Federal inspection record · CMS data as of October 1, 2026
Autumn Care of Waynesville
360 Old Balsam Road, Waynesville, NC · (828) 456-7381
- Certified beds
- 90
- Residents per day
- 82
- Ownership
- For-Profit
- Chain
- Saber Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 6, 1974
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
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Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Autumn Care of Waynesville carries 91 inspection points. That is fewer than 14% of North Carolina's 415 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–4 pts
- 4★ 4–15 pts
- 3★ 15–35 pts
- 2★ 35–73.5 pts
- 1★ over 73.5 pts
Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
31 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (5)
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K
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
K
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
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J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights7D
- D
Give the resident's representative the ability to exercise the resident's rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- D
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Pharmacy Service4D
- D
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
Freedom from Abuse, Neglect, and Exploitation4E
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Nutrition and Dietary3E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care3D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning1D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Administration1D
- D
Have a Compliance and Ethics Program.
Inspection history
2026-06-04
6 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2025-05-22
7 health deficiencies · 3 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2024-05-09
18 health deficiencies · 10 fire-safety deficiencies
Top issue: Resident Rights (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 36 min of nursing staff time a day, 32 min of it from a registered nurse.
This home
3 h 36 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 69% of nursing staff and 85% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$107,387 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-05-09 | Fine | $107,387 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts better | 1.4 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.6 pts worse | 2.3 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.8 pts worse | 88.6% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.9 pts better | 98.6% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.3 pts worse | 5.7% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.6 pts worse | 13.4% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight13.5 pts worse | 20.6% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.2 pts better | 20.9% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.4 pts better | 9.5% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened10.2 pts better | 6.4% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.1 pts better | 7.9% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts worse | 0.8% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts worse | 3.2% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.3 pts better | 16.6% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.3 pts better | 5.1% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine38 pts worse | 43.5% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.9 pts worse | 15.6% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.3 pts worse | 2.7% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine19 pts worse | 62.1% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.5 pts worse | 24.7% | 22.2% | 23.4% |
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Who owns and runs it
23 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Shg Autumn, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 22 facilities |
| Cibc Bank Usa | Adp Of The SNF · Organization | 0% | 208 facilities |
| Citrin Cooperman Advisors LLC | Adp Of The SNF · Organization | 0% | 110 facilities |
| Guffey, Neal | Adp Of The SNF · Individual | 0% | 1 facilities |
| Marcus, Theodore | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Marcus, Theodore | Adp Of The SNF · Individual | 0% | 2 facilities |
| Nicoluzakis, Gregory | Corporate Officer · Individual | 0% | 121 facilities |
| Nicoluzakis, Gregory | Adp Of The SNF · Individual | 0% | 121 facilities |
| Ohl Asset (Nc) Waynesvitte, LP | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Ohl Asset (Nc) Waynesvitte, LP | Adp Of The SNF · Organization | 0% | 1 facilities |
| Russell, Alex | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Russell, Alex | Adp Of The SNF · Individual | 0% | 4 facilities |
| Saber Governance LLC | Adp Of The SNF · Organization | 0% | 120 facilities |
| Shg Autumn, LLC | Adp Of The SNF · Organization | 0% | 22 facilities |
| Shg Management LLC | Operational/Managerial Control · Organization | 0% | 104 facilities |
| Shg Management LLC | Adp Of The SNF · Organization | 0% | 104 facilities |
| Shg Mt, LLC | Adp Of The SNF · Organization | 0% | 37 facilities |
| Volpe, Benjamin | Corporate Director · Individual | 0% | 121 facilities |
| Volpe, Benjamin | Corporate Officer · Individual | 0% | 121 facilities |
| Volpe, Benjamin | Adp Of The SNF · Individual | 0% | 121 facilities |
| Walker & Associates Pc | Adp Of The SNF · Organization | 0% | 47 facilities |
| Weisberg, William | Corporate Director · Individual | 0% | 123 facilities |
| Weisberg, William | Corporate Officer · Individual | 0% | 123 facilities |
·
Fire safety
20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6E
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Install a fire alarm system that can be heard throughout the facility.
- D
Install an approved automatic sprinkler system.
- D
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems5F
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
Services3E
- E
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Construction2D
- D
Use approved construction type or materials.
- D
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Miscellaneous2D
- C
Have simulated fire drills held at unexpected times.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Emergency Preparedness1F
- F
Establish an Emergency Preparedness Program (EP).
Egress1D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
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Other homes nearby
-
Skyland Terrace and Rehabilitation
Waynesville, NC
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 16 min
- Fines
- $8,512
-
Maggie Valley Health and Rehabilitation Center
Maggie Valley, NC
★★★★★- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 3 h 20 min
- Fines
- $51,012
-
Smoky Mountain Health and Rehabilitation Center
Waynesville, NC · Principle Long Term Care
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 2 min
- Fines
- $0