Home / North Carolina / Boone
211 Milton Brown Heirs Road, Boone, NC 28607 · Watauga County · (828) 264-6720
134 certified beds, about 107 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1977
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345163 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 27, 2026, inspectors cited 10 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
Of 41 health citations since October 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 3 fines totaling $32,349 in the last three years; the largest was $13,703, and the latest is dated February 6, 2025.
Nurses and nurse aides worked 3.53 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.
60.6% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Brighton Healthcare, an affiliated group of 8 nursing homes.
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.
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 41 health citations on file.
Inspectors wroteBased on record review and resident and staff interviews, the facility failed to resolve and communicate the facility's efforts to address concerns and/or suggestions voiced by residents during Resident Council meetings for 10 of 11 months reviewed (February 2025, March 2025, April 2025, May 2025, June 2025, July 2025, August 2025, October 2025, November 2025, and January 2026).
Inspectors wroteBased on observations, record review, and resident and staff interviews, the facility failed to implement an effective system to assess residents for the risk of entrapment from bed rails and monitor and document the ongoing need for bed rails. The facility also failed to maintain evidence that the risk and benefits of bed rails were discussed with the resident or resident representative and informed consent was obtained prior to the installation of bed rails for 4 of 4 sampled residents (Residents #11, #53, #61, and #75). Findings Included: a. Resident #11 was admitted to the facility on [DATE]. His cumulative diagnoses included heart failure, acute kidney failure, chronic atrial fibrillation (irregular heart rhythm), and diabetes. Resident #11's electronic medical record revealed a Siderail Data Collection assessment dated [DATE]. [...]
Inspectors wroteBased on observation, record reviews and interviews with staff, Nurse Practitioner, Pharmacy Director and Medical Director, the facility failed to have effective systems in place for acquiring a scheduled medication when nursing staff failed to request a prescription from the Nurse Practitioner to avoid a gap in medication administration when refilling a controlled medication which resulted in Resident #56 missing 4 days of the medication. This deficient practice occurred for 1 of 1 resident reviewed for pharmacy services (Resident #56).
Inspectors wroteBased on record review and staff interviews, the facility failed to obtain consent and inform the resident or Responsible Party in advance of the risks and benefits of psychotropic medications prior to initiation for 1 of 5 residents reviewed for unnecessary medications (Resident #4).
Inspectors wroteBased on record review, resident and staff interviews, the facility failed to ensure a written grievance decision included all required components and to provide a written grievance decision to 1 of 1 resident reviewed for grievances (Resident #67).
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 a resident with a serious mental health disorder for 1 of 2 residents reviewed for PASRR (Resident #81).
Inspectors wroteBased on record reviews, staff, resident, Pharmacy Consultant and Nurse Practitioner (NP) interviews, the facility failed to ensure medications were administered as prescribed by the physician when Nurse #4 administered Adderall (a central nervous system stimulant containing amphetamine and dextroamphetamine) to Resident #95 that was prescribed for Resident #59. In addition, Nurse #6 administered 100 milligrams (mg) of Lyrica (used to treat nerve pain from diabetes) to Resident #56 instead of the prescribed 50 mg Lyrica at bedtime. This deficient practice affected 2 of 3 residents reviewed for medication errors (Resident #59 and Resident #56).
Inspectors wroteBased on observations, record review, and resident, staff, Wound Physician Assistant (PA), Hospice, and Physician interviews, the facility failed to complete assessments for 3 of 3 residents reviewed for pressure ulcers (Resident #14, Resident #83, and Resident #48). In addition, the facility failed to initiate wound treatment for Resident # 14's pressure ulcer at the onset.
Inspectors wroteBased on observations, record reviews and staff interviews, the facility failed to have a medication error rate of less than 5% as evidenced by 3 medication errors out of 26 opportunities, resulting in a medication error rate of 11.45% for 3 of 4 residents observed during the medication administration (Resident #1, Resident #81 and Resident #119).
Inspectors wroteBased on observations and staff interviews, the facility failed to maintain a clean and orderly interior as evidenced by hall floors being dirty with multiple areas of stains, dirt, debris, and dried fluid/water spots. This was observed on 2 of 6 hallways reviewed for environment (front common area hallway and rear common area hallway).
Inspectors wroteBased on record review and staff interviews, the facility failed to provide Registered Nurse (RN) coverage for at least 8 consecutive hours for 6 of 53 days reviewed for staffing (2/15/2025, 3/2/2025, 3/15/2025, 3/16/2025, 3/29/2025, 3/30/2025).
Inspectors wroteBased on observations and staff interviews, the facility failed to remove expired food and failed to date perishable food stored for use in 1-of-1 walk-in cooler. This practice had the potential to affect food served to residents.
Inspectors wroteBased on record review, Nurse Practitioner and staff interviews, the facility failed to notify the provider when five daily doses of Metoprolol Succinate ER (medication to treat heart failure) and Quetiapine Fumarate (an antipsychotic medication that helps regulate mood behaviors and thoughts) was not administered for 1 of 1 resident reviewed for notification (Resident #36).
Inspectors wroteBased on record review, Pharmacist, Nurse Practitioner, and staff interviews, the facility failed to prevent a significant medication error when they failed to administer five daily doses of Metoprolol Succinate (medication to treat heart failure) and Quetiapine Fumarate (an antipsychotic medication that helps regulate mood behaviors and thoughts) for 1 of 3 residents reviewed for medications (Resident #36).
Inspectors wroteBased on staff interviews, the facility failed to employ a director of food and nutrition services that met the minimum qualifications, and it affected 108 of 111 residents.
Inspectors wroteBased on observation, record review, and staff, Legal Guardian, and former facility Executive Director interviews, the facility failed to exercise the rights of the Resident's Representative when Resident #115 had unsupervised visits with her son despite restricted visitation instructions from the Legal Guardian. The Legal Guardian stated, on Friday 1/24/2025, she informed the Admission's Director and the Resident Concierge Resident #115 was not to have visits from her son without supervision. Resident #115 was cognitively impaired, was adjudicated incompetent, and had history of sexual interactions with her son that included sexual intercourse, open mouth kissing, and inappropriate touching as witnessed by the previous facility's Executive Director. [...]
Inspectors wroteBased on observation and staff interviews, the facility failed to employ a director of food and nutrition services that met the minimum qualifications, and it affected 106 of 109 residents.
Inspectors wroteBased on observations and staff interviews, the facility failed to remove loose and unsecure pills of various shapes, sizes and colors and failed to ensure a medication cart was clean and free of debris for 2 of 3 medication carts reviewed for medication storage (100/200 split hall and 300 hall medication carts).
Inspectors wroteBased on record review, observations, and resident, visitor and staff interviews and test tray, the facility failed to provide food that was appetizing in temperature, texture and palatability for 3 of 3 residents sampled for food palatability (Resident #59, Resident # 15, and Resident # 57).
Inspectors wroteBased on observations and staff interviews, the facility failed to store food items off the floor in the dry goods storage area, remove food items with signs of spoilage stored for use in 1 of 2 walk-in freezers and failed to ensure ice cream stored for use in an upright freezer did not have signs of freezer burn in 1 of 3 nourishment rooms (100 Hall nourishment room). The practices had the potential to affect food served to residents.
Inspectors wroteBased on observations, record review and staff and Resident interviews, the facility failed to treat a dependent resident in a dignified manner when Nurse Aide (NA) #2 failed to change Resident #39's soiled brief upon request of the Resident before she ate her lunch meal for 1 of 1 resident reviewed for dignity and respect (Resident #39). Resident #39 stated she felt belittled and treated like a child.
Inspectors wroteBased on observations, record review and interviews, the facility failed to maintain the bed remote in good repair for 1 of 21 rooms on 200 hall (room [ROOM NUMBER]-B) reviewed for environment.
Inspectors wroteBased on observations, record review, and staff and Consultant Pharmacist interviews, the facility failed to protect a resident's right to be free of misappropriation of controlled medications for 1 of 3 residents reviewed for misappropriation (Resident #28).
Inspectors wrote2. Resident #92 was admitted to the facility on [DATE] with diagnoses that included alcoholic cirrhosis of liver, chronic kidney disease, heart failure, and protein-calorie malnutrition. A review of Resident #92's weights were as follows: 7/18/2024- 191.6 pounds (lbs.) 8/13/2024- 183.0 lbs. 9/13/2024- 157.6 lbs. Review of Resident #92's most recent nutritional assessment dated [DATE] revealed the following statement: significant weight loss noted at 30 days, at 90 days, and at 180 days with weight trending down since admission. A review of Resident #92's quarterly Minimum Data Set assessment dated [DATE] revealed him to be cognitively impaired. He was coded as not having had any significant weight loss. Review of Resident #92's weights at the time the Minimum Data Set assessment was completed revealed he had a 16.04% weight loss from 7/2024 to 9/2024. [...]
Inspectors wroteBased on record review and staff interviews the facility failed to request a Preadmission Screening and Resident Review (PASARR) Level II evaluation for a resident with a new mental health diagnosis for 1 of 3 residents reviewed for PASARR (Resident #23).
Inspectors wroteBased on observations, record reviews, and staff interviews, the facility failed to develop a person-centered comprehensive care plan that reflected the need for supervised visitation for 1 of 22 residents reviewed for care plans (Resident #4).
Inspectors wroteBased on record reviews and staff, Resident Representative and Nurse Practitioner interviews, the facility failed to implement a treatment for an area of skin impairment for 1 of 4 residents (Resident #181) reviewed for pressure ulcers.
Inspectors wroteBased on observations, record reviews, and resident and staff interviews, the facility failed to provide incontinence care to a resident upon request (Resident #39) and failed to shave a dependent resident (Resident #27) for 2 of 5 dependent residents reviewed for activities of daily living (ADL).
Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to provide a physician ordered treatment for a resident (Resident #36) with a stage 2 (open sore or ruptured blister) pressure ulcer. The deficit practice was identified for 1 of 5 residents (Resident #36) reviewed for pressure ulcers.
Inspectors wroteBased on observations, record reviews and interviews, the facility failed to secure an oxygen cylinder stored in a resident's bathroom and failed to ensure an oxygen vent was free from dust and debris for 2 of 2 residents reviewed for respiratory care (Resident #19 and #1).
Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to ensure accurate medical records when a resident's sacral dressing was incorrectly documented as applied for 1 of 1 resident (Resident #36) reviewed for medical record accuracy.
Inspectors wroteBased on observations and staff interviews the facility failed to ensure bread was dated and not stored for use after the use by date in the dry storage area. This deficient practice had the potential to affect the food served to the residents.
Inspectors wroteBased on observations, record reviews and interviews the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor interventions the committee put into place following a recertification and complaint survey dated 10/05/23. This was for two repeat deficiencies that were cited in the areas of F-804: Nutritive Value/Appearance/Palatable/Preferred Temp, and F-812: Food Procurement/Storage/Preparation/Serve/Sanitary that were originally cited during the recertification and complaint survey dated 10/05/23. The continued failure of the facility during 2 federal surveys of record shows a pattern of the facility's inability to sustain an effective QAA program.
Inspectors wroteBased on observations, record reviews, staff and resident interviews the facility failed to treat residents in a dignified manner when they served the resident's supper meals in Styrofoam containers for 2 of 3 residents reviewed for dignity (Resident #2 and Resident #3).
Inspectors wroteBased on observations, record review, test trays, staff and resident interviews, the facility failed to provide meals that were palatable and appetizing in temperature and appearance for 2 meals served to 1 of 3 residents (Resident #1). The practice had the potential to affect other residents receiving meals from the kitchen.
Inspectors wroteBased on staff interviews the facility failed to employ a qualified director of food and nutrition services with the competencies and skills required to carry out food and nutrition services for 88 of 88 residents.
Inspectors wroteBased on observations, record review, and staff interviews the facility failed to maintain the final rinse cycle of the high temperature dish machine according to manufacturer's recommendations, failed to remove expired food items from the dry goods storage area, failed to maintain a clean floor free from grease build-up and clean vent on the reach-in cooler and failed to keep the food preparation area free of chemicals and personal drinks. In addition, the facility failed to maintain the walk-in freezer free of ice build-up and failed to discard frozen food with signs of freezer burn. The facility also failed to ensure dietary staff wore hair coverings in the food preparation area. This deficient practice had the potential to affect the food served to residents. The facility census was 88 residents.
Inspectors wroteBased on observations and staff interviews the facility failed to remove expired medications from 3 of 5 medications carts and 1 of 2 medication rooms observed for medication storage.
Inspectors wroteBased on observations, record review, test tray, and resident and staff interviews the facility failed to provide palatable food that was appetizing in appearance and temperature for 4 of 6 residents reviewed with food concerns (Resident #3, Resident #8, Resident #18, and Resident #76).
Inspectors wroteBased on observations, record review and staff and resident interviews the facility failed to provide a dependent resident with his choice of showers for 1 of 2 residents (Resident #145) reviewed for providing assistance with activities of daily living.
Inspectors wroteBased on observations, record reviews and interviews the facility failed to post cautionary and safety signs that indicated the use of oxygen for 2 of 2 residents reviewed for respiratory care (Resident #46 and #145).
4 fire safety citations on file: 1 on March 27, 2026, 1 on February 6, 2025, 2 on October 5, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| February 6, 2025 | Fine | $13,449 |
| February 6, 2025 | Fine | $13,703 |
| February 6, 2025 | Payment Denial | 56 days from March 7, 2025 |
| October 5, 2023 | Fine | $5,197 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.53 | 3.85 | 3.86 |
| Registered nurses | 0.55 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.10 | 3.42 | 3.42 |
| Nurse aides | 2.22 | ||
| Licensed practical nurses | 0.76 | ||
| Nursing staff turnover (share who left in a year) | 60.6% | 49.0% | 45.8% |
| Registered nurse turnover | 60.0% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.52 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.70 on weekdays and 3.10 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 27.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.76 in April to June 2025 to 3.53 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 | 3.53 | 0.55 | 3.70 | 3.10 | 27.4% | 0 of 90 | 107 |
| Oct to Dec 2025 | 3.40 | 0.40 | 3.54 | 3.02 | 29.3% | 0 of 92 | 108 |
| Jul to Sep 2025 | 3.25 | 0.37 | 3.39 | 2.92 | 24.1% | 0 of 92 | 107 |
| Apr to Jun 2025 | 3.76 | 0.50 | 3.96 | 3.25 | 16.6% | 0 of 91 | 96 |
| 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| North Carolina, all employers | |||
| CNAs (nursing assistants) | $18.49 | $17.28 to $21.08 | 64,010 |
| LPNs and LVNs | $30.42 | $28.50 to $33.51 | 18,010 |
| Registered nurses | $40.56 | $37.87 to $49.06 | 111,120 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 18.0 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.7 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.6 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.6 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 24.1 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.9 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.1 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Glenbridge Health and Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (56.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
56.8% this home
No different from the national rate
US median of homes 51.5% · North Carolina: 93 better, 25 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 138 eligible stays.
9.9% this home
No different from the national rate
US median of homes 10.7% · North Carolina: 1 better, 4 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 153 eligible stays.
6.0% this home
No different from the national rate
US median of homes 7.1% · North Carolina: 1 better, 3 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 104 eligible stays.
46.5% this home
Median of homes: North Carolina54.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 58 residents counted.
0.0% this home
Median of homes: North Carolina0.6% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 93 residents counted.
5.9% this home
Median of homes: North Carolina2.5% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 93 residents counted.
100.0% this home
Median of homes: North Carolina97.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 41 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: GLENBRIDGE HEALTH AND REHABILTATION SNF LLC. CMS links this home to Brighton Healthcare, a group of 8 nursing homes averaging 1.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Glenbridge Health and Rehabilitation | 5% or greater direct ownership interest | Organization | 100% | 12/01/2022 |
| Fischer, David | Managing control - governing body | Individual | 12/01/2022 | |
| Lefkowitz, Zev | Managing control - governing body | Individual | 12/01/2022 | |
| Fischer, David | Corporate director | Individual | 12/01/2022 | |
| Fischer, David | Operational/managerial control | Individual | 12/01/2022 | |
| Jones, Kristy | Operational/managerial control | Individual | 12/01/2022 | |
| Brand Sonnenschine LLP | Adp of the SNF | Organization | 12/01/2022 | |
| Brighton Management One LLC | Adp of the SNF | Organization | 12/01/2022 | |
| Forvis Mazars LLP | Adp of the SNF | Organization | 12/01/2022 | |
| LTC Consulting Services LLC | Adp of the SNF | Organization | 12/01/2022 | |
| Fischer, David | Adp of the SNF | Individual | 12/01/2022 | |
| Jones, Kristy | Adp of the SNF | Individual | 12/01/2022 | |
| Lefkowitz, Zev | Adp of the SNF | Individual | 12/01/2022 | |
| Turbett, Timothy | Adp of the SNF | Individual | 12/01/2022 |
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.
Chosen from this home's own inspection record.
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