Highlands, NC

Eckerd Living Center

3-star overall rating with 4-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

250 Hospital Drive, Highlands, NC

(828) 526-1315

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

80

Certified beds

Average residents

47

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Hca Healthcare

Operator or chain grouping

Approved since

1993-04-28

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

3 facilities

Chain averages 4 overall / 4 health / 3 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Total nurse hours

0.00

All reported nurse hours

Licensed hours

0.00

RN + LPN hours

Weekend hours

0.00

Weekend nurse staffing

Weekend RN hours

0.00

Weekend registered nurse coverage

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.00

CMS adjusted RN staffing hours

Adjusted total hours

0.00

CMS adjusted total nurse staffing hours

Case-mix index

0.00

Higher values indicate more complex resident acuity

RN turnover

23%

Annual RN turnover · state 48% · national 45%

Total nurse turnover

37%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,035

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

41.61

Composite VBP score used to determine payment impact.

Payment multiplier

0.9945

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.38

Baseline 18.56% · Performance 19.40% · Measure score 4.38 · Achievement 4.38 · Improvement 0

Healthcare-associated infections

4

Baseline 5.72% · Performance 6.64% · Measure score 4 · Achievement 4 · Improvement 0

Total nurse turnover

5.59

Baseline 58.46% · Performance 40.82% · Measure score 5.59 · Achievement 5.59 · Improvement 4.75

Adjusted total nurse staffing

2.66

Baseline 4.16 hours · Performance 3.83 hours · Measure score 2.66 · Achievement 2.66 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.59%	10.72% 1.1 pts better	No Different than the National Rate · Eligible stays 87 · Observed rate 4.6% · Lower 95% interval 7.07%
Discharge to community	54.16%	50.57% 3.6 pts better	No Different than the National Rate · Eligible stays 77 · Observed rate 54.55% · Lower 95% interval 45.24%
Medicare spending per beneficiary	0.78	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 66 · Denominator 66
Falls with major injury	1.52%	0.77% 0.8 pts worse	Numerator 1 · Denominator 66
Discharge self-care score	17.02%	53.69% 36.7 pts worse	Numerator 8 · Denominator 47
Discharge mobility score	40.43%	50.94% 10.5 pts worse	Numerator 19 · Denominator 47
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 66 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.64%	7.12% 0.5 pts better	No Different than the National Rate · Eligible stays 49 · Observed rate 4.08% · Lower 95% interval 3.78%
Staff COVID-19 vaccination coverage	8.7%	8.2% 0.5 pts better	Numerator 4 · Denominator 46
Staff flu vaccination coverage	70.73%	42% 28.7 pts better	Numerator 58 · Denominator 82
Discharge function score	31.91%	56.45% 24.5 pts worse	Numerator 15 · Denominator 47
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 24 · Denominator 24
Transfer of health information to patient	96.43%	96.28% 0.2 pts better	Numerator 27 · Denominator 28
Resident COVID-19 vaccinations up to date	31.58%	25.2% 6.4 pts better	Numerator 12 · Denominator 38

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.4	1.8 1.4 pts better	1.9 1.5 pts better	Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.3 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.1	1.8 0.3 pts worse	1.8 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.7 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	90.6%	91.5% 0.9 pts worse	93.4% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 88.1% · Q2 85.7% · Q3 94.9% · Q4 94.6% · 4Q avg 90.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.7%	94.1% 3.6 pts better	95.5% 2.2 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.7%
Percentage of long-stay residents experiencing one or more falls with major injury	3.8%	3.6% 0.2 pts worse	3.3% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 2.4% · Q3 2.6% · Q4 5.4% · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.4%	4.8% 3.4 pts better	11.4% 10 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 0.0% · Q3 2.9% · Q4 0.0% · 4Q avg 1.4%
Percentage of long-stay residents who lose too much weight	8.8%	7.2% 1.6 pts worse	5.4% 3.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 11.8% · Q3 2.8% · Q4 9.1% · 4Q avg 8.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.4%	21.6% 1.2 pts better	19.6% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 17.6% · Q3 22.2% · Q4 20.6% · 4Q avg 20.4%
Percentage of long-stay residents who received an antipsychotic medication	19.8%	15.0% 4.8 pts worse	16.7% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 20.0% · Q3 17.6% · Q4 21.4% · 4Q avg 19.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	15.1%	21.5% 6.4 pts better	16.3% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 8.2% · Q3 27.7% · Q4 22.6% · 4Q avg 15.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	14.6%	16.8% 2.2 pts better	14.9% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 14.7% · Q3 22.2% · Q4 11.8% · 4Q avg 14.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	0.9% 0.5 pts better	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.6% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.6%	2.6% 2 pts better	1.7% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.8% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.0%	21.2% 5.8 pts worse	19.8% 7.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 36.5% · Q3 33.2% · Q4 15.5% · 4Q avg 27.0%
Percentage of long-stay residents with pressure ulcers	7.8%	6.0% 1.8 pts worse	5.1% 2.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 5.4% · Q3 13.5% · Q4 3.7% · 4Q avg 7.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	83.8%	79.9% 3.9 pts better	81.7% 2.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 78.3% · Q2 84.6% · Q3 86.4% · Q4 85.1% · 4Q avg 83.8%
Percentage of short-stay residents who had an outpatient emergency department visit	10.5%	13.2% 2.7 pts better	12.0% 1.5 pts better	Short Stay · 20240701-20250630 · Adjusted 10.5% · Observed 9.3% · Expected 9.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	4.3%	1.5% 2.8 pts worse	1.6% 2.7 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 5.3% · Q3 5.3% · Q4 4.0% · 4Q avg 4.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	80.0%	78.1% 1.9 pts better	79.7% 0.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 80.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	15.8%	22.9% 7.1 pts better	23.9% 8.1 pts better	Short Stay · 20240701-20250630 · Adjusted 15.8% · Observed 14.0% · Expected 21.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-19 · Fire 2025-02-19

2 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-09-28 · Fire 2023-09-28

1 health deficiencies

Top issue: Administration (1 deficiency)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-03-31 · Fire 2022-03-31

3 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-02-19

K352 · Smoke Deficiencies

Fire Safety

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2025-04-26

D · Potential for more than minimal harm 2025-02-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-26

D · Potential for more than minimal harm 2025-02-19

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-04-26

D · Potential for more than minimal harm 2023-09-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-17

D · Potential for more than minimal harm 2023-09-28

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-01-17

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-02-19

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-03-06

E · Potential for more than minimal harm 2025-02-19

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2025-03-06

F · Potential for more than minimal harm 2023-09-28

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2023-10-19

D · Potential for more than minimal harm 2022-03-31

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-04-23

D · Potential for more than minimal harm 2022-03-31

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2022-04-23

D · Potential for more than minimal harm 2022-03-31

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-04-23

Penalties and ownership

What sits behind the stars

Ownership

Mh Master Holding Lllp

5% Or Greater Direct Ownership Interest · Organization

99% 2 facilities 2019-02-01

Frisco Inc