Home / North Carolina / Marion
Autumn Care of Marion
1264 Airport Road, Marion, NC 28752 · Mc Dowell County · (828) 652-6701
110 certified beds, about 103 residents a day · For profit - Corporation · Medicare and Medicaid since 1980
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345165 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 26, 2026, inspectors cited 5 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
Of 8 health citations since August 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $10,364 in the last three years; the largest was $10,364, and the latest is dated February 26, 2026.
Nurses and nurse aides worked 3.18 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.60 of those hours.
35.6% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Saber Healthcare Group, an affiliated group of 126 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 8 health citations on file.
March 26, 2026Complaint inspection · 2 citations
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review, and interviews with Guardian, witnesses, resident, Psychiatric Provider, Nurse Practitioner (NP), and staff, the facility failed to provide the necessary supervision to prevent Resident #1 from exiting the facility unsupervised and without staff's knowledge through one of two doors that did not alarm when opened. Resident #1 was at risk for falls, her diagnoses included dementia, and she had been identified with a decline in cognition with signs of increased confusion and disorientation in the months prior to March 2026. Staff reported these signs included getting lost in the hallways, not being able to figure out how to get back to her room and forgetting that she required supervision to smoke. [...]
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and staff and resident interview the facility failed to maintain a complete and accurate medical record when staff documented a resident attempted elopement and was intercepted by staff. This occurred for 1 of 3 residents (Resident #1) reviewed for accurate medical recordThe
February 26, 2026Standard inspection · 5 citations
- E Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review and staff interviews, the facility failed to submit a request for a Level II Preadmission Screening and Resident Review (PASRR) evaluation for residents with new mental health diagnoses for 5 of 7 residents reviewed for PASRR (Resident #5, Resident #12, Resident #51, Resident #71 and Resident #100).
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on record review and interviews with staff and law enforcement, the facility failed to follow their Abuse, Neglect and Exploitation policy when the Administrator was not immediately notified of an allegation of misappropriation of narcotic medications which resulted in delayed protection of other residents and reporting for 1 of 3 residents reviewed for misappropriation of property (Resident #134).
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review and interviews with the Pharmacist in Charge and staff, the facility failed to have effective systems in place for the return, disposition, and accurate accounting of controlled medications to the pharmacy for 1 of 3 residents reviewed for misappropriation of property (Resident #134).
- 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.
Inspectors wroteBased on record review, observations, and interviews with the resident and staff, the facility failed to secure medications left unattended in a resident's room for 1 of 1 resident reviewed medication storage (Resident #59).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, record review and staff interviews, the facility failed to follow their Enhanced Barrier Precautions Policy which included the use of personal protective equipment (PPE) during high contact activities for residents with wounds when the Wound Care Nurse failed to don a gown prior to providing incontinence care and prior to providing wound care on a chronic wound to Resident #74. The deficient practice occurred for 1 of 10 staff observed for infection control practices (Wound Care Nurse).
December 5, 2024Standard inspection · 0 citations
August 16, 2023Standard inspection · 1 citation
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations, record reviews, resident and staff interviews, the facility failed to provide a dependent resident with nail care for 1 of 3 residents reviewed for providing assistance with activities of daily living (Resident #47).
Fire safety inspections
6 fire safety citations on file: 3 on February 26, 2026, 1 on December 5, 2024, 2 on August 16, 2023.
Every fire safety citation6 citations
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Have properly installed electrical wiring and gas equipment.
- D Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 26, 2026 | Fine | $10,364 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.18 | 3.85 | 3.86 |
| Registered nurses | 0.60 | 0.62 | 0.69 |
| All nursing staff on weekends | 2.76 | 3.42 | 3.42 |
| Nurse aides | 1.84 | ||
| Licensed practical nurses | 0.74 | ||
| Nursing staff turnover (share who left in a year) | 35.6% | 49.0% | 45.8% |
| Registered nurse turnover | 47.4% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.73 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.35 on weekdays and 2.76 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.10 in April to June 2025 to 3.18 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.18 | 0.60 | 3.35 | 2.76 | 3.4% | 0 of 90 | 103 |
| Oct to Dec 2025 | 3.13 | 0.57 | 3.29 | 2.72 | 5.7% | 0 of 92 | 103 |
| Jul to Sep 2025 | 3.18 | 0.60 | 3.31 | 2.86 | 7.5% | 0 of 92 | 103 |
| Apr to Jun 2025 | 3.10 | 0.74 | 3.21 | 2.82 | 9.2% | 0 of 91 | 103 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 10.1 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.5 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.4 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.5 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.2 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.8 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.4 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 13.9 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.5 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.8 | 1.8 |
Owners and operators
Legal business name: AUTUMN CORPORATION. CMS links this home to Saber Healthcare Group, a group of 126 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Shg Autumn, LLC | 5% or greater direct ownership interest | Organization | 100% | 03/01/2016 |
| Ohi Asset (nc) Marion, LP | 5% or greater security interest | Organization | 03/01/2016 | |
| Volpe, Benjamin | Corporate director | Individual | 03/01/2019 | |
| Weisberg, William | Corporate director | Individual | 03/01/2019 | |
| Nicoluzakis, Gregory | Corporate officer | Individual | 03/01/2019 | |
| Volpe, Benjamin | Corporate officer | Individual | 03/01/2019 | |
| Weisberg, William | Corporate officer | Individual | 03/01/2019 | |
| Shg Management LLC | Operational/managerial control | Organization | 09/01/2019 | |
| Russell, Alex | Operational/managerial control | Individual | 03/31/2025 | |
| Wise, Tammy | Operational/managerial control | Individual | 11/21/2017 | |
| Weisberg, William | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 12/19/2025 | |
| Cibc Bank USA | Adp of the SNF | Organization | 03/31/2021 | |
| Citrin Cooperman Advisors LLC | Adp of the SNF | Organization | 03/01/2016 | |
| Ohi Asset (nc) Marion, LP | Adp of the SNF | Organization | 03/01/2016 | |
| Saber Governance LLC | Adp of the SNF | Organization | 09/01/2019 | |
| Saber Healthcare Group LLC | Adp of the SNF | Organization | 03/01/2016 | |
| Shg Autumn, LLC | Adp of the SNF | Organization | 12/19/2025 | |
| Shg Management LLC | Adp of the SNF | Organization | 09/01/2019 | |
| Shg Mt, LLC | Adp of the SNF | Organization | 08/29/2025 | |
| Walker & Associates PC | Adp of the SNF | Organization | 12/18/2023 | |
| Kutob, Rabi | Adp of the SNF | Individual | 12/01/2020 | |
| Nicoluzakis, Gregory | Adp of the SNF | Individual | 03/01/2019 | |
| Russell, Alex | Adp of the SNF | Individual | 03/31/2025 | |
| Volpe, Benjamin | Adp of the SNF | Individual | 03/01/2019 | |
| Weisberg, William | Adp of the SNF | Individual | 03/01/2016 | |
| Wise, Tammy | Adp of the SNF | Individual | 11/21/2017 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on March 26, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on March 26, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on February 26, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on February 26, 2026: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.76 hours per resident per day, below the North Carolina average of 3.42.
Other nursing homes nearby
- Deer Park Health and Rehabilitation Nebo, 8.2 mi · 1 of 5 stars · 39 citations
- The Greens at Spruce Pines Spruce Pine, 14.7 mi · 3 of 5 stars · 12 citations
- Mountain Ridge Rehabilitation and Healthcare Cente Black Mountain, 17.7 mi · 1 of 5 stars · 13 citations
- Black Mountain Neuro-Medical Treatment Center Black Mountain, 17.7 mi · 5 of 5 stars · 5 citations
- Magnolia Lane Nursing and Rehabilitation Center Morganton, 18.4 mi · 2 of 5 stars · 23 citations
- Highland Farms Black Mountain, 19.6 mi · 5 of 5 stars · 10 citations
- Nc State Veterans Home - Black Mountain Black Mountain, 20.6 mi · 5 of 5 stars · 13 citations
- Grace Heights Health & Rehabilitation Morganton, 20.7 mi · 5 of 5 stars · 3 citations
North Carolina contacts for a concern about a nursing home
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: NC Division of Health Service Regulation, Nursing Home Licensure and Certification Section, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Carolina Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: NC DHSR Regulated Facilities search (Statements of Deficiencies), where North Carolina publishes its own records on licensed homes.
Common questions
- What is Autumn Care of Marion's Medicare star rating?
- CMS rates Autumn Care of Marion 2 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Autumn Care of Marion get at its last inspection?
- 5 health deficiencies at the standard inspection on February 26, 2026. The North Carolina average is 4.7.
- Has Autumn Care of Marion been fined?
- Yes. CMS lists 1 fine totaling $10,364 in the last three years.
- Does Autumn Care of Marion accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Autumn Care of Marion?
- CMS lists 26 owners and managers, and links the home to Saber Healthcare Group. Legal business name: AUTUMN CORPORATION.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.