Cycle 1
Health 2025-01-14 · Fire 2025-01-14
7 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Maggie Valley, NC
Maggie Valley Nursing and Rehabilitation
1-star overall rating with 1-star inspections with abuse icon flag with $69,935 in total fines with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
75 Fisher Loop, Maggie Valley, NC
(828) 926-4326
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
114
Certified beds
Average residents
102
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Maximus Healthcare Group
Operator or chain grouping
Approved since
1973-11-23
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
11 facilities
Chain averages 3 overall / 3 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
0.56
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
0.76
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.29
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.61
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.32
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.13
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.35
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.62
CMS adjusted RN staffing hours
Adjusted total hours
4.03
CMS adjusted total nurse staffing hours
Case-mix index
1.22
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,828
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
10.22
Composite VBP score used to determine payment impact.
Payment multiplier
0.9809
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.68% · Performance 22.86% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0.88
Baseline 6.97% · Performance 7.57% · Measure score 0.88 · Achievement 0.88 · Improvement 0
Total nurse turnover
0.52
Baseline 39.73% · Performance 61.54% · Measure score 0.52 · Achievement 0.52 · Improvement 0
Adjusted total nurse staffing
2.69
Baseline 2.73 hours · Performance 3.7 hours · Measure score 2.69 · Achievement 2.19 · Improvement 2.69
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.71% |
10.72%
1 pts worse
|
No Different than the National Rate · Eligible stays 183 · Observed rate 12.57% · Lower 95% interval 8.9% |
| Discharge to community | 61.01% |
50.57%
10.4 pts better
|
Better than the National Rate · Eligible stays 182 · Observed rate 57.69% · Lower 95% interval 54.38% |
| Medicare spending per beneficiary | 1.06 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 141 · Denominator 141 |
| Falls with major injury | 3.55% |
0.77%
2.8 pts worse
|
Numerator 5 · Denominator 141 |
| Discharge self-care score | 56.38% |
53.69%
2.7 pts better
|
Numerator 53 · Denominator 94 |
| Discharge mobility score | 47.87% |
50.94%
3.1 pts worse
|
Numerator 45 · Denominator 94 |
| Pressure ulcers or injuries, new or worsened | 3.55% |
2.29%
1.3 pts worse
|
Numerator 5 · Denominator 141 · Adjusted rate 5.28% |
| Healthcare-associated infections requiring hospitalization | 7.57% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 145 · Observed rate 7.59% · Lower 95% interval 4.89% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 109 |
| Staff flu vaccination coverage | 10.71% |
42%
31.3 pts worse
|
Numerator 33 · Denominator 308 |
| Discharge function score | 53.19% |
56.45%
3.3 pts worse
|
Numerator 50 · Denominator 94 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 37 · Denominator 37 |
| Transfer of health information to patient | 97.44% |
96.28%
1.2 pts better
|
Numerator 76 · Denominator 78 |
| Resident COVID-19 vaccinations up to date | 25.4% |
25.2%
0.2 pts better
|
Numerator 16 · Denominator 63 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.8
0.7 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.1 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.8
0.6 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.3 · Expected 1.8 · Used in QM five-star |
| 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| 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 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.3% |
3.6%
2.7 pts worse
|
3.3%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 7.6% · Q3 4.7% · Q4 3.3% · 4Q avg 6.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.8% |
4.8%
1 pts better
|
11.4%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.4% · Q3 4.9% · Q4 4.7% · 4Q avg 3.8% |
| Percentage of long-stay residents who lose too much weight | 17.4% |
7.2%
10.2 pts worse
|
5.4%
12 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.3% · Q2 21.1% · Q3 14.6% · Q4 13.1% · 4Q avg 17.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.1% |
21.6%
6.5 pts worse
|
19.6%
8.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.2% · Q2 26.6% · Q3 25.0% · Q4 27.3% · 4Q avg 28.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.3% |
15.0%
6.7 pts better
|
16.7%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 7.9% · Q3 7.6% · Q4 11.0% · 4Q avg 8.3% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 1.2% |
0.0%
1.2 pts worse
|
0.1%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.3% · Q3 1.2% · Q4 1.1% · 4Q avg 1.2% |
| Percentage of long-stay residents whose ability to walk independently worsened | 29.0% |
21.5%
7.5 pts worse
|
16.3%
12.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.9% · Q2 34.3% · Q3 32.3% · Q4 30.8% · 4Q avg 29.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 19.7% |
16.8%
2.9 pts worse
|
14.9%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 21.3% · Q3 18.8% · Q4 19.0% · 4Q avg 19.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.4% |
0.9%
0.5 pts worse
|
1.0%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 1.4% · Q4 2.1% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 6.5% |
2.6%
3.9 pts worse
|
1.7%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 3.9% · Q3 8.3% · Q4 9.2% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.5% |
21.2%
1.3 pts worse
|
19.8%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.9% · Q2 24.3% · Q3 27.4% · Q4 22.9% · 4Q avg 22.5% |
| Percentage of long-stay residents with pressure ulcers | 7.5% |
6.0%
1.5 pts worse
|
5.1%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 5.6% · Q3 5.1% · Q4 8.9% · 4Q avg 7.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.6% |
79.9%
15.7 pts better
|
81.7%
13.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.9% · Q2 95.8% · Q3 96.8% · Q4 92.5% · 4Q avg 95.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.3% |
13.2%
0.1 pts worse
|
12.0%
1.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.3% · Observed 13.9% · Expected 11.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.5%
0.9 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 1.3% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.3% |
78.1%
17.2 pts better
|
79.7%
15.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.0% |
22.9%
8.1 pts worse
|
23.9%
7.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.0% · Observed 27.8% · Expected 21.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-07-26 · Fire 2023-07-26
6 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Cycle 3
Health 2022-01-13 · Fire 2022-01-13
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-01-14
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-25
D · Potential for more than minimal harm
2025-01-14
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-02-25
D · Potential for more than minimal harm
2023-07-26
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-11-16
F · Potential for more than minimal harm
2022-01-13
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-03-19
F · Potential for more than minimal harm
2022-01-13
K751 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of flammable curtains.
Corrected 2022-03-19
Inspection history
Recent health citations
G · Actual harm
2025-05-29
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-05-29
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-06-13
L · Immediate jeopardy
2025-01-14
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-07
E · Potential for more than minimal harm
2025-01-14
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 2025-03-07
D · Potential for more than minimal harm
2025-01-14
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-03-07
D · Potential for more than minimal harm
2025-01-14
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-03-07
D · Potential for more than minimal harm
2025-01-14
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 2025-03-07
E · Potential for more than minimal harm
2023-07-26
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-08-24
E · Potential for more than minimal harm
2023-07-26
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 2023-08-24
E · Potential for more than minimal harm
2023-07-26
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2023-08-24
D · Potential for more than minimal harm
2023-07-26
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 2023-08-24
C · Minimal harm
2023-07-26
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2023-07-26
B · Minimal harm
2023-07-26
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-07-26
E · Potential for more than minimal harm
2022-01-13
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 2022-01-31
Penalties and ownership
What sits behind the stars
$49,445
2025-05-29
Fine
Fine · fine $49,445
Fine
$17,345
2025-01-14
Fine
Fine · fine $17,345
Fine
$0
2025-01-14
Payment Denial
Payment Denial · denial start 2025-02-13 · 22 days
22 day denial
$3,145
2023-08-07
Fine
Fine · fine $3,145
Fine
Ownership
Maggie Valley Max Holdings LLC
5% Or Greater Direct Ownership Interest · Organization
Bornstein, Yisroel
5% Or Greater Indirect Ownership Interest · Individual
Lbs Capital Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Hirsch, Nisson
5% Or Greater Indirect Ownership Interest · Individual
Markovics, Ethel
5% Or Greater Indirect Ownership Interest · Individual
Bornstein, Yisroel
Corporate Officer · Individual
Hirsch, Nisson
Corporate Officer · Individual
Silvers, Brenda
Operational/Managerial Control · Individual
Nearby options
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#3
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4-star overall rating with 4-star inspections with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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