Home / North Carolina / Murphy
230 Nc Hwy 141, Murphy, NC 28906 · Cherokee County · (828) 835-7580
134 certified beds, about 112 residents a day · For profit - Corporation · Medicare and Medicaid since 1979
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345190 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 5, 2026, inspectors cited 0 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
None of its 12 health citations since July 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.40 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.
37.0% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
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 12 health citations on file.
Inspectors wroteBased on observations and staff interviews, the facility failed to prevent the potential for cross contamination by storing a plastic scoop inside the dry flour ingredient bin allowing the handle to touch the dry flour for 1 of 1 observation. The facility also failed to ensure staff had their hair restrained in the kitchen while bagging utensils for 1 of 1 staff observed bagging utensils and failed to ensure staff changed gloves before touching resident foods for 2 of 3 staff observed preparing food. These practices had the potential to affect food served to all the residents.
Inspectors wroteBased on record review and staff interviews the facility failed to utilize an official form for code status (official portable Do Not Resuscitate [DNR] or Medical Order for Scope of Treatment [MOST] form) recognized by emergency medical services and pursuant to North Carolina (NC) general statute for residents who chose a code status of DNR (did not want chest compressions if their heart stopped beating) for 5 of 24 residents (Resident #52, #51, #73, #20, and #43) reviewed for advance directives.
Inspectors wroteBased on observation, staff interviews, and record reviews, the facility failed to discard expired eye drops from the medication carts as specified by the manufacturer's guidelines and failed to remove expired over the counter (OTC) medications from the medication cart in accordance with the manufacturer's expiration date for 2 of 7 medication carts (600 halls and 700 halls).
Inspectors wroteBased on record review, and family and staff interviews, the facility failed to immediately notify a resident's Responsible Party of a new order for antibiotic medication to treat a bacterial infection for 1 of 1 sampled resident reviewed for notification of change (Resident #4).
Inspectors wrote2. Resident #23 was admitted to the facility on [DATE] with diagnoses which included diabetes mellitus and non-Alzheimer's dementia. The quarterly Minimum Data Set (MDS) dated [DATE] was coded for a nutritional approach which included a feeding tube while a resident. Review of physician's orders revealed no order for a feeding tube. Resident had an order dated 9/26/24 for controlled carbohydrate diet with regular texture and regular, thin consistency liquids. An interview with the MDS Coordinator on 12/18/24 at 8:19 AM revealed the Assistant Dietary Manager was responsible for coding the nutrition section of the MDS. An interview with the Assistant Dietary Manager on 12/18/24 at 8:45 AM revealed she had coded the nutrition section of Resident #23's quarterly MDS. She stated the resident did not have a feeding tube and she had mistakenly coded the resident as having a feeding tube. [...]
Inspectors wroteBased on observations, record review, and resident and staff interviews, the facility failed to apply offer application of tubing grip stockings (compression stockings used to treat swelling) to a resident as ordered by the physician 1 of 1 resident (Resident # 73) with a physician order for tube grip stockings.
Inspectors wroteBased on observations, record review, and staff interviews the facility failed to obtain an order for a resident who required oxygen oxygen (Resident #51) and failed to place post cautionary safety signs that indicated the use of oxygen (Resident #52) for 2 of 4 residents reviewed for oxygen use.
Inspectors wroteBased on observations, record review and interviews with the Dental Representative, family, resident and staff, the facility failed to obtain dental services for a resident with a broken partial denture for 1 of 1 resident reviewed for dental services (Resident #4).
Inspectors wroteBased on observations, record review, resident and staff interviews, the facility failed to ensure accurate medical records when a resident's edema (swelling) stockings were incorrectly documented as applied for 1 of 1 resident (Resident # 73) reviewed for medical record accuracy.
Inspectors wroteBased on observations and staff interviews the facility failed to remove expired food in 1 of 2 kitchen refrigerators. The facility failed to clean and maintain 1 of 4 ice machines. This practice had the potential to affect food and beverages served to residents. Findings Included: On 7/24/23 at 08:22 AM an observation of the walk-in refrigerator with the Dietary Manager (DM) was conducted. The observation revealed one 4-quart container closed with a lid labeled tuna salad with the dates 7/16 use by 7/19 located on the second shelf of the walk-in refrigerator. The container was 1/4 full, and was immediately removed by the DM. The DM stated on 7/24/23 at 8:36 AM the tuna salad should not have been in the walk-in refrigerator. The DM stated the evening cook checked for expired foods daily and he (DM) checked for expired food in the morning when working. [...]
Inspectors wroteBased on observation and staff interviews the facility's Quality Assurance Activity (QAA) committee failed to maintain implemented procedures and monitor interventions that the committee had previously put into place following the facility's 1/28/22 recertification survey. The failure was related to one deficiency that was originally cited during the 1/28/22 recertification survey and was cited on the current recertification and complaint survey of 7/27/23. The recited deficiency was in the area of food safety requirements to store, prepare, distribute and serve food in accordance with professional standards for food service safety. The continued failure of the facility during two surveys of record in the same area showed a pattern of the facility's inability to sustain an effective Quality Assurance program.
Inspectors wroteBased on observation, record review, and interviews with resident and staff, the facility failed to maintain a wheelchair in good repair for 1 of 1 resident reviewed for a safe, comfortable, homelike environment (Resident #86).
6 fire safety citations on file: 2 on March 5, 2026, 1 on December 19, 2024, 3 on July 27, 2023.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.40 | 3.85 | 3.86 |
| Registered nurses | 0.49 | 0.62 | 0.69 |
| All nursing staff on weekends | 2.85 | 3.42 | 3.42 |
| Nurse aides | 2.16 | ||
| Licensed practical nurses | 0.75 | ||
| Nursing staff turnover (share who left in a year) | 37.0% | 49.0% | 45.8% |
| Registered nurse turnover | 36.8% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.40 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 3.62 on weekdays and 2.85 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.47 in April to June 2025 to 3.40 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 | 3.40 | 0.49 | 3.62 | 2.85 | 3.0% | 1 of 90 | 112 |
| Oct to Dec 2025 | 3.42 | 0.46 | 3.59 | 3.00 | 1.1% | 0 of 92 | 111 |
| Jul to Sep 2025 | 3.39 | 0.55 | 3.57 | 2.92 | 2.2% | 0 of 92 | 116 |
| Apr to Jun 2025 | 3.47 | 0.61 | 3.63 | 3.07 | 2.4% | 0 of 91 | 112 |
| 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.
| 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 | 28.2 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.1 | 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 | 6.2 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.9 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 33.1 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.2 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.8 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 12.8 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.0 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Murphy Rehabilitation & Nursing's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (50.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
50.6% 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. 202 eligible stays.
9.7% 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. 205 eligible stays.
6.2% 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. 126 eligible stays.
78.1% 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. 105 residents counted.
1.6% 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. 127 residents counted.
2.7% 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. 127 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 15 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: MURPHY REHABILITATION INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Murphy Healthcare Properties LLC | 5% or greater direct ownership interest | Organization | 100% | 10/01/2017 |
| Roberts, Kelly | W-2 managing employee | Individual | 10/01/2017 | |
| Boyette, Barbara | Corporate officer | Individual | 10/01/2017 | |
| Gilliam, Robert | Corporate officer | Individual | 09/01/2021 | |
| Schmidlin, James | Corporate officer | Individual | 09/01/2021 | |
| Century Care Management, Inc. | Operational/managerial control | Organization | 10/01/2017 |
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.
Chosen from this home's own inspection record.
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.