountain's public DHSR record — the star rating, the latest Statement of Deficiencies and any penalties — then tour twice, once unannounced near a mealtime, and get the rate sheet and residency agreement in writing before you commit.
TerraBella Cramer Mountain is an assisted living facility — in North Carolina terms, a licensed adult care home — not a nursing home; it provides personal care, medication help and supervision rather than round-the-clock skilled nursing.
| TerraBella Cramer Mountain is… | …and is not |
|---|---|
| A DHSR-licensed adult care home (10A NCAC 13F), license HAL-036-039 | A nursing home — no 24-hour skilled nursing license (10A NCAC 13D) |
| Licensed for 24 Special Care Unit (dementia) beds | A separate memory-care license — North Carolina does not issue one |
| Rated four stars by the state (score 101.50) | Rated or ranked by Charlotte Senior Advisor |
| Eligible to accept State/County Special Assistance if it chooses | Paid for by Medicaid room and board — SA is a separate cash supplement |
Every listing on this page comes from the North Carolina Department of Health and Human Services, Division of Health Service Regulation (DHSR): the DHSR Adult Care Licensure Section's Adult Care Home and Family Care Home listings (as of 07/2026), its Special Care Unit listing (as of July 30, 2026), the Facility Inspections, Ratings and Penalties search (star ratings and posted inspections), and the 36-month penalty listing. Counties covered: Mecklenburg, Cabarrus, Gaston, Union and Iredell (North Carolina side of the metro).
Only facilities on DHSR's current licensed listings are shown. Star ratings, inspection results and penalties are the state's own records — Charlotte Senior Advisor does not rate, rank or score facilities, and no facility pays to be listed. We refresh from DHSR quarterly.
Last updated: October 23, 2026 · DHSR facility listings
Last verified: October 2026
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