Cycle 1
Health 2024-12-19 · Fire 2024-12-19
9 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Murphy, NC
Murphy Rehabilitation & Nursing
3-star overall rating with 3-star inspections with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
230 Nc Hwy 141, Murphy, NC
(828) 835-7580
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
134
Certified beds
Average residents
116
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1979-01-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.55
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
0.71
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.13
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.39
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.26
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
2.92
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.17
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.58
CMS adjusted RN staffing hours
Adjusted total hours
3.57
CMS adjusted total nurse staffing hours
Case-mix index
1.30
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
37%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,453
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
56.58
Composite VBP score used to determine payment impact.
Payment multiplier
1.0117
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
9.02
Baseline 17.53% · Performance 17.25% · Measure score 9.02 · Achievement 9.02 · Improvement 5.06
Healthcare-associated infections
5.50
Baseline 6.77% · Performance 6.19% · Measure score 5.50 · Achievement 5.50 · Improvement 2.75
Total nurse turnover
6.07
Baseline 40.84% · Performance 38.89% · Measure score 6.07 · Achievement 6.07 · Improvement 0.72
Adjusted total nurse staffing
2.05
Baseline 3.28 hours · Performance 3.66 hours · Measure score 2.05 · Achievement 2.05 · Improvement 1.03
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.72% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 205 · Observed rate 7.32% · Lower 95% interval 7.08% |
| Discharge to community | 50.63% |
50.57%
0.1 pts better
|
No Different than the National Rate · Eligible stays 202 · Observed rate 48.02% · Lower 95% interval 45.2% |
| Medicare spending per beneficiary | 1.29 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 85.47% |
95.27%
9.8 pts worse
|
Numerator 100 · Denominator 117 |
| Falls with major injury | 3.42% |
0.77%
2.6 pts worse
|
Numerator 4 · Denominator 117 |
| Discharge self-care score | 62.5% |
53.69%
8.8 pts better
|
Numerator 60 · Denominator 96 |
| Discharge mobility score | 70.83% |
50.94%
19.9 pts better
|
Numerator 68 · Denominator 96 |
| Pressure ulcers or injuries, new or worsened | 1.71% |
2.29%
0.6 pts better
|
Numerator 2 · Denominator 117 · Adjusted rate 2% |
| Healthcare-associated infections requiring hospitalization | 6.19% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 126 · Observed rate 3.97% · Lower 95% interval 3.88% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 131 |
| Staff flu vaccination coverage | 55.66% |
42%
13.7 pts better
|
Numerator 118 · Denominator 212 |
| Discharge function score | 78.13% |
56.45%
21.7 pts better
|
Numerator 75 · Denominator 96 |
| Transfer of health information to provider | 81.82% |
95.95%
14.1 pts worse
|
Numerator 63 · Denominator 77 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 18.31% |
25.2%
6.9 pts worse
|
Numerator 13 · Denominator 71 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.9 |
1.8
0.9 pts better
|
1.9
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
1.8
0.1 pts worse
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.6 · Expected 1.4 · 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 | 98.0% |
94.1%
3.9 pts better
|
95.5%
2.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.9% |
3.6%
0.3 pts worse
|
3.3%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 2.3% · Q3 4.3% · Q4 4.3% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.1% |
4.8%
5.3 pts worse
|
11.4%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 10.7% · Q3 19.6% · Q4 9.7% · 4Q avg 10.1% |
| Percentage of long-stay residents who lose too much weight | 11.5% |
7.2%
4.3 pts worse
|
5.4%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 13.0% · Q3 7.4% · Q4 10.7% · 4Q avg 11.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.4% |
21.6%
5.8 pts worse
|
19.6%
7.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.2% · Q2 27.8% · Q3 22.6% · Q4 31.8% · 4Q avg 27.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.8% |
15.0%
0.8 pts worse
|
16.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 14.3% · Q3 15.0% · Q4 16.7% · 4Q avg 15.8% · 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 | 25.9% |
21.5%
4.4 pts worse
|
16.3%
9.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.4% · Q2 20.1% · Q3 31.3% · Q4 32.8% · 4Q avg 25.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 30.2% |
16.8%
13.4 pts worse
|
14.9%
15.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.8% · Q2 31.9% · Q3 29.2% · Q4 31.1% · 4Q avg 30.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
0.9%
0.2 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.8% · Q4 0.9% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.4% |
2.6%
1.2 pts better
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 0.0% · Q3 1.1% · Q4 1.1% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.6% |
21.2%
8.4 pts worse
|
19.8%
9.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.1% · Q2 30.4% · Q3 20.6% · Q4 35.7% · 4Q avg 29.6% |
| Percentage of long-stay residents with pressure ulcers | 3.9% |
6.0%
2.1 pts better
|
5.1%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 5.0% · Q3 4.0% · Q4 4.5% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.6% |
79.9%
17.7 pts better
|
81.7%
15.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.4% · Q2 96.8% · Q3 100.0% · Q4 99.3% · 4Q avg 97.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.8% |
13.2%
1.4 pts better
|
12.0%
0.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.8% · Observed 10.8% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.5%
1 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.2% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.5% |
78.1%
17.4 pts better
|
79.7%
15.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 12.1% |
22.9%
10.8 pts better
|
23.9%
11.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 12.1% · Observed 10.8% · Expected 21.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-07-27 · Fire 2023-07-27
3 health deficiencies
Top issue: Administration (1 deficiency)
3 fire-safety deficiencies
Top issue: Services (2 deficiencies)
Cycle 3
Health 2022-01-28 · Fire 2022-01-28
2 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
2024-12-19
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-02-28
F · Potential for more than minimal harm
2023-07-27
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-11-25
F · Potential for more than minimal harm
2023-07-27
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-11-25
E · Potential for more than minimal harm
2023-07-27
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-11-25
F · Potential for more than minimal harm
2022-01-28
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-03-15
D · Potential for more than minimal harm
2022-01-28
K754 · Miscellaneous Deficiencies
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2022-03-15
Inspection history
Recent health citations
F · Potential for more than minimal harm
2024-12-19
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 2025-01-17
E · Potential for more than minimal harm
2024-12-19
F578 · Resident Rights Deficiencies
Health
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.
Corrected 2025-01-17
E · Potential for more than minimal harm
2024-12-19
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 2025-01-17
D · Potential for more than minimal harm
2024-12-19
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-12-19
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-12-19
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-12-19
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-12-19
F790 · Quality of Life and Care Deficiencies
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2025-01-17
D · Potential for more than minimal harm
2024-12-19
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-01-17
E · Potential for more than minimal harm
2023-07-27
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 2023-08-20
E · Potential for more than minimal harm
2023-07-27
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-08-20
D · Potential for more than minimal harm
2023-07-27
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-08-20
E · Potential for more than minimal harm
2022-01-28
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 2022-01-30
D · Potential for more than minimal harm
2022-01-28
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 2022-01-30
Penalties and ownership
What sits behind the stars
Ownership
Murphy Healthcare Properties LLC
5% Or Greater Direct Ownership Interest · Organization
Boyette, Barbara
Corporate Officer · Individual
Century Care Management, Inc.
Operational/Managerial Control · Organization
Gilliam, Robert
Corporate Officer · Individual
Roberts, Kelly
W-2 Managing Employee · Individual
Schmidlin, James
Corporate Officer · Individual
Nearby options
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3-star overall rating with 3-star inspections with 6 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#2
Union County Nursing Home
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4-star overall rating with 4-star inspections with 3 recent health deficiencies
#3
Clay County Health and Rehabilitation
Hayesville, NC
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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