Banner Elk, NC

Life Care Center of Banner Elk

5-star overall rating with 4-star inspections with 3 recent health deficiencies

185 Norwood Hollow Road, Banner Elk, NC

(828) 898-5136

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

118

Certified beds

Average residents

67

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Life Care Centers Of America

Operator or chain grouping

Approved since

1981-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.41

Registered nurse staffing

LPN hours / resident day

1.01

Licensed practical nurse staffing

Aide hours / resident day

1.62

Nurse aide staffing

Weekend hours

2.70

Weekend nurse staffing

RN turnover

57%

Annual RN turnover

Total nurse turnover

31%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.8
1.8
About the same
1.9
0.1 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.5
1.8
0.7 pts worse
1.8
0.7 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
91.5%
8.5 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
94.1%
5.9 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 6.8%
3.6%
3.2 pts worse
3.3%
3.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 30.4%
4.8%
25.6 pts worse
11.4%
19 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 2.9%
7.2%
4.3 pts better
5.4%
2.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 27.5%
21.6%
5.9 pts worse
19.6%
7.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 27.9%
15.0%
12.9 pts worse
16.7%
11.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.9%
0.0%
0.9 pts worse
0.1%
0.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 8.1%
21.5%
13.4 pts better
16.3%
8.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 8.9%
16.8%
7.9 pts better
14.9%
6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.9%
0.9 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.5%
2.6%
2.1 pts better
1.7%
1.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 19.6%
21.2%
1.6 pts better
19.8%
0.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 1.9%
6.0%
4.1 pts better
5.1%
3.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 91.6%
79.9%
11.7 pts better
81.7%
9.9 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 7.4%
13.2%
5.8 pts better
12.0%
4.6 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 2.1%
1.5%
0.6 pts worse
1.6%
0.5 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 92.4%
78.1%
14.3 pts better
79.7%
12.7 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 9.9%
22.9%
13 pts better
23.9%
14 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-06 · Fire 2024-08-21

3 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-08-21 · Fire 2023-05-24

3 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-05-24 · Fire 2021-08-19

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

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 2023-05-24

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-08-01

D · Potential for more than minimal harm 2023-05-24

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-08-01

D · Potential for more than minimal harm 2023-05-24

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-08-01

D · Potential for more than minimal harm 2023-05-24

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2023-08-01

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-06

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-08-22

D · Potential for more than minimal harm 2025-08-06

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-08-22

D · Potential for more than minimal harm 2025-08-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-08-22

E · Potential for more than minimal harm 2024-08-21

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-09-12

D · Potential for more than minimal harm 2024-08-21

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2024-09-12

D · Potential for more than minimal harm 2024-08-21

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2024-09-12

D · Potential for more than minimal harm 2023-05-24

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2023-06-12

Penalties and ownership

What sits behind the stars

Ownership

Preston, Forrest

5% Or Greater Direct Ownership Interest · Individual

99% 188 facilities 2015-08-24
Barker, Joseph

Operational/Managerial Control · Individual

0% 1 facilities 2022-09-01
Cross, Cindy

Corporate Officer · Individual

0% 181 facilities 2015-09-30
Developers Investment Company Inc

Operational/Managerial Control · Organization

0% 60 facilities 2015-08-24
Fletcher, Todd

Operational/Managerial Control · Individual

0% 141 facilities 2024-12-13
Henry, Terry

Corporate Officer · Individual

0% 140 facilities 2015-09-30
Kilpatrick, Lynn

Operational/Managerial Control · Individual

0% 1 facilities 2013-12-18
Laws, Brandy

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-20
Lay, Lisa

Corporate Officer · Individual

0% 141 facilities 2018-02-09
Life Care Centers Of America, Inc.

Operational/Managerial Control · Organization

0% 194 facilities 2015-09-30
Preston, Aubrey

Operational/Managerial Control · Individual

0% 135 facilities 2024-12-13
Solomon, Jennifer

Operational/Managerial Control · Individual

0% 24 facilities 2019-05-01
Swanker, Richard

Corporate Officer · Individual

0% 143 facilities 2015-09-30
Thurmond, Joan

Corporate Officer · Individual

0% 191 facilities 2015-09-30
Ziegler, James

Operational/Managerial Control · Individual

0% 140 facilities 2024-12-13

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Staffing
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Overall
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Health
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Fines
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#3

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Staffing
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Fines
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