5 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Taylorsville, NC
1-star overall rating with 1-star inspections with $91,315 in total fines with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
581 NC Highway 16 South, Taylorsville, NC
(828) 632-8146
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
183
Certified beds
Average residents
113
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Cch Healthcare
Operator or chain grouping
Approved since
1986-01-06
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
32 facilities
Chain averages 3 overall / 2 health / 2 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
RN hours / resident day
0.60
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
0.99
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.72
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.31
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.59
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.83
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.40
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
0.48
CMS adjusted RN staffing hours
Adjusted total hours
3.47
CMS adjusted total nurse staffing hours
Case-mix index
1.70
Higher values indicate more complex resident acuity
RN turnover
55%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
67%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
9,445
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
23.62
Composite VBP score used to determine payment impact.
Payment multiplier
0.9832
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.87
Baseline 19.63% · Performance 19.64% · Measure score 3.87 · Achievement 3.87 · Improvement 0
Healthcare-associated infections
1
Baseline 7.78% · Performance 7.54% · Measure score 1 · Achievement 1 · Improvement 0.39
Total nurse turnover
4.13
Baseline 40.00% · Performance 46.81% · Measure score 4.13 · Achievement 4.13 · Improvement 0
Adjusted total nurse staffing
0.45
Baseline 2.52 hours · Performance 2.83 hours · Measure score 0.45 · Achievement 0 · Improvement 0.45
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.16% |
10.72%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 104 · Observed rate 11.54% · Lower 95% interval 7.64% |
| Discharge to community | 52.78% |
50.57%
2.2 pts better
|
No Different than the National Rate · Eligible stays 112 · Observed rate 45.54% · Lower 95% interval 44.56% |
| Medicare spending per beneficiary | 1.17 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 124 · Denominator 124 |
| Falls with major injury | 0.81% |
0.77%
About the same
|
Numerator 1 · Denominator 124 |
| Discharge self-care score | 28.57% |
53.69%
25.1 pts worse
|
Numerator 22 · Denominator 77 |
| Discharge mobility score | 19.48% |
50.94%
31.5 pts worse
|
Numerator 15 · Denominator 77 |
| Pressure ulcers or injuries, new or worsened | 8.87% |
2.29%
6.6 pts worse
|
Numerator 11 · Denominator 124 · Adjusted rate 6.83% |
| Healthcare-associated infections requiring hospitalization | 7.54% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 70 · Observed rate 8.57% · Lower 95% interval 4.69% |
| Staff COVID-19 vaccination coverage | 1.24% |
8.2%
7 pts worse
|
Numerator 2 · Denominator 161 |
| Staff flu vaccination coverage | 16.51% |
42%
25.5 pts worse
|
Numerator 35 · Denominator 212 |
| Discharge function score | 31.17% |
56.45%
25.3 pts worse
|
Numerator 24 · Denominator 77 |
| Transfer of health information to provider | 93.02% |
95.95%
2.9 pts worse
|
Numerator 40 · Denominator 43 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 33 · Denominator 33 |
| Resident COVID-19 vaccinations up to date | 6.76% |
25.2%
18.4 pts worse
|
Numerator 5 · Denominator 74 |
Quality measures
| 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 1.5 · Expected 3.1 · 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 1.6 · Expected 2.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 88.7% |
91.5%
2.8 pts worse
|
93.4%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 91.8% · Q2 88.9% · Q3 84.6% · Q4 89.1% · 4Q avg 88.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 77.8% |
94.1%
16.3 pts worse
|
95.5%
17.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 77.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.8% |
3.6%
2.8 pts better
|
3.3%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 1.1% · Q4 1.1% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.1% |
4.8%
2.7 pts better
|
11.4%
9.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 0.0% · Q4 6.8% · 4Q avg 2.1% |
| Percentage of long-stay residents who lose too much weight | 12.7% |
7.2%
5.5 pts worse
|
5.4%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 12.4% · Q3 10.6% · Q4 19.0% · 4Q avg 12.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 39.6% |
21.6%
18 pts worse
|
19.6%
20 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.1% · Q2 40.2% · Q3 41.2% · Q4 35.7% · 4Q avg 39.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.1% |
15.0%
6.1 pts worse
|
16.7%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 23.0% · Q3 19.7% · Q4 22.8% · 4Q avg 21.1% · 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 | 26.5% |
21.5%
5 pts worse
|
16.3%
10.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.7% · Q3 17.3% · 4Q avg 26.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 16.7% |
16.8%
0.1 pts better
|
14.9%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.0% · Q2 8.6% · Q3 17.5% · Q4 19.0% · 4Q avg 16.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
0.9%
0.4 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 0.0% · Q4 0.6% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.6% |
2.6%
About the same
|
1.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 3.0% · Q3 4.4% · Q4 2.2% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.1% |
21.2%
5.9 pts worse
|
19.8%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.0% · Q2 23.4% · Q3 29.7% · Q4 27.5% · 4Q avg 27.1% |
| Percentage of long-stay residents with pressure ulcers | 10.5% |
6.0%
4.5 pts worse
|
5.1%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 15.4% · Q3 7.2% · Q4 6.9% · 4Q avg 10.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 62.2% |
79.9%
17.7 pts worse
|
81.7%
19.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 63.9% · Q2 54.5% · Q3 61.0% · Q4 68.1% · 4Q avg 62.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.7% |
13.2%
0.5 pts worse
|
12.0%
1.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.7% · Observed 14.4% · Expected 11.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.6% |
1.5%
1.1 pts worse
|
1.6%
1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 4.5% · Q3 1.3% · Q4 1.3% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 47.4% |
78.1%
30.7 pts worse
|
79.7%
32.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 47.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.6% |
22.9%
6.3 pts better
|
23.9%
7.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.6% · Observed 19.6% · Expected 28.2% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Quality of Life and Care (8 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-01-21
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-09-14
Inspection history
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-01-15
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2026-01-15
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 2026-01-15
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-15
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-08-29
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-01-14
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-01-14
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-14
Health
Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist.
Corrected 2025-01-14
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-01-14
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-01-14
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2024-10-09
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-09
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-10-09
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-10-09
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-10-09
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 2024-10-09
Health
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2024-10-09
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-10-09
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-10-09
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-09
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-10-09
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-10-09
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-15
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-10-09
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-09
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-06-28
Penalties and ownership
Fine · fine $7,880
Fine
Fine · fine $48,380
Fine
Fine · fine $35,055
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Corporate Officer · Individual
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