Federal inspection record · CMS data as of October 1, 2026
Silver Bluff
100 Silver Bluff Drive, Canton, NC · (828) 648-2044
- Certified beds
- 131
- Residents per day
- 109
- Ownership
- For-Profit
- Chain
- Liberty Senior Living
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 24, 1990
1
How this home got 3 stars
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Silver Bluff carries 22 inspection points. That is fewer than 57% 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
14 health citations on record since 2023. 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 (2)
-
J
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Pharmacy Service3E
- 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.
- E
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 Exploitation3D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Respond appropriately to all alleged violations.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Quality of Life and Care2D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide or obtain dental services for each resident.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Inspection history
2026-01-08
5 health deficiencies · 9 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2024-11-07
3 health deficiencies · 5 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2023-06-12
6 health deficiencies · 6 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 13 min of nursing staff time a day, 34 min of it from a registered nurse.
This home
3 h 13 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 54% of nursing staff and 44% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
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 days0.1 pts better | 1.6 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.5 pts better | 95.9% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.4 pts better | 99.1% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.2 pts worse | 4.6% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.3 pts better | 0.5% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight8.1 pts worse | 15.2% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.1 pts worse | 25.2% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.9 pts worse | 22.8% | 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 worsened6 pts better | 10.6% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increasedAbout the same | 15.0% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.3% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.1 pts worse | 4.2% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5 pts worse | 24.9% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.4 pts better | 3.0% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.3 pts better | 90.8% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.6 pts better | 9.1% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.1 pts better | 0.3% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.3 pts better | 85.4% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.7 pts better | 14.5% | 22.2% | 23.4% |
·
Who owns and runs it
33 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 |
|---|---|---|---|
| Calcutt, Joseph | Corporate Officer · Individual | 0% | 35 facilities |
| Calcutt, Joseph | Adp Of The SNF · Individual | 0% | 35 facilities |
| John A Mcneill Jr 2012 Irrv Tr | Indirect Ownership Interest · Organization | 0% | 16 facilities |
| John A Mcneill Jr 2014 Irrevocable Trust | Indirect Ownership Interest · Organization | 0% | 9 facilities |
| John A Mcneill Jr 2014 Irrevocable Trust | Adp Of The SNF · Organization | 0% | 9 facilities |
| Lafata, John | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lafata, John | Adp Of The SNF · Individual | 0% | 1 facilities |
| Liberty Healthcare Group LLC | Indirect Ownership Interest · Organization | 0% | 22 facilities |
| Liberty Healthcare Management Inc | Adp Of The SNF · Organization | 0% | 24 facilities |
| Liberty Healthcare Properties Of Haywood County Ii LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Liberty Healthcare Properties Of Haywood County LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Liberty Long Term Care LLC | Direct Ownership Interest · Organization | 0% | 13 facilities |
| Liberty Real Properties Ii LLC | Direct Ownership Interest · Organization | 0% | 8 facilities |
| Liberty Real Properties Ii LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Long Term Care Management Services LLC | Adp Of The SNF · Organization | 0% | 32 facilities |
| Mcneill, John | Indirect Ownership Interest · Individual | 0% | 33 facilities |
| Mcneill, John | Adp Of The SNF · Individual | 0% | 33 facilities |
| Mcneill, Robert | Indirect Ownership Interest · Individual | 0% | 19 facilities |
| Mcneill, Robert | Trustee Of The SNF · Individual | 0% | 19 facilities |
| Mcneill, Robert | Adp Of The SNF · Individual | 0% | 19 facilities |
| Mcneill, Ronald | Indirect Ownership Interest · Individual | 0% | 31 facilities |
| Mcneill, Ronald | Adp Of The SNF · Individual | 0% | 31 facilities |
| Miller, Robert | Corporate Director · Individual | 0% | 37 facilities |
| Miller, Robert | Adp Of The SNF · Individual | 0% | 37 facilities |
| Oliver, Anna | Trustee Of The SNF · Individual | 0% | 23 facilities |
| Purvis, Jenny | Trustee Of The SNF · Individual | 0% | 22 facilities |
| Ronald B And Cynthia J Mcneil 2014 Irrevocable Trust | Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Ronald B. And Cynthia J. Mcneill 2013 Irrevocable Trust | Indirect Ownership Interest · Organization | 0% | 15 facilities |
| Sexton, John | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sexton, John | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wilson, Jeffrey | Corporate Officer · Individual | 0% | 37 facilities |
| Wilson, Jeffrey | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 37 facilities |
| Wilson, Jeffrey | Adp Of The SNF · Individual | 0% | 37 facilities |
·
Fire safety
20 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9E
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Construct fire resistant interior walls.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install corridor and hallway doors that block smoke.
- D
Provide properly protected cooking facilities.
- D
Install an approved automatic sprinkler system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services5E
- D
Have properly installed electrical wiring and gas equipment.
- D
Have an externally vented heating system.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C
Have properly installed electrical wiring and gas equipment.
Egress3D
- D
Have exits that are accessible at all times.
- D
Install emergency lighting that can last at least 1 1/2 hours.
- D
Have exits that are accessible at all times.
Construction1D
- D
Use approved construction type or materials.
Gas, Vacuum, and Electrical Systems1D
- D
Have proper medical gas storage and administration areas.
Miscellaneous1C
- C
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
·
Other homes nearby
-
Skyland Terrace and Rehabilitation
Waynesville, NC
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 16 min
- Fines
- $8,512
-
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
-
Autumn Care of Waynesville
Waynesville, NC · Saber Healthcare Group
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 36 min
- Fines
- $107,387