CareLedger USAAt a glance
- Record status
- Record found
- CMS Certification Number
- 345475
- Facility type
- Nursing home
- Certified beds
- 100
- Ownership
- Non profit - Corporation
- County or equivalent
- Swain
- CMS area classification
- Rural
- Phone
- (828) 497-5048
- CMS data processed
- 2026-08-01
Published CMS ratings
- Overall
- 2 of 5
- Health inspection
- 1 of 5
- Staffing
- 5 of 5
- Quality measures
- 2 of 5
Ratings are published by CMS. CareLedger does not create or alter federal star ratings.
Published CMS staffing measures
Staffing figures to ask about
CMS reports nurse hours per resident per day, weekend hours and staff turnover. These figures can help you prepare questions about coverage and continuity. How to read these staffing numbers.
- Total nurse hours per resident per day
- 6.14 hours
- RN hours per resident per day
- 1.30 hours
- Weekend nurse hours per resident per day
- 5.55 hours
- Weekend RN hours per resident per day
- 0.92 hours
- Nursing staff turnover
- 47.2%
- RN turnover
- 31.3%
- Administrators who left
- 1
Ask the home: how are weekday and weekend shifts staffed now, and how do you cover absences? More questions for a visit.
These published measures cover different reporting periods and are not a real-time staffing count or a judgment about care today. CMS processing date: 2026-08-01. Open this facility's CMS source row. How Medicare explains staffing measures.
Record timeline
- Retrieved by CareLedger
The public source record was retrieved for this directory.
- CMS data processed
CMS lists this as the processing date for the published dataset row.
- Standard survey listed
Most recent standard survey: 2025-08-01. Health deficiencies: 26.
For your visit
Questions to take with you
Public records can help you prepare, but they cannot tell you what daily life feels like now. Ask to see current documents and talk through anything that matters to your family.
- CMS lists 26 health deficiencies in its latest rating cycle. Which findings were corrected, and where can we verify that?Why this question: CMS rating cycle 1 total number of health deficiencies · CMS data processed 2026-08-01
- CMS lists 4 fines. What were they for, and where can we read the related records?Why this question: CMS number of fines · CMS data processed 2026-08-01
- CMS lists 1 payment denial. What led to it, and what has changed since?Why this question: CMS number of payment denials · CMS data processed 2026-08-01
These are conversation prompts, not new findings or recommendations. The source record may lag behind current conditions. Check the CMS source data
Inspection record
Most recent standard survey: 2025-08-01. Health deficiencies: 26.
From the CMS Health Deficiencies file
Citations on the most recent survey date in this CMS file
The latest date with a citation for this facility in this file is . This may not be the facility’s latest inspection. The entries below are source records, not an assessment of care today.
CMS tag 0550 Resident Rights Deficiencies
CMS requirement: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2025-09-21 · CMS scope/severity code: D
CMS tag 0552 Resident Rights Deficiencies
CMS requirement: Ensure that residents are fully informed and understand their health status, care and treatments.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-01-02 · CMS scope/severity code: E
CMS tag 0554 Resident Rights Deficiencies
CMS requirement: Allow residents to self-administer drugs if determined clinically appropriate.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-01-02 · CMS scope/severity code: E
CMS tag 0558 Resident Rights Deficiencies
CMS requirement: Reasonably accommodate the needs and preferences of each resident.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2025-09-08 · CMS scope/severity code: D
CMS tag 0578 Resident Rights Deficiencies
CMS requirement: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-01-02 · CMS scope/severity code: E
Show 21 more citations from this date
CMS tag 0583 Resident Rights Deficiencies
CMS requirement: Keep residents' personal and medical records private and confidential.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2025-09-08 · CMS scope/severity code: E
CMS tag 0585 Resident Rights Deficiencies
CMS requirement: Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2025-09-08 · CMS scope/severity code: E
CMS tag 0605 Freedom from Abuse, Neglect, and Exploitation Deficiencies
CMS requirement: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2025-09-08 · CMS scope/severity code: D
CMS tag 0636 Resident Assessment and Care Planning Deficiencies
CMS requirement: Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2025-09-08 · CMS scope/severity code: D
CMS tag 0644 Resident Assessment and Care Planning Deficiencies
CMS requirement: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2025-09-08 · CMS scope/severity code: D
CMS tag 0645 Resident Assessment and Care Planning Deficiencies
CMS requirement: PASARR screening for Mental disorders or Intellectual Disabilities
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2025-09-08 · CMS scope/severity code: D
CMS tag 0656 Resident Assessment and Care Planning Deficiencies
CMS requirement: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2025-09-08 · CMS scope/severity code: D
CMS tag 0658 Resident Assessment and Care Planning Deficiencies
CMS requirement: Ensure services provided by the nursing facility meet professional standards of quality.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2025-09-08 · CMS scope/severity code: D
CMS tag 0676 Quality of Life and Care Deficiencies
CMS requirement: Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2025-09-08 · CMS scope/severity code: D
CMS tag 0677 Quality of Life and Care Deficiencies
CMS requirement: Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2025-09-08 · CMS scope/severity code: D
CMS tag 0684 Quality of Life and Care Deficiencies
CMS requirement: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2025-09-08 · CMS scope/severity code: D
CMS tag 0688 Quality of Life and Care Deficiencies
CMS requirement: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-01-02 · CMS scope/severity code: D
CMS tag 0689 Quality of Life and Care Deficiencies
CMS requirement: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2025-09-08 · CMS scope/severity code: D
CMS tag 0698 Quality of Life and Care Deficiencies
CMS requirement: Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2025-09-08 · CMS scope/severity code: D
CMS tag 0699 Quality of Life and Care Deficiencies
CMS requirement: Provide care or services that was trauma informed and/or culturally competent.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2025-09-08 · CMS scope/severity code: D
CMS tag 0761 Pharmacy Service Deficiencies
CMS requirement: 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.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2025-09-08 · CMS scope/severity code: E
CMS tag 0791 Quality of Life and Care Deficiencies
CMS requirement: Provide or obtain dental services for each resident.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2025-09-08 · CMS scope/severity code: D
CMS tag 0835 Administration Deficiencies
CMS requirement: Administer the facility in a manner that enables it to use its resources effectively and efficiently.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-01-02 · CMS scope/severity code: F
CMS tag 0867 Administration Deficiencies
CMS requirement: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2026-01-02 · CMS scope/severity code: F
CMS tag 0880 Infection Control Deficiencies
CMS requirement: Provide and implement an infection prevention and control program.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2025-09-08 · CMS scope/severity code: E
CMS tag 0883 Infection Control Deficiencies
CMS requirement: Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS correction field: Deficient, Provider has date of correction · Correction date in file: 2025-09-08 · CMS scope/severity code: E
The correction field and date are reproduced from CMS; they do not independently verify a correction or establish whether a concern exists now. Open the CMS Health Deficiencies data for this CCN. CMS processing date: 2026-08-01. Retrieved for CareLedger: 2026-09-22.
From the CMS citation file
CMS citation tags seen on multiple survey dates
These tags appear on at least two distinct CMS survey dates. The dates and source are shown; this is not a statement about current conditions or whether a finding remains unresolved.
Topics in citations from multiple survey dates
These topics group CMS tags with reviewed descriptions. The dated list below shows every repeated tag, including tags without a topic label. Open the CMS source.
- Assessment and care planning 3 CMS tags · 4 survey dates Tags 0645, 0656, 0657 · Most recent citation date
- Infection prevention 1 CMS tag · 5 survey dates Tags 0880 · Most recent citation date
- Medication services 1 CMS tag · 3 survey dates Tags 0761 · Most recent citation date
These dates describe past CMS citations. Ask the facility about current practice.
-
CMS tag 0550 Resident Rights Deficiencies
CMS describes the regulatory requirement as: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Survey dates: , ,
-
CMS tag 0558 Resident Rights Deficiencies
CMS describes the regulatory requirement as: Reasonably accommodate the needs and preferences of each resident.
Survey dates: ,
-
CMS tag 0578 Resident Rights Deficiencies
CMS describes the regulatory requirement as: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Survey dates: , ,
-
CMS tag 0645 Resident Assessment and Care Planning Deficiencies
CMS describes the regulatory requirement as: PASARR screening for Mental disorders or Intellectual Disabilities
Survey dates: , ,
Show 13 more tags seen on multiple dates
CMS tag 0656 Resident Assessment and Care Planning Deficiencies
CMS describes the regulatory requirement as: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Survey dates: ,
CMS tag 0658 Resident Assessment and Care Planning Deficiencies
CMS describes the regulatory requirement as: Ensure services provided by the nursing facility meet professional standards of quality.
Survey dates: ,
CMS tag 0689 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Survey dates: , ,
CMS tag 0698 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide safe, appropriate dialysis care/services for a resident who requires such services.
Survey dates: ,
CMS tag 0761 Pharmacy Service Deficiencies
CMS describes the regulatory requirement as: 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.
Survey dates: , ,
CMS tag 0867 Administration Deficiencies
CMS describes the regulatory requirement as: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Survey dates: ,
CMS tag 0880 Infection Control Deficiencies
CMS describes the regulatory requirement as: Provide and implement an infection prevention and control program.
Survey dates: , , , ,
CMS tag 0657 Resident Assessment and Care Planning Deficiencies
CMS describes the regulatory requirement as: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Survey dates: ,
CMS tag 0686 Quality of Life and Care Deficiencies
CMS describes the regulatory requirement as: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Survey dates: ,
CMS tag 0565 Resident Rights Deficiencies
CMS describes the regulatory requirement as: Honor the resident's right to organize and participate in resident/family groups in the facility.
Survey dates: ,
CMS tag 0568 Resident Rights Deficiencies
CMS describes the regulatory requirement as: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Survey dates: ,
CMS tag 0582 Resident Rights Deficiencies
CMS describes the regulatory requirement as: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Survey dates: ,
CMS tag 0725 Nursing and Physician Services Deficiencies
CMS describes the regulatory requirement as: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Survey dates: ,
Questions you could ask on a visit
- For CMS tag 0645 listed on 2025-08-01, 2024-08-22, 2023-07-13, could you show us the relevant inspection reports and explain how the facility handles resident assessment and care planning today?
These prompts use reviewed topic labels from the CMS descriptions. They are not additional inspection findings.
Source: CMS Health Deficiencies for this CCN. CMS processing date: 2026-08-01. Retrieved for CareLedger: 2026-09-22. These historical dates are not a claim about current practice.
Enforcement record
Fines: 4 ($157,555.00 total). Payment denials: 1.
Source and coverage
- Coverage status
- verified live data
- Source agency
- Centers for Medicare & Medicaid Services
- Retrieved
- 2026-09-25
- Confidence
- primary_source
Public records can lag, omit context, or use terms differently across states. Verify material facts with the source agency and facility.